family planning data analysis travis duke. goals monthly data reviews trends data analysis data...
TRANSCRIPT
Family Planning Data Family Planning Data AnalysisAnalysis
Travis DukeTravis Duke
GoalsGoals
Monthly Data ReviewsMonthly Data Reviews
TrendsTrends
Data AnalysisData Analysis
Data CollectionData Collection
Monthly Data ReviewsMonthly Data Reviews
Review Consists Of:Review Consists Of:
Title V, X, XX, Regular XIX, & WHPTitle V, X, XX, Regular XIX, & WHPPaid/Denied/Funds Gone ClaimsPaid/Denied/Funds Gone ClaimsUnduplicated ClientsUnduplicated ClientsExpendituresExpendituresCost Per ClientCost Per ClientProceduresProcedures
TrendsTrends
Unduplicated Clients (Expenditures)Unduplicated Clients (Expenditures)
FY2007FY2007
Title V: 48,162 ($5,277,793)Title V: 48,162 ($5,277,793)
Title XX: 171,232 ($25,690,161)Title XX: 171,232 ($25,690,161)
Regular XIX: 58,067 ($6,793,181)Regular XIX: 58,067 ($6,793,181)
WHP: 35,631 ($4,279,992)WHP: 35,631 ($4,279,992)
TrendsTrends
Unduplicated Clients (Expenditures)Unduplicated Clients (Expenditures)
FY2006FY2006
Title V: 64,531 ($7,817,477)Title V: 64,531 ($7,817,477)
Title XX: 213,959 ($33,044,328)Title XX: 213,959 ($33,044,328)
Regular XIX: 29,641 ($3,231,622)Regular XIX: 29,641 ($3,231,622)
TrendsTrends
Denied Claims StatewideDenied Claims Statewide
Title V: 1946Title V: 1946
Title XX: 9235Title XX: 9235
Regular XIX: 7876Regular XIX: 7876
WHP: 5316WHP: 5316
TrendsTrends
Statewide Average Cost Per ClientStatewide Average Cost Per Client
Title V: $106.53Title V: $106.53
Title XX: $145.07Title XX: $145.07
Regular XIX: $116.99Regular XIX: $116.99
WHP: $120.12WHP: $120.12
TrendsTrends
Provider Cost Per ClientProvider Cost Per Client
Title V: $50.70 - $294.33Title V: $50.70 - $294.33
Title XX: $78.98 – $528.35Title XX: $78.98 – $528.35
TrendsTrends
Most Popular BC MethodsMost Popular BC Methods
Contraceptive Pills: 109,817 clientsContraceptive Pills: 109,817 clientsDepo Provera: 44,988 clientsDepo Provera: 44,988 clientsPatch: 6299 clientsPatch: 6299 clientsIUD: 3206 clientsIUD: 3206 clients
1,137,045 Male Condoms Distributed1,137,045 Male Condoms Distributed
TrendsTrends
Average Client:Average Client:
FemaleFemale
UnmarriedUnmarried
HispanicHispanic
Between the Ages of 20 and 29Between the Ages of 20 and 29
TrendsTrends
Teens Served :Teens Served :
Title V: 3449 (7%)Title V: 3449 (7%)
Title X: 4998 (23%)Title X: 4998 (23%)
Title XX: 25,527 (16%)Title XX: 25,527 (16%)
Regular XIX: 12,139 (23%)Regular XIX: 12,139 (23%)
WHP (18-19): 3666 (11%)WHP (18-19): 3666 (11%)
Data AnalysisData Analysis
What we are looking at :What we are looking at :
ExpendituresExpenditures
Cost of Providing ServiceCost of Providing Service
Frequency of ProceduresFrequency of Procedures
Denied ClaimsDenied Claims
WHP ClaimsWHP Claims
Data AnalysisData Analysis
Fiscal Impact of Additions/Changes to Fiscal Impact of Additions/Changes to V/X/XX Procedures:V/X/XX Procedures:
New Direct Probe and Amplified Probe New Direct Probe and Amplified Probe Chlamydia and Gonorrhea testsChlamydia and Gonorrhea tests
Medicaid Rate IncreasesMedicaid Rate Increases
Initial VisitInitial Visit
Data CollectionData Collection
Are we missing data?Are we missing data?
– Contractors must file all claims even if they have reached Contractors must file all claims even if they have reached
their funding ceilingtheir funding ceiling
– Contracts must file all appeals even if they have reached Contracts must file all appeals even if they have reached
their funding ceilingtheir funding ceiling
– Contractors must file all Title X encounters even though Contractors must file all Title X encounters even though
this will not result in paymentthis will not result in payment
– Contractors must ensure they use only TPIs to file family Contractors must ensure they use only TPIs to file family
planning claims/encounters that they have shared with planning claims/encounters that they have shared with
DSHS via clinic formsDSHS via clinic forms
Q & AQ & A
THE ENDTHE END
Travis DukeTravis Duke
Texas Department of State Health ServicesTexas Department of State Health Services
(512) 458-7796(512) 458-7796