COCHISE HEALTH SYSTEMS

1
COCHISE HEALTH SYSTEMS

• 2006 AHCCCS RFP

2
Major Changes

• No Bid Accept Published Rates
• Two Capitation Rates Dual and Non-Dual
  Eligible Members
• No Ventilator Dependent Capitation
• Changes in Re-insurance Process
• Adjustment in Capitation if FFS Rates Change

3
Published Rates

• Dual Eligible Capitation Rates Cochise -
  2,640.55
• Graham - 3,084.45
• Greenlee - 2,694.14
• Non-Dual Capitation Rates Cochise -
  4,581.66
• Graham - 5,062.99
• Greenlee - 7,863.99
  

4
Blended Rate Calculation

• Adjustment for Ventilator Capitation
• Used Current Percentages Medicare Cochise
  86.05
• Graham 83.05
• Greenlee 93.35
• Used Current HCBS Mix HCBS Home
• Cochise 53.78
• Graham 46.09
• Greenlee 42.14
• Ventilator Assumptions 2 HCBS 1 NH

5
Rate Comparison 06 to 07
6
Re-Insurance Changes

• Considering Elimination of Behavioral Health
  Re-insurance
• Increase in Re-Insurance Deductibles
• 30,000 and 75

7
Amendments

• Amendment 1 Actuary
• Amendment 2 Minor Language Changes

8
Recommendations

• Accept Published Rates
• Permission to Sign RFP
• Permission to Sign Amendments
• Submit RFP by 3/31/06