Acute services - State of Illinois

Shadow Pricing ModelsShadow Pricing Assumptions – SFY 2011 Claims (Continued)» Revised Model rates applied to SFY 2011 FFS claims data resulted in simulatednew system payments that are lower than current system payments:Category ofServiceDRG/PerDiemPaymentsSFY 2011 Claims DataReported PaymentsOutlierPaymentsTotal ClaimPayments(Net ofDSH/MPA)Revised Model Rates Appliedto SFY 2011 Claims DataDRG/PerDiemPaymentsOutlierPaymentsTotal ClaimPayments(Net ofDSH/MPA)EstimatedPaymentChangeAcute COS 20 Services $1,261.2 $610.4 $1,871.6 $1,543.2 $249.1 $1,792.2 -$79.4Psychiatric COS 21 Services $160.9 $0.0 $160.9 $153.4 $0.0 $153.4 -$7.5Rehabilitation COS 22 Services $31.2 $0.1 $31.3 $30.7 $0.0 $30.7 -$0.6LTAC COS 20 Services $46.1 $6.5 $52.5 $37.3 $0.0 $37.3 -$15.2Inpatient Total $1,499.3 $617.0 $2,116.3 $1,764.5 $249.1 $2,013.6 -$102.7Page 15