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This report provides a comprehensive analysis of athletic healthcare costs for the 2012-13 period, focusing on the differences between billed versus paid amounts. It highlights key statistics, including the number of athletes with claims, the number paying through insurance, and those without valid insurance. The total billed amount reached $983,688.44, while the school paid a total of $275,985.04, representing only a fraction of the healthcare costs. The report further discusses the coordination of benefits and implications for student athletes' health insurance coverage.
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All School Report2012-13 Athletic Healthcare Cost Analysis
Insured vs. Uninsured • Number of Athletes with a Claim = 284 (71% of SA) • With Insurance = 75 (26% of Claimants) • Billed = $413,967.65 • School Paid = $52,311.10 (12.6% of Billed) • Without Valid Insurance = 209 (74% of Claimants) • Billed = $569,720.79 • School Paid = $223,705.94 (39.3% of Billed) • Note: $44,174.74 Pending Claims
Risk / Insurance Profile 0% Percent Insured 100% Insured Student Athletes (85%) Uninsured (15%) TBD Without COB (9%) With COB (76%) Note: Although 85% have insurance, 76% have applicable insurance COB: Coordination of Benefits
2012-13 Payment .28 on the dollar for Athletic Healthcare
Cost of Athletic Healthcare • School Paid = $261,274.42 • Opportunity Fund Paid = $14,742.62 • Repricing Fee (Estimated at 25% of Discount) = $75,000 • MOO Premium = ??? • Total = $352,017.04 + MOO Premium