NOTE:  THIS DATA IS OLD AND IN A DIFFERENT, MORE LIMITED, FORMAT THAN
       THE MMCC DATA REPORTS FROM DECEMBER 1989 ON.


                MEDICARE MANAGED CARE CONTRACT REPORT
                      (DATA AS OF DECEMBER 13, 1985)

      ATTACHED FOR YOUR INFORMATION IS A SUMMARY OF STATISTICS REGARDING
      MEDICARE CONTRACTS WITH PREPAID ORGANIZATIONS.



                                                  ENROLLMENT AND PAYMENT SUMMARY
                                                  ------------------------------
                                                      (AS OF  DECEMBER 13, 1985)

 MEDICARE HMO/CMP DATA
 ---------------------
                                                                   PAYMENT
                                                        DEC, 85    FISCAL YR
                              NUMBER OF   NUMBER OF     PAYMENT    TO DATE
 TYPE OF CONTRACT             CONTRACTS   ENROLLEES   (MILLIONS)  (MILLIONS)*
 ----------------             ---------   ---------   ----------  ----------
  RISK
      TEFRA RISK    1/            90        440,923       $91.2      $255.2
      OLD RISK                     4         43,044        $5.9       $17.6
      DEMOS                       10         13,687        $3.3        $9.2
                                 ---      ---------       ------    --------
        SUBTOTAL                 104        497,654       $100.4     $282.3

  COST
      TEFRA COST                  27         56,971        $3.4        $8.9
      OLD COST      2/            25         39,912        $2.8        $9.7
                                 ---      ---------       ------    --------
        SUBTOTAL                  52         96,883        $6.2       $18.6


  OTHER  3/                       --         39,771        $2.1        $6.1

                                 ---      ---------     --------    --------
        SUBTOTAL (HMOS)          156        634,308      $108.7      $307.0


  PART B
     HCPP/GPPP                    35        636,745        $34.2     $101.7


                                 ---      ---------       ------    --------
 TOTALS                          191      1,271,053       $142.9      $408.7
 _________________________________________________________________________________________________________________

 1/  INCLUDES 27 CONTRACTS WHICH HAVE BEEN SIGNED, BUT FOR WHICH NO PAYMENT HAS YET BEEN MADE.

 2/  INCLUDES 7 PLANS APPLYING FOR RISK CONTRACTS.

 3/  15 PLANS WITH TEFRA RISK CONTRACTS HAVE ENROLLEES STILL BEING PAID UNDER THE COST METHOD.

 *   DATA BASED ON "PAYMENT MONTHS" FOR PROSPECTIVE PAYMENT MADE FOR DECEMBER 1985.

 CURRENT STATUS OF TEFRA RISK CONTRACTS
 --------------------------------------

 O  90 CONTRACTS IN 23 STATES SIGNED AS OF 13 DECEMBER 1985.

    - 5 STATES ACCOUNT FOR 81% OF TOTAL ENROLLMENT (FLORIDA 36.7%,
      CALIFORNIA 14.4%, MINNESOTA 16%, MASSACHUSETTS 7.4%, ILLINOIS 6.3%.
 O  78 CONTRACTS IN ADDITIONAL 13 STATES PENDING.
 O  HCFA MADE PROSPECTIVE PAYMENTS OF $91.2 MILLION FOR DECEMBER 1985.

 O  PAYMENT DATA TO DATE.

    $212 AVERAGE MONTHLY PAYMENT PER ENROLLEE.
    $180 AVERAGE MONTHLY ACR.
    $32 AVERAGE MONTHLY SAVINGS RETURNED TO BENEFICIARY.

 O  16 HMOS CHARGE NO MONTHLY PREMIUMS TO THE BENEFICIARY.

      THIS REPORT WILL BE UPDATED BY THE TENTH OF EACH MONTH.
      IF YOU HAVE ANY QUESTIONS, PLEASE CALL (410) 786-1111.
      PREPARED BY: OFFICE OF MANAGED CARE,
                   HEALTH CARE FINANCING ADMINISTRATION.

