US.NMH.12.09.009
1
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY
MEDICARE
Data sources: IMS Health and the Centers for Medicare & Medicaid Services © 2012
US.NMH.12.09.009
2
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY
MEDICARE
Data source: IMS Health © 2012
1
2
Enrollment figures are year-end totals, and do not include Medicare Advantage enrollees in Puerto Rico and U.S. territories.
“Other” includes Cost, MSA, PSO (state license) and Pilot plans.
US.NMH.12.09.009
3
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY
HOSPITAL-BASED MEDICARE
Data source: IMS Health © 2012
Percentages do not sum to 100%, because there is also an “other” payer category that is not shown, which includes self-pay, charity, workers’ compensation
and unknown payer sources
1
US.NMH.12.09.009
4
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY
MEDICARE
Data source: IMS Health © 2012
1
2
Only HMOs that enroll Medicare beneficiaries are included.
Ambulatory visits differ from physician encounters. Ambulatory visits are visits by an HMO member to an HMO clinic or physician’s office that do not require the services of a
physician. Such visits are usually made for tests, prescription refills, immunizations, etc. The term “physician encounter” is self-explanatory.
US.NMH.12.09.009
5
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY
MEDICARE
Data source: IMS Health © 2012
US.NMH.12.09.009
6
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY
MEDICARE
Data source: IMS Health © 2012
1
Data are as of midyear 2011, and represent the numbers/percentages of prescriptions dispensed, by drug class, to all patients.
US.NMH.12.09.009
7
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY
MEDICAID
Data source: IMS Health © 2012
2
Enrollment totals for 2010 and 2011 are from June of that year.
US.NMH.12.09.009
8
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY
MEDICAID
Data source: IMS Health © 2012
1
National estimates were calculated based on previous years of national Medicaid enrollment growth and the shifting of Medicaid recipients to managed
care in a number of largely populated states in 2010.
US.NMH.12.09.009
9
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY
MEDICAID
Data source: IMS Health © 2012
1
2
Only HMOs that enroll Medicaid recipients are included.
Ambulatory visits differ from physician encounters. Ambulatory visits are visits by an HMO member to HMO clinic or physician’s office that does not require
the services of a physician. Such visits are usually made for tests, prescription refills, immunizations, etc. The term “physician encounter” is self-explanatory.
US.NMH.12.09.009
10
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY
HOSPITAL-BASED MEDICAID
Data source: IMS Health © 2012
US.NMH.12.09.009
11
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY
MEDICAID
Data source: IMS Health © 2012
1
Data are as of midyear 2011, and represent the numbers/percentages of prescriptions dispensed, by drug class, to all patients.
US.NMH.12.09.009
12
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY
MEDICAID
Data source: IMS Health © 2012
1
Data are as of midyear 2011, and represent the numbers/percentages of prescriptions dispensed, by drug class, to all patients.
The total full price the pharmacy charges the patient for the product, regardless of the copayment situation.
NOTE: “Out-of-pocket cost” is the actual amount paid by the patient for the individual prescription. This cost mainly includes copayments, but can also include
tax, deductibles and cost differentials where applicable.
2
US.NMH.12.09.009
13
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY
MEDICAID
Data source: IMS Health © 2012
1
Data are as of midyear 2011, and represent the numbers/percentages of prescriptions dispensed, by drug class, to all patients.
US.NMH.12.09.009
14
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY
LONG-TERM CARE
Data source: IMS Health © 2012
US.NMH.12.09.009
15
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY
LONG-TERM CARE: NURSING HOMES
Data source: IMS Health © 2012
US.NMH.12.09.009
16
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY
LONG-TERM CARE: HOME CARE AGENCIES
Data source: IMS Health © 2012
US.NMH.12.09.009
17
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY
LONG-TERM CARE: HOSPITAL-BASED SNFs
Data source: IMS Health © 2012
US.NMH.12.09.009
18
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY
LONG-TERM CARE: HOSPITAL-BASED SNFs
Data source: IMS Health © 2012
US.NMH.12.09.009
19
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY
LONG-TERM CARE: LTCPPs
Data source: IMS Health © 2012
US.NMH.12.09.009
20
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY
LONG-TERM CARE: LTCPPs
Data source: IMS Health © 2012
US.NMH.12.09.009
21
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY