Page 53 - Bird RFP Response_Burnham Benefits

Avoidable Care Continuum
Population: Book of Business

Comparison Period

Avoidable ER Urgent Care Office Total Potential
Jan-17 to Dec-17
Visits Paid / Visit Visits Paid / Visit Visits Paid / Visit Visits Paid / Visit Savings
Acute Bronchitis 35 $2,115 76 $99 346 $76 457 $236 $71,205
Acute Throat Infection 30 $1,079 98 $92 608 $74 736 $117 $30,073
Acute Upper Respiratory Infection 41 $1,066 210 $99 1,051 $62 1,302 $100 $40,932
Allergies 0 $0 11 $84 330 $108 341 $107 $0
Back Pain 43 $1,405 15 $121 599 $86 657 $173 $56,690
Conjunctivitis 5 $1,095 24 $97 144 $67 173 $101 $5,121
Constipation 15 $1,546 4 $107 66 $94 85 $351 $21,769
General Exam/Preventive Care 9 $1,370 12 $129 1,822 $145 1,843 $151 $11,024
Headache 37 $1,831 4 $99 141 $94 182 $447 $64,252
Otitis Media 14 $753 44 $87 409 $67 467 $89 $9,573
Prescription Refill 0 $0 1 $16 1 $94 2 $55 $0
Rash/Dermatitis/Insect Bites 9 $1,062 22 $89 293 $66 324 $95 $8,956
Strains/Sprains 102 $1,474 48 $111 277 $93 427 $425 $140,612
Urinary Tract Infection 37 $1,863 30 $107 199 $68 266 $322 $66,199
Total 377 $1,482 599 $99 6,286 $96 7,262 $168 $522,387

Reporting Period: Paid January 2018 to December 2018
Comparison Period: Paid January 2017 to December 2017
Benchmark: Commercial February 15, 2019
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