Page 59 - Bird RFP Response_Burnham Benefits

High Cost Members
Population: Book of Business

Current
Member Id Relationship Gender Age Highest Paid Diagnosis Risk Score Medical Cost Pharmacy Cost Total Cost
Status
e0486051385d9e38a035f91483db5870 - - - - - - Active Cancer 14.54 $131,588 $112 $131,700
17d7f2a4b27f96d0c0c88f766edecec4 - - - - - - Termed Cardiac Disorders -- $126,324 $5,246 $131,570
6d453809dcf8dedc01b526e9829294b2 - - - - - - Active Cancer 14.98 $0 $131,476 $131,476
e9a0c78b5d31ba2b4527843f612eb063 - - - - - - Termed Gastrointestinal Disorders -- $128,613 $2,560 $131,173
d81ddccfdf32936038822a1429978997 - - - - - - Termed Trauma/Accidents -- $130,526 $503 $131,029
78fcd12214cedfad1c4ae0e8c184a3d7 - - - - - - Active Endocrine/Metabolic Disorders 1.22 $123,528 $4,525 $128,053
80a47b75454bef3e596ada2200ab6510 - - - - - - Active Cardiac Disorders 9.56 $122,232 $5,685 $127,917
95680eab27075a6b506d01fe373a43ec - - - - - - Termed Infections -- $122,913 $2,668 $125,580
3c862b9563296b1e8d948162d7179143 - - - - - - Active Neurological Disorders 3.15 $123,993 $564 $124,557
38bb6b9b0cb20e8085a6b37e839fe8cc - - - - - - Active Cardiac Disorders 4.40 $115,293 $6,692 $121,984
667fe2286c7de8ba5a48f408573a31ae - - - - - - Active Cardiac Disorders 7.53 $117,663 $2,868 $120,530
9db19de53854dfc59b51ddfd8ef20ae1 - - - - - - Active Pulmonary Disorders 19.51 $108,166 $9,865 $118,031
726242d7dd2a5cef37940114ff054dfc - - - - - - Active Cardiac Disorders 6.75 $114,260 $2,909 $117,170
dfca991c66a58fa03ddbfa1e96137731 - - - - - - Active Neurological Disorders 3.57 $114,466 $2,562 $117,029
b3c886b42b78057d27d23bd99a1f333e - - - - - - Active Spine-related Disorders 7.23 $110,848 $5,258 $116,107
6db136087435657ee9a26d35e7b1bbea - - - - - - Active Cancer 20.53 $115,082 $291 $115,373
d646e80fdc5785bbce491fa054ffa50c - - - - - - Active Pregnancy-related Disorders 0.78 $114,491 $0 $114,491
d45c53806e2ef254dcd52dd0e4f699dc - - - - - - Termed Renal/Urologic Disorders -- $113,877 $152 $114,030
23d76aaa6471d8d63e3b648e9f56fb46 - - - - - - Active Cancer 13.32 $112,005 $48 $112,053
67f69b5df065d441a5849e68bea81180 - - - - - - Active Cancer 23.09 $103,071 $6,669 $109,741
83fcd75bb956b9b3bee22944e3a8d6e1 - - - - - - Active Gastrointestinal Disorders 7.74 $105,438 $3,571 $109,009
cf5a391baa34774f2be9cb94dcd93828 - - - - - - Active Cancer 19.30 $19,849 $87,661 $107,510
9a83044f9cfcfeeadd94de658d02f59e - - - - - - Active Spine-related Disorders 6.73 $88,126 $19,138 $107,264
8363bd5b1247adadb1aa3ba2df5bee79 - - - - - - Active Cardiac Disorders 11.26 $102,564 $3,990 $106,554
e0a8d6f3fd30691eae8ed7cc7d70795b - - - - - - Active Spine-related Disorders 6.13 $105,125 $413 $105,539
b84c05b278533ccca029fa8fa2a2a7d9 - - - - - - Active Congenital/Chromosomal Anomalies 2.99 $102,519 $148 $102,667
48c1bb254580c79a5b8f599667cb3af1 - - - - - - Active Neurological Disorders 11.74 $77,972 $24,545 $102,517
4d419439b102192a4768d5c5556c24a2 - - - - - - Active Congenital/Chromosomal Anomalies 5.65 $99,822 $808 $100,630
29b031913097ee835bdf10967bedbd5c - - - - - - Active Neurological Disorders 14.48 $270 $99,352 $99,622
1fb8575eb8d3f83a7bbb6b726c0edf74 - - - - - - Active Gastrointestinal Disorders 4.24 $97,326 $1,898 $99,223
f6de35430f3ac634b2304ef3af03b66f - - - - - - Active Cancer 17.58 $93,379 $5,536 $98,916
ec7c8859b20d477331bc21ef01ab1e57 - - - - - - Active Cancer 11.31 $98,591 $44 $98,635
e648c17bd19a957aa0ae13b3f17b03e1 - - - - - - Active Infections 1.05 $97,955 $0 $97,955
55e58f7adb840448db633ac994571816 - - - - - - Termed Musculoskeletal Disorders -- $95,501 $1,367 $96,867
51ae04ad50d0a5f7ecc4933bff2a167e - - - - - - Active Gastrointestinal Disorders 4.48 $78,539 $17,856 $96,396
c42eaadfd05869eae375573bcdd82821 - - - - - - Active Gastrointestinal Disorders 11.19 $92,203 $2,929 $95,133
29411582b2f0ade2d59a9aa092ae5e4f - - - - - - Active Spine-related Disorders 2.55 $94,738 $139 $94,877
21e4d21a0e10aa09db3f25169fd2f1f0 - - - - - - Active Spine-related Disorders 6.62 $90,488 $4,009 $94,496
ab4849be244a87b0b07f00a0968fcf52 - - - - - - Active Musculoskeletal Disorders 7.35 $85,829 $7,871 $93,700

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

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