Page 60 - 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
20553b669fca7c99aacd44212c31421c - - - - - - Active Cardiac Disorders 4.25 $84,212 $9,472 $93,684
a40aa6365a4a9166ec3a0c7d047addab - - - - - - Active Cancer 4.81 $77,661 $13,263 $90,924
9a4287d47679d64a9625f13515621858 - - - - - - Active Health Status/Encounters 6.26 $90,439 $461 $90,899
fce0684d6075f2b250dc3c9d313754ea - - - - - - Active Trauma/Accidents 9.11 $25,939 $64,640 $90,580
cd80a488e7d4eb4b34152cc5a3e550bd - - - - - - Termed Cancer -- $86,386 $2,558 $88,943
8d3ffa8266dd12e1c3a82fee6b751334 - - - - - - Active Spine-related Disorders 3.02 $88,575 $242 $88,817
e98dec9bcf0c5e477c0c2088058e0bbc - - - - - - Active Cardiac Disorders 5.83 $87,454 $1,156 $88,610
8904e9389412812342cdaa1b842caf28 - - - - - - Active Neurological Disorders 6.45 $3,133 $83,895 $87,028
bca5b26a874fa33932aaf85a7b126658 - - - - - - Termed Non-malignant Neoplasm -- $86,726 $90 $86,816
c0acb777670142ce0d6f375eed02bb34 - - - - - - Termed Infections -- $11,259 $75,344 $86,603
c71072a39cdf48185c81fcef1108704c - - - - - - Active Gastrointestinal Disorders 2.68 $84,318 $1,234 $85,552
ac71738126b32592c9099bf055c2b211 - - - - - - Active Endocrine/Metabolic Disorders 1.89 $85,065 $481 $85,546
5c10e6a4d7e377fdbe9344e5c428cdaa - - - - - - Active Cancer 18.14 $4,888 $80,453 $85,342
c7bb2a74123721ec20ced00d65a68770 - - - - - - Active Pulmonary Disorders 7.23 $77,324 $8,017 $85,341
0c815f91edfb1f079305c4d4b598989c - - - - - - Active Neurological Disorders 5.65 $77,861 $6,954 $84,815
6b12c47c4879477b58a9cae836201a6c - - - - - - Active Renal/Urologic Disorders 16.46 $79,319 $2,483 $81,802
1a7f2ca280178af4ffbe3bf684a280e0 - - - - - - Active Gastrointestinal Disorders 6.95 $6,697 $75,103 $81,800
50dff80c89df1843121e8e901ce3026f - - - - - - Active Non-malignant Neoplasm 5.16 $81,433 $44 $81,477
6e7c174d97301ea33278768fc216fa2e - - - - - - Active Cardiac Disorders 4.46 $76,604 $4,720 $81,324
5b65b91314bdc4334872f824f6c6a34d - - - - - - Active Musculoskeletal Disorders 9.90 $77,778 $3,062 $80,839
42a87cd17de8f0f7181b1aea326dd90e - - - - - - Active Non-malignant Neoplasm 2.62 $70,209 $10,477 $80,686
2c7c0611fda44ec92cbb684e926ee918 - - - - - - Active Diabetes 5.31 $73,962 $6,274 $80,236
1beb411e31d122f42ab7cd4259abbec7 - - - - - - Active Gastrointestinal Disorders 6.24 $79,763 $129 $79,892
f3ec2efdc4b046473c2fb57b5e339aee - - - - - - Active Cardiac Disorders 5.42 $39,605 $40,242 $79,846
0dfc72bc00620539bdc16e9cbebb5494 - - - - - - Active Gastrointestinal Disorders 2.14 $2,125 $77,222 $79,347
7f8cafe9c9b0a2fc4e8316fc8247385d - - - - - - Termed Endocrine/Metabolic Disorders -- $35,993 $43,282 $79,274
83912cad8e7838f93a49e966eab70a82 - - - - - - Active Dermatological Disorders 1.55 $408 $78,661 $79,069
4ef39a5523574e695be896d85f7bda42 - - - - - - Active Medical/Surgical Complications 7.24 $77,547 $197 $77,744
8afbc9555c9106460ad12e1595353c62 - - - - - - Active Cancer 15.39 $77,406 $230 $77,636
377eeb8cc203d8e02db14451e2ee7666 - - - - - - Active Musculoskeletal Disorders 6.49 $65,544 $10,453 $75,998
b4a66988e76bb8e6fd86dcc2b0dcc742 - - - - - - Active Vascular Disorders 2.78 $75,161 $14 $75,175
86575003ae9995ecc157bc201cdde2ce - - - - - - Termed Spine-related Disorders -- $71,000 $3,822 $74,822
81d0bbbd8e7ffeefed6867674a001f53 - - - - - - Active Musculoskeletal Disorders 4.85 $73,159 $1,270 $74,429
b796cce79850fc2cec437820ffdc399e - - - - - - Active Health Status/Encounters 2.16 $155 $73,280 $73,435
1a2267288ccb26f619b21e74ec97443a - - - - - - Active Infections 19.70 $72,848 $0 $72,848
c56df15cb771b75e60cb4a4f201cd0ab - - - - - - Termed Congenital/Chromosomal Anomalies -- $67,478 $5,277 $72,755
14b5787ea2333901d6162273e36cddba - - - - - - Active Musculoskeletal Disorders 3.38 $64,990 $7,366 $72,356
f06ef421331cd61478c5793f06188c5e - - - - - - Active Neurological Disorders 9.32 $65,701 $6,169 $71,871
8d1a447a59a423e86cf1d5fa3a3bd964 - - - - - - Active Musculoskeletal Disorders 5.91 $2,642 $68,120 $70,762

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

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