Page 63 - 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
7bf7b3a7875283e7d0cdbe9350324120 - - - - - - Active Medical/Surgical Complications 4.41 $68,185 $1,639 $69,825
9c7b7f106a00c8f95665ad57c50d2984 - - - - - - Active Spine-related Disorders 3.48 $8,922 $60,771 $69,694
97d69c93c1db4cc88352dbfb1fa109f0 - - - - - - Active Neurological Disorders 3.52 $68,769 $811 $69,580
b29be493c3e0545af4d96e13c76897b2 - - - - - - Active Health Status/Encounters 1.85 $5,849 $63,288 $69,137
09168e4f2117321b09a9cd1dd41289d4 - - - - - - Active Cancer 4.48 $1,858 $67,170 $69,027
0bb662d88d4a77659005247a5fdef85a - - - - - - Active Cardiac Disorders 3.67 $67,073 $1,604 $68,677
315b617449f6ac3abba677838552000f - - - - - - Active Trauma/Accidents 1.21 $66,848 $0 $66,848
95db51e88d969476129fa8dce78399fd - - - - - - Active Spine-related Disorders 7.37 $55,776 $10,552 $66,328
3c8753a0098f547d8eb07240117b56dc - - - - - - Active Gastrointestinal Disorders 3.38 $66,073 $204 $66,277
f41a7df9233074ac82134eda2e42508c - - - - - - Active Trauma/Accidents 3.78 $17,248 $48,549 $65,797
f8c92d8075b063038ecd9c11c6602ee4 - - - - - - Active Constitutional Symptoms 4.57 $2,030 $63,191 $65,221
b9c552899554c343f9d523fca565492c - - - - - - Active Gynecological Disorders 4.26 $64,067 $1,115 $65,181
dfde9fe7b9b91e6d032b4f17328910b0 - - - - - - Active Neurological Disorders 6.48 $4,859 $58,809 $63,668
ee44821669c51c7c84247af4aadc7112 - - - - - - Active Gastrointestinal Disorders 5.16 $1,437 $62,217 $63,653
b51f9cdd5e04bec19d9d909c6ccf2552 - - - - - - Active Pulmonary Disorders 7.54 $25,575 $37,350 $62,924
499c973252970fa430db14728a0e6150 - - - - - - Active Musculoskeletal Disorders 2.55 $61,484 $798 $62,282
3c82e74db71196a7d63fb9d712f546eb - - - - - - Active Musculoskeletal Disorders 4.93 $48,658 $13,068 $61,726
a018001986463d639cc40eaa41c595d1 - - - - - - Active Cardiac Disorders 11.25 $29,661 $31,867 $61,527
cf3f646890de2a723d984a1138acfbcf - - - - - - Active Constitutional Symptoms 3.96 $59,390 $2,063 $61,453
ea079111c8df9a0740acb8f8278d33f5 - - - - - - Active Endocrine/Metabolic Disorders 3.69 $60,839 $327 $61,166
0b17f808dac13a34d9a7ba07324b0489 - - - - - - Active Gastrointestinal Disorders 6.53 $56,854 $3,265 $60,120
b321a66e79e4b33483b0430cfd1f923e - - - - - - Active Dermatological Disorders 3.72 $535 $59,399 $59,934
771e6e404cf4cdd2ac86d50c76b98d2a - - - - - - Active Mental Health 4.10 $57,249 $2,239 $59,488
c43f033f45f84e9d7505418dc2e7e067 - - - - - - Active Trauma/Accidents 0.64 $59,068 $311 $59,379
bdc56ba1923e8ab5e0c040df93595253 - - - - - - Termed Pulmonary Disorders -- $59,075 $0 $59,075
62d7776f5e9b7529ca77d7e9d62548c7 - - - - - - Active Medical/Surgical Complications 7.53 -$1,333 $60,219 $58,886
b503a36f8d5a8da9b3f3d1c0e4f6234c - - - - - - Active Non-malignant Neoplasm 15.90 $40,865 $17,693 $58,558
8cbcb98c25eed7b6699d52ce1680f9b3 - - - - - - Active Gastrointestinal Disorders 6.93 $40,063 $18,492 $58,555
e122f3e07f81d6d8256f08211ef7b180 - - - - - - Active Trauma/Accidents 5.33 $45,519 $12,469 $57,988
2f5813258833fd75387852acbb1caee9 - - - - - - Active Infections 1.99 $57,720 $101 $57,821
72c32f917cb6451943dc139c90596c93 - - - - - - Active Cardiac Disorders 7.20 $52,678 $5,026 $57,703
a0a16ac3d960106db239d6c609daeb11 - - - - - - Active Cardiac Disorders 4.30 $56,119 $1,459 $57,578
92511ecf0d44426e175a26e14252e19a - - - - - - Active Dermatological Disorders 4.20 $1,290 $55,490 $56,780
439ae6fac18f2e92fe6a81841d5f77db - - - - - - Active Cardiac Disorders 10.37 $12,849 $42,575 $55,424
c2a6cf7df56eed86ee539c26245e080d - - - - - - Active Cardiac Disorders 8.63 $11,238 $44,059 $55,297
119cd24ea9c7d16775e163a748f76e3a - - - - - - Active Gastrointestinal Disorders 5.19 $14,368 $40,806 $55,175
7741e4d546a465afe47ef633794d2b01 - - - - - - Active Gastrointestinal Disorders 2.19 $53,614 $1,470 $55,083
0e1b07cad1c94cb968aac7d7fa28c9d7 - - - - - - Active Musculoskeletal Disorders 4.12 $49,904 $5,005 $54,908
f7ccfa6740470ebf9eab84fc0d782053 - - - - - - Active Health Status/Encounters 4.65 $5,526 $49,329 $54,855

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

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