Page 64 - Bird RFP Response_Burnham Benefits
P. 64

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
                           e22831cdfc8be47c7ab2fe649062f4de - -                - -           - - Active   Gastrointestinal Disorders                     2.52         $54,360              $439          $54,799
                           79b2ccbd6c78272f0f2ef40206cbd794 - -                - -           - - Active   Gastrointestinal Disorders                     3.74         $54,050              $263          $54,313
                           3568a8b4f27c91d351d3fe814f0d621c - -                - -           - - Active   Cancer                                       17.63          $54,122               $80          $54,201
                           7e6c6f7dd5be0b8c2dbc8aa29ec60d10 - -                - -           - - Active   Musculoskeletal Disorders                      1.92         $49,552            $4,581          $54,134
                           7f0a50ad89fbcd98ece1f1c5a7b5f43e - -                - -           - - Active   Diabetes                                       2.40            $660          $52,939           $53,599
                           81c522df450414a922f3edc34fd502d1 - -                - -           - - Active   Cardiac Disorders                              2.82         $43,228            $9,537          $52,765
                           0fd5d06f77397f6c8e8ab9659274d3ae - -                - -           - - Active   Diabetes                                       3.89         $38,150          $13,962           $52,111
                           2334902bc2b7403b8b684d511f619a05 - -                - -           - - Active   Infections                                     2.54         $51,769               $29          $51,798
                           8b4c0cf350199e5c01a39aae5a7383d7 - -                - -           - - Active   Cardiac Disorders                              7.88         $34,998          $16,514           $51,512
                           b2c3fff24bcae5af05a8fe32e8de96f2 - -                - -           - - Active   Cardiac Disorders                              1.78         $45,306            $6,127          $51,433
                           92f04fc75a82e73ad4d921dfba484ab8 - -                - -           - - Active   Musculoskeletal Disorders                      2.47         $50,989              $331          $51,320
                           cf590f52bdf926de7ffebf894492fe16 - -                - -           - - Termed   Trauma/Accidents                                  --        $51,284                $0          $51,284
                           6655963ff139b6692d5e4265e9321e0a - -                - -           - - Active   Health Status/Encounters                       3.54          $1,980          $49,209           $51,189
                           3212c72ee2260ed5997a120652955feb - -                - -           - - Active   Cancer                                         1.50         $50,981              $165          $51,146
                           8cb9641b5ecdf67b1869c743ffb77235 - -                - -           - - Termed   Cancer                                            --        $41,991            $8,201          $50,192
                           a8914be0a551b229a3cdeba399f578f7 - -                - -           - - Termed   Pulmonary Disorders                               --        $34,825          $15,268           $50,093
                           Total                                                                                                                                  $15,092,580       $3,962,248      $19,054,828















































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

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