Page 65 - Bird RFP Response_Burnham Benefits
P. 65
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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