12 / 99
Loss
Key Measures
Ratio*
Paid Claims PMPM
PCB Base Plan (4430)
60%
163
PCB Buy-Up Plan (4431)
95%
94
Combined Total
74%
257
Key Statistics Dashboards
~ Rolling 12 Months
Current
Prior
Current
Prior
Inpatient Services
81
55
$72.57 $98.41
Outpatient Services
1,886
1,658
$162.37 $89.18
Professional Services
18,228 17,621
$102.80 $113.77
Prescription Drugs
13,714 13,114
$68.34 $43.19
Drug Use by Tier
Tier 1 - Generic
Tier 2 - Preferred Brandname
Tier 3 - Non-Preferred Brandname
High Cost Claimants over pooling
(Pooling Level - $65,000)
*Does not include costs for pooling, retention, trend, etc. Reflective of pure paid premium vs. paid claims.
Neoplasms
CBIZ Benefits & Insurance Services, Inc.
700 W.47th St, Kansas City, MO 64112
(816) 945-5500
3
Symptoms, Signs & Ill-Defined Conditions
Prepared by:
1
Center Point Medical Center (MO)
2
The General Hospital Corporation (MA)
3
Th Childrens Hospital Corporation (MA)
Paid Per Member Per Month
Additional Information
Top Inpatient Facilities
# of Claimants
5
Total Paid
$513,699
Top Diagnostic Categories
1
Musculoskeletal and Connective Tissue
2
Rx Detail
Scripts Filled
% of Total
Paid Benefits
% of Total
4,569
214
4.1%
$113,742
36.3%
87.2%
$69,471
22.2%
457
8.7%
$130,132
41.5%
49.2%
-26.3%
13.7%
82.1%
3.4%
-9.6%
Annual Trend
$311
$189
64.5%
$506
$593
-14.6%
4.6%
58.2%
CLAIMS DASHBOARD
POAH Communities (June 2017)
Current
Prior
Annual
July 2016 - June 2017
Average
Subscribers
Rolling 12 Mos
12 Mos
Trend
rolling / prior
$388
$351
10.5%
# Services per 1,000
Paid Per Member Per Month
Annual Trend
$0.00
$100.00
$200.00
$300.00
$400.00
$500.00
$600.00
$700.00
Jul-16 Aug-16 Sep-16 Oct-16 Nov-16 Dec-16 Jan-17 Feb-17 Mar-17 Apr-17 May-17 Jun-17
Paid PMPM