91 / 99
Chronic Disease Compliance and Utilization
POSITIVE
UTILIZATION
(MEMBER PAID)
POSITIVE
UTILIZATION
(PLAN PAID)
ALL CLAIMS
MEMBER PAID
ALL CLAIMS
PLAN PAID
MEASURED
MEMBERS
MEDICAL
COMPLIANCE
STANDARD OF
CARE
CONDITION
As of Date: April 2017
$669
$650
$27,169
$150,205
20
27.50 %
National Heart,
Lung and Blood
Association
Asthma
$172
$515
$27,169
$150,205
20
30.00 %
Physicians Desk
Reference
Asthma
$172
$515
$27,169
$150,205
20
30.00 %
Up To Date
Asthma
$45
$218
$5,982
$32,857
2
50.02 %
Center for
Disease Control
and Prevention
Chronic Fatigue
Syndrome
$0
$71
$5,982
$32,857
2
40.00 %
Merck Manual
Chronic Fatigue
Syndrome
$45
$215
$5,982
$32,857
2
50.01 %
Up To Date
Chronic Fatigue
Syndrome
$72
$578
$10,253
$35,492
3
66.67 %
Global Initiative
for Chronic
Obstructive Lung
Disease
Chronic
Obstructive
Pulmonary
Disease (COPD)
$72
$578
$10,253
$35,492
3
66.67 %
Merck Manual
Chronic
Obstructive
Pulmonary
Disease (COPD)
$72
$578
$10,253
$35,492
3
66.67 %
Up To Date
Chronic
Obstructive
Pulmonary
Disease (COPD)
$0
$0
$0
$0
1
0.00 %
Institute for
Clinical Systems
Improvement
Chronic Pain
Syndrome
$0
$0
$0
$0
1
0.00 %
National Institute
of Neurological
Disorders and
Stroke
Chronic Pain
Syndrome
$0
$0
$0
$0
1
0.00 %
Up To Date
Chronic Pain
Syndrome
$268
$996
$11,296
$100,304
8
99.99 %
American College
of Cardiology -
American Heart
Association
Coronary Heart
Disease
$259
$841
$11,296
$100,304
8
100.00 %
National Heart,
Lung and Blood
Institute
Coronary Heart
Disease
$268
$996
$11,296
$100,304
8
99.99 %
Up To Date
Coronary Heart
Disease
$426
$1,932
$26,145
$267,385
21
54.76 %
American College
of Rheumatology
Degenerative
Arthritis
$455
$1,881
$26,145
$267,385
21
54.76 %
Merck Manual
Degenerative
Arthritis
$460
$2,007
$26,145
$267,385
21
59.52 %
Up To Date
Degenerative
Arthritis
$628
$2,769
$40,833
$213,448
25
100.00 %
EMedicine
Depression
$847
$3,237
$40,833
$213,448
25
41.33 %
Physicians Desk
Reference
Depression
$220
$468
$40,833
$213,448
25
12.00 %
Up To Date
Depression
Page 24 of 28
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