93 / 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
$981
$1,872
$25,790
$144,190
19
43.86 %
Up To Date
Neck Pain
$654
$2,151
$25,790
$144,190
19
47.37 %
US National
Library of
Medicine and
National Institute
of Health
Neck Pain
$174
$886
$8,617
$111,359
7
50.00 %
EMedicine
Obstructive Sleep
Apnea
$174
$886
$8,617
$111,359
7
50.00 %
Merck Manual
Obstructive Sleep
Apnea
$174
$886
$8,617
$111,359
7
50.00 %
National
Guideline
Clearinghouse
Obstructive Sleep
Apnea
$174
$886
$8,617
$111,359
7
50.00 %
Up To Date
Obstructive Sleep
Apnea
$0
$0
$1,987
$15,285
1
0.00 %
Multi Standard
Osteoporosis
$107
$585
$6,577
$47,509
5
65.00 %
Up To Date
Osteoporosis
$28
$46
$524
$635
1
100.00 %
American College
of Cardiology
Foundation
Peripheral Artery
Disease
$28
$46
$524
$635
1
100.00 %
Merck Manual
Peripheral Artery
Disease
$28
$46
$524
$635
1
100.00 %
Up To Date
Peripheral Artery
Disease
$28
$46
$524
$635
1
100.00 %
US Preventive
Services Task
Force
Peripheral Artery
Disease
$70
$200
$1,039
$3,954
2
25.00 %
EMedicine
Rheumatoid
Arthritis
$70
$200
$1,039
$3,954
2
33.34 %
National Institute
of Arthritis and
Musculoskeletal
and Skin Diseases
Rheumatoid
Arthritis
$70
$443
$1,039
$3,954
2
25.00 %
Up To Date
Rheumatoid
Arthritis
Page 26 of 28
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