123 / 537
Employer Group ABC
Incurred:
Apr 2014 thru Dec 2015
Paid:
Apr 2014 thru Mar 2016
49
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5.4.2 Places of Service
Table 5.4.2 shows places of service ranked according to medical claim expenses. Previous period to current period
percentage changes in Place of Service can be helpful when investigating changes in utilization patterns or when
trying to understand the impact of plan design change. Increases in some categories may be appropriate. For
example, outpatient hospital experience and office visits may increase as inpatient hospital services are more
efficiently provided in the outpatient setting. Places of service experiencing large increases for many employers are
Emergency Room, Outpatient Hospital, and Laboratory services.
Table 5.4.2 Total Plan Paid ($K) by Place of Service
% of Total
Plan Paid
Apr 2015 - Dec
2015
% Change in
Plan Paid
33.1%
-12.6%
22.5%
-19.8%
21.6%
-1.9%
14.5%
-18.8%
3.0%
-21.8%
1.9%
-30.1%
1.4%
-21.2%
0.8%
-34.5%
0.6%
-8.2%
0.2%
6.7%
Service
Apr 2014 - Dec 2014
Apr 2015 - Dec 2015
% Change in
Plan Paid
Plan Paid
% of Total
Plan Paid
Plan Paid
% of Total
Plan Paid
Subtotal
$62,513,550
99.7%
$53,571,352
99.7%
-14.3%
All Others
$198,548
0.3%
$154,034
0.3%
-22.4%
Total
$62,712,098
100.0%
$53,725,386
100.0%
-14.3%