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Employer Group ABC
Incurred:
Apr 2014 thru Dec 2015
Paid:
Apr 2014 thru Mar 2016
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2. POPULATION CHARACTERISTICS
This section explores the aggregate demographic, economic and clinical characteristics of the population.
Section 2.1 contains the population's demographic characteristics, including the change in total and current
membership levels, and age and gender breakouts with associated economics.
Section 2.2 details the population's high-level economic characteristics. This includes an assessment of the drivers of
cost growth, such as change in enrollment, change in costs, and medical versus pharmacy PMPM. Trends in total and
PMPM costs over time - both medical and pharmacy - are calculated. Finally, cost distribution by spending band is
explored. Deeper economic analyses into the drivers of pharmacy and medical expenses are detailed in
Section 3:
Economic Findings and Opportunities.
Section 2.3 analyzes the population's high-level clinical characteristics. The first breakout shows the relationship
between age and disease burden as quantified by the Relative Risk Score (RRS) and the related Care Gap Index
(CGI). These are analyzed both relative to each other and relative to the Verscend book of business benchmark. The
second breakout shows the distribution of diseases across the population - identifying what is large or growing rapidly
from a prevalence standpoint. Prevalence of the ten most chronic diseases is then compared to benchmarks.