96-97 / 537
Employer Group ABC
Incurred:
Apr 2014 thru Dec 2015
Paid:
Apr 2014 thru Mar 2016
27
|
Page
The table below breaks down the cost driver for each category analyzed in the prior chart. This allows you to understand whether the change in cost seen in
chart 3.1.1 is driven by a change in unit price or a change in utilization. Also displayed is the average cost from the Verscend Normative Database and the
population’s cost rank relative to the Norm.
Table 3.1.5 Cost drivers: Change in unit price and change in utilization breakout for Outpatient and low acuity care (excluding office visits)
31,
32
Category
Current PMPM
Change in PMPM
Change in
Utilization per
1,000
Change in Unit
Pricing
Norm value of
PMPM
Percent Rank
(Norm value =
50%)
Rehab
$1.29
116.0%
-27.6%
198.5%
$0.73
-
Home health
$1.08
-5.9%
1.0%
-6.8%
$1.18
-
SNF
$0.44
-40.6%
-33.7%
-10.3%
$0.41
-
Hospice
$0.14
97.3%
18.2%
66.9%
$0.14
-
31
Note:
Table 3.1.5 is based on select categories of Verscend Procedure Groups which utilize CPT4 Procedure Codes.
Source: Medical Intelligence : Claims Module / Trend / Medical / drill by Plan Type / Zoom Fwd / drill by Procedure Group
32
Norm or Verscend Norm in this report refers to the values from Verscend's Commercial Normative database.