distribution of claims spend
DESCRIPTION
Distribution of Claims Spend. Distribution of Claims Spend. Distribution of Claims Spend. Membership and Claims. Membership and Claims. Top Medical Diagnostics. Top Prescription Categories. - PowerPoint PPT PresentationTRANSCRIPT
1
Total Population
62%
31%
3% 4%
12%
36%
11%
41%
$0 - $2,999 $3,000 - $14,999 $15,000 - $24,999 $25,000 +
Annual Paid $ Per Claimant
% o
f T
ota
l
Claimants Paid* Claimant and Paid Data Incurred CY06
Distribution of Claims Spend
2
Active Population
66%
27%
4% 4%
11%
31%
13%
45%
$0 - $2,999 $3,000 - $14,999 $15,000 - $24,999 $25,000 +
Annual Paid $ Per Claimant
% o
f T
ota
l
Claimants Paid* Claimant and Paid Data Incurred CY06
Distribution of Claims Spend
3
Early Retiree Population
55%
34%
5%7%7%
27%
11%
55%
$0 - $2,999 $3,000 - $14,999 $15,000 - $24,999 $25,000 +
Annual Paid $ Per Claimant
% o
f T
ota
l
Claimants Paid* Claimant and Paid Data Incurred CY06
Distribution of Claims Spend
4
Membership and Claims
Active Population
16% 17%
10%
13%
17%
22%
2% 2%
15%16%
9%
14%
17%
23%
2% 2%
7%9%
7%
13%
23%
32%
5%6%
< 20 Male
< 20 Female
20-39 Male
20-39 Female
40-59 Male
40-59 Female
60+ Male
60+ Female
Demographics
% o
f T
ota
l
Members Claimants PaidMember Data as of March, 2007Claimant and Paid Data Incurred CY06
5
Membership and Claims
Early Retiree Population
3% 3% 3% 4%
22%
30%
16%18%
3% 4%2%
3%
23%
33%
15%16%
1% 1% 1%1%
25%
34%
20%18%
< 20 Male
< 20 Female
20-39 Male
20-39 Female
40-59 Male
40-59 Female
60+ Male
60+ Female
Demographics
% o
f T
ota
l
Members Claimants PaidMember Data as of March, 2007Claimant and Paid Data Incurred CY06
6
Top Medical Diagnostics
Top 5 Major Diagnostic Categories by Number of Patients
20%
11%
9%
8%7%
46%
MUSCULOSKELETAL SYSTEMAND CONNECTIVE TISSUE
CIRCULATORY SYSTEM
FACTORS INFLUENCINGHEALTH STATUS
DIGESTIVE SYSTEM
RESPIRATORY SYSTEM
ALL OTHER MDC
% Represents Paid as Percentage of Total
7
Top 5 Therapeutic Categories
27%
16%
10%9%
9%
29%
CARDIOVASCULAR,HYPERTENSION AND LIPIDS
PSYCHOTHERAPEUTIC ANDNEUROLOGY
GASTROENTEROLOGY
ENDOCRINE/DIABETES
RESPIRATORY, ALLERGY,COUGH AND COLD
ALL OTHER
% Represents Paid as Percentage of Total
Top Prescription Categories