Cost Savings Dashboard
Identified, actionable savings across claims, ER, pharmacy and chronic populations.
High-Cost Claimants
42
>$100K annualized
Frequent ER Users
109
-6 MoM
Avoidable Admits
$284K
Pharmacy Opportunity
$310K
+12%
Top High-Cost Claimants
annualized $ allowedPharmacy Optimization
$ in thousandsFrequent ER Users
last 90 daysChronic Disease Populations
| Condition | Members | PMPM | Trend |
|---|---|---|---|
| Diabetes Type 2 | 412 | $842 | ↑ 4.1% |
| CHF | 168 | $1,940 | ↑ 6.8% |
| COPD | 224 | $1,210 | ↑ 2.4% |
| CKD Stage 3+ | 198 | $1,640 | ↑ 5.2% |
| Behavioral Health | 305 | $610 | ↑ 9.0% |
Avoidable Admissions · Top Drivers
CHF Exacerbation
$112K
31 admits
COPD Exacerbation
$78K
22 admits
Diabetes — DKA
$54K
14 admits
Behavioral / SUD
$40K
18 admits