ABC Training Company Medical Claims Cost Compare your costs per member with the norm. Administrative and fixed costs are not included; prescription drug expense is included unless otherwise stated. Use this exhibit as your first indication as to whether your claims costs are in-line with your peers, based on benchmarking by location, industry and plan type. Points to consider: $5,000 • Are your costs in-line with that of your peers? • Is your plan design competitive? • Do any specific utilization and cost patterns $4,000 suggest areas of opportunity? • Are your high costs claims appropriately managed? $3,000 • Do you encourage preventive care for your plan participants? • Would a disease management program help $2,000 control costs? $1,000 $0 Actual Medical Claims Norm medical claims Actual medical claims/member $4,479.89 Norm medical claims/member $3,738.22 Percent over/under norm 19.84% Norm source: Copyright ©2018 Truven Health Analytics Inc. MarketScan® Research Databases. All rights reserved. Copyright @ 2017 Zywave, Inc. 351737 - January 1, 2018 - December 31, 2018[5]