ABC Training Company High Cost Claimants by Age Evaluate a breakdown of your top claimants by age group to illuminate cost drivers. 13% 16% 44% 27% 0-19 20-39 40-59 60+ Claimant ID Paid Age Diagnosis 93 $161,010 20-39 COMPLICATIONS OF TRANSPLANTED HEART 1067 $129,372 60+ ENCOUNTER FOR ANTINEOPLASTIC CHEMOTHERAPY 345 $128,708 40-59 ATHEROSCLEROSIS OF NATIVE ARTERIES OF THE EXTREMITIES UNSPECIFIED 679 $127,041 0-19 PARTIAL EPILEPSY WITH IMTRACTABLE EPILEPSY 909 $113,021 60+ CORONARY ATHEROSCLEROSIS OF NATIVE CORONARY ARTERY 166 $85,512 60+ OTHER COMPLICATIONS DUE TO OTHER VASCULAR DEVICE IMPLANT AND GRAFT 407 $84,479 40-59 OSTEOARTHROSIS LOCALIZED NOT SPECIFIED WHETHER PRIMARY OR SECONDARY INVOLVI 949 $63,100 60+ CORONARY ATHEROSCLEROSIS OF NATIVE CORONARY ARTERY 995 $57,602 40-59 STAPHYLOCOCCUS AUREUS SEPTICEMIA 533 $56,604 60+ ATRIOVENTRICULAR BLOCK COMPLETE $1,006,449 Total Paid Points to consider: • What factors contribute to higher costs among a certain age group? • Are there early detection or disease management strategies that could reduce costs related to specific diagnoses? • Would setting stop-loss contracts be appropriate? Copyright @ 2017 Zywave, Inc. 351737 - January 1, 2018 - December 31, 2018[15]