ABC Training Company High Cost Claimants by Gender Evaluate a breakdown of your top claimants by gender to illuminate cost drivers. 30% 70% Male Female Claimant ID Paid Gender Diagnosis 93 $161,010 Male COMPLICATIONS OF TRANSPLANTED HEART 1067 $129,372 Male ENCOUNTER FOR ANTINEOPLASTIC CHEMOTHERAPY 345 $128,708 Male ATHEROSCLEROSIS OF NATIVE ARTERIES OF THE EXTREMITIES UNSPECIFIED 679 $127,041 Female PARTIAL EPILEPSY WITH IMTRACTABLE EPILEPSY 909 $113,021 Male CORONARY ATHEROSCLEROSIS OF NATIVE CORONARY ARTERY 166 $85,512 Female OTHER COMPLICATIONS DUE TO OTHER VASCULAR DEVICE IMPLANT AND GRAFT 407 $84,479 Female OSTEOARTHROSIS LOCALIZED NOT SPECIFIED WHETHER PRIMARY OR SECONDARY INVOLVI 949 $63,100 Male CORONARY ATHEROSCLEROSIS OF NATIVE CORONARY ARTERY 995 $57,602 Male STAPHYLOCOCCUS AUREUS SEPTICEMIA 533 $56,604 Male ATRIOVENTRICULAR BLOCK COMPLETE $1,006,449 Total Paid Points to consider: • What factors contribute to higher costs among either gender? • 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[16]