ABC Training Company High Cost Claimants by Relationship Evaluate a breakdown of your top claimants by relationship to illuminate cost drivers. 13% 6% 82% Employee Spouse Dependent Claimant Paid Relationship Diagnosis ID 93 $161,010 Employee COMPLICATIONS OF TRANSPLANTED HEART 1067 $129,372 Employee ENCOUNTER FOR ANTINEOPLASTIC CHEMOTHERAPY 345 $128,708 Employee ATHEROSCLEROSIS OF NATIVE ARTERIES OF THE EXTREMITIES UNSPECIFIED 679 $127,041 Dependent PARTIAL EPILEPSY WITH IMTRACTABLE EPILEPSY 909 $113,021 Employee CORONARY ATHEROSCLEROSIS OF NATIVE CORONARY ARTERY 166 $85,512 Employee OTHER COMPLICATIONS DUE TO OTHER VASCULAR DEVICE IMPLANT AND GRAFT 407 $84,479 Employee OSTEOARTHROSIS LOCALIZED NOT SPECIFIED WHETHER PRIMARY OR SECONDARY INVOLVI 949 $63,100 Employee CORONARY ATHEROSCLEROSIS OF NATIVE CORONARY ARTERY 995 $57,602 Employee STAPHYLOCOCCUS AUREUS SEPTICEMIA 533 $56,604 Spouse ATRIOVENTRICULAR BLOCK COMPLETE $1,006,449 Total Paid Points to consider: • What factors contribute to higher costs among a specific 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[18]