ABC Training Company High Cost Claimants Research the top 10 high cost claimants to observe and measure general health risks present in your population. The top 10 claimants are shown by total claimant paid amount and 23% most costly diagnosis. Examining high cost claimants provides your company insight into how a small number of participants can be responsible for a large percentage of total claims. Points to consider: • Could addressing certain conditions or comorbidities reduce your overall costs? • Are your managed care strategies effective? • Would setting stop loss contracts be appropriate? 77% High Cost Claims Other Claims Claimant ID Paid Diagnosis 93 $161,010 COMPLICATIONS OF TRANSPLANTED HEART 1067 $129,372 ENCOUNTER FOR ANTINEOPLASTIC CHEMOTHERAPY 345 $128,708 ATHEROSCLEROSIS OF NATIVE ARTERIES OF THE EXTREMITIES UNSPECIFIED 679 $127,041 PARTIAL EPILEPSY WITH IMTRACTABLE EPILEPSY 909 $113,021 CORONARY ATHEROSCLEROSIS OF NATIVE CORONARY ARTERY 166 $85,512 OTHER COMPLICATIONS DUE TO OTHER VASCULAR DEVICE IMPLANT AND GRAFT 407 $84,479 OSTEOARTHROSIS LOCALIZED NOT SPECIFIED WHETHER PRIMARY OR SECONDARY INVOLVI 949 $63,100 CORONARY ATHEROSCLEROSIS OF NATIVE CORONARY ARTERY 995 $57,602 STAPHYLOCOCCUS AUREUS SEPTICEMIA 533 $56,604 ATRIOVENTRICULAR BLOCK COMPLETE $1,006,449 Total Paid $1,006,449 Liability Copyright @ 2017 Zywave, Inc. 351737 - January 1, 2018 - December 31, 2018[14]