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800-451-8519 www.crawfordadvisors.com in Maryland: 410-771-5500, fax 410-771-0636 in Pennsylvania: 610-971-1776, fax 610-971-0218 Standard dashboards tell a client’s story across 6 integrated content areas, summarized by an Executive Summary. Enrollment and Demographics - Where is my covered population, what do they look like, and how has this changed over time? Financial Summary - How is my spend distributed, how have my costs changed, and where is my expenditure most inefficient? Medical Cost and Utilization - Which types of utilization are driving my costs, and how have utilization patterns changed over time? Pharmacy Summary - What is driving my pharmacy costs and how have prescription patterns changed over time? Clinical Overview - What are the top conditions in my population, how have cost and prevalence changed, and which procedures are driving costs? Quality and Risk Metrics - What are the clinically-based quality and risk opportunities identified in my population? Data Warehouse TM Financial Summary – Allowed Trends Key questions addressed: How have allowed expenditures changed between periods? What is driving the overall cost trend: Med or Rx? How has the proportion of Med vs. Rx expenditure changed over time? Financial Summary – Cost by Plan Key questions addressed: How is total allowed expenditure distributed across plans? Has any particular plan seen a higher / lower rate of change in allowed or paid amounts over time? How does the % plan paid differ across plans, and how has this changed over time? Crawford Advisors has invested heavily in its technology to provide our clients with a competitive edge by identifying and properly managing a vast array of diseases, conditions and trends in the employee population...

Crawford's Data Warehouse

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Crawford Advisors, LLC is a boutique employee benefits consulting, brokerage and administration firm dedicated to providing employer groups with superior results in health and welfare benefits. It's proprietary Data Warehouse enables its professionals to analyze a company's medical claims data and trends in much greater detail by utilizing global, national and regional data updated in real-time. Contact benefits consultant, William J. Grossmiller, V for an introduction and savings projection. Crawford Advisors, LLC 1(800)451-8519 [email protected]

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Page 1: Crawford's Data Warehouse

800-451-8519www.crawfordadvisors.com

in Maryland: 410-771-5500, fax 410-771-0636in Pennsylvania: 610-971-1776, fax 610-971-0218

Standard dashboards tell a client’s story across 6integrated content areas, summarized by anExecutive Summary.

� Enrollment and Demographics - Where is my coveredpopulation, what do they look like, and how has this changedover time?

� Financial Summary - How is my spend distributed, how havemy costs changed, and where is my expenditure mostinefficient?

� Medical Cost and Utilization - Which types of utilization aredriving my costs, and how have utilization patterns changedover time?

� Pharmacy Summary - What is driving my pharmacy costs andhow have prescription patterns changed over time?

� Clinical Overview - What are the top conditions in mypopulation, how have cost and prevalence changed, and whichprocedures are driving costs?

� Quality and Risk Metrics - What are the clinically-basedquality and risk opportunities identified in my population?

Data WarehouseTM

Financial Summary – Allowed TrendsKey questions addressed:

� How have allowed expenditures changed between periods?� What is driving the overall cost trend: Med or Rx?� How has the proportion of Med vs. Rx expenditure changed

over time?

Financial Summary – Cost by Plan Key questions addressed:

� How is total allowed expenditure distributed across plans?� Has any particular plan seen a higher / lower rate of change in

allowed or paid amounts over time?� How does the % plan paid differ across plans, and how has this

changed over time?

Crawford Advisors has invested heavily in its technology toprovide our clients with a competitive edge by identifying andproperly managing a vast array of diseases, conditions andtrends in the employee population...

Page 2: Crawford's Data Warehouse

Risk-Adjusted PMPMsKey questions addressed:

� After adjusting for risk,which locations exhibitthe highest per-membercosts?

� Which plans have thehighest cost per member,and which have thehighest risk burden?

� After adjusting for risk,which plans exhibit thehighest cost per member?

Cost EfficiencyKey questions addressed:

� Which locationsexperiencedcosts greaterthan would have beenexpected based on thepopulation's risk burden?

� Which plans exhibit thegreatest cost inefficiency?The least?

� What were the actualallowed PMPM values byplan, and how did thesecompare to the PMPMs wewould have expected basedon risk burden?

Page 3: Crawford's Data Warehouse

Benchmarking

Specific company benchmarking

Financial Summary

Page 4: Crawford's Data Warehouse

Medical Cost and Utilization� Medical and Rx Cost Drivers

� Facility vs. Professional Costs

� Network Utilization

� Trends in IP Utilization by Location

� Trends in Cost/IP Day by Location

� Trends in ER Utilization by Location

� Trends in Cost/ER Visit by Location

� Cost and Utilization Benchmarks

Executive Summary Reports� Membership Summary

� Financial Summary

� Medical and Rx Cost Drivers

� Rx Brand vs. Generic

� Condition Prevalence and Cost

Our Data Warehouse™ provides a comprehensive analysis, pinpointing claims drivers and populationtrends. Predictive Modeling can help identify any potential concerns within your population, and targetedprograms could then be implemented. Access to meaningful data is the first stepping stone in building:

� an effective communication strategy to educate employees,

� a strategic wellness program that promotes healthy habits,

� a strategic plan design that meets the needs of your population.

Employee Benefits Consulting │ Brokerage │ Administration

200 International Circle, Suite 4500 │Hunt Valley, MD 21031 │ Toll Free (800) 451-8519 │www.CrawfordAdvisors.com