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This report provides a retrospective view of the population considering risk, disease, and cost utilizing the most recent 12 months of data.  The total popu...

This detailed report utilizes the Johns Hopkins Adjusted Clinical Groups (ACG) including the Expanded Diagnosis Clusters (EDCs) to stratify the population b...

Can be used to identify high-cost persons prospectively to better forecast their future costs and to proactively identify individuals whose high risk/high c...

Using the ACG grouper methodology all members are separated into major diagnostic cluster groups, for example, Cardiovascular and then within Cardiovascular...

ER SuperUser is the shorthand term for frequent emergency room users and the characteristics of these members are described in this report.   The ER is ofte...

The Episodes of Care are defined as one or more surgical procedure codes that begins the episode and accumulates costs to the member for the following 90 da...

This report allows breaking down episodes by Specialty.  The Episodes of Care are defined as one or more surgical procedure codes that begins the episode an...

Hierarchical Condition Category (HCC Segmentation by Risk, Disease, Costs) This report provides a retrospective view of the population considering risk, di...

This report provides a view of the population that compares individual HCC categories for the current calendar year to the prior calendar year.  For ACO and...

This report provides a detailed list of prior year and current year HCC’s for the member. Header Member Number Member Name Age Gender HCC Baseline ...