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HSS dashboard: specialty drugs and high-cost claimants drive nearly half of spending
Summary
The Health Service System's Q2 2019 dashboard shows specialty drugs dominate prescription spending and high-cost claimants (>$50,000 threshold) account for roughly 45.9% of total spend; staff flagged rising Medicare utilization and unusual outpatient costs in the UHC PPO plan.
Marina Coleridge, enterprise systems and analytics manager, presented the Q2 2019 cost, utilization and quality dashboard derived from the system's all-payer claims database covering April 2018–March 2019 (paid through June). "13 of our top 15 are in fact specialty drugs," Coleridge said, and specialty drug costs continue to rise.
The dashboard uses an industry threshold of $50,000 to identify…
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