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Presentation: DXCG risk scores show rising burden among early retirees and musculoskeletal conditions driving costs
Summary
SFHSS staff presented 2017–2018 DXCG risk scores showing rising concurrent risk across groups, higher prospective risk among early retirees (55–64) with roughly double PMPM spending, and musculoskeletal disorders and diabetes as top clinical drivers.
Marina Coleridge, enterprise systems and analytics manager for the Health Service System, presented diagnostic cost grouper (DXCG) risk scores for October 2017–September 2018 and compared them with the prior period. Coleridge said concurrent risk scores increased across active, early retiree and Medicare retiree groups while prospective risk improved slightly for the active population due to younger hires in recent years.
Key findings Coleridge highlighted: musculoskeletal disorders are the largest clinical driver of…
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