Sample Reports Appendix A

Sample Reports Appendix A BCI/DSS Personal Health Record (PHR) Member ID: 1191167 Disease Burden: 4.530 Name: Smith, Jane R Disease(s): Diabetes and Asthma DOB: 04-Oct-1972 CRG S/S: 6-5 Sex: F : $53,305 Projected : $42,382 Admin Claims Providers Pharmacy Diagnoses and Procedures Admits Diagnostic Testing HS History Summary X Address: 1 Flowing Springs Rd Age: 39 Primary Care ID: 207844200 City: Charles Town Gender: F Primary Care Name: Johnson, Robert L. State: WV Member Months: 12 Address: 12 Washington Rd Zip code: 25414 City: Charles Town Telephone: (304) 222-1111 State: WV Telephone Cell: Zip code: 25414 Email Address: Telephone: (304) 222-0000 Category: MLTN Product: FFS Policy Type: Emergency Contact Name: Telephone Home: Telephone Work: Telephone Cell: Relationship: WV_DW_DSS-100_3

PHR Administrative Tab Member ID: 1191167 Disease Burden: 4.530 Name: Smith, Jane R Disease(s): Diabetes and Asthma DOB: 04-Oct-1972 CRG S/S: 6-5 Sex: F : $53,305 Projected : $42,382 Admin Claims Providers Pharmacy Diagnoses and Procedures Admits Diagnostic Testing HS History Summary X IP OP OP Surgery Rx Lab Rad Ther $25,594 $18,243 $68 $9,469 $554 $474 $40 Date of Service Place of Service Description Units Primary Diagnosis Secondary Diagnosis Total Network Provider Name 09-Apr-2006 Emergency Room Emergency Dept Visit 1 Migrne Unsp w/o Ntrc Mgrn $23 Y Powell, Ralph 09-Apr-2006 Emergency Room Emergency Dept Visit 1 Migrne Unsp w/o Ntrc Mgrn $137 Y Powell, Ralph 09-Apr-2006 OP Hospital Hydroxyzine Hcl Injection 1 Migrne Unsp w/o Ntrc Mgrn $17 Y Powell, Ralph 09-Apr-2006 OP Hospital Meperidine/Promethazine Inj 1 Migrne Unsp w/o Ntrc Mgrn $6 Y Powell, Ralph 09-Apr-2006 Pharmacy Albuterol 17 $13 Y Johnson, Robert L 09-Apr-2006 Pharmacy Zofran 50 $1,119 Y Johnson, Robert L 03-Apr-2006 Emergency Room Emergency Dept Visit 1 Migrne Unsp w/o Ntrc Mgrn $19 Y Powell, Ralph 03-Apr-2006 Emergency Room Emergency Dept Visit 1 Migrne Unsp w/o Ntrc Mgrn $137 Y Powell, Ralph 03-Apr-2006 OP Hospital Hydroxyzine Hcl Injection 1 Migrne Unsp w/o Ntrc Mgrn $17 Y Powell, Ralph 03-Apr-2006 OP Hospital Meperidine/Promethazine Inj 1 Migrne Unsp w/o Ntrc Mgrn $6 Y Powell, Ralph 01-Apr-2006 Pharmacy Catapres-Tts 3 4 $165 Y Johnson, Robert L 30-Mar-2006 Office Office/OP Visit, Est 1 DM 2 w/o Cmp Nt St Uncntr $23 Y Johnson, Robert L 30-Mar-2006 Pharmacy Hydrocodone-Acetaminophen 25 $9 Y Johnson, Robert L WV_DW_DSS-101_4

PHR Claims Detail Tab Member ID: 1191167 Disease Burden: 4.530 Name: Smith, Jane R Disease(s): Diabetes and Asthma DOB: 04-Oct-1972 CRG S/S: 6-5 Sex: F : $53,305 Projected : $42,382 Admin Claims Providers Pharmacy Diagnoses and Procedures Admits Diagnostic Testing HS History Summary X Provider ID Provider Name PCP Specialty Network Date of Service Place of Service Primary Diagnosis Secondary Diagnosis Primary Procedure Secondary Procedure P 710480302 Powell, Ralph J No Y 01-Feb-2006 IP Hospital DM 1 Neuro Nt St Uncntrld Gastroparesis 207844200 Johnson, Robert R Yes Gen Practice Y 01-Feb-2006 IP Hospital Nausea with vomiting DM 1 w/o Cmp Nt St Uncntrld Initial Hospital Care 800566513 Powell, Ralph No Y 01-Feb-2006 Emergency Room Nausea with vomiting Abdominal Pain Epigastric 800566513 Powell, Ralph No Y 01-Feb-2006 Emergency Room Nausea with vomiting Abdominal Pain Epigastric Als1-Emergency 710480302 Powell, Ralph J No Y 02-Feb-2006 IP Hospital Abdominal Pain Oth Spcf St CT Abdomen w Dye 710480302 Powell, Ralph J No Y 02-Feb-2006 IP Hospital Abdominal Pain Oth Spcf St CT Pelvis w Dye 207844200 Johnson, Robert R Yes Gen Practice Y 02-Feb-2006 IP Hospital Nausea with vomiting DM 1 w/o Cmp Nt St Uncntrld Subsequent Hospital Care 207844200 Johnson, Robert R Yes Gen Practice Y 03-Feb-2006 IP Hospital Nausea with vomiting DM 1 w/o Cmp Nt St Uncntrld Subsequent Hospital Care 207844200 Johnson, Robert R Yes Gen Practice Y 16-Feb-2006 Office DM 1 Neuro Uncntrld Gastroparesis Office/OP Visit, Est 207844200 Johnson, Robert R Yes Gen Practice Y 21-Feb-2006 Office Acute Sinusitis Nos Office/OP Visit, Est 010566503 Powell, Ralph No Y 01-Mar-2006 OP Hospital Headache Meperidine/Promethazine Inj 010566503 Powell, Ralph No Y 01-Mar-2006 Emergency Room Headache 010566503 Powell, Ralph No Y 01-Mar-2006 OP Hospital Headache Hydroxyzine Hcl Inj 010566503 Powell, Ralph No Y 01-Mar-2006 Emergency Room Headache Emergency Dept Visit WV_DW_DSS-102_4

PHR Provider Services Tab Member ID: 1191167 Disease Burden: 4.530 Name: Smith, Jane R Disease(s): Diabetes and Asthma DOB: 04-Oct-1972 CRG S/S: 6-5 Sex: F : $53,305 Projected : $42,382 Admin Claims Providers Pharmacy Diagnoses and Procedures Admits Diagnostic Testing HS History Summary X NDC Number Description Fill Date Brand Name (Y/N) Quantity Fills Provider Name Pharmacy Name 006033881 Hydrocodone-Acetaminophen 30-May-2006 Y 25 4 Johnson, Robert L $37 575999877 Precision Xtra 30-May-2006 Y 50 18 $1,629 005970033 Catapres-Tts 3 26-May-2006 Y 4 3 Johnson, Robert L $495 575998547 Precision 26-May-2006 Y 8 5 $115 599301560 Albuterol 26-May-2006 N 17 13 Johnson, Robert L $186 000027510 Humalog 26-May-2006 Y 10 10 $789 001730446 Zofran 22-May-2006 Y 50 3 Johnson, Robert L $3,401 003783475 Nifedipine Er 22-May-2006 Y 30 7 Johnson, Robert L $262 370000455 Prilosec Otc 22-May-2006 Y 28 11 Johnson, Robert L $295 501110430 Metoclopramide Hcl 22-May-2006 N 60 14 Johnson, Robert L $178 003782074 Lisinopril 19-May-2006 N 60 8 Johnson, Robert L $125 006035468 Propoxyphene Napsylate w/apap 19-May-2006 Y 65 18 $309 000930864 Ciprofloxacin Hcl 16-May-2006 N 16 1 $10 007812613 Amoxicillin 15-May-2006 Y 30 6 $59 WV_DW_DSS-103_4

PHR Pharmacy Detail Tab Member ID: 1191167 Disease Burden: 4.530 Name: Smith, Jane R Disease(s): Diabetes and Asthma DOB: 04-Oct-1972 CRG S/S: 6-5 Sex: F : $53,305 Projected : $42,382 Admin Claims Providers Pharmacy Diagnoses and Procedures Admits Diagnostic Testing HS History Summary X Disease Category Counts Cardiovascular System Hypertension 2 Hypertension NOS/NEC 2 Chest Pain 2 Diagnostic Testing CT Scan General 1 Complex Planar Nuclear Medicine 1 CT Abdominal 1 Mammography 1 Diagnostic Ultrasound Except Vascular 1 Clinical Diagnostic Laboratory Services 21 Glycated Hemoglobin Test 2 Fecal Occult Blood Test 2 Plain Film 7 WV_DW_DSS-104_3

PHR Diagnosis and Procedure Detail Tab Member ID: 1191167 Disease Burden: 4.530 Name: Smith, Jane R Disease(s): Diabetes and Asthma DOB: 04-Oct-1972 CRG S/S: 6-5 Sex: F : $53,305 Projected : $42,382 Admin Claims Providers Pharmacy Diagnoses and Procedures Admits Diagnostic Testing HS History Summary X Total Inpatient : $53,305 Admit Date Discharge Date Attending MD Consults Complication-1 Complication-2 Complication-3 LOS Total 28-Jan-2006 03-Feb-2006 Johnson, Robert R 0 6 $12,498 Primary Diagnosis Secondary Diagnosis Primary Procedure Secondary Procedure MS-DRG DW 2 w/o Cmp Uncntrld Electrolyt/Fluid Dis Nec Initial Hospital Care Subsequent Hospital Care WV_DW_DSS-105_4 PHR Inpatient Admissions Tab Member ID: 1191167 Disease Burden: 4.530 Name: Smith, Jane R Disease(s): Diabetes and Asthma DOB: 04-Oct-1972 CRG S/S: 6-5 Sex: F : $53,305 Projected : $42,382 Lab Admin Claims Providers Pharmacy Diagnoses and Procedures Admits Diagnostic Testing HS History Summary X Test Type Date of Service Result Range HGB A1c 17-Aug-2006 4.8 14.0-18.0 HBG 17-Aug-2006 L7.0* 42.0-52.0 HTC 17-Aug-2006 L21.1 4.3-6.1 Radiology Test Type Date of Service Result Range Diagnostic Procedures Test Type Date of Service Result Range Key L = Abnormal Low, H = Abnormal High, WNL = Within Normal Limits, * = Critical Value WV_DW_DSS-106_3

PHR Diagnostic Testing Results Tab Member ID: 1191167 Disease Burden: 4.530 Name: Smith, Jane R Disease(s): Diabetes and Asthma DOB: 04-Oct-1972 CRG S/S: 6-5 Sex: F : $53,305 Projected : $42,382 Admin Claims Providers Pharmacy Diagnoses and Procedures Admits Diagnostic Testing HS History Summary X Analysis Period CRG-SS CRG Description DB Total Proj IP Adm Gaps In Care Product June 2005 to May 2006 6-5 Diabetes and Asthma 4.530 $53,305 $42,382 10 3 FFS June 2004 to May 2005 6-3 Diabetes and Asthma 3.890 $32,521 $36,859 5 6 FFS WV_DW_DSS-107_4

PHR Health Status History Tab Member ID: 1191167 Disease Burden: 4.530 Name: Smith, Jane R Disease(s): Diabetes and Asthma DOB: 04-Oct-1972 CRG S/S: 6-5 Sex: F : $53,305 Projected : $42,382 Admin Claims Providers Pharmacy Diagnoses and Procedures Admits Diagnostic Testing HS History Summary X Gaps In Care Asthma Pharmacotherapy Influenza Vaccine Pneumonia Vaccine Inpatient Parameters AP Value Admits 4 Days 18 Actual/Expected LOS 0 Outpatient Parameters AP Value ER Visits 29 OP Hospital Visits 0 Office Visits 12 Lab Tests 53 Radiology 13 Therapy 1 Consults 10 Quality Parameters AP Value Preventable Admits 0 Gaps In Care 3 Re-admits < 30 days 0 Disease Progression 0 Disease Complication 0 Financial Parameters AP Value Total $53,305 Inpatient $25,594 Outpatient $18,243 Hospital Outpatient $5,232 Lab $554 Radiology $474 Therapy $40 Office $271 Pharmacy $9,469 Out of Network $0 Pharmacy Parameters AP Value Total Scripts 62 Brand Scripts 41 Projected/Actual Parameters AP Value Projected $3,532 Actual $4,442 Projected / Actual Ratio 0.8 WV_DW_DSS-108_3

Product Age Sex CRG S/S Disease Burden MM Projected IP-Total OP-Total OP-Surg OP-Lab OP-Rad OP-Ther Rx PHR Member Experience Summary Tab Member ID Name 30494926 Smith, Jane N FFS 15 F 8-4 4.649 10 $405,168 $0 $163,170 $100,983 $0 $3,417 $426 $126 $141,015 62449682 Smith, Jane M FFS 1 F 6-4 3.201 6 $404,099 $29,949 $122,058 $282,041 $0 $75 $0 $0 $0 22184907 Smith, George L FFS 19 M 5-4 5.200 10 $364,781 $123,499 $0 $530 $0 $61 $118 $32 $364,250 62430785 Smith, Jane R FFS 1 F 6-5 3.697 1 $356,486 $34,591 $352,415 $1,910 $0 $25 $842 $0 $2,160 15856365 Smith, George V FFS 24 M 9-4 6.970 9 $356,312 $65,207 $0 $5,992 $0 $0 $2 $0 $350,320 24459233 Smith, George D FFS 18 M 6-3 4.643 12 $329,261 $43,437 $0 $2,484 $0 $61 $41 $57 $326,777 19153618 Smith, George W MCO 1 39 M 6-1 2.253 12 $321,227 $21,081 $0 $3,060 $0 $276 $1,767 $0 $318,167 28837451 Smith, George D MCO 1 46 M 9-5 9.330 9 $272,334 $87,293 $0 $440 $0 $350 $0 $0 $271,894 61662138 Smith, Jane J FFS 3 F 9-6 21.135 8 $253,600 $197,734 $113,616 $119,963 $359 $100 $153 $350 $20,021 03381952 Smith, George E FFS 46 M 9-6 21.135 12 $248,987 $197,734 $244,764 $4,223 $132 $11 $261 $0 $0 62465735 Smith, George A MCO 1 1 M 5-5 1.119 8 $247,292 $10,467 $246,602 $595 $0 $0 $0 $0 $95 45221942 Smith, George P MCO 1 17 M 6-1 3.467 12 $244,367 $32,438 $0 $237,126 $0 $0 $0 $0 $7,241 27789314 Smith, George P FFS 22 M 9-4 10.139 12 $240,332 $94,855 $166,505 $58,347 $0 $797 $1,723 $0 $15,480 02342989 Smith, Jane L FFS 41 F 6-5 4.182 12 $239,519 $39,122 $227,595 $11,246 $0 $1,497 $972 $0 $678 59705883 Smith, Jane MCO 2 19 F 9-4 10.139 5 $238,431 $94,855 $188,360 $48,685 $0 $125 $1,099 $0 $1,386 03864271 Smith, George D MCO 2 29 M 9-2 8.700 12 $232,680 $81,390 $7,032 $213,998 $0 $193 $1,384 $0 $11,650

Population Health Status Health Status Mem % Mem Avg MM Proj Proj Avg DB Total Population 331,318 100 7 $531 $3,966 $682 $8,182 1.124 1 Healthy 185,858 56.10 7 $49 $322 $54 $647 0.173 2 Significant Acute 10,555 3.19 7 $236 $1,723 $196 $2,356 0.316 3 Single Minor Chronic 18,670 5.64 7 $203 $1,479 $216 $2,593 0.499 4 Multiple Minor Chronic 5,088 1.54 8 $341 $2,621 $432 $5,185 0.840 5 Single Significant Chronic 43,679 13.18 8 $518 $4,178 $734 $8,813 1.340 6 - Two Significant Chronic 43,283 13.06 9 $1,277 $12,111 $2,138 $25,662 3.190 7 Multiple Significant Chronic 17,118 5.17 10 $2,024 $19,623 $3,452 $41,424 5.133 8 Complex Malignancies 3,210 0.97 8 $2,178 $17,744 $2,098 $25,174 3.990 9 Catastrophic 3,857 1.16 9 $2,703 $24,808 $4,436 $53,228 6.748 Population Health Status with Status Detail Health Status Mem % Mem Avg MM Proj Proj Avg DB Total Population 331,318 100 7 $531 $3,966 $682 $8,182 1.124 1 Healthy 185,858 56.10 7 $49 $322 $54 $647 0.173 2 Significant Acute 10,555 3.19 7 $236 $1,723 $196 $2,356 0.316 3 Single Minor Chronic 18,670 5.64 7 $203 $1,479 $216 $2,593 0.499 4 Multiple Minor Chronic 5,088 1.54 8 $341 $2,621 $432 $5,185 0.840 5 Single Significant Chronic 43,679 13.18 8 $518 $4,178 $734 $8,813 1.340 Severity Level 1 29,969 9.05 8 $377 $2,971 $519 $6,224 1.038 Severity Level 2 8,228 2.48 8 $572 $4,767 $882 $10,589 1.479 Severity Level 3 3,619 1.09 9 $985 $8,625 $1,579 $18,947 2.622 Severity Level 4 974 0.29 9 $1,366 $11,861 $1,897 $22,758 2.909 Severity Level 5 491 0.15 8 $1,107 $8,557 $1,410 $16,916 2.539 Severity Level 6 398 0.12 9 $2,082 $18,235 $2,561 $30,733 4.236

Health Status Mem % Mem Avg MM Proj Proj Avg DB 6 - Two Significant Chronic 43,283 13.06 9 $1,277 $12,111 $2,138 $25,662 3.190 7 Multiple Significant Chronic 17,118 5.17 10 $2,024 $19,623 $3,452 $41,424 5.133 8 Complex Malignancies 3,210 0.97 8 $2,178 $17,744 $2,098 $25,174 3.990 9 Catastrophic 3,857 1.16 9 $2,703 $24,808 $4,436 $53,228 6.748 Population Health Status with Drilldown into Status to view Dominant Diseases Health Status Mem % Mem Avg MM Proj Proj Avg DB Total Population 331,318 100 7 $531 $3,966 $682 $8,182 1.124 6 Two Significant Chronic 43,283 100 9 $1,277 $12,111 $2,138 $25,662 3.190 Severity Level 2 11,514 100 10 $1,263 $12,135 $2,088 $25,056 3.150 Diseases Schizophrenia and Mod Chronic 2,062 17.91 10 $1,572 $15,282 $2,473 $29,672 3.872 Psych w/o Schiz and Mod Chron 938 8.15 9 $879 $8,147 $1,303 $15,642 1.928 Schizophrenia and Dom Chronic 739 6.42 10 $2,533 $25,362 $3,978 $47,734 5.878 COPD and Other Mod Chronic 553 4.80 10 $673 $6,554 $1,065 $12,777 1.555 COPD and Other Dom Chronic 494 4.29 10 $1,063 $10,440 $1,797 $21,561 2.648 Diabetes and Other Mod Chronic 486 4.22 9 $778 $7,262 $1,263 $15,150 1.913 1 Dom Chron and 1+ Mod Chron 445 3.86 10 $1,410 $14,140 $2,619 $31,424 3.755 Dementia and Dom Chron 439 3.81 10 $2,548 $25,305 $4,017 $48,202 6.097 Diabetes and Oth Dom Chronic 414 3.60 9 $1,113 $9,660 $1,730 $20,756 3.058 Diabetes and Advanced CAD 370 3.21 9 $667 $6,152 $1,593 $19,118 2.473 Schizophrenia and Chronic Level 2 285 2.48 10 $1,153 $10,976 $2,650 $31,802 3.955 Diabetes and Hypertension 265 2.30 10 $508 $5,190 $1,494 $17,927 2.056 COPD and Advanced CAD 259 2.25 10 $729 $7,334 $1,284 $15,406 1.844

Population Health Status with Drilldown to Member List Level Health Status Mem % Mem Avg MM Proj Proj Avg DB 6 Two Significant Chronic 43,283 100 9 $1,277 $12,111 $2,138 $25,662 3.190 Disease Severity Level 2 11,514 100 10 $1,263 $12,135 $2,088 $25,056 3.150 Diabetes and Hypertension 265 100 10 $508 $5,190 $1,494 $17,927 2.056 Member ID Name Age Sex MM CRG S/S DB Proj 09805774 Smith, George L 44 M 12 6-2 2.047 $115 $1,596 20463858 Smith, Jane 43 F 12 6-2 1.877 $419 $1,463 59251480 Smith, Jane C 56 F 1 6-2 1.879 $5,470 $1,465 16519368 Smith, George 51 M 12 6-2 2.219 $103 $1,730 62506319 Smith, George 78 M 5 6-2 2.207 $47 $1,721 52813112 Smith, Jane M 87 F 7 6-2 2.657 $515 $2,071 47526621 Smith, Jane R 78 F 7 6-2 1.957 $379 $0 26132407 Smith, George A 17 M 2 6-2 1.960 $1,808 $1,528 44711556 Smith, George H 47 M 2 6-2 2.047 $2,458 $1,596 28379164 Smith, Jane 82 F 12 6-2 2.657 $66 $2,071 03030210 Smith, Jane 77 F 12 6-2 1.957 $149 $1,525 59893638 Smith, Jane S 62 F 6 6-2 1.811 $837 $1,412 44868711 Smith, Jane A 67 F 12 6-2 1.811 $1,155 $1,412 18303842 Smith, George R 58 M 12 6-2 2.219 $3,535 $1,730 05352290 Smith, Jane K 42 F 11 6-2 1.877 $449 $1,463 12228567 Smith, Jane G 84 F 11 6-2 2.657 $205 $2,071 06221923 Smith, Jane K 41 F 12 6-2 1.877 $748 $1,463 02360626 Smith, George 49 M 12 6-2 2.047 $383 $1,596

Product Age Sex CRG S/S Disease Burden MM Projected IP-Total OP-Total OP-Surg OP-Lab OP-Rad OP-Ther Rx Member Financial Analysis Member ID Name 30494926 Smith, Jane N FFS 15 F 8-4 4.649 10 $405,168 $0 $163,170 $100,983 $0 $3,417 $426 $126 $141,015 62449682 Smith, Jane M FFS 1 F 6-4 3.201 6 $404,099 $29,949 $122,058 $282,041 $0 $75 $0 $0 $0 22184907 Smith, George L FFS 19 M 5-4 5.200 10 $364,781 $123,499 $0 $530 $0 $61 $118 $32 $364,250 62430785 Smith, Jane R FFS 1 F 6-5 3.697 1 $356,486 $34,591 $352,415 $1,910 $0 $25 $842 $0 $2,160 15856365 24459233 19153618 28837451 Smith, George V Smith, George D Smith, George W Smith, George D FFS 24 M 9-4 6.970 9 $356,312 $65,207 $0 $5,992 $0 $0 $2 $0 $350,320 FFS 18 M 6-3 4.643 12 $329,261 $43,437 $0 $2,484 $0 $61 $41 $57 $326,777 MCO 1 39 M 6-1 2.253 12 $321,227 $21,081 $0 $3,060 $0 $276 $1,767 $0 $318,167 MCO 1 46 M 9-5 9.330 9 $272,334 $87,293 $0 $440 $0 $350 $0 $0 $271,894 61662138 Smith, Jane J FFS 3 F 9-6 21.135 8 $253,600 $197,734 $113,616 $119,963 $359 $100 $153 $350 $20,021 03381952 62465735 45221942 27789314 Smith, George E Smith, George A Smith, George P Smith, George P FFS 46 M 9-6 21.135 12 $248,987 $197,734 $244,764 $4,223 $132 $11 $261 $0 $0 MCO 1 1 M 5-5 1.119 8 $247,292 $10,467 $246,602 $595 $0 $0 $0 $0 $95 MCO 1 17 M 6-1 3.467 12 $244,367 $32,438 $0 $237,126 $0 $0 $0 $0 $7,241 FFS 22 M 9-4 10.139 12 $240,332 $94,855 $166,505 $58,347 $0 $797 $1,723 $0 $15,480

Product Age Sex CRG S/S Disease Burden MM Projected IP-Total OP-Total OP-Surg OP-Lab OP-Rad OP-Ther Rx Member ID Name 02342989 Smith, Jane L FFS 41 F 6-5 4.182 12 $239,519 $39,122 $227,595 $11,246 $0 $1,497 $972 $0 $678 59705883 Smith, Jane MCO 2 19 F 9-4 10.139 5 $238,431 $94,855 $188,360 $48,685 $0 $125 $1,099 $0 $1,386 03864271 Smith, George D MCO 2 29 M 9-2 8.700 12 $232,680 $81,390 $7,032 $213,998 $0 $193 $1,384 $0 $11,650

Product Age Sex CRG S/S DB MM Proj IP Adm IP Days ER Visits Office Visits OP-Lab Units OP-Rad Units OP-Ther Units Member Pharmacy Analysis Member ID Name Product Age Sex CRG S/S DB MM Rx Rx Scripts Generic % Brand Name % 11681427 Smith, George FFS 40 M 6-4 8.476 12 $2,160 439 63.8 36.2 15553911 Smith, Jane M FFS 40 F 9-3 3.872 12 $350,320 435 70.1 29.9 24184062 Smith, Jane M FFS 41 F 7-5 7.472 1 $326,777 427 59.0 41.0 18504028 Smith, Jane L FFS 55 F 7-3 3.938 12 $318,167 425 32.2 67.8 17164427 Smith, Jane A FFS 36 F 9-6 8.694 12 $271,894 423 91.5 8.5 11173482 Smith, Jane A MCO 1 26 F 9-6 7.171 12 $20,021 422 82.5 17.5 06815510 Smith, Jane P FFS 55 F 9-6 8.694 8 $0 421 70.8 29.2 04364543 Smith, Jane FFS 66 F 9-5 7.171 12 $95 415 73.3 26.7 01188780 Smith, George MCO 1 65 M 7-5 5.710 12 $7,241 413 61.0 39.0 13825586 Smith, Jane MCO 1 42 F 6-4 2.175 12 $15,480 409 20.5 79.5 00459231 Smith, Jane S FFS 31 F 8-5 6.125 12 $678 408 58.6 41.4 13983970 Smith, George M FFS 54 M 7-3 4.834 12 $1,386 407 46.7 53.3 21695012 Smith, Jane L MCO 2 47 F 8-4 4.542 9 $11,650 402 51.5 48.5 22276019 Smith, Jane MCO 2 64 F 7-2 4.529 12 $11,178 400 51.0 49.0 07230494 Smith, Jane MCO 2 52 F 9-6 7.171 7 $14,773 400 85.3 14.8 43478967 Smith, Jane FFS 57 F 6-5 2.926 12 $34,919 399 50.6 49.4 Member Service Utilization Analysis Member ID Name 17500663 Smith, George L FFS 62 M 7-4 5.319 12 $41,056 $49,765 7 36 9 4 25 5 14 14206214 Smith, Jane FFS 55 F 8-5 6.793 3 $62,781 $0 18 58 9 3 92 21 0 21579620 Smith, George L FFS 48 M 7-5 5.559 12 $64,952 $52,006 8 20 67 1 180 49 1 16000599 Smith, George C FFS 68 M 9-6 8.694 12 $20,193 $81,342 9 29 4 2 0 3 0 04882818 Smith, Jane J FFS 48 F 9-4 7.016 12 $160,815 $65,641 10 76 7 0 113 16 0 12844850 Smith, Jane MCO 2 63 F 7-4 5.281 12 $15,467 $49,406 6 11 11 3 0 1 0 24004517 Smith, Jane FFS 47 F 7-4 6.016 12 $23,892 $56,282 5 16 5 0 33 5 0 03936377 Smith, Jane R MCO 2 68 F 7-3 4.523 9 $15,547 $42,314 5 6 4 15 0 4 0 61733632 Smith, Jane S MCO 1 4 F 5-1 0.110 12 $750 $0 6 12 6 0 15 1 15

Product Age Sex CRG S/S DB MM Proj IP Adm IP Days ER Visits Office Visits OP-Lab Units OP-Rad Units OP-Ther Units Member ID Name 16330566 Smith, George T FFS 64 M 7-5 6.732 12 $25,824 $62,981 6 18 8 0 79 6 3 32006563 Smith, George MCO 1 79 M 9-6 21.135 12 $13,705 $197,734 9 72 15 0 0 0 0 62457113 Smith, George W MCO 1 65 M 7-4 6.411 9 $208,775 $59,982 5 199 1 0 0 0 0 13697141 Smith, Jane FFS 61 F 7-5 5.780 12 $64,603 $54,079 6 37 16 5 50 23 9 49198618 Smith, George W MCO 2 47 M 7-3 6.250 9 $106,335 $58,474 15 51 23 0 112 44 0 10070720 Smith, George FFS 62 M 7-5 6.732 12 $6,326 $62,981 7 40 4 0 0 3 0 56277059 Smith, Jane S MCO 2 60 F 7-6 6.296 12 $35,568 $58,901 10 42 6 0 67 12 1 Member Quality Analysis Member ID Name Product Age Sex CRG S/S DB Δ DB MM Proj Gaps in Care Prev Admits Re Admits 17500663 Smith, George L FFS 62 M 7-4 5.319 0.000 12 $41,056 $49,765 5 6 4 14206214 Smith, Jane FFS 55 F 8-5 6.793 1.272 3 $62,781 $0 2 6 15 21579620 Smith, George L FFS 48 M 7-5 5.559 0.000 12 $64,952 $52,006 7 4 3 16000599 Smith, George C FFS 68 M 9-6 8.694 0.000 12 $20,193 $81,342 8 1 7 04882818 Smith, Jane J FFS 48 F 9-4 7.016 3.549 12 $160,815 $65,641 11 4 7 12844850 Smith, Jane MCO 2 63 F 7-4 5.281 0.000 12 $15,467 $49,406 4 2 2 24004517 Smith, Jane FFS 47 F 7-4 6.016 0.000 12 $23,892 $56,282 7 2 2 03936377 Smith, Jane R MCO 2 68 F 7-3 4.523 2.658 9 $15,547 $42,314 6 2 1 61733632 Smith, Jane S MCO 1 4 F 5-1 0.11 0.000 12 $750 $0 8 0 3 16330566 Smith, George T FFS 64 M 7-5 6.732 0.000 12 $25,824 $62,981 8 3 2 32006563 Smith, George MCO 1 79 M 9-6 21.135 0.000 12 $13,705 $197,734 4 3 5 62457113 Smith, George W MCO 1 65 M 7-4 6.411 0.000 9 $208,775 $59,982 8 2 4 13697141 Smith, Jane FFS 61 F 7-5 5.78 2.498 12 $64,603 $54,079 8 2 3 49198618 Smith, George W MCO 2 47 M 7-3 6.25 0.000 9 $106,335 $58,474 3 8 12 10070720 Smith, George FFS 62 M 7-5 6.732 0.000 12 $6,326 $62,981 7 3 4 56277059 Smith, Jane S MCO 2 60 F 7-6 6.296 0.000 12 $35,568 $58,901 8 4 8

Provider Quality Analysis with Benchmark to Aggregate Total Providers Mem Avg DB P/A Ratio Gaps in Care Prev Admits (P1kMPY) Re- Admits (P1kMPY) 106 203 0.733 100.1 0.0 0.0 0.2 Provider ID Provider Name Mem Avg DB P/A Ratio Gaps in Care Prev Admits (P1kMPY) Re- Admits (P1kMPY) 142446 Johnson, Robert D 1 0.186 0.0 0.0 0.0 0.0 143303 Hancock, Joan K 7 0.298 7.0 1.4 0.0 0.0 146668 Johnson, Robert L 1 0.077 0.0 6.0 0.0 0.0 150251 Hancock, Joan P 1 1.602 3.6 4.0 0.0 0.0 153545 Hancock, Joan J 4 1.13 0.6 0.3 0.0 0.0 151397 Hancock, Joan L 1 3.586 1.5 1.0 0.0 0.0 153519 Hancock, Joan R 5 0.111 0.7 1.2 0.0 0.0 146844 Harris, Rosemary A 6 0.536 3.0 0.2 0.0 0.0 140333 Hancock, Joan R 1 0.236 0.0 0.0 0.0 0.0 152220 Johnson, Robert C 7 0.105 5.9 0.0 0.0 142.9 145671 Hancock, Joan L 9 0.464 730.9 0.1 0.0 0.0 143792 Johnson, Robert P 3 1.977 40.8 0.7 0.0 0.0 146910 Harris, Rosemary S 3 0.801 1.4 0.3 0.0 666.7 150310 Johnson, Robert H 1 0.841 2.9 0.0 0.0 0.0 146318 Johnson, Robert J 1 1.603 4.3 1.0 0.0 0.0 146603 Hancock, Joan L 6 0.536 15.9 0.0 0.0 0.0 146378 Johnson, Robert M 1 0.92 9.6 0.0 0.0 0.0 151482 Johnson, Robert M 1 0.236 0.0 0.0 0.0 0.0 153599 Hancock, Joan T 2 0.38 0.0 0.0 0.0 0.0 141432 Johnson, Robert A 1 2.386 2.6 0.0 0.0 5000.0 141808 Johnson, Robert R 1 0.106 0.0 0.0 0.0 1000.0

Provider Financial Analysis with Benchmark to Aggregate Total Providers Panel Avg DB Total IP OP - Total OP - RX OP - Lab OP - Rad OP - Ther 106 203 0.733 $2,314 $0 $1,761 $553 $22 $93 $45 Provider ID Provider Name Panel Avg DB Total IP OP - Total OP - RX OP - Lab OP - Rad 142446 Johnson, Robert D 1 0.186 $209 $0 $0 $209 $0 $0 $0 143303 Hancock, Joan K 7 0.298 $172 $0 $154 $17 $4 $36 $6 146668 Johnson, Robert L 1 0.077 $0 $0 $0 $0 $0 $0 $0 OP - Ther 146844 Harris, Rosemary A 6 0.536 $17,320 $0 $16,612 $708 $20 $0 $381 150251 Hancock, Joan P 1 1.602 $4,127 $0 $158 $3,969 $0 $130 $0 151397 Hancock, Joan L 1 3.586 $22,571 $0 $17,522 $5,049 $67 $1,244 $191 153519 Hancock, Joan R 5 0.111 $662 $0 $620 $42 $10 $495 $0 153545 Hancock, Joan J 4 1.13 $14,767 $0 $14,569 $198 $113 $1,392 $0 140333 Hancock, Joan R 1 0.236 $99 $0 $99 $0 $74 $0 $0 143792 Johnson, Robert P 3 1.977 $2,991 $0 $1,473 $1,519 $0 $118 $0 145671 Hancock, Joan L 9 0.464 $2,009 $0 $1,319 $690 $18 $119 $67 146318 Johnson, Robert J 1 1.603 $3,523 $0 $597 $2,927 $30 $114 $0 146378 Johnson, Robert M 1 0.92 $898 $0 $285 $614 $0 $0 $0 146603 Hancock, Joan L 6 0.536 $436 $0 $417 $19 $7 $208 $0 146910 Harris, Rosemary S 3 0.801 $5,102 $0 $4,979 $123 $133 $82 $0 150310 Johnson, Robert H 1 0.841 $2,745 $0 $1,854 $891 $54 $846 $0 152220 Johnson, Robert C 7 0.105 $31 $0 $31 $0 $10 $0 $0 141432 Johnson, Robert A 1 2.386 $8,508 $0 $6,776 $1,732 $39 $0 $0 141808 Johnson, Robert R 1 0.106 $0 $0 $0 $0 $0 $0 $0 142647 Hancock, Joan H 5 0.276 $1,656 $0 $1,548 $108 $14 $0 $0 145062 Johnson, Robert E 3 1.174 $3,231 $0 $540 $2,691 $41 $0 $0 145546 Johnson, Robert A 3 0.083 $3 $0 $0 $3 $0 $0 $0

Provider Service Utilization Analysis with Benchmark to Aggregate Total Providers Panel Avg DB Avg PI Risk Score IP Admits P1kMPY IP Avg LOS ER Visits Office Visits Referrals Lab Tests Rad Units Ther Units 106 203 0.733 7 162.6 0.4 0.7 0.2.08 2.9 1.2 1.1 Provider ID Provider Name Panel Avg DB PI Risk Score IP Admits P1kMPY IP Avg LOS ER Visits Office Visits Referrals Lab Tests Rad Units Ther Units 143303 Hancock, Joan K 7 0.298 8 142.9 0.4 0.9 1.0 2.1 0.9 1.7 0.1 146844 Harris, Rosemary A 6 0.536 6 0.0 0.0 0.0 1.2 0.0 1.8 0.0 7.7 150251 Hancock, Joan P 1 1.602 5 0.0 0.0 0.0 2.0 0.0 0.0 3.0 0.0 153545 Hancock, Joan J 4 1.130 7 0.0 0.0 0.5 0.0 0.0 18.0 14.8 0.0 142446 Johnson, Robert D 1 0.186 4 0.0 0.0 0.0 7.0 0.0 0.0 0.0 0.0 151397 Hancock, Joan L 1 3.586 11 0.0 0.0 3.0 2.0 3.0 6.0 6.0 3.0 153519 Hancock, Joan R 5 0.111 7 0.0 0.0 0.6 0.4 0.0 3.0 1.2 0.2 146668 Johnson, Robert L 1 0.077 12 0.0 0.0 1.0 4.0 2.0 9.0 0.0 0.0 140333 Hancock, Joan R 1 0.236 10 0.0 0.0 3.0 1.0 0.0 4.0 1.0 0.0 146318 Johnson, Robert J 1 1.603 13 0.0 0.0 1.0 3.0 0.0 3.0 1.0 0.0 146603 Hancock, Joan L 6 4.536 18 166.7 1.0 0.8 3.0 2.0 0.7 1.3 0.0 152220 Johnson, Robert C 7 0.105 3 428.6 2.0 0.9 0.0 0.0 1.3 0.4 0.0 145671 Hancock, Joan L 9 0.464 4 111.1 1.1 2.4 1.1 1.0 1.6 0.6 0.9 146910 Harris, Rosemary S 3 0.801 7 100.0 1.3 0.7 0.0 1.0 6.0 2.7 0.0 150310 Johnson, Robert H 1 0.841 6 0.0 0.0 2.0 0.0 0.0 7.0 4.0 0.0 143792 Johnson, Robert P 3 1.977 12 333.3 0.3 8.0 1.0 0.3 2.7 3.7 0.0 146378 Johnson, Robert M 1 0.920 8 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 142647 Hancock, Joan H 5 0.276 3 0.0 0.0 0.2 0.8 1.0 1.4 0.2 0.0

Total Providers Panel Avg DB Avg PI Risk Score IP Admits P1kMPY IP Avg LOS ER Visits Office Visits Referrals Lab Tests Rad Units Ther Units 106 203 0.733 7 162.6 0.4 0.7 0.2.08 2.9 1.2 1.1 Provider ID Provider Name Panel Avg DB PI Risk Score IP Admits P1kMPY IP Avg LOS ER Visits Office Visits Referrals Lab Tests Rad Units Ther Units 146216 Johnson, Robert K 4 1.258 12 0.0 0.0 1.3 0.0 0.3 1.3 2.5 0.0 153674 Harris, Rosemary J 6 0.378 10 166.7 0.8 1.0 0.0 1.2 4.0 2.2 0.0 145062 Johnson, Robert E 3 1.174 9 0.0 0.0 0.7 0.0 0.0 3.7 0.0 0.0 151482 Johnson, Robert M 1 0.236 1 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0

Provider Pharmacy Analysis with Benchmark to Aggregate Total Providers Panel Avg DB Rx Scripts Generic % Brand Name % Rx 106 203 0.733 11.8 58.5 41.5 $553 Provider ID Provider Name Panel Avg DB Rx Scripts Generic % Brand Name % Rx 151397 Hancock, Joan L 1 3.586 88.0 54.5 45.5 $5,049 143303 Hancock, Joan K 7 0.298 3.9 88.9 11.1 $17 153545 Hancock, Joan J 4 1.130 11.3 66.7 33.3 $198 150251 Hancock, Joan P 1 1.602 118.0 60.2 39.8 $3,969 146668 Johnson, Robert L 1 0.077 3.0 100.0 0.0 $0 142446 Johnson, Robert D 1 0.186 5.0 0.0 100.0 $209 153519 Hancock, Joan R 5 0.111 3.0 46.7 53.3 $42 146844 Harris, Rosemary A 6 0.536 12.2 65.8 34.2 $708 150310 Johnson, Robert H 1 0.841 20.0 25.0 75.0 $891 145671 Hancock, Joan L 9 0.464 10.3 78.5 21.5 $690 146378 Johnson, Robert M 1 0.920 7.0 71.4 28.6 $614 146603 Hancock, Joan L 6 0.536 3.0 83.3 16.7 $19 140333 Hancock, Joan R 1 0.236 19.0 36.8 63.2 $0 146318 Johnson, Robert J 1 1.603 43.0 93.0 7.0 $2,927 143792 Johnson, Robert P 3 1.977 23.3 80.0 20.0 $1,519 152220 Johnson, Robert C 7 0.105 0.9 50.0 50.0 $0 146910 Harris, Rosemary S 3 0.801 3.3 100.0 0.0 $123 145062 Johnson, Robert E 3 1.174 21.0 61.9 38.1 $2,691 146216 Johnson, Robert K 4 1.258 38.5 57.8 42.2 $2,853 153674 Harris, Rosemary J 6 0.378 7.2 48.8 51.2 $106 145546 Johnson, Robert A 3 0.083 2.0 100.0 0.0 $3 141808 Johnson, Robert R 1 0.106 20.0 60.0 40.0 $0