Click any KPI, bridge step, or market row to drill into the drivers behind it.
Medical loss ratio
-2.1pp83.5%
Target: ≤ 85%98% to goal
Shared savings (est.)
+18% vs plan$1.08M
Net of quality withhold
PMPM bridge · prior year to current
Adopted waterfall standard — what changed, and by how much
PMPM vs benchmark
Trailing 8 months · lower is better
Spend by site of care
Share of total cost
Inpatient31%
Outpatient / ASC24%
Professional22%
Post-acute12%
Pharmacy11%
Utilization scorecard
Annualized rates vs target and prior year
| Metric | Current | Target | Prior year | Change | Trend | Status |
|---|---|---|---|---|---|---|
| Admits / 1,000 | 182 | 195 | 208 | -26 | Beating target | |
| Readmission rate | 13.8% | 14.5% | 15.6% | -1.8 | Beating target | |
| ED visits / 1,000 | 486 | 460 | 502 | -16 | Watch | |
| SNF days / 1,000 | 921 | 980 | 1,104 | -183 | Beating target | |
| Avg length of stay | 4.6 days | 4.4 days | 4.9 days | -0.3 | Watch | |
| PCP visits / 1,000 | 3,840 | 3,600 | 3,410 | +430 | Beating target |
Market performance
PMPM vs benchmark by market · click a row to drill into drivers
| Market | Members | PMPM | Benchmark | Variance | Admits/K | Savings impact |
|---|---|---|---|---|---|---|
| Northgate | 8,420 | $982 | $1064 | $-82 | 168 | +$692k |
| Lakeshore | 7,210 | $1004 | $1078 | $-74 | 174 | +$534k |
| Harbor | 6,180 | $1032 | $1071 | $-39 | 181 | +$289k |
| Riverside | 5,340 | $1088 | $1082 | +$6 | 196 | -$38k |
| Summit | 4,260 | $1112 | $1090 | +$22 | 204 | -$112k |
| Cedar Hills | 3,480 | $1164 | $1096 | +$68 | 218 | -$284k |