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Client A - Detailed HRA Tracking
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Client A Savings Summary
Health Reimbursement Analysis
2015
2016*
2017
2018
2019
2020 YTD
Total
$76,481,353 $53,559,151 $22,922,201 $7,477,212 $15,444,989 $2,278,084 $13,166,905 $5,329,719 $7,837,187
Reimbursed Plan (HRA Plan Design) Purchased Plan ($5000 Deductible)
$12,414,325 $9,707,152 $2,707,173 $1,265,384 $1,441,789 $378,529 $1,063,261
$13,031,026 $10,240,854 $2,790,172 $1,220,098 $1,570,074 $369,009 $1,201,065
$13,112,192 $10,390,965 $2,721,226 $1,114,150 $1,607,077 $366,047 $1,241,030
$14,050,793 $7,423,202 $6,627,590 $1,497,282 $5,130,308 $418,147 $4,712,161 $2,793,480 $1,918,681
$12,265,168 $6,514,371 $5,750,796 $1,021,589 $4,729,208 $360,754 $4,368,454 $2,536,238 $1,832,216
$11,607,850 $9,282,606 $2,325,244 $1,358,710
Premium Savings (Gross)
HRA Claims
Savings After HRA Claims HRA Admin Fee (Bundle) Savings After HRA Fee ARORx Costs (minus Rebates)
$966,533 $385,599 $580,934
N/A N/A
N/A N/A
N/A N/A
N/A N/A
Savings after ARORx Medtipster Costs
$30,783 $43,950
$8,550 $14,859
$7,807 $5,195
$4,689 $5,394
$2,051 $8,649
$2,357 $7,152
$5,329 $2,702
Pricing Transparenct Costs (Incentives & Gift Cards) Net Savings After Value Added
$557,525
$1,050,260
$1,190,982
$1,230,330
$1,909,173
$1,824,184
$7,762,453
*Premium Savings in 2016 increased due to the change in purchased plan for the high plan to include 20% coinsurance versus 0% in 2015. Reimbursed plan premium also increased based on the actual premium for the low deductible plans ‐ direct from PHP (with no HRA).
ARORx Analysis 2019
44N 25%
International
PBM Price $705,679
Employer Paid Net HCDM Savings
Teladoc Utilization 2015 ‐ 2020
Totals
$1,935,225
$334,052
$2,974,955
$2,134,015
Total Savings $1,652,592
Activations
Consultations
2019 # Prescriptions under HCDM Savings Program:
850
1014
3863
2019 Copay Savings to Employees:
$51,000
Pricing Transparency Utilization 2015 ‐ 2020
2019 Rx Rebate Total:
$181,475 $2,793,480
Total Savings
EE's Assisted
# Procedures
2019 Total ER paid minus Rx Rebates:
$147,008
425
527
ARORx Analysis 2020 YTD
MedtipsterFree Utilization 2015 ‐ 2020
44N 25% $61,942 $46,058 $63,296 $67,036 $65,174 $72,933 $53,334 $63,327 $79,861 $57,526 $65,585 $78,353 $774,426
International
PBM Price $91,877 $103,533 $132,973 $91,769 $103,525 $101,279 $96,275 $93,268 $121,689 $91,163 $122,536 $115,658 $1,265,546
Employer Paid Net HCDM Savings
Utilization Savings
# Rx Filled
EE Savings
Jan Feb Mar Apr May
$35,718 $14,658 $66,781 $28,068 $37,067 $71,929 $42,631 $35,405 $65,709 $50,637 $60,833 $100,771 $610,206
$189,537 $164,249 $263,050 $186,873 $205,766 $246,141 $192,241 $191,999 $267,259 $199,326 $248,954 $294,782
$185,827 $138,173 $189,888 $201,109 $195,522 $218,799 $160,003 $189,981 $239,582 $172,578 $196,755 $235,059
$60,664
2409
$12,045
6,406 1,287 Total Service/Advocacy Activities Total Hours Spent Patient Advocacy Activites (# 24/7) Total Advocacy Claim Savings Account Service/Patient Advocacy Summary 2015 ‐ 2020 1,877 (57) $812,977
Jun
Jul
Aug Sep Oct Nov Dec
Top 10 High Cost Drugs 2020
Drug Name
# Fills
Total Savings
Kalydeco
8
$144,224 $139,574 $122,949 $112,777 $102,093 $89,531 $85,917 $79,209 $77,361 $76,263
Ebrel
33
Total
$2,650,177
$2,323,276 $2,323,276
Revlimid Humira Stelara Rinvoq Letairis
8
Annualized Savings:
25 14 13 12 17 11 12
YTD # Prescriptions under HCDM Savings Program:
955
YTD Copay Savings to Employees:
$57,300
Taltz
1Q Maxor Rebate: 2Q Maxor Rebate: 3Q Maxor Rebate: 4Q Maxor Rebate:
$42,545 $37,973 $33,421
Imbruvica
Gilenya
YTD Savings Top 10:
$1,029,898
$0
# Members Receiving HCDM/Int'l Assistance:
156
$113,939
Total ER paid minus Rx Rebates:
$2,536,238
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