Industry Benchmarking

Compare your plan performance against industry standards

Overall Ranking
63
Percentile
Good
Better than 63% of peers
Cost vs Industry
-6.2%
$36 lower PMPM
Quality Score
68/100
Industry avg: 70
Opportunity
$234K
Annual savings potential

Performance Comparison

Your PlanIndustry Avg

PMPM Trend vs Industry

Your PlanIndustry
Total PMPM62th percentile
Your Plan
$542
Industry Avg
$578
Benchmark
$525
vs Industry6.2%
Medical PMPM58th percentile
Your Plan
$412
Industry Avg
$445
Benchmark
$398
vs Industry7.4%
Rx PMPM55th percentile
Your Plan
$130
Industry Avg
$133
Benchmark
$127
vs Industry2.3%
Inpatient/1K72th percentile
Your Plan
42
Industry Avg
48
Benchmark
38
vs Industry12.5%
ER Visits/1K65th percentile
Your Plan
145
Industry Avg
162
Benchmark
128
vs Industry10.5%
Generic Fill Rate68th percentile
Your Plan
87
Industry Avg
84
Benchmark
90
vs Industry3.6%

Category Benchmarks

Inpatient
Admits/1K
42
ALOS
4.2
Cost/Admit
$19K
Outpatient
Visits/1K
$3K
ER Visits/1K
145
Urgent Care/1K
189
Pharmacy
Rx PMPM
130
Generic Rate
87
Specialty %
48
Preventive
Wellness Visits
78
Cancer Screens
68
Immunizations
82