Attributed members
12,480
+3.1% vs. Q2
YTD PMPM
$418
$14 under target
Quality score
82%
Gate: 75% ✓
ED visits / 1,000
712
+6% vs. benchmark
PMPM: actual vs. target
Shared savings outlook
- Benchmark PMPM
- $432
- YTD actual PMPM
- $418
- Attributed member-months (YTD)
- 112,500
- Gross savings (YTD)
- $1.58M
- Minimum savings rate (2%)
- $0.97M ✓ cleared
- Quality score multiplier
- 82%
- Projected CIN share (full year)
- $0.86M
Quality measures (gate for savings)
| Measure | Rate | Target | Status |
|---|---|---|---|
| Well-child visits (W30) | 71% | 68% | Met |
| Childhood immunizations (CIS-10) | 38% | 42% | Gap |
| Diabetes HbA1c control <8% | 54% | 55% | Close |
| Controlling high BP | 63% | 60% | Met |
| Prenatal care timeliness | 84% | 82% | Met |
| Follow-up after ED for mental illness | 41% | 50% | Gap |
Utilization per 1,000 members
Practice scorecard
| Practice | Attributed | PMPM | Quality |
|---|---|---|---|
| Riverside Family Medicine | 3,120 | $398 | 88% |
| Eastside Pediatrics | 2,840 | $352 | 85% |
| Northgate Primary Care | 2,410 | $446 | 72% |
| Community Health Partners | 2,290 | $431 | 79% |
| Lakeview Internal Medicine | 1,820 | $468 | 70% |
High-cost members (top 5)
| Member | Condition | 12-mo cost | Care mgmt |
|---|---|---|---|
| M-10482 | CHF + CKD | $186,400 | Enrolled |
| M-22917 | High-risk pregnancy | $142,900 | Enrolled |
| M-08355 | SUD / frequent ED | $118,200 | Not enrolled |
| M-31066 | Sickle cell disease | $97,500 | Not enrolled |
| M-17740 | COPD | $88,300 | Enrolled |
Leadership actions this month
- Launch ED diversion: after-hours access + follow-up calls at Northgate and Lakeview (highest PMPM).
- Close childhood immunization gap (38% vs 42%) — outreach list to pediatric practices.
- Enroll 2 high-cost members not in care management (M-08355, M-31066).
- Fix behavioral health ED follow-up (41% vs 50%) — partner with BH provider for 7-day appointments.
Sample data for demonstration.