City of Jersey City - MB080 Member Ranking Commercial.pdf

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SELF-FUNDED MEDICAL & PRESCRIPTION DRUG EXCESS STOP LOSS COVERAGE
Solicitation number
RFP_F - 25
Issued by
Hudson County, New Jersey

About this file

This document is a Member Ranking report from Evernorth Health Services for the City of Jersey City, detailing prescription service costs for the period of September 1, 2024, to August 31, 2025. The report provides a comprehensive breakdown of the top 25 members ranked by plan cost, encompassing various metrics such as plan cost, prescription count, and individual member expenses. The data covers a full fiscal year of prescription services, with each member's detailed financial information presented in a structured tabular format.

The total plan cost for the 25 members is $4,393,277, with an accompanying total ingestion cost of $4,820,867 and a member cost of $427,848. The top-ranked member has the highest plan cost of $524,972.75, with 2,305 prescriptions, while the 25th-ranked member has a plan cost of $102,500.15 with 545 prescriptions. The report provides granular insights into per-prescription costs, member costs, and overall prescription service expenses, allowing for detailed financial analysis of healthcare spending for these top 25 members in the Jersey City municipal health plan.

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Member Ranking - Top 25 by Plan Cost

THE CITY OF JERSEY CITY

Member ID Member Name Plan Cost

Rank Plan Cost

Rx Count

Rank

Rx

Count

Ing Cost

Rank Ing Cost Mbr Cost

Plan Cost

/Rx

1 $524,972.75 2305 13 1 $574,197.72 $49,227.07 $40,382.52

2 $363,626.89 512 39 2 $418,025.11 $54,401.72 $9,323.77

3 $316,572.48 1007 27 3 $316,680.66 $112.73 $11,724.91

4 $245,665.76 142 64 4 $267,631.43 $21,975.47 $3,838.53

5 $238,923.23 753 32 5 $264,783.77 $25,866.49 $7,466.35

6 $208,354.70 123 68 6 $213,684.54 $5,353.64 $3,064.04

7 $174,690.08 791 31 7 $210,068.66 $35,386.98 $5,635.16

8 $174,300.14 2610 11 10 $181,124.89 $6,825.80 $15,845.47

9 $173,055.22 57 86 9 $183,494.15 $10,467.28 $2,012.27

10 $168,751.88 842 30 8 $185,624.54 $16,878.26 $5,625.06

11 $163,881.37 241 54 11 $170,100.83 $6,233.81 $3,034.84

12 $133,416.75 1117 25 15 $141,097.97 $7,681.57 $5,336.67

13 $132,399.29 203 57 17 $135,631.42 $3,252.08 $2,322.79

14 $131,957.44 231 55 18 $132,676.38 $735.39 $2,399.23

15 $127,733.33 279 51 13 $146,017.95 $18,294.07 $2,504.58

16 $124,278.57 488 40 16 $137,852.15 $13,583.73 $3,106.96

17 $117,970.92 753 32 23 $125,536.69 $7,571.37 $3,686.59

18 $117,300.93 99 72 22 $125,591.90 $8,304.27 $1,629.18

19 $115,837.60 83 76 14 $145,652.81 $29,827.11 $1,524.18

20 $114,783.86 386 44 12 $153,510.29 $38,737.98 $2,608.72

21 $106,857.56 386 44 20 $126,948.32 $20,103.71 $2,428.58

22 $106,733.40 1117 25 28 $116,166.09 $9,436.54 $4,269.34

23 $104,493.26 438 42 26 $119,821.97 $15,333.61 $2,487.93

24 $104,219.83 76 78 30 $112,053.21 $7,856.13 $1,336.15

25 $102,500.15 545 38 27 $116,893.70 $14,400.90 $2,697.37

$4,393,277 1,134 $4,820,867 $427,848 $3,874

Prescription Service Dates: 09/01/2024 - 08/31/2025

File details come from the government source that posted it. Updated .