RFP_5800_SLW3034_ATT_3_v1.docx

This is an exhibit document supporting a Worker's Compensation Medical Management Service Request for Proposal for the City of Texas. Exhibit C presents claims data analysis by specialty, removing information related to specialty hospitals, pharmacy, lab, and durable medical equipment (DME) services. The exhibit is based on 1,954 source claims and includes two data visualization images that display the distribution and breakdown of claims across different medical specialties. This data serves as a baseline for understanding the current workers compensation claims profile and anticipated service demands.

The exhibit provides historical claims information to inform offerors' understanding of medical utilization patterns and cost drivers within the City's workers compensation program. By removing specialty hospital, pharmacy, lab, and DME data from the comprehensive claims dataset, the exhibit focuses on other medical specialties to establish baseline metrics for proposal evaluation. Offerors responding to the RFP should use this claims experience data to develop cost containment strategies, case management protocols, and medical management approaches tailored to the identified specialty mix within the worker's compensation population.