SAMPLE

CLAIMS

REVIEWS

PRELIMINARY ANALYSIS

Relevant Healthcare

Mokena, IL 60448

www.RelevantHealthcare.com

COMPANY ONE REVIEW

Claims Review – COMPANY ONE Relevant Healthcare | 2

Relevant Healthcare has compiled this report outlining potential savings

opportunities for COMPANY ONE on behalf of BROKER, assuming they

implemented our pharamacy transparency solution. Listed below, our findings along

with an example of a simulated transaction using our transparency tool.

COMPANY ONE RESULTS

Average Enrolled 533

Claims period 7/1/13 – 1/31/14

No. of claims 8606

Employer drug spend $567,528 (79%) $972,905 YR $152.11 PEPM

Employee copays/coinsurance $204,995 (21%) $351,317 YR

SAVINGS OPPORTUNITY

Identified opportunity $197,409 (34.8%) $338,415 YR $52.91 PEPM

Cost to COMPANY ONE (36 mo) $6 PEPM

ACTION RATE RETURN ON INVESTMENT

11% BREAK EVEN

20% 76%

30% 164%

40% 252%

50% 340%

SPECIFIC EXAMPLE

A claim for zolpidem tartrate 10MG (90 tablets/90 days) had a member copay of $25

and a company cost of $129.03. Using our program, the same medication may be

purchased from a number of local pharmacies for $8.43 for 90 tablets/90 days with no

cost to the employer. This one example represents an estimated total savings

potential of $516.12 per year in cost avoidance for the company in addition to $66.28

in annual savings for this employee.

Again, we appreciate the opportunity to provide this claims review to you. Should

there be any specific questions we could address, please contact us at

inquiries@RelevantHealthcare or call 855-328-5100.

Kindest Regards,

The Claims Review Team at Relevant Healthcare

COMPANY TWO REVIEW

Claims Review – COMPANY TWO Relevant Healthcare| 3

Relevant Healthcare has compiled this report outlining potential savings

opportunities for COMPANY TWO on behalf of BROKER, assuming they

implemented our pharmacy transparency solution. Listed below, our findings along

with an example of a simulated transaction using our transparency tool.

COMPANY TWO RESULTS

Average Enrolled 500

Claims period 9/1/2012 – 8/31/2013

No. of claims 6761

Employer drug spend $641,977 (79%) $107 PEPM

Employee copays/coinsurance $178.269 (21%)

SAVINGS OPPORTUNITY

Identified opportunity $185,962 (28.9%) $35.10 PEPM

Cost to COMPANY TWO (36 mo) $6 PEPM

ACTION RATE RETURN ON INVESTMENT

16% BREAK EVEN

30% 85%

40% 147%

50% 209%

60% 271%

SPECIFIC EXAMPLE

A claim for escitalopram oxalate 10MG (30 tablets/30 days) had a member copay of

$10 and a company cost of $26.93. Using our program, the same medication may be

purchased from a number of local pharmacies for $12.66 for 90 tablets/90 days with

no cost to the employer. This one example represents an estimated total savings

potential of $323.16 per year in cost avoidance for the company in addition to $69.36

in annual savings for this employee.

Again, we appreciate the opportunity to provide this claims review to you. Should

there be any specific questions we could address, please contact us at

inquires@RelevantHealthcare or call 855-328-5100.

Kindest Regards,

The Claims Review Team at Relevant Healthcare