Cohort Intelligence

Multi-Phase Analytics Suite

Environment:
Env: Fused Risk & Spend Clinical Pharmacy Coding What-If

Cohort Intelligence

Discover high-cost subgroups and actionable root causes

Population

Mean Cost

Total Spend

High Cost Members

Filter Population

Error

Running discovery algorithm...

Discovered Groups

features screened

High-Cost Subgroup

Low-Cost Peer (Same Characteristic)

Members with same trait but achieving lower costs

Drivers & Cost Composition

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Drivers explain what differentiates higher cost; composition reflects cost-aligned signals.

Top Drivers

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No drivers available.

Cost Composition

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No cost composition drivers available.
# Rule / Subgroup Size Mean Cost Peer Mean Lift Savings Intervention Actions
Peer Mean = Average cost of baseline peers (similar clinical profile) who do not meet the differentiator rule. The gap highlights addressable variation within the cohort.

Group Details

Differentiator Rule

Rule Breakdown

Baseline Peer Criteria

No baseline anchors applied; peers are unavailable for this subgroup.

Size

Mean Cost

Savings Potential (30%)

Peer Mean Cost

Within-Group Drivers (High vs Low Cost)

Suggested Actions

Differentiators (High vs Low Cost)

Differentiator Rule

Factor High-Cost Low-Cost Effect

Member Load Error

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Member ID Age Gender Region Risk Tier Comorbidity Total Cost

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