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©2019 CorVel Corporation. All rights reserved.
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C I T Y O F C H A N D L E R
AGENDA
Introductions
What’s New At City of Chandler
What’s New at CorVel
2023 Activity/Accomplishments
Stewardship Report
2024 Program Goals
©2019 CorVel Corporation. All rights reserved.
2
CLAIMS SUMMARY
Injury Year (FYE)
2019
2020
2021
2022
2023
Number of Claims
165
159
139
120
131
Total Incurred
$1,772,219
$2,022,883
$2,912,885
$2,263,369
$1,234,978
Average Incurred
$10,741
$12,723
$20,956
$18,861
$9,427
$0
$500,000
$1,000,000
$1,500,000
$2,000,000
$2,500,000
$3,000,000
$3,500,000
TOTAL INCURRED
SUMMARY
• 2021 -L. Britt, COVID,
$1.6 million
• 5 Year average incurred
$14,542
Avg. incurred
w/o Britt
$12,698
©2019 CorVel Corporation. All rights reserved.
3
CLAIMS SUMMARY
AGED ONE PERIOD
Injury Year (FYE)
2019
2020
2021
2022
2023
Number of Claims
156
126
131
119
131
Total Incurred
$867,320
$956,392
$2,586,374
$2,625,867
$1,234,978
Average Incurred
$5,560
$7,590
$19,743
$22,066
$9,427
$0
$500,000
$1,000,000
$1,500,000
$2,000,000
$2,500,000
$3,000,000
TOTAL INCURRED
SUMMARY
• 2021 -L. Britt, COVID,
$1.6 million as of
06.30.2021
• 2022 – J. Wilkins,
COVID, $1.5 million as
of 06.30.2022
©2019 CorVel Corporation. All rights reserved.
4
CLAIM COUNTS STATUTORY
©2019 CorVel Corporation. All rights reserved.
5
BENCHMARKING
AGED ONE YEAR
Injury Year
CorVel Book of
PE Business
Metric
2019
2020
2021
2022
2023
2023
Medical Only %
79%
79%
73%
76%
69%
75%
Litigation %
0.0%
1.6%
0.8%
0.8%
0.8%
0.4%
Average Incurred
All Claims
$5,560
$7,590
$19,743
$22,066
$9,427
$9,763
Indemnity
$20,599
$28,594
$68,598
$85,461
$25,948
$32,424
Medical Only
$1,679
$1,862
$1,230
$1,639
$1,901
$2,174
Lag Time
Total Lag
6.0
14.8
9.0
7.5
11.0
7.7
Employee Lag
2.7
2.7
2.4
2.2
5.0
2.0
Manager Lag
3.2
12.1
6.6
5.3
6.0
5.7
Financials by Claim
Indemnity %
8.6%
20.5%
44.5%
54.3%
12.0%
18.8%
Medical %
58.0%
60.2%
42.3%
35.1%
67.0%
61.5%
Expense %
33.4%
19.3%
13.2%
10.6%
21.0%
19.7%
SUMMARY
• Medical only percent
6% lower
• Average incurred 2023
slightly more favorable
• Indemnity financials 7%
lower
• Medical financials 5%
higher
• Employee lag 3 days
longer
©2019 CorVel Corporation. All rights reserved.
6
BENCHMARKING
AGED ONE YEAR
Injury Year
CorVel Book of
PE Business
Average Incurred by Injury Nature
2019
2020
2021
2022
2023
2023
Strain
$7,499
$8,465
$10,054
$8,495
$7,202
$8,423
Contusion
$3,747
$3,528
$2,951
$3,215
$13,833
$4,147
Sprain
$2,655
$3,350
$11,490
$7,901
$5,641
$16,715
Laceration
$1,209
$4,447
$1,540
$1,071
$5,580
$2,711
Cancer
$9,278
$0
$0
$0
$19,807
$464,827
Average Time Open by Claim Type
Indemnity
153.5
227.3
130.2
129.8
91.2
127.6
Medical Only
54.2
78.9
88.2
73.8
64.0
71.9
Average Incurred by Jurisdiction State
AZ
$5,560
$7,590
$19,743
$22,066
$9,427
$9,763
SUMMARY
• Claims closing sooner
than other PE’s
• Average incurred
comparable
©2019 CorVel Corporation. All rights reserved.
7
CLAIM COUNTS
TOP FIVE LOCATION SUMMARY
Injury Year (FYE)
2019
2020
2021
2022
2023
Chand Police Department
Number of Claims
79
71
72
53
60
Total Incurred
$1,020,213
$1,408,303
$2,430,736
$1,999,843
$523,164
Average Incurred
$12,914
$19,835
$33,760
$37,733
$8,719
CHAND FIRE HEALTH & MEDICAL DEPARTMENT
Number of Claims
33
43
28
29
35
Total Incurred
$380,619
$480,195
$371,045
$175,187
$273,930
Average Incurred
$11,534
$11,167
$13,252
$6,041
$7,827
CHAND PUBLIC WORKS & UTILITIES
Number of Claims
19
19
18
17
11
Total Incurred
$160,402
$71,233
$67,344
$48,727
$94,683
Average Incurred
$8,442
$3,749
$3,741
$2,866
$8,608
CHAND COMMUNITY SERVICES
Number of Claims
17
17
12
11
20
Total Incurred
$60,787
$54,779
$29,331
$24,307
$314,918
Average Incurred
$3,576
$3,222
$2,444
$2,210
$15,746
CHAND CITY MANAGER
Number of Claims
6
3
0
3
3
Total Incurred
$10,200
$3,433
$0
$2,022
$8,500
Average Incurred
$1,700
$1,144
$0
$674
$2,833
SUMMARY
• Number of claim by top
5 locations relatively
consistent over a 5 year
average
©2019 CorVel Corporation. All rights reserved.
8
CLAIM COUNTS
NATURE OF INJURIES
Injury Nature
Injury Year (FYE)
Claims
% of Claims
Claims
% of Claims
Claims
% of Claims
Claims
% of Claims
Claims
% of Claims
2019
66
40%
32
19%
17
10%
15
9%
3
2%
2020
51
32%
23
14%
8
5%
11
7%
1
1%
2021
53
38%
27
19%
8
6%
9
6%
1
1%
2022
33
28%
25
21%
15
13%
10
8%
0
0%
2023
37
28%
23
18%
15
11%
11
8%
10
8%
Strain
Contusion
Sprain
Laceration
Cancer
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
PERCENTAGE OF CLAIMS
SUMMARY
• Strains – Lifting,
twisting, push/pull, falls,
person in act of crime
• Contusion – Falls,
person in act of crime,
falling object, MVA
• Sprain – Fall, lifting,
push/pull
• Laceration – Objects
handled, now powered
tools
©2019 CorVel Corporation. All rights reserved.
9
CLAIM COUNTS
BODY PART
Body Part
Injury Year (FYE)
Claims
% of Claims
Claims
% of Claims
Claims
% of Claims
Claims
% of Claims
Claims
% of Claims
2019
13
8%
17
10%
25
15%
11
7%
6
4%
2020
5
3%
9
6%
16
10%
11
7%
3
2%
2021
7
5%
15
11%
17
12%
10
7%
1
1%
2022
3
3%
14
12%
9
8%
8
7%
2
2%
2023
12
9%
11
8%
11
8%
10
8%
8
6%
Finger(s)
Knee
Lower Back Area
Shoulder(s)
No Physical Injury
0%
2%
4%
6%
8%
10%
12%
14%
16%
PERCENTAGE OF CLAIMS
SUMMARY
• Finger(s) – Objects
being handled
• Knee – Falls and NOC
• Lower back – Lifting
and falls
• Shoulder(s) – Lifting,
pushing/pulling
• No physical injury –
Mental stress and
cancer
©2019 CorVel Corporation. All rights reserved.
10
PAID FINANCIAL SUMMARY
Transaction Year
2019
2020
2021
2022
2023
Total Paid
$2,543,987
$2,135,603
$1,928,175
$2,209,345
$1,552,452
Indemnity
$742,295
$896,157
$710,509
$701,125
$614,131
Medical
$1,105,455
$847,700
$957,817
$1,207,870
$682,618
Expense
$696,238
$391,746
$259,849
$300,350
$255,703
$0
$500,000
$1,000,000
$1,500,000
$2,000,000
$2,500,000
$3,000,000
TOTAL PAID OVER PERIOD
SUMMARY
• 2023 most favorable
year for total paid
©2019 CorVel Corporation. All rights reserved.
11
NETWORK SOLUTIONS
Invoice Year
2019
2020
2021
2022
2023
Change
% Change
Bill Count
2,996
2,914
2,898
2,693
1,852
-841
-31%
Provider Charges
$4,240,264
$2,911,557
$2,541,279
$2,840,196
$1,994,235
-$845,961
-30%
Recommended Payments
$985,291
$809,759
$919,079
$1,172,573
$651,140
-$521,433
-44%
Savings
$3,254,972
$2,101,799
$1,622,199
$1,667,623
$1,343,095
-$324,528
-19%
Savings %
Fess $452,151 $212,348 $202,002
$221,439 $154,904
ROI 7.19 9.90 8.03
7.53 8.67
77%
72%
64%
59%
67%
9%
15%
Last Yr vs Prior Yr
©2019 CorVel Corporation. All rights reserved.
12
OPIOIDS DAYS SUPPLY BY YEAR OF INJURY
0.0
2.0
4.0
6.0
8.0
10.0
12.0
14.0
AVG. DAYS SUPPLY
Injury Year
<2020
2020
2021
2022
2023
Avg. Days Supply - Overall
12.5
4.5
3.8
3.0
Avg. Days Supply - First Fill
5.7
3.7
2.8
0.0
PBM SUMMARY
0%
20%
40%
60%
80%
100%
DISPENSING RATE
Service Quarter
2019
2020
2021
2022
2023
Generic Dispensing Rate
89.4%
84.4%
90.0%
94.1%
92.5%
Brand - Generic Available
3.7%
7.8%
5.6%
5.9%
3.7%
Brand - No Generic Available
6.9%
7.8%
4.3%
0.0%
3.7%
Generic Efficiency Rate
96.0%
91.5%
94.1%
94.1%
96.1%
GENERIC VS. BRAND DISPENSING %
PROSPECTIVE REVIEW
Rejections
0.0%
5.0%
10.0%
15.0%
% RECOMMENDED PAYMENTS
OPIOID FILLS
Service Year
2019
2020
2021
2022
2023
Rejection Count
218
199
251
190
187
Rejection Dollars
$82,161
$126,484
$100,524
$94,139
$122,291
$0
$20,000
$40,000
$60,000
$80,000
$100,000
$120,000
$140,000
REJECTION DOLLARS
Service Quarter
2019
2020
2021
2022
2023
Opioid Scripts
41
22
18
9
5
Opioid Rec. Payments
$4,078
$4,540
$1,757
$1,180
$123
% Recommended Payments
7.3%
9.8%
2.5%
2.4%
0.3%
©2019 CorVel Corporation. All rights reserved.
13
PBM SUMMARY
Invoice Year
2019
2020
2021
2022
2023
Prescription Count
220
189
238
156
103
Prescription Charges
$81,457
$74,543
$126,368
$87,116
$58,702
Recommended Payments
$55,936
$43,594
$73,935
$49,248
$32,791
Pharmacy Savings
$25,520
$30,949
$52,433
$37,868
$25,911
Pharmacy Savings %
31.3%
41.5%
41.5%
43.5%
44.1%
$0
$10,000
$20,000
$30,000
$40,000
$50,000
$60,000
PHARMACY SAVINGS
©2019 CorVel Corporation. All rights reserved.
14
24/7 NURSE TRIAGE
CARE DISPOSITION
The following shows 24/7 nurse triage disposition type information
for the prior five calendar quarters.
Actual Outcome
Disposition Type
2019
2020
2021
2022
2023
Total Initial Calls
467
253
225
233
213
First Aid
362 (78%)
169 (67%)
139 (62%)
143 (61%)
145 (68%)
Care Disposition
Telehealth
0 (0.0%)
1 (1.1%)
0 (0.0%)
0 (0.0%)
0 (0.0%)
Urgent Care
103 (97%)
81 (92%)
82 (94%)
88 (94%)
66 (92%)
Emergency
3 (3%)
6 (7%)
5 (6%)
6 (6%)
6 (8%)