Analytical Calculations
Total Plans:
Average Adjusted PMPM: $
Average Star Rating:
Best Value Score (Composite): $
Total Estimated Rebate: $
Outliers (High Quality & Low Cost):
Composite Value Score Formula:
Value Score = (Adjusted PMPM × Clinical Risk × Profit × Specialty Factor) ÷ (Star × (1 + Rebate Factor) × log(1 + Enrollment))
Lower score = better cost-to-quality efficiency
| Plan | Adj PMPM | Star | Value Score | Clinical Risk | Rebate |
|---|