EPIQ Risk Management

Sample Reports

The same analytics our clients see — de-identified and downloadable.

We build strategy from data, not opinion. These are real outputs from the SAIL™ predictive engine and TOIC clinical compliance analysis — the same tools we run on employer populations every quarter.

Predictive Morbidity

Sample SAIL™ Report

PDF · 2 pages

A 12-month forward-looking risk forecast built from four years of claims data and weighted demographics. Scores the population, surfaces high-cost claimant predictions, and ranks the Rx and procedures driving spend.

  • Demographic vs. morbidity decomposition — understand why cost is moving.
  • Top high-cost Rx and procedure rankings with last-seen recency.
  • High-cost claimant prediction with 80th-percentile shock scenarios.
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SAIL Score

1.23

23% above-average total risk

Morbidity

1.22

22% above-average condition risk

Match Rate

94.4%

of population matched in claims data

Sample data only — your engagement uses your population.

Clinical Compliance

Sample TOIC PCP Compliance Report

PDF · 2 pages

A direct line from primary-care engagement to your bottom line. Compares PCP-engaged versus non-compliant members across cost, trend, large-claim prevalence, and utilization — and projects the financial gap forward three years.

  • Three-year projected cost gap modeled at current trend rates.
  • Chronic and preventive compliance scoring with quantified gaps in care.
  • Utilization comparison: admits, ER visits, scripts, and per-event allowed cost.
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PMPY · PCP

$9,326

vs $10,583 non-PCP (-13.5%)

Trend · PCP

4.1%

vs 7.9% non-PCP

Spouse savings

18.3%

lower claims with annual PCP

Sample data only — your engagement uses your population.

Privacy & Security

All analytics are performed on de-identified data in 100% compliance with HIPAA regulations. We use institutional-grade AI to protect your employees' privacy while protecting your company's margins. Sample reports above use anonymized or illustrative client data.

Want to see this run on your population?

Send us a claims feed (or let us coordinate with your carrier). We will return a tailored SAIL forecast and PCP compliance read — and tell you exactly where the cost-control opportunities are.

Request a custom analysis
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