Module 4 · Portfolio Analytics · 4.5 · D7
Cost Intelligence
Dual-archetype cost view — the network TCOC waterfall and program spend-per-achieved-outcome. Scoped to Full portfolio.
Network (-001) · truncated TCOC SAR 352.24M
SAR 1,604
PMPM actual (vs est 1,667 · −63)
93.4%
RAC budget adherence -001
108.7%
RAC budget adherence -009 (stale)
TCOC waterfall
InpatientSAR 144.4M · 41%
OutpatientSAR 84.5M · 24%
PharmacySAR 63.4M · 18%
EmergencySAR 24.7M · 7%
DiagnosticsSAR 21.1M · 6%
Rehabilitation & otherSAR 14.1M · 4%
Program (-002) · spend per achieved outcome
Per achieved member
SAR 8,617
(SAR 3,049,800 PEMPM + SAR 1,405,100 performance) ÷ 517 achieved
Avoided-complication value band
SAR 14,000–22,000 / year
assumption-flagged actuarial band
Modeled avoided-complication value for a sustained 1-point HbA1c reduction — an assumption-flagged actuarial band, not a claim.