DATA REQUEST FOR HEALTH CLAIMS AND RX DATA

Business Unit Categories:

We would like to request the information that follows within the following business units of Cargill.
(1) All Cargill Sidney, OH operations
(2) DSO operations in Sidney, OH
(3) HFT operations in Sidney, OH
(4) GOSCNA operations in Sidney, OH
And for comparison of trends:
(5) All DSO operations in the U.S. (excluding Sidney, OH if possible)
(6) All HFT operations in the U.S. (excluding Sidney, OH if possible)
(4) All GOSCNA operations in the U.S. (excluding Sidney, OH if possible)

Source Data Elements Output Stratification Categories

Prevalence (% and sample size) of each diagnosis
Claims from: Selected ICD-9 Codes calculated as: All Covered Persons
BCBS CVD & Risk Factors (# of people with a diagnosis) By Age (18-49, 50+)
and Heart Disease (total # of people in the stratified category) By Sex
Unicare Diabetes By Sex By Age
Diabetes Complications Employees Only
Hypertension Odds Ratios and 95% Cis By Age (18-49, 50+)
Hyperlipidemia (within stratification categories) By Sex
Arthritis & muscuskeletal By Sex By Age
COPD Spouses Only
Asthma By Age (18-49, 50+)
Bronchitis By Sex
Emphysema By Sex By Age
Cancer Retirees Only
Total Chronic Disease By Sex
Depression
Other mental health
Hearing Loss
Influenza
Injury
Oral Health
Reproductive Health
 Source Data Elements Output Stratification Categories
Prevalence (% and sample size) of each drug utlization
Rx data from:Selected Drug Classes calculated as: Same Stratifications as Above
BCBS Anti-hypertensive (# of people with a filled Rx)
and ace-inhibitors (total # of people in the stratified category)
Express Scripts beta-blockers
others
Cholesterol-lowering
Antidepressants
Diabetes
Insulin Note: Who should be included in the denominator? If it's just the
others people in the Rx database, then it would only be restricted to
those who have filled an Rx. So, it should probably be all the
people who have insurance coverage (from the health claims
database).

Prevalence (% and sample size) of each drug utlization

among those with a diagnosed condition calculated as:
(# of people with a filled Rx)
(total # of people with the corresponding diagnosis)

Note: this may or may not require merging of the Rx data with
the health claims data.
Questions to consider:
1. is every person in the Rx database also in the health claims database?
2. is it possible that a person fills an Rx but does not have a diagnosis?
If the answer to either one of these questions is yes, then
merging of the datasets is required to obtain an accurate
estimate.

Odds Ratios and 95% Cis

(within stratification categories)
Note: Calculation of odds ratios will require merging of the
Rx and health claims datasets.
Health Care Data Information Spreadsheet

Table 1: Utilization of Preventive Services by Beneficiary Status and Demographic

Characteristics Among Covered Beneficiaries with the Diagnosis

Chronic Demtal
Colon Influenza Disease Exams Dental Glasses
Physical Cancer Mammo- Pap Diabetes Immuni- Smoking Obesity Diabetes Depression Manage- Hearing and Care Oral Vision and
Exam Screening graphy Smear Screening zation Cessation Counseling Counseling Screening ment Screening Cleanings (Fillings) Surgery Testing frames
Total N % (n) % (n) % (n) % (n) % (n) % (n) % (n) % (n) % (n) % (n) % (n) % (n) % (n) % (n) % (n) % (n) % (n)
All Covered Persons
by Age
Age 18-49
Age 50+
by Sex
Males
Females
by Sex by Age
Males, Age 18-49
Males, Age 50+
Females, Age 18-49
Females, Age 50+
Employees Only
by Age
Age 18-49
Age 50+
by Sex
Males
Females
by Sex by Age
Males, Age 18-49
Males, Age 50+
Females, Age 18-49
Females, Age 50+
Spouses Only
by Age
Age 18-49
Age 50+
by Sex
Males
Females
by Sex by Age
Males, Age 18-49
Males, Age 50+
Females, Age 18-49
Females, Age 50+
Minor Dependents
by Age
<18
by Sex
Males
Females
Retirees Only
by Age
Age 65+
by Sex
Males
Females
by Sex by Age
Males, Age 65+
Females, Age 65+
Table 2: Prevalence of Conditions by Beneficiary Status and Demographic Characteristics

Arthritis & Muscolskeletal

Total CVD Specific Cardiovascular Disease and Risk Factors Diabetes Obesity Disease Total COPD

CVD & Risk Factors Hypertension Hyperlipidemia Heart Disease Cerebrovascular Disease COPD & Allied Conditions

Total Per Per Per Per Per Per Per Per Per
Total N Total $ Person $ % (n) Total $ Person $ % (n) Total $ Person $ % (n) Total $ Person $ % (n) Total $ Person $ % (n) Total $ Person $ % (n) Total $ Person $ % (n) Total $ Person $ % (n) Total $ Person $ % (n)

All Covered Persons

by Age
Age 18-49
Age 50+
by Sex
Males
Females
by Sex by Age
Males, Age 18-49
Males, Age 50+
Females, Age 18-49
Females, Age 50+
Employees Only
by Age
Age 18-49
Age 50+
by Sex
Males
Females
by Sex by Age
Males, Age 18-49
Males, Age 50+
Females, Age 18-49
Females, Age 50+
Spouses Only
by Age
Age 18-49
Age 50+
by Sex
Males
Females
by Sex by Age
Males, Age 18-49
Males, Age 50+
Females, Age 18-49
Females, Age 50+
Retirees Only
by Age
Age 65+
by Sex
Males
Females
by Sex by Age
Males, Age 65+
Females, Age 65+
 Total COPD Specific COPD Total Cancer Specific Cancer

COPD & Allied Conditions Asthma Chronic Bronchitis Other Bronchitis Emphysema Cancer Colon Cancer Malignant melanoma Lung Cancer Breast Camcer Prostate Cancer

Per Per Per Per Per Per Per Per Per Per Per
Total $ Person $ % (n) Total $ Person $ % (n) Total $ Person $ % (n) Total $ Person $ % (n) Total $ Person $ % (n) Total $ Person $ % (n) Total $ Person $ % (n) Total $ Person $ % (n) Total $ Person $ % (n) Total $ Person $ % (n) Total $ Person $
 Reproductive Health /
Depression Other Mental Health Conditions Auditory Dysfunction Influenza Pneumonia Injuries Oral Diseases Pregnancy

Leukemia Other Cancer

Per Per Per Per Per Per Per Per Per Per
% (n) Total $ Person $ % (n) Total $ Person $ % (n) Total $ Person $ % (n) Total $ Person $ % (n) Total $ Person $ % (n) Total $ Person $ % (n) Total $ Person $ % (n) Total $ Person $ % (n) Total $ Person $ % (n) Total $ Person $
Table 3: Utilization of Health Services by Place of Service by Beneficiary Status and Demographic Characteristics Among Covered Beneficiaries with the Diagnosis

Employee Spouse Dependent Retiree

Total Per Per Per Per Per

Total N Total $ Person $ % (n) Total $ Person $ % (n) Total $ Person $ % (n) Total $ Person $ % (n) Total $ Person $
Type of visit

Inpatient
Inpatient hospitalizations:
Rehabilitation hospitalization
Psychiatric hospitalization
Acute hospitalization
Skilled nursing facility
Inpatient hospitalization days:
Rehabilitation days
Psychiatric days
Acute days
Skilled nursing facility
Physician & outpatient visits
Pharmacy
Emergency room visits
Home Health
Physical therapy
Occupational therapy visits
Other
Nursing home custodial days
Substance abuse rehabilitation
Table 4: Rx Utilization by Beneficiary Status and Demographic Characteristics Among All Covered Beneficiaries*

Anti-Hypertensives ACE Inhibitors Beta-Blockers Statins Anti-Depressants Anti-Anxiety

Total Per
Total N Total $ Person $ % (n) Total $ Per Person $ % (n) Total $ Per Person $ % (n) Total $ Per Person $ % (n) Total $ Per Person $ % (n) Total $ Per Person $ % (n) Total $ Per Person $
All Covered Persons
by Age
Age 18-49
Age 50+
by Sex
Males
Females
by Sex by Age
Males, Age 18-49
Males, Age 50+
Females, Age 18-49
Females, Age 50+
Employees Only
by Age
Age 18-49
Age 50+
by Sex
Males
Females
by Sex by Age
Males, Age 18-49
Males, Age 50+
Females, Age 18-49
Females, Age 50+
Spouses Only
by Age
Age 18-49
Age 50+
by Sex
Males
Females
by Sex by Age
Males, Age 18-49
Males, Age 50+
Females, Age 18-49
Females, Age 50+
Retirees Only
by Age
Age 65+
by Sex
Males
Females
by Sex by Age
Males, Age 65+
Females, Age 65+

* Denominators for percentages consist of all beneficiaries with qualifying diagnoses who have been enrolled for at least *** months
 Psychotic and Bipolar Disorders Diabetes Asthma Chemotherapy Contraceptives Rheumatoid and Osteoarthritis Weight Loss (prescribed) Tobacco Cessation (prescribed)

% (n) Total $ Per Person $ % (n) Total $ Per Person $ % (n) Total $ Per Person $ % (n) Total $ Per Person $ % (n) Total $ Per Person $ % (n) Total $ Per Person $ % (n) Total $ Per Person $ % (n) Total $
Tobacco Cessation (prescribed) Sleep Aids

Per Person $ % (n) Total $ Per Person $