Table 8 Per member per month costs
Intervention arm | Control arm | Unadjusted differences | Modeled percent difference‡ | P value | ||
|---|---|---|---|---|---|---|
Cost | Percent | (95% CI) | ||||
All Members | n = 13,901 | n = 10,266 | ||||
All PMPM Costs | $595.88 | $637.54 | -$41.67 | −6.5% | −0.0485(−0.0981 to 0.0011) | 0.0555 |
†Actionable PMPM Costs | $470.60 | $524.88 | -$54.28 | −10.3% | −0.0645(−0.1222 to −0.0067) | 0.0286 |
All PMPM Physician Costs | $37.66 | $40.03 | -$2.38 | −5.9% | −0.0389(−0.0769 to -.0008) | 0.0451 |
All PMPM Facility Costs | $321.51 | $344.57 | -$23.07 | −6.7% | −0.0568(−0.1259 to 0.0122) | 0.1066 |
All PMPM Pharmacy Costs | $80.42 | $71.66 | $8.76 | 12.2% | −0.0070(−0.0376 to 0.0236) | 0.6524 |
All PMPM Ancillary Costs | $156.29 | $181.28 | -$24.99 | −13.8% | −0.0396(−0.0923 to 0.0130) | 0.1401 |
Members with Risks for Preference-Sensitive Back Surgery | n = 5,286 | n = 3,035 | ||||
ll PMPM Costs | $534.06 | $589.32 | -$55.26 | −9.4% | −0.0391(−0.1232 to 0.0450) | 0.3617 |
†Actionable PMPM Costs | $399.94 | $458.68 | -$58.73 | −12.8% | −0.0342(−0.1337 to 0.0652) | 0.4999 |
All PMPM Physician Costs | $39.87 | $41.40 | -$1.53 | −3.7% | −0.0153(−0.0820 to 0.0514) | 0.6533 |
All PMPM Facility Costs | $261.85 | $296.09 | -$34.24 | −11.6% | −0.0150(−0.1305 to 0.1005) | 0.7989 |
All PMPM Pharmacy Costs | $92.08 | $86.92 | $5.16 | 5.9% | −0.0428(−0.0986 to 0.0131) | 0.1338 |
All PMPM Ancillary Costs | $140.26 | $164.92 | -$24.65 | −14.9% | −0.0393(−0.1298 to 0.0512) | 0.3943 |
Preference-Sensitive Joint Surgery | n = 8,615 | n = 7,231 | ||||
All PMPM Costs | $633.81 | $657.79 | -$23.98 | −3.6% | −0.0523(−0.1138 to 0.0091) | 0.0948 |
†Actionable PMPM Costs | $513.96 | $552.67 | -$38.71 | −7.0% | −0.0747(−0.1456 to −0.0039) | 0.0387 |
All PMPM Physician Costs | $36.30 | $39.46 | -$3.16 | −8.0% | −0.0497(−0.0961 to −0.0034) | 0.0353 |
All PMPM Facility Costs | $358.11 | $364.92 | -$6.81 | −1.9% | −0.0720(−.1580 to 0.0139) | 0.1005 |