|
OC/OP/SG Cancer
|
Matched Comparison Group
|
Cost BurdenA
|
Cost Burden P-valueB
|
|---|
|
COMMERCIALC
| | | | |
|
Number of enrollees
|
3,918
|
3,918
| | |
|
Total Payments, $
|
79,151
|
7,419
|
71,732
|
<0.001
|
| |
(6,170)
|
(22,665)
| | |
|
Employer Payments, $
|
74,594
|
6,200
|
68,394
|
<0.001
|
| |
(85,023)
|
(20,046)
| | |
|
Out of pocket payments, $
|
2,962
|
829
|
2,133
|
<0.001
|
| |
(4,990)
|
(1,211)
| | |
|
Third Party Payments,$
|
1,595
|
390
|
1,205
|
<0.001
|
| |
(12,915)
|
(6,160)
| | |
|
MEDICARED
| | | | |
|
Number of enrollees
|
2,303
|
2,303
| | |
|
Total Payments, $
|
48,410
|
12,520
|
35,890
|
<0.001
|
| |
(61,599)
|
(27,947)
| | |
|
Employer Payments, $
|
13,384
|
4,354
|
9,030
|
<0.001
|
| |
(23,742)
|
(12,513)
| | |
|
Out of pocket payments, $
|
1,747
|
962
|
785
|
<0.001
|
| |
(3,068)
|
(966)
| | |
|
Medicare and Third Party Payments, $E
|
33,279
|
7,204
|
26,075
|
<0.001
|
| |
(53,223)
|
(23,036)
| | |
|
MEDICAIDF
| | | | |
|
Number of enrollees
|
585
|
585
| | |
|
Total Payments, $
|
59,404
|
14,863
|
44,541
|
<0.001
|
| |
(74,919)
|
(28,432)
| | |
- Standard deviation in parentheses.
- For sample with 1 year of follow-up.
- Medical and drug expenditures were adjusted to 2009 dollars using Medical Care CPI.
- Notes
- A: The Cost Burden is calculated as the difference between the mean values for the OC/OP cancer and matched comparison group.
- B: The p-value is from a test of statistically significant difference between the OC/OP cancer and comparison group.
- C: 6 Patients with a total medical costs exceeding $800,000 in the Commercial database were flagged as outliers, and were excluded before the matching.
- D: 9 Patients with a total medical costs exceeding $800,000 in the Medicare database were flagged as outliers, and were excluded before the matching.
- E: In the Medicare sample, third party payments or coordination of benefits are primarily Medicare payments, since Medicare pays first of all of the insurance plans that cover an employee. In the Commercial sample, third party payments may come from a variety of sources, such as benefits from a spouse.
- F: 3 Patients with total medical costs exceeding $1,000,000 in the Medicaid database were flagged as outliers, and were excluded before the matching.
