Table 8 Medical costs during baseline and post-acute phasesa in the overall population and by ageb
Cost Description | All Patients (N = 19,558) | Patients Aged 18–64 Years (n = 9381) | Patients Aged ≥ 65 Years (n = 10,177) | ||||||
|---|---|---|---|---|---|---|---|---|---|
Baseline Phase | Post-Acute Phase | Change From Baseline to Post-Acute Phase, Δ (% Change) | Baseline Phase | Post-Acute Phase | Change From Baseline to Post-Acute Phase, Δ (% Change) | Baseline Phase | Post-Acute Phase | Change From Baseline to Post-Acute Phase, Δ (% Change) | |
Inpatient visits | |||||||||
 Total cost | 100,310,406 | 148,478,802 | 48,168,396 (48.0) | 33,383,596 | 46,783,646 | 13,400,051 (40.1) | 66,926,810 | 101,695,155 | 34,768,345 (52.0) |
 Standard costs, patient n | 2523 | 2877 |  | 884 | 878 |  | 1639 | 1999 |  |
  Mean ± SD | 39,758 ± 53,027 | 51,609 ± 67,633 | 11,851 (29.8) | 37,764 ± 45,741 | 53,284 ± 75,612 | 15,520 (41.1) | 40,834 ± 56,553 | 50,873 ± 63,821 | 10,039 (24.6) |
  Median (Q1; Q3) | 23,539 (14,930; 42,393) | 29,812 (14,174; 63,142) | 6273 (26.6) | 21,110 (13,853; 39,804) | 28,505 (13,705; 62,482) | 7395 (35.0) | 24,902 (15,564; 44,262) | 30,535 (14,450; 63,458) | 5634 (22.6) |
 Nonzero costs, patient n | 2519 | 2857 | 338 (13.4) | 882 | 874 | –8 (–0.9) | 1637 | 1983 | 346 (21.1) |
  Mean ± SD | 39,822 ± 53,046 | 51,970 ± 67,731 | 12,149 (30.5) | 37,850 ± 45,757 | 53,528 ± 75,699 | 15,678 (41.4) | 40,884 ± 56,570 | 51,283 ± 63,914 | 10,400 (25.4) |
  Median (Q1; Q3) | 23,619 (14,979; 42,401) | 30,001 (14,418; 63,458) | 6381 (27.0) | 21,165 (13,872; 39,837) | 28,663 (13,872; 62,649) | 7498 (35.4) | 24,951 (15,604; 44,262) | 30,996 (14,591; 63,718) | 6045 (24.2) |
Readmission | |||||||||
 Total cost | 15,508,222 | 56,595,103 | 41,086,881 (264.9) | 5,968,848 | 15,288,400 | 9,319,552 (156.1) | 9,539,374 | 41,306,702 | 31,767,328 (333.0) |
 Standard costs, patient n | 327 | 1145 |  | 131 | 220 |  | 196 | 925 |  |
  Mean ± SD | 47,426 ± 55,733 | 49,428 ± 72,129 | 2002 (4.2) | 45,564 ± 43,757 | 69,493 ± 99,048 | 23,929 (52.5) | 48,670 ± 62,550 | 44,656 ± 63,226 | –4014 (–8.3) |
  Median (Q1; Q3) | 28,400 (16,155; 57,798) | 22,978 (8525; 60,113) | –5422 (–19.1) | 29,053 (16,565; 64,883) | 37,735 (13,202; 84,318) | 8681 (29.9) | 28,348 (16,134; 56,708) | 21,351 (7368; 56,103) | –6998 (–24.7) |
 Nonzero costs, patient n | 327 | 1124 | 797 (243.7) | 131 | 218 | 87 (66.4) | 196 | 906 | 710 (362.2) |
  Mean ± SD | 47,426 ± 55,733 | 50,352 ± 72,480 | 2926 (6.2) | 45,564 ± 43,757 | 70,130 ± 99,277 | 24,567 (53.9) | 48,670 ± 62,550 | 45,592 ± 63,551 | –3078 (–6.3) |
  Median (Q1; Q3) | 28,400 (16,155; 57,798) | 23,734 (10,067; 62,107) | –4665 (–16.4) | 29,053 (16,565; 64,883) | 37,895 (13,937; 85,396) | 8842 (30.4) | 28,348 (16,134; 56,708) | 22,147 (8769; 57,039) | –6201 (–21.9) |
Outpatient visits | |||||||||
 Total cost | 252,738,072 | 293,241,964 | 40,503,891 (16.0) | 101,032,115 | 111,061,227 | 10,029,113 (9.9) | 151,705,958 | 182,180,736 | 30,474,779 (20.1) |
 Standard costs, patient n | 19,413 | 19,223 |  | 9357 | 9173 |  | 10,056 | 10,050 |  |
  Mean ± SD | 13,019 ± 50,071 | 15,255 ± 50,870 | 2236 (17.2) | 10,797 ± 44,453 | 12,107 ± 42,523 | 1310 (12.1) | 15,086 ± 54,704 | 18,127 ± 57,291 | 3041 (20.2) |
  Median (Q1; Q3) | 4516 (1746; 11,434) | 5284 (1981; 13,581) | 768 (17.0) | 3363 (1302; 8746) | 3781 (1398; 9813) | 418 (12.4) | 5899 (2369; 13,841) | 7071 (2792; 16,649) | 1172 (19.9) |
 Nonzero costs, patient n | 19,412 | 19,222 | –190 (–1.0) | 9357 | 9173 | –184 (–2.0) | 10,055 | 10,049 | –6 (–0.1) |
  Mean ± SD | 13,020 ± 50,072 | 15,256 ± 50,871 | 2236 (17.2) | 10,797 ± 44,453 | 12,107 ± 42,523 | 1310 (12.1) | 15,088 ± 54,707 | 18,129 ± 57,293 | 3042 (20.2) |
  Median (Q1; Q3) | 4516 (1746; 11,435) | 5284 (1981; 13,581) | 768 (17.0) | 3363 (1302; 8746) | 3781 (1398; 9813) | 418 (12.4) | 5901 (2369; 13,844) | 7071 (2792; 16,649) | 1170 (19.8) |
Emergency department visits | |||||||||
 Total cost | 20,718,445 | 16,776,569 | –3,941,876 (–19.0) | 10,216,455 | 8,135,400 | –2,081,054 (–20.4) | 10,501,990 | 8,641,168 | –1,860,822 (–17.7) |
 Standard costs, patient n | 5943 | 4756 |  | 2830 | 2149 |  | 3113 | 2607 |  |
  Mean ± SD | 3486 ± 5082 | 3527 ± 6118 | 41 (1.2) | 3610 ± 6055 | 3786 ± 7975 | 176 (4.9) | 3374 ± 3993 | 3315 ± 3972 | –59 (–1.8) |
  Median (Q1; Q3) | 2322 (1358; 3981) | 2344 (1328; 3971) | 22 (0.9) | 2265 (1268; 3930) | 2385 (1293; 4001) | 121 (5.3) | 2344 (1484; 4006) | 2319 (1360; 3918) | –25 (–1.1) |
 Nonzero costs, patient n | 5935 | 4752 | –1183 (–19.9) | 2828 | 2149 | –679 (–24.0) | 3107 | 2603 | –504 (–16.2) |
  Mean ± SD | 3491 ± 5083 | 3530 ± 6120 | 40 (1.1) | 3613 ± 6057 | 3786 ± 7975 | 173 (4.8) | 3380 ± 3994 | 3320 ± 3973 | –60 (–1.8) |
  Median (Q1; Q3) | 2322 (1362; 3983) | 2346 (1332; 3973) | 24 (1.0) | 2267 (1270; 3932) | 2385 (1293; 4001) | 118 (5.2) | 2352 (1486; 4009) | 2322 (1368; 3919) | –30 (–1.3) |
Prescription claims | |||||||||
 Total cost | 73,381,260 | 82,891,287 | 9,510,027 (13.0) | 34,332,199 | 39,019,983 | 4,687,784 (13.7) | 39,049,062 | 43,871,304 | 4,822,243 (12.4) |
 Standard costs, patient n | 17,845 | 17,824 |  | 8832 | 8604 |  | 9013 | 9220 |  |
  Mean ± SD | 4112 ± 15,111 | 4651 ± 16,138 | 538 (13.1) | 3887 ± 14,812 | 4535 ± 16,441 | 648 (16.7) | 4333 ± 15,396 | 4758 ± 15,851 | 426 (9.8) |
  Median (Q1; Q3) | 652 (183; 2888) | 722 (198; 3598) | 70 (10.8) | 399 (108; 2052) | 458 (116; 2631) | 59 (14.7) | 942 (316; 3624) | 1004 (327; 4345) | 62 (6.5) |
 Nonzero costs, patient n | 17,845 | 17,824 | –21 (–0.1) | 8832 | 8604 | –228 (–2.6) | 9013 | 9220 | 207 (2.3) |
  Mean ± SD | 4112 ± 15,111 | 4651 ± 16,138 | 538 (13.1) | 3887 ± 14,812 | 4535 ± 16,441 | 648 (16.7) | 4333 ± 15,396 | 4758 ± 15,851 | 426 (9.8) |
  Median (Q1; Q3) | 652 (183; 2888) | 722 (198; 3598) | 70 (10.8) | 399 (108; 2052) | 458 (116; 2631) | 59 (14.7) | 942 (316; 3624) | 1004 (327; 4345) | 62 (6.5) |
All medical costs (outpatient, inpatient, and prescription claims) | |||||||||
 Total cost | 426,429,738 | 524,612,052 | 98,182,314 (23.0) | 168,747,909 | 196,864,856 | 28,116,948 (16.7) | 257,681,830 | 327,747,196 | 70,065,366 (27.2) |
 Standard costs, patient n | 19,492 | 19,375 |  | 9381 | 9264 |  | 10,111 | 10,111 |  |
  Mean ± SD | 21,877 ± 61,388 | 27,077 ± 68,249 | 5200 (23.8) | 17,988 ± 54,361 | 21,251 ± 59,851 | 3262 (18.1) | 25,485 ± 67,055 | 32,415 ± 74,730 | 6930 (27.2) |
  Median (Q1; Q3) | 7025 (2579; 19,791) | 8045 (2842; 23,394) | 1020 (14.5) | 5093 (1898; 15,184) | 5597 (1934; 17,259) | 504 (9.9) | 9137 (3605; 24,705) | 10,803 (4238; 29,450) | 1666 (18.2) |
 Nonzero costs, patient n | 19,492 | 19,373 | –119 (–0.6) | 9381 | 9264 | –117 (–1.3) | 10,111 | 10,109 | –2 (–0.02) |
  Mean ± SD | 21,877 ± 61,388 | 27,077 ± 68,249 | 5200 (23.8) | 17,988 ± 54,361 | 21,251 ± 59,851 | 3262 (18.1) | 25,485 ± 67,055 | 32,415 ± 74,730 | 6930 (27.2) |
  Median (Q1; Q3) | 7025 (2579; 19,791) | 8045 (2842; 23,394) | 1020 (14.5) | 5093 (1898; 15,184) | 5597 (1934; 17,259) | 504 (9.9) | 9137 (3605; 24,705) | 10,803 (4238; 29,450) | 1666 (18.2) |