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. 2003 Feb;38(1 Pt 1):191–209. doi: 10.1111/1475-6773.00112

Table 1.

Description of Data by Physician Organization

Physician Organization 1 Physician Organization 2 Physician Organization 3 Physician Organization 4

Location California New York Ohio Idaho
HMO penetration in market area 50.1% 23.3% 21.0% 13.1%
Method of PCP reimbursement Partial Capitation Fee-For-Service Fee-For-Service Partial Capitation
PCP services capitated by HMOs in market area:
Solo/Single Spec. Group 66.4% 35.0% 46.4% 85.7%
Multi-Spec. Group 85.4% 47.8% 60.9% 95.2%
Dates covered by data Jan.–Dec. 1994 Jan.–Dec. 1995 Apr. 1994 Mar. –1995 Jan.–Dec. 1995
Number of PCPs 662 341 180 208
Number of enrollees age 21–64 51,811 39,166 50,845 12,907
Number of enrollees continuously enrolled for six months (%) 35,235(68.0%) 20,076(51.3%) 33,031(65.0%) 7,065(54.7%)
Percent of continuously enrolled enrollees with at least 1 service in claims data 91.3% 83.8% 79.8% 96.4%
Number of continuously enrolled enrollees with at least 2 encounters (%) 27,217(77.2%) 14,124(70.4%) 21,213(64.2%) 4,706(66.6%)
Number of continuously enrolled enrollees excluded because only 1 patient seen by PCP 13 9 14 29
Number of continuously enrolled enrollees excluded because claims data shows more than 1 PCP on given date 38 25 1 0
Number of continuously enrolled enrollees (patients) included in analyses 27,166 14,090 21,198 4,677
Number of patients randomized to estimation dataset 13,477 6,779 9,582 2,109
% patients switching PCPs 6.8% 4.9% 0.4% 7.1%
% encounters that are switches from previous encounter 1.6% 1.3% 0.2% 2.1%