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% |