Table 2.

Annual Anticoagulation Management Costs Per Patient

	Number of Tests per Year
Management Strategy	Baseline	(Range)	Costs to Managed Care Organization	Costs to Patients and Their Caregivers	Total Management Costs
Usual care	14	(9–23)	$157*	$239sup§	$396
Anticoagulation clinic testing	23	(11–28)	$233†	$520∥	$753
Patient self-testing	52	(29–73)	$660‡	$200¶	$860

^*Baseline estimates assume 2 minutes physician (MD) time for 90% of tests valued at $72/h, 13 minutes of nursing (RN) time per test valued at $23.40/h, equipment and supply cost of $4 per test

^†Baseline estimates assume 2 minutes MD time for 10% of tests valued at $72/h, 15 minutes of RN time per test valued a t $23.40/h, $4 reagent cartridge per test and $1,385 per capillary monitor per 200 patients served, allocated over 5 years of use

^‡Baseline estimates assume 2 minutes of MD time for 10% of tests valued at $72/h, 8 minutes of RN time per test valued at $23.40/h, $4 reagent cartridge per test, and $1,385 per capillary monitor allocated over 5 y of use

^§Baseline estimates assume 17 minutes of patient (PT) and caregiver (CG) time per test valued at $14.10/h with CG accompanying 30% of PTs, 26 mi per test valued at $0.30/mi (CG assumed to travel with PT) and 52 travel minutes per test valued at $14.10/h (no mileage or travel time for 7 tests assumed to coincide with routine office visits)

^∥Baseline estimates assume 20 minutes of PT and CG time per test valued at $14.10/h with CG accompanying 30% of PTs, 26 mi per test valued at $0.30/mi (CG assumed to travel with PT) and 52 travel minutes per test valued at $14.10/h (no mileage or travel time for 7 tests assumed to coincide with routine office visits)

^¶Baseline estimates assume 15 minutes of PT and CG time per test valued at $14.10/h with CG assisting 9% of PTs with self-testing