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. 2006 Jun;41(3 Pt 2):1027–1044. doi: 10.1111/j.1475-6773.2006.00518.x

Table 3.

Summary Table of Cost Impacts of Proposed on Mandate for Osteoporosis Screening of Women Ages 50–64, 2004

Baseline (Premandate) Post mandate Mandate Impact Annual Expenditure Impact
Insurance market Large group
Type of insurance HMO
Insured population in market segment 6,439,000 6,439,000
Insured women, ages 50–64, in market segment 542,000 542,000
Portion of insured women with screening benefit 11%* 100%
Portion of insured women, ages 50–64 who are screened for osteoporosis 8%* 30%
A. Insured premiums
 Average portion of premium paid by employer $169.13 $169.38 $0.25 $19,680,000
 Average portion of premium paid by employee $48.87 $48.94 $0.07 $5,640,000
 Total premium $218.00 $218.32 $0.33 $25,320,000
B. Covered benefit paid by member (deductibles, copays, etc.) $7.72 $7.73 $0.01 $840,00
C. Total cost of covered benefits $225.72 $226.05 $0.34 $26,160,000
D. Benefits not covered $0.00 $0.00 $0.00 $0
E. Total expenditures per member $225.72 $226.05 $0.34 $26,160,000
Percent increase in premiums (%) 0.15
Percent increase in expenditure (%) 0.15
*

At baseline, woman at high risk for osteoporosis have coverage for screening and treatment, but general screening for the entire female population, ages 50–64, is not a covered benefit.

Note: Dollars may not add precisely because of rounding error.

HMO, health maintenance organization.