Table 3.
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.