Table 4.
Summary of Results for the Health Insurance Cohorts
| Health Insurance | Project Dulce | Control | Difference |
|---|---|---|---|
| Uninsured cohort | |||
| LE, years | 12.7 (0.17) | 11.6 (0.17) | 1.1 (0.24) |
| Quality-adjusted LE (QALYs) | 8.5 (0.12) | 7.7 (0.11) | 0.9 (0.16) |
| Total lifetime direct costs ($) | 82,225 (2,309) | 73,233 (2,188) | 8,991 (3,204) |
| ICER | $7,933 per life year gained | ||
| $10,141 per QALY gained | |||
| CMS cohort | |||
| LE (years) | 11.6 (0.18) | 11.0 (0.17) | 0.6 (0.26) |
| Quality-adjusted LE (QALYs) | 7.6 (0.12) | 7.1 (0.12) | 0.4 (0.17) |
| Total lifetime direct costs ($) | 80,157 (2,421) | 69,236 (2,219) | 10,921 (3,254) |
| ICER | $18,976 per life year gained | ||
| $24,584 per QALY gained | |||
| Medi-Cal cohort | |||
| LE (years) | 11.3 (0.18) | 11.0 (0.17) | 0.3 (0.25) |
| Quality-adjusted LE (QALYs) | 7.4 (0.12) | 7.2 (0.12) | 0.3 (0.17) |
| Total lifetime direct costs ($) | 81,365 (2,374) | 69,573 (2,268) | 11,792 (3,328) |
| ICER | $36,056 per life year gained | ||
| $44,941 per QALY gained | |||
| Commercial cohort | |||
| LE (years) | 11.3 (0.18) | 11.1 (0.18) | 0.2 (0.24) |
| Quality-adjusted LE (QALYs) | 7.5 (0.12) | 7.4 (0.12) | 0.2 (0.16) |
| Total lifetime direct costs ($) | 69,898 (2,119) | 57,530 (2,105) | 12,368 (2,973) |
| ICER | $57,587 per life year gained | ||
| $69,587 per QALY gained | |||
QALY, quality-adjusted life years; ICER, incremental cost-effectiveness ratio; LE, life expectancy; CMS, County Medical Services. Values shown are means with standard deviation in parentheses; Years, QALYs, and costs are discounted at 3% per annum.