Table 1.
FFS versus DC | FFS versus MBHO | |||||
---|---|---|---|---|---|---|
FFS | DC | p-value† | FFS | MBHO | p-value | |
Mean costs | ||||||
Before matching | 4,820 | 4,524 | .11 | 4,820 | 6,822 | .02 |
After matching | 4,820 | 4,805 | .32 | 4,820 | 4,580 | .42 |
Mean QALYs‡ | ||||||
Before matching | 0.475 | 0.485 | .10 | 0.475 | 0.482 | .29 |
After matching | 0.475 | 0.476 | .78 | 0.474 | 0.474 | .33 |
% Schizophrenia | ||||||
Before matching | 72.2 | 61.9 | .05 | 72.2 | 65.1 | .16 |
After matching | 72.2 | 70.8 | .68 | 72.2 | 72.2 | 1.00 |
% Bipolar | ||||||
Before matching | 21.2 | 30.7 | .05 | 21.2 | 25.6 | .33 |
After matching | 21.2 | 22.5 | .48 | 21.2 | 21.9 | .56 |
Mean age | ||||||
Before matching | 43.4 | 42.3 | .58 | 43.4 | 45.1 | .32 |
After matching | 43.4 | 43.4 | .84 | 43.4 | 43.7 | .86 |
% Men | ||||||
Before matching | 44.3 | 47.7 | .54 | 44.3 | 49.7 | .32 |
After matching | 44.3 | 43.7 | .78 | 44.3 | 45.0 | .70 |
% Previous high cost client | ||||||
Before matching | 37.1 | 36.4 | .89 | 37.1 | 31.8 | .31 |
After matching | 37.1 | 37.1 | 1.00 | 37.1 | 36.4 | .32 |
% Using any service | ||||||
Before matching | 89.4 | 93.8 | 0.16 | 89.4 | 90.3 | .80 |
After matching | 89.4 | 89.4 | 1.00 | 89.4 | 89.4 | 1.00 |
Before matching: n =522, FFS (n =151), DC (n =176), MBHO (n =195); after matching: n =453 (n =151 in each group).
The tests conducted are nonparametric bootstrap Kolomogorov–Smirnov distributional tests.
Note that QALY data were not available for eight cases before, and four cases after matching.
FFS, fee for service; DC, direct capitation; MBHO, managed behavioral health organization; QALY, quality-adjusted life year.