Table 2.
Utilization of Services (%), Mean Costs ($), HRQOL, and QALYs; Pre- and Postcapitation
| Time period | FFS | DC | MBHO |
|---|---|---|---|
| Utilization of services (n=453) | |||
| Inpatient | |||
| Pre | 15.2 | 15.2 | 14.6 |
| Post (1st) | 10.6 | 3.3 | 9.9 |
| Post (2nd) | 8.6 | 8.6 | 9.9 |
| Outpatient | |||
| Pre | 89.4 | 89.4 | 87.4 |
| Post (1st) | 88.7 | 82.8 | 75.5 |
| Post (2nd) | 83.4 | 78.8 | 68.2 |
| Costs (n=453) | |||
| Cost per user* | |||
| Pre | 5,391 | 5,375 | 5,123 |
| Post (1st) | 4,888 | 7,116 | 3,837 |
| Post (2nd) | 4,794 | 9,002 | 4,714 |
| Cost per case* | |||
| Pre | 4,820 | 4,805 | 4,580 |
| Post (1st) | 4,338 | 5,938 | 2,989 |
| Post (2nd) | 4,000 | 7,094 | 3,359 |
| Outcomes (n=373) | |||
| HRQOL | |||
| Pre | 0.63 | 0.63 | 0.63 |
| Post (1st) | 0.64 | 0.62 | 0.64 |
| Post (2nd) | 0.63 | 0.61 | 0.65 |
| QALY | |||
| Post 1st+Post 2nd | 0.934 | 0.919 | 0.954 |
*
Note that all cases in the sample used service before study entry, cost per user gives the cost for those using services in the given period, whereas cost per case reports costs for all those in the sample.
HRQOL, health-related quality of life; QALY, quality-adjusted life year; FFS, fee for service; DC, direct capitation; MBHO, managed behavioral health organization.