TABLE 2.
Percentage Changes From Initial Value in Selected Outcomes in Model Simulating the US Health System at Year 5 and Year 25, by Scenario
| Coverage + Quality, % Change | Coverage + Quality + Capacity, % Change | Coverage + Quality + Capacity + Reimbursement Cut, % Change | Coverage + Quality + Capacity + Protection, % Change | Capacity + Protection, % Change | |
| Unhealthy days per capita per mo (initial = 5.26) | |||||
| Year 5 | −4.7 | −6.4 | −3.4a | –9.5b | −4.5 |
| Year 25 | −6.1 | −11.1 | −5.3a | –20.7b | −13.0 |
| Deaths per 1000 persons per y (initial = 7.46) | |||||
| Year 5 | −9.7 | −11.3 | −5.4 | –14.2b | −4.5a |
| Year 25 | −11.8 | −16.4 | −8.2a | –25.5b | −13.1 |
| Health inequityc (initial = 0.143) | |||||
| Year 5 | +2.3a | −7.1 | +0.5 | −14.2 | –15.2b |
| Year 25 | +6.9a | −20.6 | +3.3a | –32.9b | −26.8 |
| Health care costs per capita per y (initial = $5434) | |||||
| Year 5 | +4.9a | +3.5a | –8.5b | +1.3a | −3.4 |
| Year 25 | +5.8a | +2.6a | –8.3b | −4.6 | −8.8 |
| Disease and injury prevalence (initial = 0.378) | |||||
| Year 5 | −0.2a | −0.3 | −0.4 | –3.3b | −3.1 |
| Year 25 | −1.0a | −2.0 | −1.7 | –12.6b | −11.1 |
| Effectively managed fraction of disease and injury (initial = 0.583) | |||||
| Year 5 | +14.8 | +20.3 | +10.0 | +20.8b | +4.6a |
| Year 25 | +17.2 | +30.3b | +12.0 | +30.2 | +6.9a |
| Fraction of acute nonurgent visits to hospital versus physician office (initial = 0.143) | |||||
| Year 5 | +16.6a | −15.3 | +0.6 | −18.5 | –31.5b |
| Year 25 | +26.7a | −40.1 | +6.2a | −41.0 | –41.7b |
| Sufficiency of PCPs (initial = 0.905) | |||||
| Year 5 | −6.8a | +7.0 | −0.1 | +8.1 | +10.5b |
| Year 25 | −7.8a | +10.5b | −1.3a | +10.5b | +10.5b |
Note. PCP = primary care provider. All scenarios computed according to baseline parameter settings.
Worst result among the 5 scenarios or an undesirable result.
Best result among the 5 scenarios.
Health inequity is the fraction of unhealthy days in the overall population that is attributable to the disparity between the advantaged and disadvantaged subgroups.