Table 5.
Financial Impact of Intervention
| 30-Day readmissions1 | Controls | PDS patients | Total savings | Saving per PDS |
|---|---|---|---|---|
| Member out of pocket spend | $2,333,856 | $1,834,398 | $499,458 | $10 |
| Plan spend | $54,447,704 | $40,482,931 | $13,964,773 | $288 |
| Total (Plan + Member) spend | $56,781,559 | $42,317,329 | $14,464,231 | $298 |
| Emergency Room visits1 | Controls | PDS patients | Total savings | Saving per PDS |
|---|---|---|---|---|
| Member out of pocket spend | $294,835 | $247,934 | $46,901 | $1 |
| Plan spend | $5,081,466 | $4,174,452 | $907,013 | $19 |
| Total (Plan + Member) spend | $5,376,301 | $4,422,387 | $953,914 | $20 |
| Physician visits1,2 | Controls | PDS patients | Total savings | Saving per PDS |
|---|---|---|---|---|
| Member out of pocket spend | $716,150 | $779,177 | −$63,027 | −$2 |
| Plan spend | $14,205,872 | $15,255,473 | −$1,049,601 | −$36 |
| Total (Plan + Member) spend | $14,922,022 | $16,034,650 | −$1,112,628 | −$38 |
1
Spend includes multiple readmits/visits within 30 days of discharge where present.
2
Physician visit spend excludes HMO members to avoid missing data related to risk-sharing arrangements.
PDS, postdischarge screening.