Exhibit 2. Benchmark plan estimated annual costs (EAC), non-formulary medications (NF Rx), formulary matching rates, and potential cost ramifications for study beneficiaries (n = 113).
| Metric | Benchmark Plan Name1 | |||||
|---|---|---|---|---|---|---|
| AS | BC | BR | FH | FV | HN | |
| EAC in $, Mean ± SD | 860 ± 1600 | 1223 ± 1552 | 1174 ± 1772 | 302 ± 5902 | 1157 ± 1847 | 369 ± 9782 |
| Lowest EAC Frequency, No. (%) | 37 (32.7) | 21 (18.6) | 31 (27.4) | 53 (46.9) | 53 (46.9) | 51 (45.1) |
| Lowest EAC, Mean $ | 80 | 60 | 74 | 90 | 64 | 94 |
| Suboptimal plan EAC increase in $, Mean ± SD | 1100 ± 1637 | 1359 ± 1440 | 1442 ± 1736 | 339 ± 731 | 1884 ± 1958 | 432 ± 1035 |
| Beneficiaries w/ ≥ 1 NF Rx, No. (%) | 47 (41.6) | 65 (57.5) | 56 (49.6) | 17 (15) | 56 (49.6) | 16 (14.2) |
| No. NF Rx per beneficiary, Mean | 1.43 | 1.55 | 1.71 | 1.18 | 1.38 | 1.25 |
| Mean EAC inc. w/ ≥ 1 NF Rx, % | 1556 | 1837 | 1830 | 1167 | 1855 | 1059 |
| Formulary matching rates < 80%, No. (%) | 19 (16.8) | 35 (31) | 35 (31) | 6 (5.3) | 22 (19.5) | 4 (3.5) |
| Mean EAC inc. w/ formulary matching rates < 80%, % | 1960 | 2426 | 2255 | 2122 | 1828 | 1614 |
1
AS, Advantage Star Plan by RxAmerica; BC, BlueCross; BR, Bravo Rx; FH, First Health Part D Premier; FV, Fox Value Plan; HN, Health Net Orange Option 1
2
P < 0.01 (Tukey's HSD test) for comparison of FH or HN to other plans
SOURCE: Medicare Plan Finder Tool