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. 2013 Sep 13;3(3):mmrr.003.03.a07. doi: 10.5600/mmrr.003.03.a07

Exhibit 4. Number of Patients and Extent of Payments for Patients Classified by Each System Using All HEDIS Cases.

Diabetes Identified by N DiseaseAssignment by Mean 4-yearIncluded Payments Mean 4-yearTotal Payments
ETG and Prometheus 1145 ETG $ 12,273 (17.8%) $ 60,056
$ 41,487 (60.2%)*
Prometheus $ 23,951 (34.8%)# $ 60,056
$ 9,662 (30.3%)*
Prometheus Only 50 Prometheus $ 7,181 (22.5%)# $ 26,194
ETG Only 302 ETG $ 14,465 (12.0%) $ 109,066
Neither ETG or Prometheus 83 Neither (0.0%) $ 39,655
CAD Identified by
ETG and Prometheus 798 ETG $ 19,537 (31.1%) $ 62,775
Prometheus $ 29,060 (46.3%) $ 62,775
Prometheus Only 150 Prometheus $ 13,113 (31.8%) $ 41,249
ETG Only 185 ETG $ 45,177 (32.0%) $141,376
Neither ETG or Prometheus 511 Neither (0.0%) $ 49,922
*

NOTES: Including Inpatient services

#

Excluding Inpatient services

SOURCE: Author’s analysis.