Table 3.
Total Medicare Payments | Hospitalizations† | Emergency Room Visits† | Physician Visits† | |||||
---|---|---|---|---|---|---|---|---|
For Any Condition | For ACSCs‡ | For Any Condition | For ACSCs‡ | Primary Care | Medical Specialist | Surgical Specialist | ||
HCC risk score | ||||||||
<0.925 | −237* | −4 | −2 | −53*** | −14** | −26 | −53 | −22 |
0.925–1.07 | −78 | 9 | 5 | −38** | −6 | 73 | −169* | −26 |
>1.07 | −1,321* | −39* | −17 | −97** | −230 | 130 | 101 | −26 |
Practice type | ||||||||
Primary care | −325** | −4 | −4 | −68*** | −18*** | −12 | 34 | −27* |
Multispecialty | −273 | 2 | 4 | −35* | −3 | −108 | −56 | −12 |
FQHC | −127 | 2 | −3 | −59 | −22 | 323 | −142 | −11 |
Practice size | ||||||||
Solo | −451* | −10 | −10* | −57*** | −18** | 293 | −18 | −14 |
2-Person | −280 | 10 | 12 | −63*** | −10 | 149 | −346*** | −10 |
Small (3–5) | −316 | 4 | −2 | −41** | −10* | −1 | −25 | −9 |
Medium (6–10) | −264 | −1 | −1 | −30* | −11 | −15 | 16 | −37* |
Large (>10) | −215 | −4 | 3 | −71** | −8 | 71 | −9 | −42 |
Rate per 1,000 Medicare FFS beneficiaries.
Ambulatory care sensitive conditions.
p < .05;
p < .01;
p < .001.