Table 3.
CMS V21 | DxCG Medicare | DxCG Medicaid | |||
---|---|---|---|---|---|
Concurrent | Concurrent with VA Drug Class Indicators | Prospective without Rx | Concurrent without Rx | Prospective with Rx | |
R 2 | |||||
General | 0.5793 | 0.6924 | 0.5819 | 0.6274 | 0.6351 |
Older | 0.5728 | 0.6772 | 0.5677 | 0.6233 | 0.6397 |
MH‐SUD | 0.5820 | 0.6810 | 0.5896 | 0.6268 | 0.6509 |
High cost | 0.3559 | 0.4281 | 0.3544 | 0.4244 | 0.4241 |
Multimorbid | 0.5350 | 0.6331 | 0.5326 | 0.5957 | 0.5943 |
Low risk | 0.2922 | 0.4573 | 0.3113 | 0.3508 | 0.3778 |
HL F‐stat | |||||
General | 9,206 | 7,499 | 20,251 | 20,687 | 11,726 |
Older | 3,803 | 2,182 | 6,683 | 7,074 | 3,418 |
MH‐SUD | 2,883 | 2,941 | 6,699 | 6,068 | 3,288 |
High cost | 197 | 298 | 214 | 167 | 159 |
Multimorbid | 1,671 | 1,972 | 4,282 | 5,297 | 1,992 |
Low risk | 53 | 91 | 112 | 127 | 113 |
RMSE | |||||
General | 16,560 | 15,531 | 17,053 | 16,590 | 15,540 |
Older | 15,972 | 14,894 | 16,415 | 16,108 | 14,652 |
MH‐SUD | 22,277 | 20,922 | 22,713 | 21,920 | 20,667 |
High cost | 57,306 | 54,756 | 57,422 | 54,254 | 54,473 |
Multimorbid | 27,709 | 26,105 | 28,234 | 26,761 | 26,069 |
Low risk | 4,393 | 4,023 | 4,418 | 4,269 | 4,164 |
MAE | |||||
General | 5,977 | 5,084 | 5,965 | 5,590 | 5,541 |
Older | 5,535 | 4,765 | 5,582 | 5,138 | 5,040 |
MH‐SUD | 9,224 | 8,026 | 9,142 | 8,668 | 8,400 |
High cost | 33,186 | 31,216 | 33,167 | 31,127 | 31,463 |
Multimorbid | 12,414 | 10,920 | 12,466 | 11,492 | 11,533 |
Low risk | 1,892 | 1,643 | 1,862 | 1,815 | 1,772 |
R 2 represents R‐squared; HL F‐stat is the Hosmer–Lemeshow goodness‐of‐fit F statistic; RMSE is root mean squared error; MAE is mean absolute error.
All analyses are based on risk scores computed with 2010 clinical data in relation to 2010 costs.