Table 4A.
Year 1 Characteristics Associated with Achieving $150 Per Member Per Month (PMPM) in Savings
| Characteristic | Odds Ratio | P |
|---|---|---|
| Pre CCI ≥2 | 2.87 | <.0001 |
| Pre PDG ≥1 (Mental health) | 2.16 | <.0001 |
| Pre CCI = 1 | 1.84 | <.0001 |
| Age 55–64 years | 1.27 | 0.01 |
| Pre Number of Therapeutic Drug Classes 4+ | 1.27 | 0.005 |
| Northeast | 1.22 | 0.01 |
| Female | 1.17 | 0.002 |
| Pre Number of Therapeutic Drug Classes 1-3 | 1.13 | 0.02 |
| Months of Follow-up in Pre Period | 1.07 | <.0001 |
| HMO | 0.41 | <.0001 |
Notes: N = 10,186.
Break-even was considered $150 PMPM, matching average member enrollment fees.
CCI = Charlson Comorbidity Index; HMO = health maintenance organization; PDG = Psychiatric Diagnosis Group.