Table 4B.
Year 2 Characteristics Associated with Achieving $150 Per Member Per Month (PMPM) in Savings
| Characteristic | Odds Ratio | P |
|---|---|---|
| Pre CCI ≥ 2 | 3.18 | <.0001 |
| Pre CCI = 1 | 2.28 | <.0001 |
| Pre PDG ≥ 1 (Mental health) | 2.16 | <.0001 |
| Age 35–44 years | 1.63 | 0.002 |
| Age 55–64 years | 1.58 | 0.001 |
| Age 45–54 years | 1.55 | 0.002 |
| PPO | 1.40 | 0.002 |
| Pre Number of Therapeutic Drug Classes 1–3 | 1.15 | 0.03 |
| Employee | 0.80 | 0.001 |
| HMO | 0.49 | 0.005 |
Notes: N = 5908.
Break-even was considered $150 PMPM, matching average member enrollment fees.
CCI = Charlson Comorbidity Index; HMO = health maintenance organization; PDG = Psychiatric Diagnosis Group; PPO = preferred provider organization.