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. Author manuscript; available in PMC: 2017 Nov 1.
Published in final edited form as: Am Econ Rev. 2016 Dec;106(12):3730–3764. doi: 10.1257/aer.20140260

Table 8.

Patient welfare with observed misweighting vs. in simulations with no misweighting

False positive rate of 4%
Actual testing decisions No misweighting, simulation without cross validation No misweighting, simulation with cross validation
(1) (2) (3)
Description of results:
 Percent of patients tested 3.8% 4.3% 4.3%
 Number of patients tested 71314 81410 79734
 Test yield among tested patients 7.0% 9.2% 8.6%
 Number of positive tests detected 5019 7526 6872
Welfare analysis:
 Total financial costs of testing ($ millions) 35.6 45.2 43.4
 Total medical cost of testing ($ millions) 8.5 12.4 11.7
 Total medical benefits of testing ($ millions) 57.5 106.8 96.7
 Net benefits of testing ($ millions) 13.5 49.1 41.6
 Total (financial + medical) costs per test ($) 618.9 707.8 690.8
 Total benefits per test ($) 806.9 1311.3 1213.1
 Net benefits per test ($) 188.1 603.5 522.2

Notes: We compare testing behavior and social welfare under the observed physician weighting of patient risk factors (in column 1) to simulated behavior assuming that physicians target testing to patients with the highest expected probability of a positive test based on observable demographics and comorbidities (in column 2). The simulated results in Panel B allow τd to follow the estimated posterior distribution (i.e. without correcting for overtesting).