Table 5.
Model assumptions | Commercially insured | Medicare | ||||||
---|---|---|---|---|---|---|---|---|
Penetration rate, % | Inpatient to outpatient, % | Gynecologic oncologist to gynecologist to avoidance of surgery, % | Current state, $ | Future state, $ | PMPM change, $ | Current state, $ | Future state, $ | PMPM change, $ |
10.0 | 2.5 | 2.5 | 2.83 | 2.81 | −0.02 | 6.34 | 6.33 | −0.01 |
20.0 | 5.0 | 5.0 | 2.83 | 2.78 | −0.05 | 6.34 | 6.33 | −0.01 |
25.0 | 7.5 | 7.5 | 2.83 | 2.76 | −0.07 | 6.34 | 6.33 | −0.01 |
30.0 | 10.0 | 10.0 | 2.83 | 2.74 | −0.09 | 6.34 | 6.32 | −0.02 |
35.0 | 12.5 | 12.5 | 2.83 | 2.72 | −0.11 | 6.34 | 6.32 | −0.02 |
40.0 | 15.0 | 15.0 | 2.83 | 2.70 | −0.13 | 6.34 | 6.31 | −0.03 |
45.0 | 17.5 | 17.5 | 2.83 | 2.68 | −0.15 | 6.34 | 6.30 | −0.04 |
50.0 | 20.0 | 20.0 | 2.83 | 2.66 | −0.17 | 6.34 | 6.29 | −0.05 |
Calculations are based on 10 member months annually as reported by OptumInsight.20
PMPM indicates per-member per-month.