Table 4.
Parameter Estimates for Model for 90-day Detox Total Winsorized Episode Costs
| N=9218 DF=63, F<.0001, R2=0.25 |
|||||
|---|---|---|---|---|---|
| Impact on Bundle Costa |
β | SE | p | ||
| Intercept | N/A | 5416.31 | 387.57 | <.0001 | |
| Index Service | Age | + | −47.09 | 17.02 | 0.0057 |
| Age2 | 0.36 | 0.20 | 0.0717 | ||
| Female | −49.74 | 70.15 | 0.4783 | ||
| Diagnostic Category | |||||
| Alcohol-Related Disorder Diagnosis at Index | − | −2303.07 | 120.36 | <.0001 | |
| Drug-Related Disorder Diagnosis at Index | − | −2503.89 | 116.75 | <.0001 | |
| Mental Health Disorder Diagnosis at Index | Reference group | ||||
| Provider Region | |||||
| Boston | + | 370.63 | 128.51 | 0.0039 | |
| Central Massachusetts | + | 414.41 | 132.24 | 0.0017 | |
| Metro-Boston | + | 615.39 | 207.68 | 0.0031 | |
| Northeast | 223.30 | 116.77 | 0.0559 | ||
| Southeast | + | 980.46 | 119.11 | <.0001 | |
| Western Massachusetts | Reference group | ||||
| Member Rating Category | |||||
| Disabled | −155.69 | 82.73 | 0.0599 | ||
| Families | 130.43 | 164.80 | 0.4287 | ||
| Basic | 123.08 | 92.13 | 0.1816 | ||
| Essential | Reference group | ||||
| 6 months prior to index | Department of Children and Families Member | + | 1983.55 | 223.60 | <.0001 |
| Department of Mental Health Member | + | 2499.13 | 332.06 | <.0001 | |
| Temporary Assistance for Needy Families Recipient | −98.56 | 180.41 | 0.5849 | ||
| SUD Prescription | + | 461.17 | 76.40 | <.0001 | |
| Behavioral Health Diagnosesb | |||||
| Alcohol Dependence | + | 518.71 | 93.20 | <.0001 | |
| Drug Dependence | + | 406.19 | 68.64 | <.0001 | |
| Drug Psychoses | + | 1891.54 | 238.65 | <.0001 | |
| Schizophrenia | + | 2328.24 | 210.74 | <.0001 | |
| Mood Disorders | + | 753.45 | 73.86 | <.0001 | |
| Other nonorganic psychoses | + | 1658.13 | 294.08 | <.0001 | |
| Adjustment Reaction | + | 829.50 | 105.82 | <.0001 | |
| Other Depression | + | 1131.04 | 101.02 | <.0001 | |
| Disturbance of Emotions specific to childhood and adolescence | + | 2106.85 | 531.46 | <.0001 | |
| Hyperkinetic Syndrome of childhood | + | 559.24 | 238.21 | 0.0189 | |
| Medical Diagnosesc | |||||
| Diabetes with Ophthalmologic or Unspecified Manifestations | − | −1168.460984 | 557.3587615 | 0.03 61 | |
| End-Stage Liver Disease | − | −887.98 | 418.74 | 0.034 | |
| Intestinal Obstruction/Perforation | + | 1222.73 | 469.04 | 0.0092 | |
| Seizure Disorders and Convulsions | + | 447.28 | 130.68 | 0.0006 | |
| Angina Pectoris/Old Myocardial Infarction | + | 702.86 | 323.00 | 0.0296 | |
Direction of impact only shown for significant parameters
Only significant behavioral health diagnoses in prior 6 months shown. The following diagnoses were included in the model but were not significant and not shown: non-dependent drug use, transient organic psychotic conditions, neurotic disorders, disturbance of conduct
Only significant medical diagnoses in prior 6 months shown. The following diagnoses were included in the model but were not significant and not shown: HIV/AIDS, septicemia, cancers, diabetes with neurologic or other specified manifestations, diabetes without complications, malnutrition, cirrhosis, chronic hepatitis, pancreatic disease, inflammatory bowel disease, bone/joint muscle infections/necrosis, rheumatoid arthritis and inflammatory connective tissue disease, severe hematological disorders, polyneuropathy, cardio-respiratory failure and shock, congestive heart failure, unstable angina and other acute ischemic heart disease, specified heart arrhythmias, cerebral hemorrhage, ischemic or unspecified stroke, vascular disease with and without complications, chronic obstructive pulmonary disease, aspiration and specified bacterial pneumonias, renal failure, chronic ulcer of skin, major head injury