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. Author manuscript; available in PMC: 2019 Dec 1.
Published in final edited form as: Med Care. 2018 Dec;56(12):1042–1050. doi: 10.1097/MLR.0000000000001001

Table 2:

Impact of adding BMI-levels on risk adjustment models (measured by adjusted R2 of cost a and 95% confidence interval b of R2)

Period Concurrent Prospective
Type of Cost Total
Cost
Pharmacy
Cost
Medical
Cost
Total
Cost
Pharmacy
Cost
Medical
Cost
Base Model 1: Age, Sex 1.49
(1.31-1.68)
0.61
(0.49-0.76)
1.24
(1.07-1.44)
1.62
(1.44-1.84)
0.56
(0.44-0.70)
1.38
(1.21-1.57)
Base Model 1 + Four BMI Levels 1.97
(1.74-2.20)
0.96
(0.79-1.13)
1.60
(1.39-1.83)
2.43
(2.20-2.74)
0.90
(0.75-1.07)
2.07
(1.86-2.32)

Base Model 2: Age, Sex, Charlson Index 6.22
(5.66-6.85)
2.82
(2.47-3.18)
5.18
(4.61-5.76)
4.23
(3.85-4.68)
2.42
(2.11-2.77)
3.30
(2.92-3.71)
Base Model 2 + Four BMI Levels 6.47
(5.85-7.07)
3.02
(2.66-3.40)
5.36
(4.80-5.98)
4.79
(4.39-5.24)
2.64
(2.34-2.96)
3.79
(3.42-4.21)

Base Model 3: Age, Sex, ACG Risk Score 43.34
(41.96-45.04)
26.93
(24.83-28.72)
32.06
(30.45-33.66)
24.21
(22.86-25.61)
23.18
(21.88-25.04)
15.09
(13.73-16.46)
Base Model 3 + Four BMI Levels 43.36
(41.97-45.04)
26.94
(24.84-28.74)
32.08
(30.46-33.66)
24.43
(23.12-25.83)
23.19
(21.19-25.06)
15.33
(14.01-16.65)

(a) cost is truncated at top 0.5%; and, (b) 95% confidence interval is generated using 300 runs of different random splitting