Table 3:
Average per member per month change in health care use for SBIRT recipients compared to non-SBIRT patients.
SBIRT | Comparison | Difference-in-Difference Estimate | ||||
---|---|---|---|---|---|---|
Pre | Post | Pre | Post | Average Marginal Effects (95% CI) | P-Value | |
Outpatient (se) | 1.49 (.031) | 1.71 (0.032) | 1.34 (.026) | 1.45 (.027) | 0.140 (.016 to .264) | 0.027 |
Inpatient Days (se) | 0.133 (.010) | 0.104 (.004) | 0.132 (.014) | 0.103 (.005) | −0.056 (−.120 to .008) | 0.087 |
Inpatient Admissions (se) | 0.023 (.001) | 0.020 (.001) | 0.020 (.001) | 0.017 (.043) | −0.004 (−.010 to .002) | 0.170 |
ER Admissions (se) | 0.131 (.003) | 0.118 (.003) | 0.090 (.002) | 0.086 (.002) | −0.007 (−.022 to .008) | 0.375 |
Note: Authors’ estimates using Medicaid claims and encounter data. The unit of analysis is per member per month and models include age, sex, race, SSI eligibility, diabetes, heart disease, COPD, hypertension, tobacco use, mental health, and pregnancy interacted with sex. For each outcome, the average marginal effects is derived from the regression models and is the change in utilization for SBIRT recipients compared to those not receiving SBIRT following the intervention index month.