Table 4.
Results of scenario analyses
| Scenario | Incremental QALYs | Incremental costs | ICER |
|---|---|---|---|
| Base case | 0.64 | $6914 | $10 752 |
| Each risk‐stratified subpopulation individually | |||
| D1‐R1 | 0.33 | $4998 | $15 275 |
| D2‐R1 | 0.47 | $5452 | $11 492 |
| D3‐R1 | 0.71 | $5829 | $8262 |
| D1‐R2 | 0.43 | $15 044 | $35 198 |
| D2‐R2 | 0.59 | $7803 | $13 241 |
| D3‐R2 | 0.69 | $8525 | $12 275 |
| D4‐R2 | 0.71 | $17 109 | $24 263 |
| D2‐R3 | 0.65 | $6730 | $10 303 |
| D3‐R3 | 0.71 | $6783 | $9493 |
| D4‐R3 | 0.72 | $4419 | $6170 |
| D2‐R4 | 0.66 | $14 442 | $21 772 |
| D3‐R4 | 0.72 | $2354 | $3270 |
| D4‐R4 | 0.72 | −$4066 | Dominant |
| Patient characteristics | |||
| AF = 100% | 0.60 | $7211 | $11 967 |
| Cerebrovascular disease = 100% | 0.57 | $7210 | $12 539 |
| Chronic lung disease = 100% | 0.57 | $6756 | $11 901 |
| Diabetes = 100% | 0.61 | $7123 | $11 760 |
| Hypertension = 100% | 0.64 | $6926 | $10 853 |
| RPM coeff = 0, rehospitalization | 0.55 | $7650 | $13 914 |
| RPM coeff = 0, death | 0.12 | −$3734 | Dominant |
| RPM coeff = 0, rehospitalization and death | 0.02 | −$3303 | Dominant |
| Time horizon | |||
| Time horizon = 2 | 0.03 | −$768 | Dominant |
| Time horizon = 5 | 0.13 | −$635 | Dominant |
| Time horizon = 10 | 0.30 | $1058 | $3573 |
| Costs and resource use | |||
| Death cost = DRG 283 (MI Death) cost | 0.64 | $6619 | $10 294 |
| LoS equivalent (no RPM value), first rehospitalization and subsequent rehospitalization | 0.64 | $6829 | $10 729 |
| Equal hospitalization outpatient/ASC costs (no RPM value), before and after rehospitalization | 0.64 | $10 003 | $15 555 |
| Equal physician visit costs (no RPM value), before and after rehospitalization | 0.64 | $6884 | $10 705 |
| Equal hospitalization outpatient/ASC rates (no RPM value), before and after rehospitalization | 0.64 | $4470 | $6951 |
| Equal physician visit rates (no RPM value), before and after rehospitalization | 0.64 | $5849 | $9094 |
| Equal subsequent rehospitalization rates (no RPM value) | 0.63 | $11 447 | $18 102 |
| Utility | |||
| No utility of zero during hospitalization | 0.64 | $6914 | $10 790 |
| No disutility following hospitalization | 0.66 | $6914 | $10 467 |
| Two lines above combined | 0.66 | $6914 | $10 504 |
Abbreviations: AF, atrial fibrillation; ASC, ambulatory surgical center; DRG, diagnosis‐related group; ICER, incremental cost‐effectiveness ratio; LoS, length of stay; MI, myocardial infarction; QALY, quality‐adjusted life‐year; RPM, remote patient monitoring