Table 2. Aggregated Unadjusted Outcomes, According to Total Health Care Spendinga.
| Outcome | Top 25th Percentile | Top 10th Percentile |
|---|---|---|
| Mean total health care spending, $ (95% CI) | ||
| Mental health conditions | 47 804 (47 634-47 973) | 88 540 (88 166-88 914) |
| Drug use disorders | 86 973 (86 218-87 728) | 154 705 (153 137-156 273) |
| Alcohol use disorder | 80 455 (79 743-81 167) | 144 137 (142 655-145 619) |
| Congestive heart failureb | 147 727 (146 205-149 249) | 259 919 (256 772-263 066) |
| Diabetesc | 45 315 (45 095-45 535) | 84 247 (83 764-84 729) |
| Mean cost sharing for OON care (according to total health care spending percentiles), $ (95% CI)d | ||
| Mental health conditions | 1382 (1370-1394) | 1750 (1725-1774) |
| Drug use disorders | 2882 (2827-2936) | 3725 (3618-3833) |
| Alcohol use disorder | 2660 (2602-2718) | 3543 (3430-3655) |
| Congestive heart failureb | 1261 (1156-1366) | 1740 (1514-1965) |
| Diabetesc | 963 (939-986) | 1245 (1199-1290) |
| Mean cost-sharing proportions for OON care (according to total health care spending percentiles), % (95% CI)e | ||
| Mental health conditions | 4.0 (4.0-4.1) | 2.5 (2.5-2.5) |
| Drug use disorders | 4.2 (4.1-4.3) | 3.1 (3.0-3.1) |
| Alcohol use disorder | 4.1 (4.0-4.1) | 3.1 (3.0-3.2) |
| Congestive heart failureb | 1.0 (0.9-1.0) | 0.7 (0.6-0.7) |
| Diabetesc | 2.6 (2.6-2.6) | 1.7 (1.7-1.7) |
| Mean out-of-pocket proportions for OON care (according to total health care spending percentiles), % (95% CI)f | ||
| Mental health conditions | 25.3 (25.3-25.4) | 25.5 (25.4-25.7) |
| Drug use disorders | 35.9 (35.6-36.2) | 40.3 (39.9-40.8) |
| Alcohol use disorder | 34.0 (33.7-34.3) | 39.1 (38.6-39.6) |
| Congestive heart failureb | 17.9 (17.7-18.2) | 20.3 (19.8-20.7) |
| Diabetes mellitusc | 18.3 (18.1-18.4) | 18.9 (18.7-19.0) |
Abbreviation: OON, out-of-network.
Statistics presented are weighted values using the employer-sponsored insurance sampling weights. The outcome values are summarized, and the mean values within each percentile group were presented.
All values presented for individuals with mental health conditions, alcohol use disorders, and drug use disorders are statistically different from those of the congestive heart failure group at 95% CI.
All values presented for individuals with mental health conditions, alcohol use disorders, and drug use disorders are statistically different from those of the diabetes group at 95% CI.
Defined as cost-sharing payments associated with OON care, including copayments, coinsurance, and deductibles associated with OON clinicians and facilities.
Defined as cost sharing for OON care as a proportion of total health care spending. We presented the proportions as percentages.
Defined as cost sharing for OON care as a proportion of total cost sharing (ie, for both in-network and OON care). We presented the proportions as percentages.