Table 2.
Projected Clinical Impact and Cost-effectiveness of a Medical Care Coordination Program in Los Angeles County
| Acuity: Strategy | QALY ppb | Cost pp, USDb | ICER, USD/ QALYb | Transmissions/ 100 PYc |
|---|---|---|---|---|
| Overalla | ||||
| No MCC | 10.07 | 311 300 | — | 3.28 |
| MCC | 10.94 | 335 100 | 27 400 | 2.94 |
| High/severe | ||||
| No MCC | 8.59 | 279 200 | — | 3.77 |
| MCC | 9.54 | 308 300 | 30 500 | 3.42 |
| Moderate | ||||
| No MCC | 9.13 | 287 500 | — | 3.59 |
| MCC | 10.26 | 315 900 | 25 200 | 3.15 |
| Low | ||||
| No MCC | 14.23 | 420 000 | — | 1.97 |
| MCC | 14.31 | 425 800 | 77 400 | 1.93 |
Abbreviations: ICER, incremental cost-effectiveness ratio; MCC, medical care coordination program; pp, per-person; PY, person-year; QALY, quality-adjusted life-year.
aResults are weighted based on 362 high/severe-acuity cases, 621 moderate-acuity cases, and 221 low-acuity cases.
bDiscounted 3% per year.
cTransmission rates include first-order transmissions only and are calculated over a 10-year horizon.