Table 2.
Summary statistics–patient healthcare utilization.
| Enrollees affected by PCP exits | Enrollees not affected by PCP exits |
|
|---|---|---|
| Health care spending | ||
| Primary care spending | $187.82 | $195.92 |
| All physician spending | $615.38 | $638.71 |
| Pharmaceutical drug spending | $1877.17 | $1929.05 |
| Outpatient spending | $2551.42 | $2865.29 |
| Inpatient spending | $4654.22 | $5104.92 |
| Post-acute care spending | $1841.40 | $2016.62 |
| Total spending | $11,634.22 | $12,627.15 |
| Office visits and diagnoses | ||
| # Primary care office visits | 3.19 | 3.31 |
| # All office visits | 8.13 | 8.61 |
| # Diagnoses | 13.36 | 14.60 |
| # Chronic conditions | 3.74 | 3.73 |
| Low-quality care | ||
| # ED visits | 0.54 | 0.56 |
| # Avoidable hospitalizations | 0.05 | 0.06 |
| High-quality care | ||
| Pr(flu vaccine = 1) | 0.45 | 0.48 |
| Pr(recommend diabetes care = 1) | 0.46 | 0.49 |
| N = # enrollees Ă— years | 1,186,752 | 27,402,848 |
| # Enrollees | 195,023 | 63,46,211 |
Notes: This table provides sample means derived from the 20% Medicare Master Beneficiary Summary Files and the 20% Carrier claims from the years 2007 to 2013. Column 1 shows information on health care utilization for patients affected by PCP exits at some point during the sample period. Column 2 shows the same information for patients who were never affected by PCP exits during the sample period, but who could be attributed to a PCP using the Evaluation and Management codes in the Carrier claims.