Table 3.
Health Service | Total Annual Spending ($) | Per-Member-Per-Year Spending1 ($) |
Within-Spending Group Cost Distribution2 (%) |
|||
---|---|---|---|---|---|---|
99% Lower Spending |
Top 1% Highest Spending |
99% Lower Spending |
Top 1% Highest Spending |
99% Lower Spending |
Top 1% Highest Spending |
|
Total | 4,683,666,570 | 1,272,666,816 | 6097 | 164,003 | 100 | 100 |
Mental Health | 2,715,344,392 | 342,278,337 | 3535 | 44,108 | 57 | 27 |
Inpatient | 197,361,861 | 152,802,175 | 257 | 19,691 | 2 | 12 |
ED | 14,938,698 | 1,115,210 | 19 | 144 | 0 | 0 |
Ambulatory | 1,885,831,728 | 176,949,889 | 2455 | 22,803 | 37 | 14 |
Pharmacy | 617,212,104 | 11,411,064 | 803 | 1470 | 17 | 1 |
General | 1,968,322,178 | 1,272,666,816 | 2562 | 119,895 | 43 | 73 |
Inpatient | 192,304,830 | 930,388,479 | 250 | 58,363 | 1 | 36 |
ED | 200,976,745 | 452,900,210 | 262 | 1234 | 6 | 1 |
Ambulatory | 345,590,165 | 9,573,987 | 450 | 16,040 | 9 | 10 |
Pharmacy | 474,720,667 | 124,471,351 | 618 | 26,559 | 9 | 16 |
Dental | 183,985,509 | 1,424,673 | 240 | 184 | 6 | 0 |
Misc. therapies | 238,610,513 | 22,790,359 | 311 | 2937 | 5 | 2 |
Testing | 118,909,477 | 11,460,716 | 155 | 1477 | 3 | 1 |
Other | 213,224,266 | 101,670,776 | 278 | 13,102 | 4 | 8 |
Abbreviations: ED,Emergency Department
Per-member-per-year spending varied significantly (p<0.001) across the spending groups for all health services.
The distribution of spending varied significantly (p<0.001) across the spending groups for all health services.