Table 3.
Cost Year | |||||
---|---|---|---|---|---|
Year 1 | Year 2 | Year 3 | Year 4 |
Total (years 1‐4) |
|
Pre‐ and postdiagnosis direct costs a | |||||
SDLTs | $16 144 023 | $15 298 148 | $14 941 507 | $14 791 139 | $61 174 818 |
MAP | $15 488 620 | $14 709 163 | $14 521 010 | $14 464 872 | $59 183 666 |
Cost savings between MAP and SDLT | $655 403 | $588 985 | $420 497 | $326 267 | $1 991 152 |
Prediagnosis cost savings between MAP and SDLTs | |||||
Hospital inpatient visits | $581 728 | $375 056 | $187 089 | $85 341 | $1 229 214 |
Emergency room visits | $41 354 | $26 662 | $13 300 | $6067 | $87 382 |
Outpatient office visits | $75 668 | $48 785 | $24 336 | $11 101 | $159 890 |
Outpatient radiology procedures | $66 422 | $42 824 | $21 362 | $9744 | $140 353 |
Outpatient lab procedures | −$17 787 | $44 397 | $22 146 | $10 102 | $58 858 |
Outpatient pharmacy prescriptions | $336 716 | $217 090 | $108 291 | $49 397 | $711 493 |
Other outpatient costs b | $502 990 | $324 292 | $161 766 | $73 790 | $1 062 839 |
Incremental savings between MAP and SDLT | |||||
Prediagnosis | $1 587 091 | $1 079 107 | $538 289 | $245 543 | $3 450 029 |
Postdiagnosis | −$931 688 | −$490 122 | −$117 792 | $80 724 | −$1 458 877 |
Abbreviations: MAP, multivariate assay panel; SDLT, standard diagnostic laboratory test.
Due to the differing sources of pre‐ and postdiagnosis claims data, only prediagnosis costs could be segmented into categories of health services.
Top five other outpatient costs by average payment per patient include: dialysis, therapeutic radiology, specialty drugs other than chemotherapy, chemotherapy, and other major breast surgery.