Table 4.
Estimated Physician Effect on High-Value Diabetic and Cardiovascular Care
| (1) | (2) | (3) | (4) | (5) | |
|---|---|---|---|---|---|
| N: Total | N: Physicians | Baseline Rate | Physicians Coefficient | Standard Error | |
| Panel A. Sponsors Analysis: Comparison of Physician Patients with Non-Physician Military Officers | |||||
| HEDIS Diabetes Measures | |||||
| hbA1c Testing | 69,343 | 1,095 | 0.7631 | 0.0002 | 0.0180 |
| Eye Exam | 69,343 | 1,095 | 0.7855 | −0.0155 | 0.0190 |
| Attention to Nephropathy | 69,343 | 1,095 | 0.8550 | 0.0125 | 0.0152 |
| Comprehensive Diabetes Care | 69,343 | 1,095 | 0.5778 | 0.0061 | 0.0218 |
| Statin Therapy | 38,623 | 623 | 0.7084 | 0.0469 | 0.0346 |
| HEDIS Cardio Measures | |||||
| Any Statin Therapy | 62,838 | 1,217 | 0.7565 | 0.0228 | 0.0220 |
| Days Supplied of Statin Therapy | 62,838 | 1,217 | 225.4458 | 2.1289 | 7.5821 |
| Incidence of at least 80% Adherence | 62,838 | 1,217 | 0.4666 | −0.0170 | 0.0225 |
|
Panel B. Dependents Analysis Comparison of Dependents of Physician Patients with Dependents of Non-Physician Military Officers | |||||
| HEDIS Diabetes Measures | |||||
| hbA1c Testing | 73,122 | 1,592 | 0.7310 | −0.0022 | 0.0185 |
| Eye Exam | 73,122 | 1,592 | 0.7862 | 0.0148 | 0.0173 |
| Attention to Nephropathy | 73,122 | 1,592 | 0.8048 | −0.0106 | 0.0163 |
| Comprehensive Diabetes Care | 73,122 | 1,592 | 0.5380 | 0.0064 | 0.0197 |
| Statin Therapy | 32,677 | 658 | 0.6121 | 0.0224 | 0.0363 |
| HEDIS Cardio Measures | |||||
| Any Statin Therapy | 26,099 | 503 | 0.5814 | 0.0017 | 0.0408 |
| Days Supplied of Statin Therapy | 26,099 | 503 | 163.2406 | −1.9929 | 12.9882 |
| Incidence of at least 80% Adherence | 26,099 | 503 | 0.3193 | −0.0141 | 0.0324 |
Notes: standard errors are clustered at the individual beneficiary level. Each row represents results from a different specification using the specified dependent variable and the specified sample. All specifications control for patient age-by-sex dummies, patient race dummies, patient pay-grade dummies, previous year RVU, previous year RWP, previous year inpatient days, Charlson combordity index, and base-by-year-by-care-location fixed effects. Data are from the Military Health System Data Repository, 2003–2013.
Significant at the 1 percent level
Significant at the 5 percent level
Significant at the 10 percent level.