Table 1. Demographic Characteristics and Acute Care Use of Blue Cross Blue Shield of Michigan Beneficiaries by Primary Care Attribution Statusa.
| Characteristic | Attributed to PCP (n = 1 490 734) | No PCP (n = 32 436) |
|---|---|---|
| Age, mean (SD), y | 39.8 (22.2) | 31.4 (15.1) |
| Sex | ||
| Female | 52.9 | 38.6 |
| Male | 47.1 | 61.4 |
| Comorbiditiesb | ||
| Cancer | 4.7 | 0.2 |
| Diabetes | 10.0 | 0.8 |
| Immune compromise | 1.4 | 0.2 |
| CHF | 3.1 | 0.2 |
| COPD | 3.7 | 0.4 |
| CKD | 2.1 | 0.4 |
| Telehealth visits (March to August 2020)c | 0.5 | 0.0 |
| Acute care visits (January 2019 to September 2020)c | ||
| Emergency department | 0.49 | 0.23 |
| Hospitalizations | 0.09 | 0.03 |
| ACSC visits | ||
| Anyd | 0.04 | 0.02 |
| Acute | 0.03 | 0.01 |
| Chronic | 0.02 | 0.01 |
Abbreviations: ACSC, ambulatory care–sensitive condition; CHF, congestive heart failure; CKD, chronic kidney disease; COPD, chronic obstructive pulmonary disease; PCP, primary care practice.
a
Data are presented as percentages unless otherwise indicated. Data are from an analysis of Blue Cross Blue Shield of Michigan claims for 2019 to 2020.
b
Comorbidities identified from hierarchical condition categories.
c
Mean visits per beneficiary.
d
Emergency department visits or hospitalizations for ACSCs identified using International Statistical Classification of Diseases and Related Health Problems, Tenth Revision (ICD-10) codes.