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. 2022 Feb 8;31(5):784–805. doi: 10.1002/hec.4477

TABLE 4.

Outcome measures under alternative payment systems

Base model MYHC adjustor MYHC pooling MYLC adjustor MYLC constraint MYHC adjustor & MYLC adjustor MYHC pooling & MYLC constraint
Reduction in incentives for cost control compared to base model 17.2% 22.9% 8.1% 0% 25.3% 18.9%
Payment System Fit (PSF) 0.249 0.268 0.493 0.250 0.248 0.270 0.480
Cummings Prediction Measure (CPM) 0.249 0.268 0.371 0.258 0.246 0.277 0.339
Prev. Mean costs Mean financial result in Euros per person per year
Malignant neoplasm blood other 0.07% 20,674 −6427 −6141 −2996 −6522 −5985 −6109 −2843
Leukemia 0.12% 14,983 −3942 −3969 −2644 −3980 −3610 −3920 −2523
Malignancy NOS 0.04% 12,963 −3212 −2823 −1910 −3245 −2856 −2786 −1842
Limited function/disability (d) 0.03% 8779 −2300 −1354 −290 −2302 −2029 −1281 −317
Congen.anom. blood/lymph other 0.04% 7145 −2175 −1802 −1282 −2146 −2038 −1726 −1245
Hypertension uncomplicated 13.68% 4182 −159 −158 −174 −151 82 −128 80
Osteoarthrosis of knee 2.97% 5344 −580 −466 −461 −569 −253 −426 −156
Cardiovascular disease other 1.75% 6550 −932 −792 −548 −964 −612 −765 −297
Diabetes 6.10% 5915 −255 −205 −206 −274 130 −185 180
Chronic obstructive pulmonary disease 2.72% 6955 −569 −520 −517 −696 −178 −495 −135
Voluntary deductible = 100 euro 0.78% 1182 157 154 161 131 77 105 76
Voluntary deductible = 200 euro 0.77% 863 250 256 256 208 145 187 143
Voluntary deductible = 300 euro 0.45% 821 270 276 283 217 160 197 163
Voluntary deductible = 400 euro 0.13% 821 296 311 316 238 187 226 196
Voluntary deductible = 500 euro 5.34% 602 317 327 333 257 182 238 186
Weighted mean absolute result (WMAR) of 15 groups shown above 343 313 295 343 188 273 156

Note: Spending is presented in euros per person per year. Prevalence is calculated as a percentage of total insured years in the population and (rebalanced) sample.