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

TABLE A1.

Prevalence, mean costs and mean financial result under alternative payment systems for 109 chronic conditions identified by NIVEL‐PCD

Prev. Mean costs Mean financial result in Euros per person per year
Base model MYHC adjustor MYHC pooling MYLC adjustor MYLC constraint MYHC adjustor & MYLC adjustor MYHC pooling & MYLC constraint
A28 Limited function/disability NOS 0.10% 5065 −141 55 −237 −224 120 98 17
A79 Malignancy NOS 0.04% 12,963 −3212** −2823** −1910** −3245** −2856** −2786** −1842**
A90 Congenital anomaly OS/multiple 0.18% 4446 −502* −150 −443** −509* −382 −14 −416**
B28 Limited function/disability blood and/or blood forming organs 0.01% 5052 −306 66 229 −308 −104 138 383
B72 Hodgkin's disease/lymphoma 0.18% 8004 1136** 1162** 407 1135** 1449** 1217** 863**
B73 Leukemia 0.12% 14,983 −3942** −3969** −2644** −3980** −3610** −3920** −2523**
B74 Malignant neoplasm blood other 0.07% 20,674 −6427** −6141** −2996** −6522** −5985** −6109** −2843**
B78 Hereditary hemolytic anemia 0.21% 2539 −137 −96 −71 −66 −99 −36 −39
B79 Congen.anom. blood/lymph other 0.04% 7145 −2175** −1802* −1282* −2146** −2038** −1726* −1245*
B83 Purpura/coagulation defect 0.55% 5805 −754** −591** −512** −709** −601** −521** −416**
B90 HIV‐infection/aids 0.11% 15,569 −1571** −1014** −1075** −1541** −1107** −984** −737**
D28 Limited function/disability (d) 0.03% 8779 −2300** −1354 −290 −2302** −2029* −1281 −317
D74 Malignant neoplasm stomach 0.05% 8793 294 48 −524 244 667 84 −49
D75 Malignant neoplasm colon/rectum 0.61% 8443 −341* −350* −390** −340* 73 −313* 47
D76 Malignant neoplasm pancreas 0.02% 12,048 −514 −1240 −993 −480 −77 −1216 −471
D77 Malig. neoplasm digest other/NOS 0.16% 8865 −446 −494 −763** −447 −115 −440 −419
D81 Congen. anomaly digestive system 0.27% 1981 −435** −350** −355** −360** −487** −248** −437**
D92 Diverticular disease 1.51% 5140 −469** −310** −311** −435** −177** −241** −65
D94 Chronic enteritis/ulcerative colitis 0.75% 6120 −525** −432** −411** −467** −233* −370** −158*
D97 Liver disease NOS 0.55% 5317 −766** −649** −538** −727** −527** −579** −335**
F28 Limited function/disability eye 0.16% 3899 −450* −317 −164 −460* −299 −256 −68
F81 Congenital anomaly eye other 0.17% 2222 −383** −299** −245** −341** −383** −245* −290**
F83 Retinopathy 0.58% 7685 −702** −486** −292** −732** −271 −468** 76
F84 Macular degeneration 0.52% 6552 −898** −476** −498** −897** −519** −429** −243**
F91 Refractive error 2.79% 2213 −195** −157** −177** −172** −208** −117** −201**
F93 Glaucoma 1.27% 4255 −34 −21 −55 −36 253** 2 247**
F94 Blindness 0.20% 5103 −821** −613** −596** −835** −612** −576** −441*
H28 Limited function/disability ear 0.09% 4433 −1078* −912 −399* −1010* −929 −824 −280
H80 Congenital anomaly of ear 0.11% 2468 −643** −509** −491** −559** −671** −419** −553**
H83 Otosclerosis 0.08% 3122 −93 −44 −174 −21 24 32 −62
H84 Presbyacusis 1.44% 5489 −249** −150* −185** −245** 91 −95 142**
H85 Acoustic trauma 0.29% 3650 −298* −179 −185* −252* −163 −117 −80
H86 Deafness 1.75% 4138 −452** −342** −334** −405** −278** −266** −189**
K28 Limited function/disability cardiovascular 0.12% 4535 −565 −534 −311 −548 −342 −497 −84
K73 Congenital anomaly cardiovascular 0.32% 3275 −195 −90 −172* −161 −119 −11 −109
K74 Ischemic heart disease w. angina 2.36% 6407 −458** −290** −342** −462** −68 −250** 8
K76 Acute myocardial infarction 1.07% 6735 −564** −383** −330** −582** −165 −353** 20
K77 Heart failure 1.10% 10,023 −836** −569** −368** −964** −310** −586** 55
K82 Pulmonary heart disease 0.05% 14,304 −1767 −1071 −432 −1953* −1317 −1065 −179
K86 Hypertension uncomplicated 13.68% 4182 −159** −158** −174** −151** 82** −128** 80**
K87 Hypertension complicated 1.96% 6427 −594** −510** −404** −634** −226** −477** −57
K90 Stroke/cerebrovascular accident 1.64% 6627 −367** −245** −258** −602** 38 −219** 142**
K91 Atherosclerosis [ex. K76,K90] 1.13% 5387 −467** −396** −341** −495** −156 −357** −46
K92 Cardiovascular disease other 1.75% 6550 −932** −792** −548** −964** −612** −765** −297**
L28 Limited function/disability musculoskeletal 0.29% 5095 −331* −159 −303** −425** −85 −113 −104
L82 Congenital anomaly musculoskeletal 0.93% 1957 −202** −156** −188** −198** −226** −101 −229**
L84 Back syndrome w/o radiating pain 1.39% 4990 −470** −329** −321** −460** −177** −284** −70
L85 Acquired deformity of spine 0.76% 2873 −126* −84 −172** −158** −61 −44 −112*
L88 Rheumatoid/seropositive arthritis 1.29% 6396 −229** −124 −170** −228** 101 −89 160**
L89 Osteoarthrosis of hip 2.11% 5577 −624** −509** −463** −617** −287** −468** −167**
L90 Osteoarthrosis of knee 2.97% 5344 −580** −466** −461** −569** −253** −426** −156**
L91 Osteoarthrosis other 2.53% 4445 −381** −272** −271** −358** −120** −228** −30
L95 Osteoporosis 2.34% 5563 −567** −403** −395** −587** −249** −348** −123**
L98 Acquired deformity of limb 3.30% 2724 −201** −155** −183** −164** −134** −107** −127**
N28 Limited function/disability neurological system 0.03% 4578 −38 62 −240 −186 166 98 −88
N70 Poliomyelitis 0.04% 5022 −684* −568 −700** −931** −462 −501 −508
N74 Malignant neoplasm nervous system 0.05% 9548 −1172 −1183 −551 −1220 −873 −1115 −311
N85 Congenital anomaly neurological 0.11% 6137 −233 519* −273 −404 −51 619** −254
N86 Multiple sclerosis 0.17% 9356 −594** −402* −469** −1312** −251 −348 −250*
N87 Parkinsonism 0.26% 8810 −99 −15 36 −1047** 382 −6 545**
N88 Epilepsy 0.98% 4523 −281** −189* −192** −308** −65 −130 −1
P28 Limited function/disability psychological 0.08% 3724 −448 −375 −431 −453 −305 −351 −267
P70 Dementia 0.56% 4465 1361** 1376** 1051** 1304** 1764** 1415** 1555**
P72 Schizophrenia 0.27% 3201 −84 −154 −123 −67 141 −146 137
P80 Personality disorder 0.90% 3062 −377** −286** −299** −333** −271** −243** −232**
P85 Mental retardation 0.46% 3007 −194* −142 −164** −198* −93 −92 −72
R28 Limited function/disability respiratory system 0.07% 6401 −544 −415 −498* −676* −300 −370 −272
R84 Malignant neoplasm bronchus/lung 0.18% 12,973 −1291** −1537** −1569** −1459** −814* −1538** −1049**
R85 Malignant neoplasm respiratory, other 0.07% 9020 −727 −484 −605 −725 −352 −439 −295
R89 Congenital anomaly respiratory 0.03% 5248 −1358 −1052 −539 −1407 −1289 −956 −503
R91 Chronische bronchitis/bronchiëctasieën 0.76% 4901 −391** −285** −322** −427** −153 −254** −121
R95 Chronic obstructive pulmonary disease 2.72% 6955 −569** −520** −517** −696** −178** −495** −135**
R96 Asthma 8.56% 2618 −160** −144** −159** −126** −90** −100** −89**
S28 Limited function/disability skin 0.03% 3193 14 85 −91 7 143 146 −16
S77 Malignant neoplasm of skin 2.78% 4657 −357** −259** −254** −314** −120* −188** −34
S81 Hemangioma/lymphangioma 0.65% 2297 −129 −96 −45 −88 −99 −46 −22
S83 Congenital skin anomaly other 0.25% 2334 −154 −132 −230** −113 −129 −84 −206*
S87 Dermatitis/atopic eczema 8.12% 1856 −116** −108** −103** −95** −137** −81** −130**
S91 Psoriasis 2.18% 3661 −197** −171** −173** −182** −48 −142** −27
T28 Limited function/disability endocrine system 0.01% 11,386 −5738 −4970 −703 −5863 −5520 −4945 −732
T71 Malignant neoplasm thyroid 0.05% 4967 −32 112 111 −26 315 143 430*
T78 Thyroglossal duct/cyst 0.08% 2698 −428 −393 −182 −370 −413 −331 −169
T80 Congenital anom endocrine/metab 0.09% 5999 −1652** −870* −672** −1591** −1536** −753 −747**
T81 Goiter [ex. T85,T86] 0.45% 3750 −243** −170 −235** −213* −31 −117 −27
T86 Hypothyroidism/myxedema 2.46% 3939 −77 −78 −92** −80 189** −60 183**
T90 Diabetes 6.10% 5915 −255** −205** −206** −274** 130** −185** 180**
T92 Gout 2.19% 5363 −492** −421** −352** −492** −243** −390** −134**
T93 Endocrine/metab/nutrit. dis. other 7.05% 3915 −75** −75** −105** −73** 169** −56* 148**
U28 Limited function/disability urinary 0.06% 11,980 −1566* −396 −416 −1838* −1139 −370 −266
U75 Malignant neoplasm of kidney 0.10% 10,288 −1160** −1051* −702** −1188** −734 −1020* −339
U76 Malignant neoplasm of bladder 0.25% 8422 −483* −247 −307* −524* −3 −252 137
U77 Malignant neoplasm urinary other 0.02% 7065 392 507 −160 364 854 531 344
U85 Congenital anomaly urinary tract 0.17% 3994 −248 −134 −309** −164 −165 −48 −239*
U88 Glomerulonephritis/nephrosis 0.14% 6549 −521 −352 −223 −500 −320 −300 −71
W28 Limited function/disability due to pregnancy 0.08% 2029 −27 42 −159 138 68 193 −63
W72 Malignant neoplasm relate to pregnancy 0.00% 3689 362 1165 359 565 506 1344 393
W76 Congenital anomaly complicate pregnancy 0.01% 3762 −2067 −2003 −2093 −2019 −2034 −1950 −2081
X28 Limited function/disability female genital 0.01% 3784 −685 −542 −638 −546 −533 −400 −612
X75 Malignant neoplasm cervix 0.21% 3719 −406** −337* −263* −370* −246 −284 −124
X76 Malignant neoplasm breast female 1.20% 5923 −34 −17 −254** −72 298** 40 126*
X77 Malignant neoplasm female genital other 0.23% 5786 −247 −166 −249* −228 63 −115 44
X83 Congenital anomaly female genital 0.05% 2132 −173 −180 −31 −108 −141 −124 −14
X88 Fibrocystic disease breast 1.25% 2447 −173** −153** −181** −112** −91* −97* −98**
Y28 Limited function/disability male genital 0.07% 4366 −350 −228 −231 −327 −158 −185 −60
Y77 Malignant neoplasm prostate 0.52% 8006 −728** −706** −427** −753** −305* −683** −70
Y78 Malign neoplasm male genital other 0.10% 3600 262 136 −156 341 339 224 20
Y82 Hypospadias 0.08% 1713 −251 −171 −80 −231 −328 −124 −189
Y84 Congenital genital anomaly male other 0.04% 1980 −571* −442 −377* −467 −696* −341 −539**
Z28 Limited function/disability social 0.32% 3116 −80 −27 −47 −92 10 −13 32
Weighted mean absolute result (WMAR) of all groups presented above 326 263 254 328 192 228 141

Note: See Nielen et al. (2019) for the construction of disease groups.

* Statistically significantly different from zero (p < 0.05).

** Statistically significantly different from zero (p < 0.01).