TABLE A1.
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).