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. 2022 Sep 12;182(11):1129–1137. doi: 10.1001/jamainternmed.2022.3946

Table 3. Two-Part Model Regression Estimates for Effects of RTPB Recommendations on Order-Level Out-of-Pocket Costsa.

Outcome Mean Intervention effect estimate, % (95% CI)
Intervention Control Unadjustedb Adjustedc
Out-of-pocket cost >$0.00, % 97.4 98.6 −1.1 (−0.4 to −1.8) −1.0 (−0.57 to −1.5)
30-d Adjusted out-of-pocket cost, $d 40.80 69.00 NA NA
−0.66 −0.48 −16.7 (−18.8 to −14.5) −7.9 (−10.0 to −5.7)

Abbreviations: NA, not applicable; RTPB, real-time prescription benefits.

a

Using logistic regression, the first part estimated the probability of an order having >$0 out-of-pocket cost; using linear regression, the second part estimated the log transformed out-of-pocket cost for orders with nonzero cost. Confidence intervals were based on robust standard errors clustered at the level of randomization.

b

The unadjusted intervention effect for both parts included only an indicator for the intervention.

c

The adjusted intervention for both models included the following covariates: indicators for specialty type, drug pharmaceutical class, indicators for age category bins (18-40 y; >40-65 y; >65 y), binary sex, and insurance type.

d

For 35 652 orders with out-of-pocket cost >$0.