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.
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.
The unadjusted intervention effect for both parts included only an indicator for the intervention.
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.
For 35 652 orders with out-of-pocket cost >$0.