Table 4.
Medical and Prescription Drug Expenditures and Utilization for WMHP Users and Matched Comparison Group Members for 2018 and 2019
| |
2018 |
2019 |
||||||
|---|---|---|---|---|---|---|---|---|
| ED detail | WMHP utilizer (n = 2791) | Comparison group (n = 2791) | Difference | P | WMHP utilizer (n = 3883) | Comparison group (n = 3883) | Difference | P |
| Mental health ED | $9 | $27 | −$18 | 0.002 | $10 | $19 | −$9 | 0.109 |
| Nonmental health ED | $152 | $163 | −$11 | 0.634 | $169 | $209 | −$40 | 0.063 |
| Total ED spend | $162 | $190 | −$29 | 0.185 | $179 | $227 | −$49 | 0.029 |
| Mental health ED util/1000 | 5.6 | 20.2 | −14.6 | <0.001 | 6.7 | 11.5 | −4.8 | 0.036 |
| Nonmental health ED util/1000 | 115.4 | 136.0 | −20.6 | 0.109 | 118.4 | 144.4 | −26.0 | 0.018 |
| Total ED util/1000 | 121.0 | 156.2 | −35.2 | 0.009 | 125.1 | 155.9 | −30.8 | 0.006 |
| Prescription drug detail | ||||||||
| Generic drug | $188 | $284 | −$97 | <0.001 | $221 | $296 | −$75 | <0.001 |
| Brand drug | $388 | $457 | −$70 | 0.078 | $313 | $346 | −$34 | 0.215 |
| Specialty drug | $605 | $734 | −$130 | 0.352 | $728 | $931 | −$203 | 0.111 |
| Total prescription drug spend | $1180 | $1476 | −$296 | <0.001 | $1262 | $1574 | −$312 | <0.001 |
| Generic drug scripts/1000 | 3719.2 | 4770.8 | −1051.6 | <0.001 | 4034.6 | 5067.6 | −1033.0 | <0.001 |
| Brand drug scripts/1000 | 792.1 | 815.2 | −23.1 | 0.641 | 489.7 | 530.8 | −41.1 | 0.072 |
| Specialty drug scripts/1000 | 73.8 | 74.2 | −0.4 | 0.970 | 108.3 | 125.8 | −17.5 | 0.124 |
| Total prescription drug scripts/1000 | 4585.1 | 5660.2 | −1075.1 | <0.001 | 4632.6 | 5724.2 | −1091.6 | <0.001 |
Expenditure amounts in dollars represent per person per year spending; “util/1,000” represents the number of visits utilized per 1000 eligible people; “Generic Drug Scripts/1000,” “Brand Drug Scripts/1,000,” “Specialty Drug Scripts/1000” and “Total Prescription Drug Scripts/1,000” represent the number of prescriptions written per 1000 eligible people.
ED, emergency department; WMHP, workforce mental health program.