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Estimated costs for delivering preventive services from EvidenceNow Assumptions from the Lindner article, Table 1 Population: 3,961,384 Timeframe: 10 years Percent population only requiring smoking intervention 49.80% Percent population requiring smoking and blood pressure intervention 33.90% Percent population requiring smoking and cholesterol intervention 1.60% Percent population requiring aspirin, cholesterol, and smoking intervention 4.20% Percent population requiring aspirin, cholesterol, blood pressure, and smoking intervention 7.80% Cost assumptions Clinic visit (99213 Medicare rate) $75 1 extra clinic visit per year to address the issue(s) Medications Statin 1-year supply $16 Walmart price Blood pressure 1-year supply (2 meds) $32 Walmart price Verinicline, attempt per smoker $144 GoodRx price Aspirin free Labs Basic metabolic profile $9 Medicare allowable Lipid panel $14 Medicare allowable Intervention Costs Intervention Category Number of Extra Uses Over 10 Years Cost/Unit Total Cost Per Capita Total Absolute Cost (% Affected Times Total Population) Smoking only Clinic visit 4 75 300 $591,830,770 Medications 2 144 288 $568,157,539 Smoking and blood pressure Clinic visit 10 75 750 $1,007,181,882 Smoking medications 2 144 288 $386,757,843 Blood pressure medications 10 32 320 $429,730,936 Smoking and cholesterol Clinic visit 10 75 750 $47,536,608 Smoking medications 2 144 288 $18,254,057 Cholesterol medication 10 16 160 $10,141,143 Smoking and cholesterol and aspirin Clinic visit 10 75 750 $124,783,596 Smoking medications 2 144 288 $47,916,901 Cholesterol medication 10 16 160 $26,620,500 Aspirin Free Smoking, cholesterol, blood pressure, and aspirin Clinic visit 10 75 750 $231,740,964 Smoking medications 2 144 288 $88,988,530 Cholesterol medication 10 16 160 $49,438,072 Blood pressure medications 10 32 320 $98,876,145 Aspirin Free Grand Total $3,727,955,486
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