Patient Characteristics by Physician-Level Continuity of Care Quintile, 2019
Attributed to physicians with bottom (1) to top (5) quintiles of Physician-Level Continuity of Care | |||||
---|---|---|---|---|---|
Patient Sample (n = 1,612,377) | Quintile 1 n = 323,115 | Quintile 2 n = 319,010 | Quintile 3 n = 350,216 | Quintile 4 n = 335,228 | Quintile 5 n = 284,808 |
Range of Phy-CoC scores | <0.39 | 0.39-0.55 | 0.55-0.64 | 0.64-0.73 | >=0.73 |
Age, mean (SD) | 28 (26) | 48 (25) | 56 (22) | 58 (22) | 58 (23) |
Gender | |||||
Woman | 18.8% | 20.0% | 22.1% | 21.7% | 17.3% |
Man | 21.6% | 19.5% | 21.2% | 19.6% | 18.1% |
Geography of residence | |||||
Isolated small rural town | 8.6% | 15.6% | 14.9% | 24.6% | 36.4% |
Small rural town | 9.7% | 12.4% | 19.0% | 22.2% | 36.7% |
Large rural city/town | 15.7% | 12.7% | 16.3% | 24.6% | 30.6% |
Urban | 21.3% | 20.8% | 22.4% | 20.4% | 15.1% |
SDI score | 29 (29) | 26 (26) | 30 (29) | 33 (30) | 36 (30) |
CCI score | 0.7 (1.8) | 1.2 (2.3) | 1.4 (2.4) | 1.6 (2.5) | 1.7 (2.6) |
MARA score | 0.6 (1.4) | 0.9 (1.7) | 1.1 (1.8) | 1.2 (1.9) | 1.2 (2.0) |
Utilization outcomes in 2019 | |||||
Total cost, mean (SD) | $5,496 (22,426) | $8,428 (23,980) | $9,551 (25,197) | $10,441 (25,183) | $10,777 (25,672) |
Any preventable hospitalization | 0.3% | 0.6% | 0.8% | 0.9% | 1.1% |
Primary insurance payer | |||||
Medicare | 8.3% | 16.7% | 24.1% | 26.7% | 24.2% |
Medicaid | 34.7% | 19.9% | 14.7% | 15.4% | 15.2% |
Commercial | 26.9% | 22.4% | 21.2% | 16.9% | 12.6% |
Specialty of attributed physician | |||||
Family medicine | 14.7% | 21.2% | 26.3% | 21.2% | 16.5% |
Internal medicine | 7.2% | 18.3% | 22.1% | 27.2% | 25.1% |
Pediatric medicine | 61.9% | 17.7% | 5.7% | 7.2% | 7.4% |
Abbreviations: SDI, Social deprivation Index; CCI, Charlson’s comorbidity Index; MARA, Milliman Advanced Risk Adjusters; SD, standard deviation.