Calculations
| 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 | |||