Table 2 Key patient and community structure characteristics for each provider community
From: On designing of a low leakage patient-centric provider network
Community | 1 | 2 | 3 | 4 | 5 | 6 |
|---|---|---|---|---|---|---|
# of NPI | 622 | 452 | 344 | 326 | 224 | 112 |
# of Patients | 3069 | 1948 | 2106 | 605 | 760 | 467 |
PCP-Specialist Ratio | 31.00% | 43.60% | 56.30% | 19.70% | 44.90% | 85.50% |
% within utilization | 85.30% | 91.00% | 83.00% | 69.50% | 99.40% | 71.00% |
% within spend | 83.30% | 90.00% | 83.30% | 66.70% | 97.90% | 75.00% |
Herfindahl Index | 0.04 | 0.07 | 0.05 | 0.27 | 0.07 | 0.18 |
PMPM | $1536 | $1359 | $1216 | $3586 | $1364 | $1008 |
CHCC Risk Score | 5.4 | 5.9 | 4.7 | 10.2 | 4.6 | 3.2 |
Risk-Adjusted PMPM | $284.44 | $230.34 | $258.72 | $351.57 | $296.52 | $315.00 |