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Table 1 Characteristics of U.S. Office-based Visits for Patients with Chronic Disease by Practice Reimbursement Composition (N = 41,897)

From: Capitated versus fee-for-service reimbursement and quality of care for chronic disease: a US cross-sectional analysis

 

Majority Capitation

(N = 2316)

Majority FFS

(N = 33,569)

Other Reimbursement

Mix

(N = 6012)

p-value

Patient Characteristics

 Demographics

  Age

66 [14]

65 [14]

64 [14]

0.056

  Sex

  Male

45%

47%

44%

0.096

  Female

55%

53%

56%

  Race/Ethnicity

   Non-Hispanic White

51%

74%

63%

< 0.001

   Non-Hispanic Black

15%

12%

14%

   Hispanic

24%

9%

17%

   Non-Hispanic Other

9%

5%

6%

 Comorbidities

  Cancer

9%

9%

8%

0.546

  Cerebrovascular Disease

4%

4%

3%

0.393

  COPD

7%

8%

8%

0.745

  Congestive Heart Failure

7%

5%

4%

0.017

  Coronary Artery Disease

16%

15%

12%

0.075

  Depression

12%

12%

11%

0.700

  Obesity

43%

48%

45%

0.258

  Total Number of Chronic Conditions

3.1 [1.7]

2.8 [1.7]

2.7 [1.6]

0.032

 Payor Type

  Private Insurance

35%

40%

38%

0.034

  Medicare

53%

51%

49%

  Medicaid

7%

6%

8%

  Other

4%

3%

5%

Visit Characteristics

 Number of Times Seen in Past 12 Months

3.7 [4.8]

5.2 [4.0]

5.2 [5.4]

0.006

Physician/Practice Characteristics

 United States Census Region^

  Northeast

10%

20%

25%

< 0.001

  Midwest

7%

23%

16%

  South

30%

39%

42%

  West

53%

18%

17%

 Metropolitan Area

93%

88%

91%

0.081

 Solo Practice

21%

37%

35%

0.005

 Physician Specialty

  Primary Care

77%

67%

71%

0.135

  Medical Specialty Care

23%

33%

29%

 Physician Compensation

  Share of Billings

8%

23%

22%

< 0.001

  Fixed Salary

58%

32%

37%

  Mix

27%

37%

30%

  Other

7%

8%

11%

 Practice Ownership

  Physician

66%

76%

79%

0.033

  Medical/Academic Health Center

10%

12%

8%

  Insurance Company, Health Plan or HMO

24%

13%

13%

 Employment Status

  Full Owner

22%

39%

38%

0.004

  Part Owner

28%

23%

24%

  Employee or Contractor

50%

38%

38%

 Payor Mix

  Majority Medicare

27%

27%

23%

0.488

  Majority Medicaid

4%

2%

2%

0.298

  Majority Private Insurance

43%

25%

19%

0.004

  Majority Patient Payments or Other*

1%

1%

4%

0.041

 Majority Managed Care Contracts

69%

23%

26%

< 0.001

  1. Continuous variables listed as mean [standard deviation]. Categorical variables reported as percentages. Percentages may not add to 100% due to rounding. P-values are from Wald tests of unadjusted logistic and linear regressions to used to test the joint significance of the coefficients of a categorical variable (practice reimbursement composition) being simultaneously equal to zero
  2. Comorbidities were based on physician-reported diagnosis, except for obesity, which was defined as a body mass index of 30 kg/m2 or greater. Hypertension and diabetes were defined using ICD-9 codes, use of medications for hypertension and diabetes, or physician-reported hypertension or diabetes
  3. COPD chronic obstructive pulmonary disease, HMO Health Maintenance Organization
  4. United States Census Regions^ are as follows: Northeast – Connecticut, Delaware, Maryland, Massachusetts, Maine, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont, Virginia, West Virginia; Midwest – Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, Wisconsin; South – Alabama, Arkansas, Delaware, Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia, Washington, DC, West Virginia; West – Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, New Mexico, Oregon, Utah, Washington, Wyoming
  5. *Other includes charity, research, CHAMPUS, and the VA