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Table 1 Mean curative somatic spending and population frequencies in 2013 for selected risk-adjuster variables in the rebalanced survey sample, training sample and test sample, and the population (19 years or older on September 1, 2012)

From: High-risk pooling for mitigating risk selection incentives in health insurance markets with sophisticated risk equalization: an application based on health survey information

 

Survey sample (rebalanced)

Population

Training sample

Test sample

N

384,004

12,774,886

268,533

115,473

Mean spending in euros

2460

2460

2465

2448

Man, 19–34 year

11.8%

11.8%

11.7%

12.1%

Man, 35–44 year

8.7%

8.7%

8.7%

8.7%

Man, 45–54 year

9.8%

9.8%

9.7%

10.1%

Man, 55–64 year

8.4%

8.4%

8.5%

8.4%

Man, 65 year and older

10.1%

10.1%

10.1%

10.1%

Woman, 19–34 year

11.8%

11.8%

11.8%

11.6%

Woman, 35–44 year

8.8%

8.8%

8.9%

8.6%

Woman, 45–54 year

9.8%

9.8%

9.8%

9.8%

Woman, 55–64 year

8.4%

8.4%

8.5%

8.4%

Woman, 65 year and older

12.4%

12.4%

12.4%

12.3%

PCGs > 0

24.1%

24.1%

24.2%

24.7%

DCGs > 0

11.5%

11.5%

11.5%

11.7%

MHCGs > 0

7.1%

7.1%

7.0%

7.2%

DMECGs > 0

1.1%

1.1%

1.1%

1.0%

Physiotherapy spending in the previous year

2.6%

2.6%

2.6%

2.5%

Home care spending in the previous year

2.6%

2.6%

2.6%

2.6%

Geriatric rehabilitation care spending in the previous year

0.3%

0.3%

0.3%

0.2%

  1. Note: PCGs are Pharmacy-based Cost Groups, DCGs are Diagnosis-based Cost Groups, MHCGs are Multiple year High-Cost Groups and DMECGs are Durable Medical Equipment Cost Groups