Figure 17: Model result: Total benefit paid by hospital group and age

The figure below shows the total benefits paid predicted by the model for COVID-19 admissions adjusted for the risk factors listed above. The results shown are filtered as follows:

 Patients with at least one risk condition  General ward admissions only  COVID-19 admissions only  Females only

Figure 17: Model result: Total benefit paid by hospital group and age

50,000 45,000 40,000 Total benefits paid 15,000 20,000 25,000 30,000 35,000 10,000 5,000 -

less than one year 1-4 years 5-9 years 10-14 years 15-19 years 20-24 years 25-29 years 30-34 years 35-39 years 40-44 years 45-49 years 50-54 years 55-59 years 60-64 years 65-69 years 70-74 years 75-79 years 80-84 years 85 years+

Age band

Hosp_Grp_1 Hosp_Grp_2 Hosp_Grp_3 Hosp_Grp_4

These results are risk adjusted; therefore the variation between the total benefit paid by hospital groups is largely due to difference in the tariffs charged and/or negotiated with schemes.

 The total benefits paid increase with age.  Total benefits paid for hospital groups 3 and 4 are very similar to hospital group 2, being slightly more expensive.  Hospital group 1 had the lowest total benefits paid while hospital group 2 had the highest total benefits paid across all ages.

Board of Healthcare Funders Industry Technical Advisory Committee