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. "Appendix III: Purchaser Payer Background Information." The Role of Purchasers and Payers in the Clinical Research Enterprise: Workshop Summary. Washington, DC: The National Academies Press, 2002.
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TABLE 1 Ranking of Top 16 Principal Diagnosis Disease Cohorts*
Ranking of Total allowed dollars
Ranking of Total allowed dollars per patient per year
Ranking of Admits per patient per year
Ranking of ER visits per patient per year
Ischemic Heart Disease
Other Heart Disease
Congestive Heart Failure
Congestive Obstructive Pulmonary Disease
Complications of Medical and Surgical Care
Disease of Liver, Pancreas
Disorder of Female Genital Organs
Complication of Pregnancy
*Data from a large Commercial and Medicare+Choice HMO population in 2000 in the southeastern United States. Members may appear in more than one category.