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Briefs

  • COVID-19 Disparities Persist in Community Health Centers’ Vulnerable Populations

    Tags: COVID-19
    COVID-19 Disparities Persist in Community Health Centers’ Vulnerable Populations
    Katie Martin, Elianna Clayton, Jonathan Todd, Eva DuGoff, Daniel Kurowski
    February 18, 2021

    Community Health Centers (CHCs) serve over 29 million vulnerable patients, making the lack of data on COVID-19-related racial disparities in patients served in CHCs a critical knowledge gap in assessments of the pandemic’s national impact. In rural and poor urban areas, CHCs may be the only accessible healthcare option. Even when other options exist, CHCs…

    Read more: COVID-19 Disparities Persist in Community Health Centers’ Vulnerable Populations
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  • When the Medicare Rate Isn’t the Medicare Rate: Analyzing Differences Between the Medicare Physician Fee Schedule and Payments Received by Physicians.

    When the Medicare Rate Isn’t the Medicare Rate: Analyzing Differences Between the Medicare Physician Fee Schedule and Payments Received by Physicians.
    Daniel Kurowski, Bill Johnson, Katie Martin, Kevin Kennedy, Olivia DiRienz, and Phillip Given
    January 25, 2021

    Increasingly, policymakers are considering proposals that tie payments made by private health insurers, in some way, to rates paid by Medicare. These proposals are inspired by the rising cost of health care and widespread variation in health care prices. For example, we recently found that the cost of the same service can vary by 5-fold,…

    Read more: When the Medicare Rate Isn’t the Medicare Rate: Analyzing Differences Between the Medicare Physician Fee Schedule and Payments Received by Physicians.
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  • How Differences Between Commercial, Medicare Professional Service Prices Could Result in Different Policy Impacts

    How Differences Between Commercial, Medicare Professional Service Prices Could Result in Different Policy Impacts
    Bill Johnson, Katie Martin, Daniel Kurowski, Kevin Kennedy, Phillip Given, and Olivia DiRienz
    December 9, 2020

     Introduction As rising health care costs force difficult choices for families, employers, and federal, state, and local governments, a range of policy proposals are emerging to address health care spending in the U.S. In this presidential election year, there has been heightened attention on lowering health care costs and making care more affordable, which will…

    Read more: How Differences Between Commercial, Medicare Professional Service Prices Could Result in Different Policy Impacts
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  • Past the Healthy Marketplace Index, Volume II: Exploring Changes in Actual Prices Paid for Specific Services by Metro Area from 2013 to 2017

    Tags: Healthy Marketplace Index, Prices
    Past the Healthy Marketplace Index, Volume II:  
Exploring Changes in Actual Prices Paid for Specific Services by Metro Area from 2013 to 2017
    Kevin Kennedy, Elianna Clayton, Bill Johnson and Katie Martin
    November 12, 2020

    In the first brief of the Past the Healthy Marketplace Index series, we explored how prices compared across the country and found that, in 2017, health care prices for specific services varied by as much as 22-fold across metro areas and even up 40-fold within them. In this next brief, we looked at variation in…

    Read more: Past the Healthy Marketplace Index, Volume II: Exploring Changes in Actual Prices Paid for Specific Services by Metro Area from 2013 to 2017
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  • Past the Healthy Marketplace Index, Volume I: Exploring Actual Prices Paid for Specific Services by Metro Area

    Tags: Healthy Marketplace Index, Prices
    Past the Healthy Marketplace Index, Volume I:                         
Exploring Actual Prices Paid for Specific Services by Metro Area
    Kevin Kennedy, Elianna Clayton, Bill Johnson and Katie Martin
    November 12, 2020

    How much people spend on health care from place to place reflects multiple, interwoven, and dynamic factors, such as the cost and use of services. Health care spending and its driving factors change over time, differ across geographies, and vary by type of service. The Health Care Cost Institute’s (HCCI) Healthy Marketplace Index (HMI) provides…

    Read more: Past the Healthy Marketplace Index, Volume I: Exploring Actual Prices Paid for Specific Services by Metro Area
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  • Electronic Medical Record Data Suggest Disparities in COVID Incidence Persist Across Regions and Over Time

    Tags: COVID-19
    Electronic Medical Record Data Suggest Disparities in COVID Incidence Persist Across Regions and Over Time
    Daniel Kurowski, Elianna Clayton, Katie Martin
    October 14, 2020

    Since the onset of the COVID-19 pandemic, a growing body of research has found alarming disparities in rates of the virus among Black and Hispanic communities. For example, the CDC reports that “American Indian or Alaska Native, Non-Hispanic” people and “Hispanic or Latino” people each have 2.8 times as many COVID cases than white people,…

    Read more: Electronic Medical Record Data Suggest Disparities in COVID Incidence Persist Across Regions and Over Time
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  • The Impact of COVID-19 on Years of Life Lost

    Tags: COVID-19, Transparency
    The Impact of COVID-19 on Years of Life Lost
    Eva DuGoff, Andy Fenelon, Angela Pupino, John Hargraves, Misha Segal, Niall Brennan
    October 14, 2020

    Summary: Since April, 1.9 million excess years of life have been lost, 13% above historical average. Over the course of the pandemic, we found age and sex contributions to excess YLL have shifted. Deaths among adults 65 and older accounted for 80% of excess YLL in April but only 36% of excess YLL in June. Since…

    Read more: The Impact of COVID-19 on Years of Life Lost
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  • Comparing Commercial and Medicare Professional Service Prices

    Tags: Commercially Insured, Medicare, Prices
    Comparing Commercial and Medicare Professional Service Prices
    Bill Johnson, Kevin Kennedy, Daniel Kurowski, Aaron Bloschichak, Elianna Clayton, Jean Fuglesten Biniek, Katie Martin
    August 13, 2020

    People in the United States routinely cite health care and health care costs as top concerns.1,2,3,4 For the more than 160 million people who get insurance from their employer, the cost of health care is high, growing, and outpacing growth in wages.5,6,7 Across the country, health care costs show up in the form of higher premiums and…

    Read more: Comparing Commercial and Medicare Professional Service Prices
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  • Commercial Prices Relative to Medicare Vary Within Metro Areas Across Specialties and by Type of Service

    Tags: Commercially Insured, Medicare, Prices
    Commercial Prices Relative to Medicare Vary Within Metro Areas Across Specialties and by Type of Service
    Elianna Clayton, Bill Johnson, Kevin Kennedy, Daniel Kurowski, Katie Martin
    August 13, 2020

    Earlier HCCI research found that at the national level, commercial payers paid prices that were, on average, 122% of Medicare. However, we found that commercial professional service prices varied dramatically across states from 98% of Medicare in Alabama to 188% of Medicare in Wisconsin. There was similar variation within states, such as California, and also…

    Read more: Commercial Prices Relative to Medicare Vary Within Metro Areas Across Specialties and by Type of Service
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  • Analysis of Electronic Medical Record Data Shows Significantly Higher Rates of COVID-19 Infection among Hispanic and Black Patients

    Tags: COVID-19, Geographic Variation, Transparency
    Analysis of Electronic Medical Record Data Shows Significantly Higher Rates of COVID-19 Infection among Hispanic and Black Patients
    Daniel Kurowski, Katie Martin, Anna Milewski, Angela Pupino, Niall Brennan
    July 27, 2020

    The COVID-19 pandemic has resulted in a previously unimaginable impact both in the United States and globally. It is increasingly clear as we enter the fifth month of the pandemic, with rising caseloads and deaths, that the United States will need to continue to address the COVID-19 pandemic for the foreseeable future. Each day, we learn…

    Read more: Analysis of Electronic Medical Record Data Shows Significantly Higher Rates of COVID-19 Infection among Hispanic and Black Patients
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