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Publications

  • The Price of Childbirth in the U.S. Tops $13,000 in 2020

    Tags: Commercially Insured, Maternal Health, Prices, Spending
    The Price of Childbirth in the U.S. Tops ,000 in 2020
    Zehra Valencia, Debra Bozzi, Aditi Sen, Katie Martin
    May 10, 2022

    As HCCI has previously documented, the price of childbirth in the U.S. is higher than in many other countries. When prices are high, patients with health insurance pay directly through coinsurance (i.e., cost-sharing calculated as a percent of what their insurer pays for the service) and over time, as higher prices charged to insurers are…

    Read more: The Price of Childbirth in the U.S. Tops $13,000 in 2020
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  • Birthing People in the U.S. Pay Nearly $2,000 Out-of-Pocket to Have a Baby

    Tags: Commercially Insured, Maternal Health, Prices, Spending
    Birthing People in the U.S. Pay Nearly style=
    Zehra Valencia, Debra Bozzi, Aditi Sen, Katie Martin
    May 10, 2022

    The birth of a child is momentous for any person and family. New parents may face a range of challenges, including a lack of paid family leave, the rising costs of childcare, and potential health-related complications for the birthing person and new baby. In the midst of this major life transition, parents also face new…

    Read more: Birthing People in the U.S. Pay Nearly $2,000 Out-of-Pocket to Have a Baby
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  • As COVID-19 Hit, Birthing People Spent Less Time in the Hospital for Delivery

    Tags: Commercially Insured, COVID-19, Maternal Health
    As COVID-19 Hit, Birthing People Spent Less Time in the Hospital for Delivery
    Zehra Valencia, Debra Bozzi, Aditi Sen, Katie Martin
    May 10, 2022

    The COVID-19 pandemic has impacted Americans in a myriad of ways, including their use of the health care system for both COVID- and non-COVID related services. In this brief, we explore the ways in which the first year of the pandemic affected people for one of the most common hospital services – childbirth. In 2020,…

    Read more: As COVID-19 Hit, Birthing People Spent Less Time in the Hospital for Delivery
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  • COVID Tests Cost $0 for Most People in 2020

    Tags: Commercially Insured, COVID-19, Spending, Utilization
    COVID Tests Cost <img width= for Most People in 2020″ style=”border-radius:5px;width:100%;height:100%;object-fit:cover;” decoding=”async” loading=”lazy” />
    Debra Bozzi, Jessica Chang, Aditi Sen
    April 28, 2022

    COVID-19 testing has become a regular part of life for many Americans over the last two years. In addition to facilitating individual returns to work, school, and other activities, testing is a crucial component of the public health strategy to monitor and address the spread of the virus. Even as testing becomes more available, there…

    Read more: COVID Tests Cost $0 for Most People in 2020
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  • JAMA: Variability in Prices Paid for Hemodialysis by Employer-Sponsored Insurance in the US From 2012 to 2019

    Tags: Commercially Insured, Prices
    JAMA: Variability in Prices Paid for Hemodialysis by Employer-Sponsored Insurance in the US From 2012 to 2019
    Riley League, Paul Eliason, Ryan McDevitt, James Roberts, Heather Wong
    February 28, 2022

    Abstract: Recent proposals have sought to limit the amount dialysis clinics charge private payers, but little is known about the prices that private insurers actually pay for dialysis. In this study, we provide novel evidence on dialysis prices based on claims data for a large national sample of private employer-sponsored insurance carriers.

    Read more: JAMA: Variability in Prices Paid for Hemodialysis by Employer-Sponsored Insurance in the US From 2012 to 2019
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  • NBER: Do Higher-Priced Hospitals Deliver Higher-Quality Care?

    Tags: NBER
    NBER: Do Higher-Priced Hospitals Deliver Higher-Quality Care?
    Zack Cooper, Joseph Doyle Jr, John Graves, Jonathan Gruber
    February 28, 2022

    Abstract:  We analyze whether receiving care from higher-priced hospitals leads to lower mortality. We overcome selection issues by using an instrumental variable approach which exploits that ambulance companies are quasi-randomly assigned to transport patients and have strong preferences for certain hospitals. Being admitted to a hospital with two standard deviations higher prices raises spending by…

    Read more: NBER: Do Higher-Priced Hospitals Deliver Higher-Quality Care?
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  • JAMA Internal Medicine: Association of Physician Management Companies and Private Equity Investment With Commercial Health Care Prices Paid to Anesthesia Practitioners

    Tags: Physician Spending
    JAMA Internal Medicine: Association of Physician Management Companies and Private Equity Investment With Commercial Health Care Prices Paid to Anesthesia Practitioners
    Ambar La Forgia, Amelia Bond, Robert Braun et. al
    February 28, 2022

    ABSTRACT Importance Physician management companies (PMCs), often backed by private equity (PE), are increasingly providing staffing and management services to health care facilities, yet little is known of their influence on prices. Objective To study changes in prices paid to practitioners (anesthesiologists and certified registered nurse anesthetists) before and after an outpatient facility contracted with…

    Read more: JAMA Internal Medicine: Association of Physician Management Companies and Private Equity Investment With Commercial Health Care Prices Paid to Anesthesia Practitioners
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  • Love is Expensive; So is a Trip to the Emergency Room

    Tags: Emergency Room
    Love is Expensive; So is a Trip to the Emergency Room
    HCCI Staff
    February 14, 2022

    We further explored state variation in the difference between per person ER spending and per person Valentine’s Day spending. We find that if you live in Texas, Colorado, Alaska, or Nevada, you might end up paying over $200 more for an ER visit than a Valentine’s Day gift. If you live in California, Hawaii, or…

    Read more: Love is Expensive; So is a Trip to the Emergency Room
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  • CBO: The Prices That Commercial Health Insurers and Medicare Pay for Hospitals’ and Physicians’ Services

    Tags: CBO, Prices
    CBO: The Prices That Commercial Health Insurers and Medicare Pay for Hospitals’ and Physicians’ Services
    Congressional Budget Office
    January 21, 2022

    Abstract: CBO examined potential reasons that the prices paid by commercial health insurers for hospitals’ and physicians’ services are higher, rise more quickly, and vary more by area than the prices paid by the Medicare fee-for-service program.

    Read more: CBO: The Prices That Commercial Health Insurers and Medicare Pay for Hospitals’ and Physicians’ Services
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  • Assessing the Long-Term Viability of Data Platforms for Research

    Assessing the Long-Term Viability of Data Platforms for Research
    Niall Brennan, Angela Pupino, Katie Martin, Daniel Kurowski, Sally Rodriguez
    December 17, 2021

    Health care in the United States is notoriously fragmented. A patient may receive care from a variety of health systems, physicians, and other providers, and that care may or may not be recorded in a patchwork of administrative claims data systems and electronic health record (EHR) systems. At the same time, health data has become…

    Read more: Assessing the Long-Term Viability of Data Platforms for Research
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