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Commercially Insured

  • Health Affairs: What Is Driving Health Care Spending Upward In States With Cost Growth Targets?

    Tags: Commercially Insured, Health Affairs, Spending
    Health Affairs: What Is Driving Health Care Spending Upward In States With Cost Growth Targets?
    Michael Bailit
    August 9, 2022

    HCCI’s 2019 HCCUR was featured in a Health Affairs article on increases in health care spending.  From the article: “Price increases in most years have been highest in the commercial market. While there is some variation across states, a national analysis of commercial claim data by the Health Care Cost Institute found that from 2015…

    Read more: Health Affairs: What Is Driving Health Care Spending Upward In States With Cost Growth Targets?
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  • Price Markups for Clinical Labs: Employer‑based Insurance Pays Hospital Outpatient Departments 3X More Than Physician Offices and Independent Labs for Identical Tests

    Tags: Commercially Insured, Prices
    Price Markups for Clinical Labs: Employer‑based Insurance Pays Hospital Outpatient Departments 3X More Than Physician Offices and Independent Labs for Identical Tests
    Jessica Chang, Aditi Sen, and Cristina Boccuti
    August 2, 2022

    The Health Care Cost Institute (HCCI) in collaboration with West Health conducted an analysis of the high prices that employer-based insurance pays hospital outpatient departments for clinical lab tests. We found that insurers are paying 3 times more for identical tests (such as simple blood and urine tests) when billed by hospital outpatient departments compared to…

    Read more: Price Markups for Clinical Labs: Employer‑based Insurance Pays Hospital Outpatient Departments 3X More Than Physician Offices and Independent Labs for Identical Tests
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  • Average Payments for Childbirth Among the Commercially Insured and Fee-for-Service Medicaid

    Tags: Commercially Insured, Maternal Health, Medicaid
    Average Payments for Childbirth Among the Commercially Insured and Fee-for-Service Medicaid
    Zehra Valencia, Aditi Sen, Daniel Kurowski, Katie Martin, Debra Bozzi
    June 9, 2022

    It is well-established that the rates hospitals and physicians are paid to provide health care services are significantly lower in Medicaid than in private health insurance. In this brief, we provide new data on this payment gap in the context of childbirth, an especially relevant area of care since Medicaid and ESI together cover the…

    Read more: Average Payments for Childbirth Among the Commercially Insured and Fee-for-Service Medicaid
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  • 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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  • Kansas News Service: Yes, more and more of your paycheck goes to health care in Kansas and Missouri. Here’s why

    Tags: Commercially Insured
    Kansas News Service: Yes, more and more of your paycheck goes to health care in Kansas and Missouri. Here’s why
    Kansas News Service
    January 25, 2022

    HCCI’s 2019 HCCUR and other researcher were featured in an article about spending on employer-sponsored health insurance in Kansas and Missouri. From the article: “A recent study by the Health Care Cost Institute found spending per person with employer health insurance grew more than 20% over five years. That’s nearly three times the pace of broader…

    Read more: Kansas News Service: Yes, more and more of your paycheck goes to health care in Kansas and Missouri. Here’s why
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  • HCCI Launches New, Expanded Dataset

    Tags: Commercially Insured, HCCI News
    HCCI Launches New, Expanded Dataset
    HCCI
    February 2, 2021

    New dataset is 25% larger than original HCCI dataset, containing health insurance claims for 55 million people, one third of people with employer-based health insurance in the United States WASHINGTON, DC (February 2, 2021) — The Health Care Cost Institute (HCCI) today announced the launch of its new health care claims dataset for research. The…

    Read more: HCCI Launches New, Expanded Dataset
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