Commercially Insured
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Opioid Prescriptions Declined 32% for the Commercially Insured over 10 Years (2008 to 2017)
Read more: Opioid Prescriptions Declined 32% for the Commercially Insured over 10 Years (2008 to 2017)Among people who get health insurance from their employers (56% of the population in 2017), prescription opioid use peaked in 2010/2011 and declined every year from 2012 to 2017. In a new study using the Health Care Cost Institute’s commercial claims data from 2008 to 2017, we observed a decline regardless of how utilization was…
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Health Affairs: Medicare Advantage And Commercial Prices For Mental Health Services
Tags: Commercially Insured, Health Affairs, Medicare Advantage, Mental Health and Substance Use, Peer Reviewed Journals
Read more: Health Affairs: Medicare Advantage And Commercial Prices For Mental Health ServicesAbstract: In 2014, insurers paid an average of 13–14 percent less for in-network mental health services in their commercial and Medicare Advantage plans than fee-for-service Medicare paid for identical services—despite paying up to 12 percent more than Medicare when the same services were provided by other physician specialties. However, patients went out of network more…
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Trends In Primary Care Visits
Read more: Trends In Primary Care VisitsOffice visits to primary care physicians (PCPs) declined 18 percent from 2012 to 2016 for adults under 65 years old with employer-sponsored health insurance, while office visits to nurse practitioners (NPs) and physician assistants (PAs) increased 129 percent. Comparing 2012 to 2016, there were 273 fewer office visits per 1,000 insured individuals to primary care…
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Wall Street Journal: Employer-Provided Health Insurance Approaches $20,000 a Year
Read more: Wall Street Journal: Employer-Provided Health Insurance Approaches $20,000 a YearHCCI’s 2016 Annual Report was cited in the WSJ: The HCCI findings are “pretty compelling,” said Paul Ginsburg, a professor at the University of Southern California. “Higher prices from providers is the most important element in rising premiums in the past few years.” Employer-Provided Health Insurance Approaches $20,000 a Year – WSJ The average cost…
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Health Affairs: Assessing The Impact Of State Policies For Prescription Drug Monitoring Programs On High-Risk Opioid Prescriptions
Tags: Commercially Insured, Geographic Variation, Health Affairs, Opioids, Peer Reviewed Journals, UtilizationRead more: Health Affairs: Assessing The Impact Of State Policies For Prescription Drug Monitoring Programs On High-Risk Opioid PrescriptionsABSTRACT: Policies and practices have proliferated to optimize prescribers’ use of their states’ prescription drug monitoring programs, which are statewide databases of controlled substances dispensed at retail pharmacies. Our study assessed the effectiveness of three such policies: comprehensive legislative mandates to use the program, laws that allow prescribers to delegate its use to office staff,…
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Health Affairs: Health Care Spending Under Employer-Sponsored Insurance: A 10-Year Retrospective
Tags: Commercially Insured, Drug Spending, Health Affairs, Inpatient Spending, Outpatient Spending, Peer Reviewed Journals, Physician Spending
Read more: Health Affairs: Health Care Spending Under Employer-Sponsored Insurance: A 10-Year RetrospectiveABSTRACT Using a national sample of health care claims data from the Health Care Cost Institute, we found that total spending per capita (not including premiums) on health services for enrollees in employer-sponsored insurance plans increased by 44 percent from 2007 through 2016 (average annual growth of 4.1 percent). Spending increased across all major categories…
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Journal of General Internal Medicine: First Opioid Prescription and Subsequent High-Risk Opiod Use, a National Survey of Privately Insured and Medicare Advantage Adults
Read more: Journal of General Internal Medicine: First Opioid Prescription and Subsequent High-Risk Opiod Use, a National Survey of Privately Insured and Medicare Advantage AdultsBACKGROUND: National guidelines make recommendations regarding the initial opioid prescriptions, but most of the supporting evidence is from the initial episode of care, not the first prescription. OBJECTIVE: To examine associations between features of the first opioid prescription and high-risk opioid use in the 18 months following the first prescription. DESIGN: Retrospective cohort study using data from a large commercial insurance…
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ER facility prices grew in tandem with faster-growing charges from 2009-2016
Read more: ER facility prices grew in tandem with faster-growing charges from 2009-2016HCCI often reports the prices of health care services, defined as the average amount a provider is paid for a given service based on negotiations with health care insurers. These prices typically represent a portion of charges, which are the amounts health care providers bill for the procedures they perform. The charge amount is often…
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Medical Care Research and Review: Prices for Physicians’ Services in Medicare Advantage and Commercial Plans
Tags: Commercially Insured, Medicare Advantage, Out-of-Network, Peer Reviewed Journals, Physician Spending, PricesRead more: Medical Care Research and Review: Prices for Physicians’ Services in Medicare Advantage and Commercial PlansABSTRACT: The prices that insurers pay physicians ultimately affect beneficiaries’ health insurance premiums. Using 2014 claims data from three major insurers, we analyzed the prices insurers paid in their Medicare Advantage (MA) and commercial plans for 20 physician services, in and out of network, and compared those prices with estimated amounts that Medicare’s fee-for-service (FFS) program…
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INQUIRY The Journal of Health Care Organization, Provision, and Financing: How do the Hospital Prices Paid by Medicare Advantage Plans and Commercial Plans Compare with Medicare Fee-for-Service Prices?
Tags: Commercially Insured, Inpatient Spending, Medicare, Medicare Advantage, Peer Reviewed Journals
Read more: INQUIRY The Journal of Health Care Organization, Provision, and Financing: How do the Hospital Prices Paid by Medicare Advantage Plans and Commercial Plans Compare with Medicare Fee-for-Service Prices?ABSTRACT The prices that private insurers pay hospitals have received considerable attention in recent years, but most of that literature has focused on the commercially insured population. Although nearly one-third of Medicare beneficiaries are enrolled in a Medicare Advantage (MA) plan, little is known about the prices paid to hospitals by the private insurers that…