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Geographic Variation

  • Health Care Spending in New York Growing Faster Than Rest of U.S.

    Tags: Commercially Insured, Drug Spending, Geographic Variation, Inpatient Spending, New York, Outpatient Spending, Physician Spending, Prices, Spending, Utilization
    Health Care Spending in New York Growing Faster Than Rest of U.S.
    HCCI and NYSHealth
    July 29, 2019

    Spending per person in employer-sponsored plans reaches all-time high of $6,335 Health care spending for the average New Yorker with employer-sponsored health insurance is increasing faster in New York State than the rest of the country, according to a new analysis released today by the New York State Health Foundation (NYSHealth) and the Health Care…

    Read more: Health Care Spending in New York Growing Faster Than Rest of U.S.
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  • Opioid Prescriptions Declined 32% for the Commercially Insured over 10 Years (2008 to 2017)

    Tags: 10 Year Trend, Commercially Insured, Geographic Variation, Opioids, Utilization
    Opioid Prescriptions Declined 32% for the Commercially Insured over 10 Years (2008 to 2017)
    Aaron Bloschichak and John Hargraves
    July 15, 2019

    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…

    Read more: Opioid Prescriptions Declined 32% for the Commercially Insured over 10 Years (2008 to 2017)
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  • CBS Evening News: Family Hit With $3,700 Bill For Out-Of-Network Anesthesiologist

    Tags: CBS, Geographic Variation, Out-of-Network, Surprise Billing
    CBS Evening News: Family Hit With $3,700 Bill For Out-Of-Network Anesthesiologist
    CBS Evening News
    April 17, 2019

    HCCI’s research on out-of-network billing was recently cited by a CBS Evening News report on the topic. Family hit with $3,700 bill for out-of-network anesthesiologist – CBS News When Adam and Laura Parkinson chose their hospital and obstetrician for the birth of their son, they didn't think they would get hit with a surprise bill…

    Read more: CBS Evening News: Family Hit With $3,700 Bill For Out-Of-Network Anesthesiologist
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  • Surprise out-of-network medical bills during in-network hospital admissions varied by state and medical specialty, 2016

    Tags: Geographic Variation, Out-of-Network, Senate HELP Committee, Surprise Billing
    Surprise out-of-network medical bills during in-network hospital admissions varied by state and medical specialty, 2016
    Kevin Kennedy, William Johnson, and Jean Fuglesten Biniek
    March 28, 2019

     Out-of-network billing practices have increasingly garnered attention as individuals with commercial health insurance continue to experience “surprise billing.” A surprise medical bill commonly describes a charge to a patient for care delivered by an out-of-network (OON) professional who works within an in-network facility. We used the Health Care Cost Institute’s (HCCI) vast commercial claims database to…

    Read more: Surprise out-of-network medical bills during in-network hospital admissions varied by state and medical specialty, 2016
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  • Understanding how price growth affected areas differently across the country

    Tags: Geographic Variation, Healthy Marketplace Index, Prices
    Understanding how price growth affected areas differently across the country
    Kevin Kennedy, William Johnson
    October 24, 2018

    Recently, the Health Care Cost Institute (HCCI) published its Healthy Marketplace Index (HMI) – Price Index report, examining relative health care prices in 112 different metropolitan areas. This report is the first in a new series of releases from the HMI project, funded by the Robert Wood Johnson Foundation, which compares commercial health care markets…

    Read more: Understanding how price growth affected areas differently across the country
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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, Utilization
    Health Affairs: Assessing The Impact Of State Policies For Prescription Drug Monitoring Programs On High-Risk Opioid Prescriptions
    Yuhua Bao, Katherine Wen, Phyllis Johnson, Philip Jeng, Zachary Meisel, Bruce Schackman
    October 1, 2018

     ABSTRACT: 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,…

    Read more: Health Affairs: Assessing The Impact Of State Policies For Prescription Drug Monitoring Programs On High-Risk Opioid Prescriptions
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  • 2016 Health Care Cost and Utilization Report

    Tags: Drug Spending, Geographic Variation, HCCUR, Inpatient Spending, Out-of-Pocket, Outpatient Spending, Physician Spending, Prices, Utilization
    2016 Health Care Cost and Utilization Report
    HCCI
    June 19, 2018

    The 2016 Health Care Cost and Utilization Report shows that spending per privately insured person grew by 4.6 percent, faster than in previous years. Price increases were the primary driver. The report covers the period 2012 through 2016 and includes claims data from four national insurance companies: Aetna, Humana, Kaiser Permanente, and UnitedHealthcare.​  The data in…

    Read more: 2016 Health Care Cost and Utilization Report
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  • ER spending among the commercially insured continued to rise in 2016, driven by the price and use of high severity cases (2009-2016)

    Tags: Commercially Insured, Emergency Room, Geographic Variation, Outpatient Spending, Prices, Utilization
    ER spending among the commercially insured continued to rise in 2016, driven by the price and use of high severity cases (2009-2016)
    John Hargraves; Kevin Kennedy
    May 30, 2018

    HCCI recently expanded its reporting on emergency room (ER) spending trends to include the most recent data available (2016). We characterize trends in spending, price, and utilization for the five Current Procedural Terminology (CPT) codes designed to capture the level of severity and complexity of every ER visit. While average prices for all five ER…

    Read more: ER spending among the commercially insured continued to rise in 2016, driven by the price and use of high severity cases (2009-2016)
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  • Becker’s Hospital Review: Hospital pricing for privately insured varies by market structure – 6 study findings

    Tags: Becker’s Hospital Review, Geographic Variation
    Becker’s Hospital Review: Hospital pricing for privately insured varies by market structure – 6 study findings
    Becker’s Hospital Review
    May 9, 2018

    By: Kelly Gooch  A newly revised study reveals insights into monopoly pricing, finding hospital market structure is strongly linked with pricing and insurer contract structure. For the study, researchers primarily examined private insurance claims data from Aetna, Humana and UnitedHealth. The data, provided by the Health Care Cost Institute, covers healthcare received by 28 percent…

    Read more: Becker’s Hospital Review: Hospital pricing for privately insured varies by market structure – 6 study findings
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  • A Valentine’s Day-Themed Health Care Spending Map

    Tags: Geographic Variation, HCCI News
    A Valentine’s Day-Themed Health Care Spending Map
    Amanda Frost, John Hargraves
    February 14, 2018

    Valentine’s Day is the second-most popular day to pop the question, and millions of couples are expected to get engaged today. According to The Knot’s 2017 Jewelry and Engagement Study, the average national cost for an engagement ring in the U.S. is $6,351, just under $1,000 more than average national health care spending per person…

    Read more: A Valentine’s Day-Themed Health Care Spending Map
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