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JAMA

  • September 2022 HCCI Research Highlights

    Tags: JAMA
    September 2022 HCCI Research Highlights
    HCCI Staff
    September 21, 2022

     HCCI’s data users and staff use our multi-payer, longitudinal commercial claims dataset to study some of the most pressing issues in the U.S. health care system. Here we highlight some recent research using HCCI data: New Study Shows Patients Paying More Out-of-Pocket Costs for Cancer Care | American Cancer Society A new, large study led…

    Read more: September 2022 HCCI Research Highlights
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  • JAMA Research Letter: Primary Care Spending in the Commercially Insured Population

    Tags: Commercially Insured, JAMA, Peer Reviewed Journals, Primary Care
    JAMA Research Letter: Primary Care Spending in the Commercially Insured Population
    Julie Reiff, Niall Brennan, Jean Fuglesten Biniek
    December 10, 2019

    ​Using HCCI’s data, we assessed the share among individuals younger than 65 years covered by employer-sponsored insurance from 2013 to 2017.  We assessed primary care spending using 2 main definitions: a definition which included the total spending on services rendered by primary care clinicians (broad definition) and one where only CPT codes for specific services specified as…

    Read more: JAMA Research Letter: Primary Care Spending in the Commercially Insured Population
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  • JAMA Oncology: Association Between Quality of Care for Breast Cancer and Health Insurance Exchange Coverage An Analysis of Use of Radiation Therapy After Breast-Conserving Surgery

    Tags: Affordable Care Act, Cancer, Commercially Insured, JAMA, Peer Reviewed Journals
    JAMA Oncology: Association Between Quality of Care for Breast Cancer and Health Insurance Exchange Coverage
An Analysis of Use of Radiation Therapy After Breast-Conserving Surgery
    Ya-Chen Tina Shih, Ying Xu, Mariana Chavez-MacGregor, et al
    October 1, 2017

    ABSTRACT Research comparing quality of cancer care by insurance categories concluded that cancer patients without insurance or with Medicaid experienced inferior quality of care compared with those with private insurance. A new insurance category created from the Affordable Care Act (ACA) is insurance purchased from the Health Insurance Marketplace (also known as the exchange). The present…

    Read more: JAMA Oncology: Association Between Quality of Care for Breast Cancer and Health Insurance Exchange Coverage An Analysis of Use of Radiation Therapy After Breast-Conserving Surgery
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  • JAMA Internal Medicine: A Perspective on Out-of-Pocket Spending

    Tags: Commercially Insured, Inpatient Spending, JAMA, Out-of-Pocket, Peer Reviewed Journals
    JAMA Internal Medicine: A Perspective on Out-of-Pocket Spending
    Amanda Frost, Eric Barrette
    January 1, 2017

    To the Editor Understanding out-of-pocket spending is critical to understanding health care costs in the United States. We applaud the efforts of Adrion et al as an important contribution to understanding the out-of-pocket spending of the commercially insured population younger than 65 years. The commercially insured comprise over 50% of the nonelderly US population and, as…

    Read more: JAMA Internal Medicine: A Perspective on Out-of-Pocket Spending
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  • JAMA Pediatrics: Effects of Autism Spectrum Disorder Insurance Mandates on the Treated Prevalence of Autism Spectrum Disorder

    Tags: Autism, Children, Commercially Insured, JAMA, Peer Reviewed Journals
    JAMA Pediatrics: Effects of Autism Spectrum Disorder Insurance Mandates on the Treated Prevalence of Autism Spectrum Disorder
    David Mandell, Colleen Barry, Steven Marcus, Ming Xie, Kathleen Shea, Katherine Mullan, Andrew Epstein
    September 1, 2016

    ABSTRACT Importance: Most states have passed insurance mandates requiring commercial health plans to cover services for children with autism spectrum disorder (ASD). Insurers have expressed concerns that these mandates will increase the number of children diagnosed with ASD (treated prevalence) and therefore increase costs associated with their care. To our knowledge, no published studies have…

    Read more: JAMA Pediatrics: Effects of Autism Spectrum Disorder Insurance Mandates on the Treated Prevalence of Autism Spectrum Disorder
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  • JAMA Internal Medicine: Out-of-Pocket Spending for Hospitalizations Among Nonelderly Adults

    Tags: Commercially Insured, Inpatient Spending, JAMA, Out-of-Pocket, Peer Reviewed Journals
    JAMA Internal Medicine: Out-of-Pocket Spending for Hospitalizations Among Nonelderly Adults
    Emily Adrion, Andrew Ryan, Amanda Seltzer, Lena Chen, John Ayanian, Brahmajee Nallamothu
    September 1, 2016

    ABSTRACT Importance: Patients’ out-of-pocket spending for major health care expenses, such as inpatient care, may result in substantial financial distress. Limited contemporary data exist on out-of-pocket spending among nonelderly adults. Objectives: To evaluate out-of-pocket spending associated with hospitalizations and to assess how this spending varied over time and by patient characteristics, region, and type of…

    Read more: JAMA Internal Medicine: Out-of-Pocket Spending for Hospitalizations Among Nonelderly Adults
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