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Outpatient Spending

  • 2017 Annual Health Care Cost and Utilization Report Webinar

    Tags: Drug Spending, HCCUR, Inpatient Spending, Outpatient Spending, Physician Spending, Prices, Utilization
    2017 Annual Health Care Cost and Utilization Report Webinar
    HCCI
    February 19, 2019

    HCCI recently held a webinar to discuss the 2017 Annual Health Care Cost and Utilization Report. 

    Read more: 2017 Annual Health Care Cost and Utilization Report Webinar
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  • 2017 Health Care Cost and Utilization Report

    Tags: Drug Spending, HCCUR, Inpatient Spending, Out-of-Pocket, Outpatient Spending, Physician Spending, Prices, Utilization
    2017 Health Care Cost and Utilization Report
    HCCI
    February 12, 2019

    The 2017 Health Care Cost and Utilization Report shows that spending per privately insured person grew by 4.2 percent, the second year in a row of spending growth over four percent. Price increases were the primary driver. The report covers the period 2013 through 2017 and includes claims data from four national insurance companies: Aetna, Humana, Kaiser Permanente, and…

    Read more: 2017 Health Care Cost and Utilization Report
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  • Medical Care: Competition in Outpatient Procedure Markets

    Tags: Medical Care, Outpatient Spending, Peer Reviewed Journals
    Medical Care: Competition in Outpatient Procedure Markets
    Baker, Laurence C., PhD; Bundorf, M.K., PhD; Kessler, Daniel P., PhD
    January 1, 2019

     Abstract Background: More than half of all medical procedures performed in the United States occur in an outpatient setting, yet few studies have explored how competition among ambulatory surgery centers (ASCs) and hospitals affects prices for commercially insured outpatient services. Objectives: We examined the association between prices for commercially insured outpatient procedures and competition among ASCs and…

    Read more: Medical Care: Competition in Outpatient Procedure Markets
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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
    Health Affairs: Health Care Spending Under Employer-Sponsored Insurance: A 10-Year Retrospective
    Amanda Frost, Eric Barrette, Kevin Kennedy, Niall Brennan
    September 19, 2018

    ABSTRACT 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…

    Read more: Health Affairs: Health Care Spending Under Employer-Sponsored Insurance: A 10-Year Retrospective
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  • Wall Street Journal: Behind Your Rising Health-Care Bills: Secret Hospital Deals that Squelch Competition

    Tags: Outpatient Spending, Physician Spending, Prices, Wall Street Journal
    Wall Street Journal: Behind Your Rising Health-Care Bills: Secret Hospital Deals that Squelch Competition
    Wall Street Journal
    September 18, 2018

    ​HCCI data was featured in The Wall Street Journal showing that insurers pay higher prices for some services performed on an outpatient basis that could also be performed in doctors offices.

    Read more: Wall Street Journal: Behind Your Rising Health-Care Bills: Secret Hospital Deals that Squelch Competition
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  • ER facility prices grew in tandem with faster-growing charges from 2009-2016

    Tags: Charges, Commercially Insured, Emergency Room, Outpatient Spending, Prices
    ER facility prices grew in tandem with faster-growing charges from 2009-2016
    John Hargraves, Kevin Kennedy
    September 11, 2018

    HCCI 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…

    Read more: ER facility prices grew in tandem with faster-growing charges from 2009-2016
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  • Vox: The absurdity of American health care pricing, in one chart

    Tags: Inpatient Spending, Outpatient Spending, Vox
    Vox: The absurdity of American health care pricing, in one chart
    Vox
    June 20, 2018

    ​Research using HCCI data shows the different prices patients face for the same procedures performed in the same hospitals. “a new paper from economists Zack Cooper, Stuart Craig, Martin Gaynor, and John Van Reenen sheds light on another fascinating type of variation: price differences within a single hospital. Their research is the first I’ve seen that…

    Read more: Vox: The absurdity of American health care pricing, in one chart
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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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  • Health Leaders: ER Spending Rise Driven by high-severity cases

    Tags: Emergency Room, Outpatient Spending
    Health Leaders: ER Spending Rise Driven by high-severity cases
    Health Leaders
    May 31, 2018

    By: John Commins  A review of emergency department claims for employer-sponsored plans from 2009 through 2016 found that the average prices for higher severity billing codes rose faster than lower severity codes. Emergency department spending per employer-sponsored plan enrollee increased 99% from 2009 to 2016, even as overall ED use for that cohort flat-lined, the…

    Read more: Health Leaders: ER Spending Rise Driven by high-severity cases
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  • Modern Healthcare: ER spending rises with increasing prices, severity of visits

    Tags: Emergency Room, Outpatient Spending
    Modern Healthcare: ER spending rises with increasing prices, severity of visits
    Modern Healthcare
    May 30, 2018

     By: Shelby Livingston Even though emergency department use has stayed the same, ED spending per member nearly doubled from 2009 to 2016 as the severity of ED visits and the prices associated with those visits increased, new data from the Health Care Cost Institute shows. The not-for-profit HCCI analyzed employer-sponsored insurance claims for the five procedure…

    Read more: Modern Healthcare: ER spending rises with increasing prices, severity of visits
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