Outpatient Spending
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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
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)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…
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NBER: The Price Ain’t Right? Hospital Prices and Health Spending on the Privately Insured
Tags: Commercially Insured, Inpatient Spending, Market Concentration, NBER, Outpatient Spending, Peer Reviewed Journals
Read more: NBER: The Price Ain’t Right? Hospital Prices and Health Spending on the Privately InsuredABSTRACT: We use insurance claims data covering 28 percent of individuals with employer-sponsored health insurance in the US to study the variation in health spending on the privately insured, examine the structure of insurer-hospital contracts, and analyze the variation in hospital prices across the nation. Health spending per privately insured beneficiary differs by a factor of…
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Under Pressure – Adults with Hypertension are Spending Increasingly More on Health Care
Read more: Under Pressure – Adults with Hypertension are Spending Increasingly More on Health CareThis issue brief compares trends in health care spending from 2012 to 2016 for adults with employer-sponsored insurance who were diagnosed with hypertension to those not diagnosed with hypertension. It also considers how changes in prescription drug spending compare to changes in prescription drug use for adults with a hypertension diagnosis.
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Crain’s Chicago Business: This fast-growing doctors group is betting it all on hips and knees
Read more: Crain’s Chicago Business: This fast-growing doctors group is betting it all on hips and kneesBaby boomers are living longer, getting their aching hips and knees replaced as they age. That puts Illinois Bone & Joint Institute in the sweet spot of medicine. Hip and knee replacements are among the most common surgeries in the U.S.—and they’re pricey. Everything involved in replacing one, from surgery to the weeks of rehab…
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Medical Care: The Differential Effects of Insurance Mandates on Health Care Spending for Children’s Autism Spectrum Disorder
Tags: Autism, Children, Commercially Insured, Inpatient Spending, Medical Care, Outpatient Spending, Peer Reviewed Journals
Read more: Medical Care: The Differential Effects of Insurance Mandates on Health Care Spending for Children’s Autism Spectrum DisorderABSTRACT Objectives: There is substantial variation in treatment intensity among children with autism spectrum disorder (ASD). This study asks whether policies that target health care utilization for ASD affect children differentially based on this variation. Specifically, we examine the impact of state-level insurance mandates that require commercial insurers to cover certain treatments for ASD for…
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Top Spenders Among the Commercially Insured Increased Spending Concentration and Consistent Turnover from 2013 to 2015
Tags: Commercially Insured, Drug Spending, Inpatient Spending, Out-of-Pocket, Outpatient Spending, Physician Spending, Top Spenders
Read more: Top Spenders Among the Commercially Insured Increased Spending Concentration and Consistent Turnover from 2013 to 2015This issue brief explores the distribution of health care spending among commercially insured individuals, with a focus on the top 5 percent of spenders and turnover within that group from year to year. It considers the share of spending incurred by this group of top spenders, how those dollars are distributed among the health care…
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Advisory Board: ED visits down – but ED facility fee spending is up, Vox analysis suggests
Read more: Advisory Board: ED visits down – but ED facility fee spending is up, Vox analysis suggestsSpending on emergency department (ED) facility fees rose steadily between 2009 and 2015, even as the overall number of ED fees billed declined, according to an analysis of Health Care Cost Institute (HCCI) data, Sarah Kliff writes for Vox. However, the American College of Emergency Physicians (ACEP) is pushing back against the findings, noting that…
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Healthcare Dive: ER facility fees skyrocket faster than outpatient or overall healthcare spending
Read more: Healthcare Dive: ER facility fees skyrocket faster than outpatient or overall healthcare spendingBy: Les Masterson Dive Brief: Hospital emergency room (ER) facility fees increased 89% between 2009 and 2015, which is twice as fast as outpatient care and four times as fast as overall healthcare spending, reported Vox and Health Care Cost Institute (HCCI) in a new report. Vox and HCCI analyzed 70 million insurance bills for…
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ProPublica: A Hospital Charged $1,877 to Pierce a 5-Year-Old’s Ears. This Is Why Health Care Costs So Much.
Read more: ProPublica: A Hospital Charged $1,877 to Pierce a 5-Year-Old’s Ears. This Is Why Health Care Costs So Much.By: Marshall Allen This story was co-published with NPR’s Shots blog. Two years ago, Margaret O’Neill brought her 5-year-old daughter to Children’s Hospital Colorado because the band of tissue that connected her tongue to the floor of her mouth was too tight. The condition, literally called being “tongue-tied,” made it hard for the girl to…
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Health Affairs: Insurer Market Power Lowers Prices In Numerous Concentrated Provider Markets
Tags: Health Affairs, Inpatient Spending, Market Concentration, Outpatient Spending, Peer Reviewed JournalsRead more: Health Affairs: Insurer Market Power Lowers Prices In Numerous Concentrated Provider MarketsABSTRACT: Using prices of hospital admissions and visits to five types of physicians, we analyzed how provider and insurer market concentration—as measured by the Herfindahl-Hirschman Index (HHI)—interact and are correlated with prices. We found evidence that in the range of the Department of Justice’s and Federal Trade Commission’s definition of a moderately concentrated market (HHI of…