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Outpatient Spending

  • Women’s Health Issues: Maternal Medical Complexity Impact on Prenatal Health Care Spending among Women at Low Risk for Cesarean Section

    Tags: Commercially Insured, Inpatient Spending, Maternal Health, Outpatient Spending, Peer Reviewed Journals
    Women’s Health Issues: Maternal Medical Complexity Impact on Prenatal Health Care Spending among Women at Low Risk for Cesarean Section
    Shayna Cunningham, Carolina Herrera, Ifeyinwa Udo, Katy Kozhimannil, Eric Barrette, Urania Magriples, Jeannette Ickovics
    September 1, 2017

    ABSTRACT Background: Obstetric procedures are among the most expensive health care services, yet relatively little is known about health care spending among pregnant women, particularly the commercially-insured. Objective: The objective of this study was to examine the association between maternal medical complexity, as a result of having one or more comorbid conditions, and health care…

    Read more: Women’s Health Issues: Maternal Medical Complexity Impact on Prenatal Health Care Spending among Women at Low Risk for Cesarean Section
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  • Becker’s Hospital Review: 20 key takeaways on medical service prices – inpatient, outpatient, and physician services

    Tags: Geographic Variation, HMI News, Inpatient Spending, Outpatient Spending, Physician Spending
    Becker’s Hospital Review: 20 key takeaways on medical service prices – inpatient, outpatient, and physician services
    Becker’s Hospital Review
    May 17, 2017

    By: Laura Dyrda The Health Care Cost Institute issued the “Healthy Marketplace Index: Medical Service Category Price Index” report for 2017 in April. The report calculates metrics comparing aspects of price, competition and productivity of healthcare markets over time, which shows trends for potential future research. The report includes data for inpatient, outpatient and physician…

    Read more: Becker’s Hospital Review: 20 key takeaways on medical service prices – inpatient, outpatient, and physician services
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  • Congressional Budget Office Working Paper Series: An Analysis of Private-Sector Prices for Hospital Admissions

    Tags: CBO, Commercially Insured, Geographic Variation, Inpatient Spending, Medicare, Medicare Advantage, Outpatient Spending
    Congressional Budget Office Working Paper Series: An Analysis of Private-Sector Prices for Hospital Admissions
    Jared Lane Maeda, Lyle Nelson
    April 4, 2017

    ABSTRACT: Prices for hospital admissions have received considerable attention in recent years, both because they are an important component of health care spending and because they can vary widely. In this paper, we use 2013 claims data from three large insurers to examine the hospital payment rates of those insurers in their commercial plans and…

    Read more: Congressional Budget Office Working Paper Series: An Analysis of Private-Sector Prices for Hospital Admissions
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  • 2015 Health Care Cost and Utilization Report

    Tags: Commercially Insured, Drug Spending, HCCUR, Inpatient Spending, Outpatient Spending, Physician Spending, Utilization
    2015 Health Care Cost and Utilization Report
    HCCI
    November 22, 2016

    The 2015 Health Care Cost and Utilization Report shows that spending per privately insured averaged $5,141 in 2015, up $226 from the year before. Key Findings  ​Health care spending averaged $5,141 per individual in 2015, up $226 from the year before. Out-of-pocket spending rose 3.0 percent in 2015, to an average of $813 per capita….

    Read more: 2015 Health Care Cost and Utilization Report
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  • Health Affairs: Medicare Advantage Plans Pay Hospitals Less Than Traditional Medicare Pays

    Tags: Commercially Insured, Health Affairs, Inpatient Spending, Medicare, Medicare Advantage, Outpatient Spending, Peer Reviewed Journals
    Health Affairs: Medicare Advantage Plans Pay Hospitals Less Than Traditional Medicare Pays
    Laurence Baker, Kate Bundorf, Aileen Devlin, Daniel Kessler
    August 1, 2016

    ABSTRACT There is ongoing debate about how prices paid to providers by Medicare Advantage plans compare to prices paid by fee-for-service Medicare. We used data from Medicare and the Health Care Cost Institute to identify the prices paid for hospital services by fee-for-service (FFS) Medicare, Medicare Advantage plans, and commercial insurers in 2009 and 2012….

    Read more: Health Affairs: Medicare Advantage Plans Pay Hospitals Less Than Traditional Medicare Pays
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  • 2014 Health Care Cost and Utilization Report

    Tags: Commercially Insured, Drug Spending, HCCUR, Inpatient Spending, Out-of-Pocket, Outpatient Spending, Physician Spending
    2014 Health Care Cost and Utilization Report
    HCCI
    October 29, 2015

    The 2014 Health Care Cost and Utilization Report tracks changes in health care prices, utilization, and spending for people younger than 65 covered by employer-sponsored health insurance (ESI). The 2014 Health Care Cost and Utilization Report shows that spending per privately insured person grew 3.4% in 2014, with more dollars going to brand-name drugs than…

    Read more: 2014 Health Care Cost and Utilization Report
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  • 2013 Health Care Cost and Utilization Report

    Tags: Commercially Insured, Drug Spending, HCCUR, Inpatient Spending, Out-of-Pocket, Outpatient Spending, Physician Spending
    2013 Health Care Cost and Utilization Report
    HCCI
    October 23, 2014

    The 2013 Health Care Cost and Utilization Report shows that spending per privately insured grew 3.9% in 2013, as falling utilization offset rising prices. The 2013 Health Care Cost and Utilization Report tracks changes in health care prices, utilization, and spending for people younger than 65 covered by employer-sponsored health insurance (ESI).    Key Findings…

    Read more: 2013 Health Care Cost and Utilization Report
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  • Selected Health Care Trends for Young Adults: 2007-2012

    Tags: Affordable Care Act, Emergency Room, Inpatient Spending, Mental Health and Substance Use, Outpatient Spending
    Selected Health Care Trends for Young Adults: 2007-2012
    Amanda Frost, Carolina-Nicole Herrera, Paul S Hewitt
    September 1, 2014

    This issue brief is one of the first to examine health care trends for young adults (ages 19-25) with employer-sponsored insurance before and after implementation of Section 1001 of the Affordable Care Act that allows parents to include their adult children in family health plans. 

    Read more: Selected Health Care Trends for Young Adults: 2007-2012
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  • 2012 Health Care Cost and Utilization Report

    Tags: Commercially Insured, Drug Spending, Geographic Variation, HCCUR, Inpatient Spending, Outpatient Spending, Physician Spending
    2012 Health Care Cost and Utilization Report
    HCCI
    September 13, 2013

    The 2012 Health Care Cost and Utilization Report shows that the growth rate of health care spending among privately insured people under age 65 remained low in 2012, growing 4.0 percent, slightly lower than in 2011 (4.1%).   Key Findings ​Spending grew fastest for young adults, women, and people living in the Northeast. Out-of-pocket spending…

    Read more: 2012 Health Care Cost and Utilization Report
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  • 2011 Health Care Cost and Utilization Report

    Tags: Commercially Insured, Drug Spending, HCCUR, Inpatient Spending, Out-of-Pocket, Outpatient Spending, Physician Spending, Prices
    2011 Health Care Cost and Utilization Report
    HCCI
    September 25, 2012

     The Health Care Cost and Utilization Report: 2011 provides the first broad look at 2011 health care spending among those with employer-sponsored insurance (ESI). HCCI found that average dollars spent on health care services for that population climbed 4.6 percent in 2011, reaching $4,547 per person. This was well above the 3.8 percent growth rate…

    Read more: 2011 Health Care Cost and Utilization Report
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