Physician Spending
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Health Affairs: Hospital Prices Grew Substantially Faster Than Physician Prices For Hospital-Based Care In 2007–14
Read more: Health Affairs: Hospital Prices Grew Substantially Faster Than Physician Prices For Hospital-Based Care In 2007–14Abstract: Evidence suggests that growth in providers’ prices drives growth in health care spending on the privately insured. However, existing work has not systematically differentiated between the growth rate of hospital prices and that of physician prices. We analyzed growth in both types of prices for inpatient and hospital-based outpatient services using actual negotiated prices…
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Trends In Primary Care Visits
Read more: Trends In Primary Care VisitsOffice visits to primary care physicians (PCPs) declined 18 percent from 2012 to 2016 for adults under 65 years old with employer-sponsored health insurance, while office visits to nurse practitioners (NPs) and physician assistants (PAs) increased 129 percent. Comparing 2012 to 2016, there were 273 fewer office visits per 1,000 insured individuals to primary care…
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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
Read more: Health Affairs: Health Care Spending Under Employer-Sponsored Insurance: A 10-Year RetrospectiveABSTRACT 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…
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Wall Street Journal: Behind Your Rising Health-Care Bills: Secret Hospital Deals that Squelch Competition
Read more: Wall Street Journal: Behind Your Rising Health-Care Bills: Secret Hospital Deals that Squelch CompetitionHCCI 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.
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Medical Care Research and Review: Prices for Physicians’ Services in Medicare Advantage and Commercial Plans
Tags: Commercially Insured, Medicare Advantage, Out-of-Network, Peer Reviewed Journals, Physician Spending, PricesRead more: Medical Care Research and Review: Prices for Physicians’ Services in Medicare Advantage and Commercial PlansABSTRACT: The prices that insurers pay physicians ultimately affect beneficiaries’ health insurance premiums. Using 2014 claims data from three major insurers, we analyzed the prices insurers paid in their Medicare Advantage (MA) and commercial plans for 20 physician services, in and out of network, and compared those prices with estimated amounts that Medicare’s fee-for-service (FFS) program…
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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
Read more: 2016 Health Care Cost and Utilization ReportThe 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…
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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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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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Becker’s Hospital Review: 20 key takeaways on medical service prices – inpatient, outpatient, and physician services
Read more: Becker’s Hospital Review: 20 key takeaways on medical service prices – inpatient, outpatient, and physician servicesBy: 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…
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2015 Health Care Cost and Utilization Report
Tags: Commercially Insured, Drug Spending, HCCUR, Inpatient Spending, Outpatient Spending, Physician Spending, Utilization
Read more: 2015 Health Care Cost and Utilization ReportThe 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….