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Prices

  • Effects of COVID-19 on Health Care Spending Were Concentrated in April-May 2020

    Tags: COVID-19, Prices, Spending, Utilization
    Effects of COVID-19 on Health Care Spending Were Concentrated in April-May 2020
    Aditi Sen, John Hargraves, Katie Martin
    June 8, 2022

    The COVID-19 pandemic shaped health care spending and use over the past two years in numerous ways. We recently released our Health Care Cost and Utilization Report which provides data from the first year of the pandemic on health care use, spending, and prices across different types of services for approximately 55 million individuals enrolled…

    Read more: Effects of COVID-19 on Health Care Spending Were Concentrated in April-May 2020
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  • The Price of Childbirth in the U.S. Tops $13,000 in 2020

    Tags: Commercially Insured, Maternal Health, Prices, Spending
    The Price of Childbirth in the U.S. Tops ,000 in 2020
    Zehra Valencia, Debra Bozzi, Aditi Sen, Katie Martin
    May 10, 2022

    As HCCI has previously documented, the price of childbirth in the U.S. is higher than in many other countries. When prices are high, patients with health insurance pay directly through coinsurance (i.e., cost-sharing calculated as a percent of what their insurer pays for the service) and over time, as higher prices charged to insurers are…

    Read more: The Price of Childbirth in the U.S. Tops $13,000 in 2020
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  • Birthing People in the U.S. Pay Nearly $2,000 Out-of-Pocket to Have a Baby

    Tags: Commercially Insured, Maternal Health, Prices, Spending
    Birthing People in the U.S. Pay Nearly style=
    Zehra Valencia, Debra Bozzi, Aditi Sen, Katie Martin
    May 10, 2022

    The birth of a child is momentous for any person and family. New parents may face a range of challenges, including a lack of paid family leave, the rising costs of childcare, and potential health-related complications for the birthing person and new baby. In the midst of this major life transition, parents also face new…

    Read more: Birthing People in the U.S. Pay Nearly $2,000 Out-of-Pocket to Have a Baby
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  • JAMA: Variability in Prices Paid for Hemodialysis by Employer-Sponsored Insurance in the US From 2012 to 2019

    Tags: Commercially Insured, Prices
    JAMA: Variability in Prices Paid for Hemodialysis by Employer-Sponsored Insurance in the US From 2012 to 2019
    Riley League, Paul Eliason, Ryan McDevitt, James Roberts, Heather Wong
    February 28, 2022

    Abstract: Recent proposals have sought to limit the amount dialysis clinics charge private payers, but little is known about the prices that private insurers actually pay for dialysis. In this study, we provide novel evidence on dialysis prices based on claims data for a large national sample of private employer-sponsored insurance carriers.

    Read more: JAMA: Variability in Prices Paid for Hemodialysis by Employer-Sponsored Insurance in the US From 2012 to 2019
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  • CBO: The Prices That Commercial Health Insurers and Medicare Pay for Hospitals’ and Physicians’ Services

    Tags: CBO, Prices
    CBO: The Prices That Commercial Health Insurers and Medicare Pay for Hospitals’ and Physicians’ Services
    Congressional Budget Office
    January 21, 2022

    Abstract: CBO examined potential reasons that the prices paid by commercial health insurers for hospitals’ and physicians’ services are higher, rise more quickly, and vary more by area than the prices paid by the Medicare fee-for-service program.

    Read more: CBO: The Prices That Commercial Health Insurers and Medicare Pay for Hospitals’ and Physicians’ Services
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  • NPR: The Bill For His COVID Test In Texas Was A Whopping $54,000

    Tags: COVID-19, Prices
    NPR: The Bill For His COVID Test In Texas Was A Whopping $54,000
    Aneri Pattani
    September 30, 2021

    HCCI’s President and CEO Niall Brennan was quoted in an NPR report on a shockingly high bill for a COVID-19 test. From the article: ‘ “People are going to charge what they think they can get away with,” says Niall Brennan, president and CEO of the Health Care Cost Institute, a nonprofit that studies health care prices….

    Read more: NPR: The Bill For His COVID Test In Texas Was A Whopping $54,000
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  • 2019 Health Care Cost and Utilization Report

    Tags: #Spending, HCCUR, Prices, Utilization
    2019 Health Care Cost and Utilization Report
    HCCI
    May 21, 2021

    The 2019 Health Care Cost and Utilization Report presents data on health care spending, utilization, and average prices from 2015 through 2019 for individuals under the age of 65 who receive health insurance coverage through an employer. This report examines trends within four categories of service: inpatient admissions, outpatient visits and procedures, professional services, and prescription drugs. All data…

    Read more: 2019 Health Care Cost and Utilization Report
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  • Reader’s Digest: A Blood Test in This State Will Run You 25 Times More Than in Other States

    Tags: Prices
    Reader’s Digest: A Blood Test in This State Will Run You 25 Times More Than in Other States
    Amanda Tarlton
    April 12, 2021

    HCCI’s 2019 Past the Price Index report was featured in Reader’s Digest. From the article:  “‘Generally, Texas had some of the highest blood test median prices in the country, with 5 of the 12 highest prices studied,’ the HCCI authors wrote. For instance, a blood test in Beaumont costs 25 times more than a blood test in…

    Read more: Reader’s Digest: A Blood Test in This State Will Run You 25 Times More Than in Other States
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  • Kaiser Health News: Surprise Federal Drug Rule Directs Insurers to Reveal What They Pay for Prescription Drugs

    Tags: CMS, Drug Spending, Prices
    Kaiser Health News: Surprise Federal Drug Rule Directs Insurers to Reveal What They Pay for Prescription Drugs
    Harris Meyer
    November 19, 2020

    HCCI’s President and CEO Niall Brennan was quoted in a Kaiser Health News article on the CMS Transparency in Coverage Final Rule.  From the article:  ” ‘If the information is presented to consumers so they realize they are paying a higher price without the benefit of the rebates, you’ll get a lot of angry consumers,’ said Niall Brennan, CEO…

    Read more: Kaiser Health News: Surprise Federal Drug Rule Directs Insurers to Reveal What They Pay for Prescription Drugs
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  • Past the Healthy Marketplace Index, Volume II: Exploring Changes in Actual Prices Paid for Specific Services by Metro Area from 2013 to 2017

    Tags: Healthy Marketplace Index, Prices
    Past the Healthy Marketplace Index, Volume II:  
Exploring Changes in Actual Prices Paid for Specific Services by Metro Area from 2013 to 2017
    Kevin Kennedy, Elianna Clayton, Bill Johnson and Katie Martin
    November 12, 2020

    In the first brief of the Past the Healthy Marketplace Index series, we explored how prices compared across the country and found that, in 2017, health care prices for specific services varied by as much as 22-fold across metro areas and even up 40-fold within them. In this next brief, we looked at variation in…

    Read more: Past the Healthy Marketplace Index, Volume II: Exploring Changes in Actual Prices Paid for Specific Services by Metro Area from 2013 to 2017
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