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  • Under Pressure – Adults with Hypertension are Spending Increasingly More on Health Care

    Tags: Chronic Conditions, Drug Spending, Hypertension, Outpatient Spending, Physician Spending
    Under Pressure – Adults with Hypertension are Spending Increasingly More on Health Care
    William Johnson, Dan Fulop, Sally Rodriguez
    March 14, 2018

    This 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.  

    Read more: Under Pressure – Adults with Hypertension are Spending Increasingly More on Health Care
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  • How common is your health care spending?

    Tags: Top Spenders
    How common is your health care spending?
    William Johnson; John Hargraves
    February 21, 2018

    It is well documented that Americans spend a lot on health care, but this issue is often discussed in terms of share of GDP, billions of dollars, or an astoundingly high hospital bill. These numbers can be hard to relate to; it’s hard to imagine billions of dollars, let alone a share of the national…

    Read more: How common is your health care spending?
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  • Health Affairs: Health Spending Growth Is Accelerating; Prices Are In The Driver’s Seat

    Tags: Commercially Insured, HCCUR, Health Affairs, Prices, Utilization
    Health Affairs: Health Spending Growth Is Accelerating; Prices Are In The Driver’s Seat
    Niall Brennan, John Hargraves, Amanda Frost, Sally Rodriguez
    February 9, 2018

     HEALTH AFFAIRS BLOG: “Perhaps nothing illustrates the intractability of America’s struggle with health spending more than the recent announcement by Amazon, JP Morgan, and Berkshire Hathaway that they were founding a new entity to address health care costs for their employees. Despite lacking any concrete details this announcement managed to wipe billions of dollars in…

    Read more: Health Affairs: Health Spending Growth Is Accelerating; Prices Are In The Driver’s Seat
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  • New England Journal of Medicine: Consistently High Turnover in the Group of Top Health Care Spenders

    Tags: Commercially Insured, NEJM, Peer Reviewed Journals, Top Spenders
    New England Journal of Medicine: Consistently High Turnover in the Group of Top Health Care Spenders
    William Johnson, Niall Brennan, Sally Rodriguez, John Hargraves
    February 1, 2018

     NEJM CATALYST: “The concentration of most U.S. health care spending in a small proportion of individuals is well documented. The notion that high health care spending only affects a small portion of people in a given year is particularly relevant to the ongoing policy debate about how to make health insurance affordable for all, while…

    Read more: New England Journal of Medicine: Consistently High Turnover in the Group of Top Health Care Spenders
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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
    Top Spenders Among the Commercially Insured Increased Spending Concentration and Consistent Turnover from 2013 to 2015
    William Johnson, Sally Rodriguez
    February 1, 2018

     This 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…

    Read more: Top Spenders Among the Commercially Insured Increased Spending Concentration and Consistent Turnover from 2013 to 2015
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  • Workers in low income counties more likely to be long-term opioid users

    Tags: Geographic Variation, Opioids, Utilization
    Workers in low income counties more likely to be long-term opioid users
    Chao Zhou, Kevin Kennedy, John Hargraves
    December 20, 2017

    Past literature has found links between higher opioid use and local economic conditions for people enrolled in public health programs, but there has been little discussion of whether this relationship occurs among the privately insured. Using HCCI claims data and county level income data from the US Census Bureau, we examined how a county’s median…

    Read more: Workers in low income counties more likely to be long-term opioid users
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  • Health Affairs: Understanding Health Spending – Lessons From The Healthy Marketplace Index

    Tags: Geographic Variation, Health Affairs, Healthy Marketplace Index, Market Concentration
    Health Affairs: Understanding Health Spending – Lessons From The Healthy Marketplace Index
    Eric Barrette, Niall Brennan, Katherine Hempstead, Kevin Kennedy
    December 7, 2017

    HEALTH AFFAIRS BLOG: “As policymakers consider actions to address challenges with the Affordable Care Act and ongoing growth in health spending, the importance of understanding local health care market dynamics is more important than ever. Traditionally, policy makers and other stakeholders have evaluated commercial health care markets’ total spending and often attributed high spending to…

    Read more: Health Affairs: Understanding Health Spending – Lessons From The Healthy Marketplace Index
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  • ER spending increased 85%, driven by price increases for the most severe cases (2009-2015)

    Tags: Commercially Insured, Emergency Room, Prices, Transparency
    ER spending increased 85%, driven by price increases for the most severe cases (2009-2015)
    John Hargraves; Kevin Kennedy
    December 4, 2017

    Medical bills from the Emergency Room (ER) are a mystery to many patients in the US health system. From incredibly high, varying charges to surprise bills resulting from in/out of network confusion, many Americans have no idea what to expect when it comes to the cost of this necessary service. Recently, Vox reporter, Sarah Kliff,…

    Read more: ER spending increased 85%, driven by price increases for the most severe cases (2009-2015)
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  • Price of insulin prescription doubled between 2012 and 2016

    Tags: Diabetes, Drug Spending, Geographic Variation, Insulin, Prices
    Price of insulin prescription doubled between 2012 and 2016
    John Hargraves and Amanda Frost
    November 29, 2017

    In honor of National Diabetes Month, our inaugural blog post focuses on a topic of particular interest to people with diabetes: the price of insulin. Insulin is the hormone responsible for the body’s ability to use sugar and prevent dangerously high and potentially deadly levels of blood sugar. Diabetics are unable to make enough insulin…

    Read more: Price of insulin prescription doubled between 2012 and 2016
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  • New England Journal of Medicine: The Value of Health Insurance through Price Discounts

    Tags: Charges, Commercially Insured, Inpatient Spending, NEJM, Peer Reviewed Journals
    New England Journal of Medicine: The Value of Health Insurance through Price Discounts
    Eric Barrette, Niall Brennan
    November 20, 2017

     NEJM CATALYST: “As context for the ongoing health care reform debate, we analyzed Health Care Cost Institute (HCCI) data. HCCI is a nonpartisan, nonprofit organization aimed at providing complete and accurate information about health care utilization and costs in the United States. Our goal was to demonstrate the value of insurance through these discounted rates….

    Read more: New England Journal of Medicine: The Value of Health Insurance through Price Discounts
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