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Publications

  • 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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  • As COVID-19 Hit, Birthing People Spent Less Time in the Hospital for Delivery

    Tags: Commercially Insured, COVID-19, Maternal Health
    As COVID-19 Hit, Birthing People Spent Less Time in the Hospital for Delivery
    Zehra Valencia, Debra Bozzi, Aditi Sen, Katie Martin
    May 10, 2022

    The COVID-19 pandemic has impacted Americans in a myriad of ways, including their use of the health care system for both COVID- and non-COVID related services. In this brief, we explore the ways in which the first year of the pandemic affected people for one of the most common hospital services – childbirth. In 2020,…

    Read more: As COVID-19 Hit, Birthing People Spent Less Time in the Hospital for Delivery
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  • COVID Tests Cost $0 for Most People in 2020

    Tags: Commercially Insured, COVID-19, Spending, Utilization
    COVID Tests Cost <img width= for Most People in 2020″ style=”border-radius:5px;width:100%;height:100%;object-fit:cover;” decoding=”async” />
    Debra Bozzi, Jessica Chang, Aditi Sen
    April 28, 2022

    COVID-19 testing has become a regular part of life for many Americans over the last two years. In addition to facilitating individual returns to work, school, and other activities, testing is a crucial component of the public health strategy to monitor and address the spread of the virus. Even as testing becomes more available, there…

    Read more: COVID Tests Cost $0 for Most People in 2020
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  • Love is Expensive; So is a Trip to the Emergency Room

    Tags: Emergency Room
    Love is Expensive; So is a Trip to the Emergency Room
    HCCI Staff
    February 14, 2022

    We further explored state variation in the difference between per person ER spending and per person Valentine’s Day spending. We find that if you live in Texas, Colorado, Alaska, or Nevada, you might end up paying over $200 more for an ER visit than a Valentine’s Day gift. If you live in California, Hawaii, or…

    Read more: Love is Expensive; So is a Trip to the Emergency Room
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  • Assessing the Long-Term Viability of Data Platforms for Research

    Assessing the Long-Term Viability of Data Platforms for Research
    Niall Brennan, Angela Pupino, Katie Martin, Daniel Kurowski, Sally Rodriguez
    December 17, 2021

    Health care in the United States is notoriously fragmented. A patient may receive care from a variety of health systems, physicians, and other providers, and that care may or may not be recorded in a patchwork of administrative claims data systems and electronic health record (EHR) systems. At the same time, health data has become…

    Read more: Assessing the Long-Term Viability of Data Platforms for Research
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  • Ouch!: New Data reveals ER spending increased by 51% from 2012 – 2019, with patient out of pocket payments increasing by 85%

    Tags: Emergency Room
    Ouch!: New Data reveals ER spending increased by 51% from 2012 – 2019, with patient out of pocket payments increasing by 85%
    John Hargraves, Angela Pupino, Aditi Sen, Kevin Kennedy
    November 19, 2021

    Introduction Excessive emergency room (ER) spending and utilization have long been major areas of focus for health care stakeholders. The ER is an important source of health care for many individuals, especially those who lack a usual source of care, or those with work schedules that limit the ability to access care during “normal business…

    Read more: Ouch!: New Data reveals ER spending increased by 51% from 2012 – 2019, with patient out of pocket payments increasing by 85%
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  • Capping Out-of-Pocket Spending on Insulin would Lower Costs for a Substantial Proportion of Commercially Insured Individuals

    Tags: Insulin, Out-of-Pocket
    Capping Out-of-Pocket Spending on Insulin would Lower Costs for a Substantial Proportion of Commercially Insured Individuals
    Aditi Sen and Bianca Silva Gordon
    October 15, 2021

    Previous HCCI analysis documented rapid growth in insulin spending over the 2012-17 period. High out-of-pocket spending may deter adherence to insulin among individuals with diabetes, with potentially fatal effects. In this blog, we update our analysis of out-of-pocket insulin spending to 2019 using HCCI’s unique commercial claims dataset, which includes prescription drug claims for 29 million…

    Read more: Capping Out-of-Pocket Spending on Insulin would Lower Costs for a Substantial Proportion of Commercially Insured Individuals
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  • Real World Consequences of the Qualifying Payment Amount in the No Surprises Act

    Tags: Surprise Billing
    Real World Consequences of the Qualifying Payment Amount in the No Surprises Act
    Katie Martin, Angela Pupino, John Hargraves, Kevin Kennedy, Elianna Clayton
    June 11, 2021

    The United States Congress passed the No Surprises Act last year, offering several protections to consumers. Beginning in 2022, providers can no longer bill patients for more than their insurance’s in-network cost sharing. The law also bans balance billing except in situations where a patient is notified in advance and their written consent is obtained….

    Read more: Real World Consequences of the Qualifying Payment Amount in the No Surprises Act
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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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  • The Impact of COVID-19 on the Use of Preventive Health Care

    Tags: COVID-19
    The Impact of COVID-19 on the Use of Preventive Health Care
    Katie Martin, Daniel Kurowski, Phillip Given, Kevin Kennedy, Elianna Clayton
    April 16, 2021

    Updated 4/16/2021 to include data through 12/30/2020. Since the original post on 9/9/2020, the data have been adjusted to account for claims submission lags. For more information, see Methods Note below. COVID-19 has had an extraordinary impact on the US health care system since its emergence in early 2020. One of the largest and most immediate impacts has…

    Read more: The Impact of COVID-19 on the Use of Preventive Health Care
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