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Publications

  • 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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  • Health Affairs: Medicare Competitive Bidding Program Realized Price Savings For Durable Medical Equipment Purchases

    Tags: Commercially Insured, Durable Medical Equipment, Health Affairs, Medicare, Prices
    Health Affairs: Medicare Competitive Bidding Program Realized Price Savings For Durable Medical Equipment Purchases
    David Newman, Eric Barrette, Katharine McGraves-Lloyd
    August 1, 2017

    ABSTRACT: From the inception of the Medicare program there have been questions regarding whether and how to pay for durable medical equipment, prosthetics, orthotics, and supplies. In 2011 the Centers for Medicare and Medicaid Services (CMS) implemented a competitive bidding program to reduce spending on durable medical equipment and similar items. Previously, CMS had used…

    Read more: Health Affairs: Medicare Competitive Bidding Program Realized Price Savings For Durable Medical Equipment Purchases
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  • Trends in Total and Out-of-Pocket Spending in Metro Areas: 2012-2015

    Tags: Consumer-Directed Health Plans, Geographic Variation, Out-of-Pocket
    Trends in Total and Out-of-Pocket Spending in Metro Areas: 2012-2015
    Amanda Frost
    August 1, 2017

    This data brief examines geographic variation in health care per capita spending, with a focus on consumer per capita out-of-pocket spending across geographies (2012-2015). It also explores whether the proportion of people enrolled in consumer-directed health plans (CDHPs) and the proportion not utilizing health care services had any influence on out-of-pocket spending.​

    Read more: Trends in Total and Out-of-Pocket Spending in Metro Areas: 2012-2015
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  • Non-Shoppable Health Care Services: Inpatient Hospitalizations

    Tags: Ambulance, Commercially Insured, Emergency Room, Inpatient Spending, Medicare Advantage
    Non-Shoppable Health Care Services: Inpatient Hospitalizations
    Eric Barrette
    February 28, 2017

    This data brief reports on spending and utilization in populations likely unable to shop for a hospital prior to seeking care, comparing spending and length-of-stay for individuals who were admitted through the emergency department (ED) to that of individuals who needed ambulance services the day of their admission through the ED. 

    Read more: Non-Shoppable Health Care Services: Inpatient Hospitalizations
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  • JAMA Internal Medicine: A Perspective on Out-of-Pocket Spending

    Tags: Commercially Insured, Inpatient Spending, JAMA, Out-of-Pocket, Peer Reviewed Journals
    JAMA Internal Medicine: A Perspective on Out-of-Pocket Spending
    Amanda Frost, Eric Barrette
    January 1, 2017

    To the Editor Understanding out-of-pocket spending is critical to understanding health care costs in the United States. We applaud the efforts of Adrion et al as an important contribution to understanding the out-of-pocket spending of the commercially insured population younger than 65 years. The commercially insured comprise over 50% of the nonelderly US population and, as…

    Read more: JAMA Internal Medicine: A Perspective on Out-of-Pocket Spending
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  • Medicare Advantage Health Care Utilization – Observation Stays

    Tags: Inpatient Spending, Medicare Advantage, Observation Stays, Utilization, Value Based Care
    Medicare Advantage Health Care Utilization – Observation Stays
    Eric Barrette, Katharine McGraves-Llyod
    December 1, 2016

    This data brief reports on outpatient observations stays in the Medicare Advantage population from 2010 through 2014. The results show that the rate of observations stays increased in total as well as following hospitalizations. 

    Read more: Medicare Advantage Health Care Utilization – Observation Stays
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  • Medicare Advantage Health Care Utilization – Hospital Readmissions

    Tags: Chronic Conditions, Inpatient Spending, Medicare Advantage, Readmissions
    Medicare Advantage Health Care Utilization – Hospital Readmissions
    Eric Barrette, Katharine McGraves-Lloyd
    November 1, 2016

     This data brief, reports on five readmission rate measures for the Medicare Advantage (MA) population: 30-day all-cause hospital-wide readmissions and 30-day all-cause readmissions following acute myocardial infarction (AMI), heart failure, chronic obstructive pulmonary disease (COPD), and pneumonia. The results show that MA readmission rates have been declining over the past five years.

    Read more: Medicare Advantage Health Care Utilization – Hospital Readmissions
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