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Publications

  • Per Capita Health Care Spending on Diabetes: 2009-2013

    Tags: Children, Diabetes, Insulin, Out-of-Pocket
    Per Capita Health Care Spending on Diabetes: 2009-2013
    Patrick Shakiba, Amanda Frost
    May 7, 2015

    This issue brief examines health care spending for adults and children with diabetes relative to those without diabetes, both in terms of total per capita health care spending and out-of-pocket costs from 2009-2013.  Key Findings:  ​ In 2013, $14,999 was spent per capita on health care for people with diabetes. Per capita health care spending for…

    Read more: Per Capita Health Care Spending on Diabetes: 2009-2013
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  • Shopping for Health Care Makes “Cents” for Consumers

    Tags: Geographic Variation, Out-of-Pocket, Shoppable Services
    Shopping for Health Care Makes “Cents” for Consumers
    Eric Barrette
    February 1, 2015

    This data brief looks at per capita out-of-pocket spending rates nationally and statewide and examines average differences in consumer prices for a set of five common medical procedures: office visit for the evaluation of a new patient, colonoscopy, cataract removal, lower leg MRI; and ultrasound for pregnancy nationally and in nine states: Arizona, Colorado, Florida,…

    Read more: Shopping for Health Care Makes “Cents” for Consumers
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  • American Journal of Managed Care: Overcoming barriers to a research-ready national commercial claims database

    Tags: American Journal of Managed Care, Peer Reviewed Journals, Transparency
    American Journal of Managed Care: Overcoming barriers to a research-ready national commercial claims database
    David Newman, Carolina-Nicole Herrera, Stephen Parente
    November 20, 2014

    ABSTRACT Objectives: Billions of dollars have been spent on the goal of making healthcare data available to clinicians and researchers in the hopes of improving healthcare and lowering costs. However, the problems of data governance, distribution, and accessibility remain challenges for the healthcare system to overcome. Study Design: In this study, we discuss some of the…

    Read more: American Journal of Managed Care: Overcoming barriers to a research-ready national commercial claims database
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  • Out-of-Pocket Spending Trends 2013

    Tags: Commercially Insured, Out-of-Pocket
    Out-of-Pocket Spending Trends 2013
    HCCI
    October 1, 2014

    This issue brief accompanies the 2013 Spending Cost & Utilization Report and examines trends in out-of-pocket expenditures per capita for the national, younger than age 65 population covered by employer-sponsored insurance for the period of 2011 through 2013. 

    Read more: Out-of-Pocket Spending Trends 2013
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  • Selected Health Care Trends for Young Adults: 2007-2012

    Tags: Affordable Care Act, Emergency Room, Inpatient Spending, Mental Health and Substance Use, Outpatient Spending
    Selected Health Care Trends for Young Adults: 2007-2012
    Amanda Frost, Carolina-Nicole Herrera, Paul S Hewitt
    September 1, 2014

    This issue brief is one of the first to examine health care trends for young adults (ages 19-25) with employer-sponsored insurance before and after implementation of Section 1001 of the Affordable Care Act that allows parents to include their adult children in family health plans. 

    Read more: Selected Health Care Trends for Young Adults: 2007-2012
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  • Children’s Health Spending: 2009-2012

    Tags: Antidepressants, Children, Mental Health and Substance Use, Out-of-Pocket
    Children’s Health Spending: 2009-2012
    HCCI
    February 27, 2014

    The Children’s Health Care Spending: 2009-2012 report shows that spending on health care for privately insured children increased between 2009 and 2012, rising an average 5.5 percent a year, with more dollars spent on boys than girls, and higher spending on infants and toddlers (ages 0-3) than any other children’s age group.   Key Findings…

    Read more: Children’s Health Spending: 2009-2012
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  • Key Findings from Children’s Health Spending 2009-2012 Report

    Tags: Children, Commercially Insured, Drug Spending, Prices
    Key Findings from Children’s Health Spending 2009-2012 Report
    Amanda Frost, Scott Hiers, Carolina-Nicole Herrera
    February 1, 2014

    This issue brief summarizes the main findings of the Health Care Cost Institute’s (HCCI’s) Children’s Health Spending: 2009-2012. 

    Read more: Key Findings from Children’s Health Spending 2009-2012 Report
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  • The Prevalence of Diagnosed Diabetes, Pre-Diabetes, and Gestational Diabetes among the ESI Population, 2008-2012

    Tags: Commercially Insured, Diabetes, Geographic Variation, Insulin
    The Prevalence of Diagnosed Diabetes, Pre-Diabetes, and Gestational Diabetes among the ESI Population, 2008-2012
    Amanda Frost, Scott Hiers, Carolina-Nicole Herrera
    December 1, 2013

    Read more: The Prevalence of Diagnosed Diabetes, Pre-Diabetes, and Gestational Diabetes among the ESI Population, 2008-2012
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  • Health Affairs: Trends Underlying Employer-Sponsored Health Insurance Growth For Americans Younger Than Age Sixty-Five

    Tags: Commercially Insured, Health Affairs, Out-of-Pocket, Peer Reviewed Journals, Prices
    Health Affairs: Trends Underlying Employer-Sponsored Health Insurance Growth For Americans Younger Than Age Sixty-Five
    Carolina-Nicole Herrera, Martin Gaynor, David Newman, Robert Town, Stephen Parente
    October 1, 2013

    ABSTRACT Little is known about the trends in health care spending for the 156 million Americans who are younger than age sixty-five and enrolled in employer-sponsored health insurance. Using a new source of health insurance claims data, we estimated per capita spending, utilization, and prices for this population between 2007 and 2011. During this period…

    Read more: Health Affairs: Trends Underlying Employer-Sponsored Health Insurance Growth For Americans Younger Than Age Sixty-Five
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  • The Impact of the Mental Health Parity and Addiction Equity Act on Inpatient Admissions

    Tags: Inpatient Spending, Mental Health and Substance Use, Utilization
    The Impact of the Mental Health Parity and Addiction Equity Act on Inpatient Admissions
    John Hargraves, Carolina-Nicole Herrera, Gregory Stanton
    February 1, 2013

     The 2008 Mental Health Parity and Addiction Equity Act (MHPAEA) sought to improve access to mental health and substance use services. The Health Care Cost Institute, Inc. (HCCI) analyzed mental health, substance use, and medical/surgical inpatient per capita spending, utilization, prices, and out-of-pocket payments for individuals younger than age 65 and covered by employer-sponsored health…

    Read more: The Impact of the Mental Health Parity and Addiction Equity Act on Inpatient Admissions
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