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Publications

  • Women Diagnosed with Obesity Receive Treatment at Twice the Rate of Men

    Women Diagnosed with Obesity Receive Treatment at Twice the Rate of Men
    Kelsey Burke
    March 11, 2025

    Prior HCCI research has shown that women are more likely to use health care services than men. Among people who receive health insurance through their employer, we find that women are, on average, 1.4 times more likely to receive any health care services than men, and this trend has remained consistent over time. As shown…

    Read more: Women Diagnosed with Obesity Receive Treatment at Twice the Rate of Men
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  • Mental Health Service Use Among People with Employer-Sponsored Insurance

    Tags: Mental Health and Substance Use, Utilization
    Mental Health Service Use Among People with Employer-Sponsored Insurance
    Bianca Silva Gordon, Jessica Chang, Katie Martin, Yuvraj Pathak, and Marissa Myers
    February 3, 2025

    The Health Care Cost Institute (HCCI), in collaboration with West Health, conducted an analysis on the use of office-based mental health services among people with employer-sponsored insurance (ESI). We found that use of mental health services has increased from 2018-2022, and that therapy was the most commonly used service. We found an increase in spending…

    Read more: Mental Health Service Use Among People with Employer-Sponsored Insurance
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  • Telehealth Access is Crucial to Mental Health Care for People with Employer-Sponsored Insurance

    Tags: Mental Health and Substance Use, Telehealth
    Telehealth Access is Crucial to Mental Health Care for People with Employer-Sponsored Insurance
    Bianca Silva, Jessica Chang, Katie Martin, Yuvraj Pathak, and Marissa Myers
    February 3, 2025

    The Health Care Cost Institute (HCCI), in collaboration with West Health, conducted an analysis on the use of telehealth mental health services among people with employer-sponsored insurance (ESI). We found that telehealth played an outsized role in the delivery of mental health services starting in 2020, with over 40% of mental health visits occurring via telehealth from…

    Read more: Telehealth Access is Crucial to Mental Health Care for People with Employer-Sponsored Insurance
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  • International Comparisons of Health Care Prices from the 2024 iFHP Study

    Tags: Drug Spending, HCCUR, Inpatient Spending, Out-of-Pocket, Outpatient Spending, Physician Spending, Prices, Utilization
    International Comparisons of Health Care Prices from the 2024 iFHP Study
    John Hargraves
    January 14, 2025

    The International Federation of Health Plans (iFHP) has published its 2024 International Healthcare Cost Comparison Report, marking its latest biennial analysis of global healthcare costs. Compiled in collaboration with the Health Care Cost Institute (HCCI), the report compares costs for inpatient and outpatient treatments, as well as prescription drugs, across nine countries using data from…

    Read more: International Comparisons of Health Care Prices from the 2024 iFHP Study
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  • Assessment of “No Value Care” among People with Employer-Sponsored Insurance and Traditional Medicare

    Assessment of “No Value Care” among People with Employer-Sponsored Insurance and Traditional Medicare
    HCCI Staff
    December 20, 2024

    Policymakers and clinician consortia have identified low value care, defined as health care services that provide negligible clinical benefit to the patient when provided, as one way to curb excessive and inefficient medical spending. A previous HCCI report found that 18% of people with employer-sponsored insurance in 2019 received at least one low-value service, which…

    Read more: Assessment of “No Value Care” among People with Employer-Sponsored Insurance and Traditional Medicare
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  • HCCImpact 2024

    HCCImpact 2024
    HCCI Staff
    December 19, 2024

    High and rising health care costs affect individuals, families, and businesses across the country, and they have for decades. Cost forces difficult choices between health care and other needs. The Health Care Cost Institute’s mission of using data and analytics to improve the US health care system recognizes that people are at the heart of health…

    Read more: HCCImpact 2024
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  • Commercial Prices for Ground Ambulance are Double Medicare Rates

    Commercial Prices for Ground Ambulance are Double Medicare Rates
    John Hargraves, Kelsey Burke, Jessica Chang, Katie Martin
    December 16, 2024

    Ambulances contribute to urgent lifesaving and life-enhancing medical care, but the unplanned nature of this essential service can lead to high unexpected costs to patients. This HCCI data brief focuses on ground ambulances, which make up 98% of all ambulance trips, and builds upon earlier work that explored 10-year trends in ambulance prices, utilization, spending,…

    Read more: Commercial Prices for Ground Ambulance are Double Medicare Rates
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  • Commercial inpatient hospital price growth driven by system affiliation and nonprofit-status hospitals

    Tags: Health Affairs
    Commercial inpatient hospital price growth driven by system affiliation and nonprofit-status hospitals
    HCCI Staff
    December 3, 2024

    Recent data from the Health Care Cost Institute (HCCI) show that growth in hospitals’ commercial inpatient prices was higher in system-affiliated and non-profit hospitals from 2012-2021.  Key Findings: In the backdrop of a wave of hospital mergers, system-affiliated non-profit hospitals account for more than half of short-term general acute care hospitals in the US (from…

    Read more: Commercial inpatient hospital price growth driven by system affiliation and nonprofit-status hospitals
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  • Five years since US first biosimilar market entry, first signs of savings attributed to biosimilars in the employer-sponsored insurance population

    Five years since US first biosimilar market entry, first signs of savings attributed to biosimilars in the employer-sponsored insurance population
    Jessica Chang
    November 4, 2024

    Biologic drugs treat a range of diseases such as cancer, diabetes, retinal diseases, Crohn’s disease and many other conditions. Despite accounting for use by just 2% of Americans, spending on biologics is a major driver of drug spending in the United States. Biologics often come with a hefty price tag; for example, the most commonly…

    Read more: Five years since US first biosimilar market entry, first signs of savings attributed to biosimilars in the employer-sponsored insurance population
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  • Price Markups for Clinical Labs: Employer-based Insurance Pays Hospital Outpatient Departments 3x Than Physician Offices and Independent Labs for Identical Tests

    Price Markups for Clinical Labs: Employer-based Insurance Pays Hospital Outpatient Departments 3x Than Physician Offices and Independent Labs for Identical Tests
    Jessica Chang, Katie Martin, Yuvraj Pathak, and Marissa Myers
    October 31, 2024

    The Health Care Cost Institute (HCCI) in collaboration with West Health conducted an analysis of the high prices that employer-based insurance pays hospital outpatient departments for clinical lab tests. We found that insurers are paying, on average, 3 times more for common lab tests such as blood and urine test when billed by hospital outpatient…

    Read more: Price Markups for Clinical Labs: Employer-based Insurance Pays Hospital Outpatient Departments 3x Than Physician Offices and Independent Labs for Identical Tests
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