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Publications

  • On Average, ESI Pays Nearly 3 times Medicare for Hospital Outpatient Services

    On Average, ESI Pays Nearly 3 times Medicare for Hospital Outpatient Services
    HCCI Staff
    December 14, 2023

    Health care spending continues to grow, and prices are the primary driver. Without addressing high and growing prices, efforts to make care more affordable will not be successful. One way to understand what is going on with prices in employer-sponsored insurance (ESI) is to compare negotiated rates paid in that market to Medicare payments for the same…

    Read more: On Average, ESI Pays Nearly 3 times Medicare for Hospital Outpatient Services
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  • Antidepressant Medication Use Increased Post-Pandemic, but Large Disparities Exist across Nearly Every Demographic Measure

    Tags: Antidepressants, Utilization
    Antidepressant Medication Use Increased Post-Pandemic, but Large Disparities Exist across Nearly Every Demographic Measure
    Bianca Silva Gordon, Aditi Sen, Daniel Kurowski
    November 13, 2023

    The World Health Organization reported that, following the COVID-19 pandemic, there was a 25% increase in the prevalence of anxiety and depression worldwide. Mental health crises following months and years of social isolation and other effects of the pandemic have renewed national interest in mental health care access. Understanding how mental health services, including medications…

    Read more: Antidepressant Medication Use Increased Post-Pandemic, but Large Disparities Exist across Nearly Every Demographic Measure
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  • Telehealth use increased dramatically from 2019-2021, but varied by state, age, and area-level social determinants of health

    Telehealth use increased dramatically from 2019-2021, but varied by state, age, and area-level social determinants of health
    HCCI Staff
    October 30, 2023

    Building on existing work on telehealth use early in the COVID-19 pandemic among people who get health insurance through work, HCCI examined the use of telehealth services by year through 2021. We examined patterns of telehealth use by modality (synchronous or asynchronous) and state, as well as select measures of area (zip or county)-level social…

    Read more: Telehealth use increased dramatically from 2019-2021, but varied by state, age, and area-level social determinants of health
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  • Emergency Room Spending, Price, and Use Trends 2012-2021

    Emergency Room Spending, Price, and Use Trends 2012-2021
    John Hargraves
    October 26, 2023

    The emergency room (ER) is a critical and life-saving source of care for many Americans, but the resulting medical bills that patients receive can be a source of confusion and extreme financial burden. From incredibly high, varying prices to surprise bills resulting from in/out of network confusion, many Americans have no idea what to expect when it…

    Read more: Emergency Room Spending, Price, and Use Trends 2012-2021
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  • Ambulance Trends over 10 Years (2012-2021)

    Ambulance Trends over 10 Years (2012-2021)
    John Hargraves & Linsay Sarfo
    October 12, 2023

    Ambulance services play an essential, life-saving role in the health care system but can also be a source of surprise bills to patients and unexpected high out-of-pocket costs. This HCCI data brief and downloadable data explores the 10-year trends in ambulance prices, utilization, spending, and the frequency of out-of-network billing for the commercially insured – people…

    Read more: Ambulance Trends over 10 Years (2012-2021)
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  • Long COVID Affects People with Higher Medical Needs and is Associated with Higher Per Person Health Spending

    Long COVID Affects People with Higher Medical Needs and is Associated with Higher Per Person Health Spending
    Jessica Chang, Katie Martin, Tanya Natwick, and Aditi Sen
    September 28, 2023

    Important research is underway to understand the impacts of Long COVID. Studies about the clinical pathways, patient-specific needs, and treatment for Long COVID are highlighting necessary medical care and intervention. To inform public and private decisionmakers’ efforts to support and treat patients, this study uses HCCI’s unique health care claims dataset to identify the effects of…

    Read more: Long COVID Affects People with Higher Medical Needs and is Associated with Higher Per Person Health Spending
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  • Rates of Gynecological Care Services Suggest Underdiagnosis of Uterine Fibroids and Endometriosis

    Tags: ESI
    Rates of Gynecological Care Services Suggest Underdiagnosis of Uterine Fibroids and Endometriosis
    Linsay Sarfo, Tanya Natwick, and Daniel Kurowski
    September 21, 2023

    Uterine fibroids can affect up to 80% of women by age 50. Endometriosis affects 1 in 10 women of reproductive age. Together, they are two of the leading conditions among reproductive-aged women causing infertility, chronic pelvic pain, fatigue, nausea, and heavy menstruation. Symptoms of uterine fibroids and endometriosis are also associated with abdominal pelvic pain, heavy…

    Read more: Rates of Gynecological Care Services Suggest Underdiagnosis of Uterine Fibroids and Endometriosis
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  • HCCI Data Brief: Sexual and Reproductive Health Among People with Employer-Sponsored Insurance, 2021 Data Update

    HCCI Data Brief: Sexual and Reproductive Health Among People with Employer-Sponsored Insurance, 2021 Data Update
    Tanya Natwick, Aditi Sen, and Katie Martin
    September 12, 2023

    Reproductive and sexual health services play an important role in daily life and wellbeing for many people. These services include preventive services (such as screenings for sexually transmitted infections and reproductive cancers), contraceptive services, and services relating to pregnancy and childbirth. The objective of this report is to provide national and state data on the…

    Read more: HCCI Data Brief: Sexual and Reproductive Health Among People with Employer-Sponsored Insurance, 2021 Data Update
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  • More Children Visit the Emergency Room for Asthma during School Months Compared to Summer Months

    Tags: Asthma, Children, ESI, Medicaid, Utilization
    More Children Visit the Emergency Room for Asthma during School Months Compared to Summer Months
    Bianca Silva Gordon, Daniel Kurowski, Aditi Sen, and Debra Bozzi
    September 5, 2023

    Asthma is the most common chronic condition among children in the U.S. and one of the leading reasons for pediatric emergency room (ER) visits. Schools play an important role in managing asthma among children since kids spend most of their time in school and school buildings may have environmental factors such as poor air quality…

    Read more: More Children Visit the Emergency Room for Asthma during School Months Compared to Summer Months
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  • Trends in Asynchronous Health Communication

    Tags: ESI, Telehealth
    Trends in Asynchronous Health Communication
    John Hargraves and Linsay Sarfo
    August 4, 2023

    The COVID-19 pandemic led to an increase in the use of telehealth services and online asynchronous health communication, commonly referred to as emails. These tools allow patients to ask their physicians and other clinicians questions regarding medication changes, symptoms, and to check in regarding management of chronic conditions. In March 2020, CMS expanded Medicare telehealth…

    Read more: Trends in Asynchronous Health Communication
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