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Charges

  • Charge Amounts for Professional Procedures to Commercial Insurance and Traditional Medicare

    Tags: Charges, Commercially Insured, Medicare
    Charge Amounts for Professional Procedures to Commercial Insurance and Traditional Medicare
    John Hargraves and Elianna Clayton
    June 26, 2020

    In the start of 2019, Centers for Medicare and Medicaid Services finalized federal policies that required hospitals to publish the amount they charge for common services, documents commonly referred to as chargemasters. While similar policies have been in place at the state level since the early 2000s, this was the first federal mandate to require…

    Read more: Charge Amounts for Professional Procedures to Commercial Insurance and Traditional Medicare
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  • Air Ambulances – 10 Year Trends in Costs and Use

    Tags: 10 Year Trend, Ambulance, Charges, Commercially Insured, Emergency Room, Outpatient Spending, Prices, Utilization
    Air Ambulances – 10 Year Trends in Costs and Use
    John Hargraves and Aaron Bloschichak
    November 7, 2019

    Air ambulances are either fixed wing (airplane) or rotary wing (helicopter) aircraft used to transport people in often time-sensitive medical situations. Air ambulances have become a frequent topic in the news due to their high cost and propensity to lead to surprise bills. Our analysis shows that although air ambulances are not frequently used and…

    Read more: Air Ambulances – 10 Year Trends in Costs and Use
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  • ER facility prices grew in tandem with faster-growing charges from 2009-2016

    Tags: Charges, Commercially Insured, Emergency Room, Outpatient Spending, Prices
    ER facility prices grew in tandem with faster-growing charges from 2009-2016
    John Hargraves, Kevin Kennedy
    September 11, 2018

    HCCI often reports the prices of health care services, defined as the average amount a provider is paid for a given service based on negotiations with health care insurers. These prices typically represent a portion of charges, which are the amounts health care providers bill for the procedures they perform. The charge amount is often…

    Read more: ER facility prices grew in tandem with faster-growing charges from 2009-2016
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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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