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Commercially Insured

  • 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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  • Comparing Average Rates for Select Anesthesiology, Emergency Medicine, and Radiology Services by Local Areas

    Tags: Commercially Insured, Emergency Room, Geographic Variation, Medicare, Out-of-Network, Physician Spending
    Comparing Average Rates for Select Anesthesiology, Emergency Medicine, and Radiology Services by Local Areas
    John Hargraves and Jean Fuglesten Biniek
    November 5, 2019

    When a person unknowingly receives health care services from a provider that is outside of their insurer’s network, it gives rise to the potential for a “surprise bill”. Congress continues to consider legislation aimed at reducing the financial burden of “surprise bills” for patients. The approach approved by committees in both the House and Senate…

    Read more: Comparing Average Rates for Select Anesthesiology, Emergency Medicine, and Radiology Services by Local Areas
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  • Antidepressant Use Increased for Individuals with a Mood Disorder with Employer-Sponsored Insurance

    Tags: Antidepressants, Commercially Insured, Mental Health and Substance Use, Utilization
    Antidepressant Use Increased for Individuals with a Mood Disorder with Employer-Sponsored Insurance
    Aaron Bloschichak, Anna Milewski, and William Johnson
    October 30, 2019

    Depression is a common mood disorder that affects how people feel, think, and conduct daily activities. Approximately 17 million adults (1 in 14) had at least one major depressive episode in 2017. Surveys have found that antidepressant prescribing has increased over the past two decades. For example, a 2017 National Center for Health Statistics survey found that,…

    Read more: Antidepressant Use Increased for Individuals with a Mood Disorder with Employer-Sponsored Insurance
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  • Out-of-Pocket Spending on Insulin is Highest at the Beginning of the Year

    Tags: Commercially Insured, Consumer-Directed Health Plans, Diabetes, Drug Spending, Geographic Variation, Insulin
    Out-of-Pocket Spending on Insulin is Highest at the Beginning of the Year
    Jean Fuglesten Biniek and William Johnson
    September 10, 2019

    People who get health insurance through their jobs pay more than twice as much for insulin at the beginning of the year than they do at the end of the year, on average. New analysis of HCCI data shows that, nationally, in January 2017, average out-of-pocket spending on insulin was $105. This spending declined every…

    Read more: Out-of-Pocket Spending on Insulin is Highest at the Beginning of the Year
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  • State Variation in Opioid Prescribing over 10 Years

    Tags: 10 Year Trend, Commercially Insured, Geographic Variation, Opioids, Utilization
    State Variation in Opioid Prescribing over 10 Years
    Aaron Bloschichak and John Hargraves
    July 31, 2019

    Changes in opioid utilization correlated with state-level policy changes aimed at decreasing opioid prescription rates. Previous research by HCCI illustrated that national opioid utilization in pills per person fell 27% between the years of 2008 and 2017, driven by declines in the use of hydrocodone (Vicodin). In addition to giving insight into prescription opioid utilization…

    Read more: State Variation in Opioid Prescribing over 10 Years
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  • Comparing Commercial and Medicare Rates for Select Anesthesia, Emergency Room, and Radiology Services by State

    Tags: Commercially Insured, Emergency Room, Medicare, Physician Spending, Prices, Spending, Surprise Billing
    Comparing Commercial and Medicare Rates for Select Anesthesia, Emergency Room, and Radiology Services by State
    John Hargraves and Jean Fuglesten Biniek
    July 23, 2019

    Committees in both the House and Senate have advanced legislation that includes measures to address “surprise bills.” A surprise bill results when a person unknowingly receives medical care from a provider that is not part of their insurer’s network. Both pieces of legislation set a benchmark for out-of-network payments. Those benchmarks are determined based on…

    Read more: Comparing Commercial and Medicare Rates for Select Anesthesia, Emergency Room, and Radiology Services by State
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  • Opioid Prescriptions Declined 32% for the Commercially Insured over 10 Years (2008 to 2017)

    Tags: 10 Year Trend, Commercially Insured, Geographic Variation, Opioids, Utilization
    Opioid Prescriptions Declined 32% for the Commercially Insured over 10 Years (2008 to 2017)
    Aaron Bloschichak and John Hargraves
    July 15, 2019

    Among people who get health insurance from their employers (56% of the population in 2017), prescription opioid use peaked in 2010/2011 and declined every year from 2012 to 2017. In a new study using the Health Care Cost Institute’s commercial claims data from 2008 to 2017, we observed a decline regardless of how utilization was…

    Read more: Opioid Prescriptions Declined 32% for the Commercially Insured over 10 Years (2008 to 2017)
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  • Trends In Primary Care Visits

    Tags: Commercially Insured, Physician Spending, Prices, Primary Care, Utilization
    Trends In Primary Care Visits
    John Hargraves, Amanda Frost
    November 15, 2018

    Office visits to primary care physicians (PCPs) declined 18 percent from 2012 to 2016 for adults under 65 years old with employer-sponsored health insurance, while office visits to nurse practitioners (NPs) and physician assistants (PAs) increased 129 percent. Comparing 2012 to 2016, there were 273 fewer office visits per 1,000 insured individuals to primary care…

    Read more: Trends In Primary Care Visits
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  • Health Affairs: Health Care Spending Under Employer-Sponsored Insurance: A 10-Year Retrospective

    Tags: Commercially Insured, Drug Spending, Health Affairs, Inpatient Spending, Outpatient Spending, Peer Reviewed Journals, Physician Spending
    Health Affairs: Health Care Spending Under Employer-Sponsored Insurance: A 10-Year Retrospective
    Amanda Frost, Eric Barrette, Kevin Kennedy, Niall Brennan
    September 19, 2018

    ABSTRACT Using a national sample of health care claims data from the Health Care Cost Institute, we found that total spending per capita (not including premiums) on health services for enrollees in employer-sponsored insurance plans increased by 44 percent from 2007 through 2016 (average annual growth of 4.1 percent). Spending increased across all major categories…

    Read more: Health Affairs: Health Care Spending Under Employer-Sponsored Insurance: A 10-Year Retrospective
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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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