Commercially Insured
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ER spending among the commercially insured continued to rise in 2016, driven by the price and use of high severity cases (2009-2016)
Tags: Commercially Insured, Emergency Room, Geographic Variation, Outpatient Spending, Prices, Utilization
Read more: ER spending among the commercially insured continued to rise in 2016, driven by the price and use of high severity cases (2009-2016)HCCI recently expanded its reporting on emergency room (ER) spending trends to include the most recent data available (2016). We characterize trends in spending, price, and utilization for the five Current Procedural Terminology (CPT) codes designed to capture the level of severity and complexity of every ER visit. While average prices for all five ER…
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Health Affairs: Health Spending Growth Is Accelerating; Prices Are In The Driver’s Seat
Read more: Health Affairs: Health Spending Growth Is Accelerating; Prices Are In The Driver’s SeatHEALTH AFFAIRS BLOG: “Perhaps nothing illustrates the intractability of America’s struggle with health spending more than the recent announcement by Amazon, JP Morgan, and Berkshire Hathaway that they were founding a new entity to address health care costs for their employees. Despite lacking any concrete details this announcement managed to wipe billions of dollars in…
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New England Journal of Medicine: Consistently High Turnover in the Group of Top Health Care Spenders
Read more: New England Journal of Medicine: Consistently High Turnover in the Group of Top Health Care SpendersNEJM CATALYST: “The concentration of most U.S. health care spending in a small proportion of individuals is well documented. The notion that high health care spending only affects a small portion of people in a given year is particularly relevant to the ongoing policy debate about how to make health insurance affordable for all, while…
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Top Spenders Among the Commercially Insured Increased Spending Concentration and Consistent Turnover from 2013 to 2015
Tags: Commercially Insured, Drug Spending, Inpatient Spending, Out-of-Pocket, Outpatient Spending, Physician Spending, Top Spenders
Read more: Top Spenders Among the Commercially Insured Increased Spending Concentration and Consistent Turnover from 2013 to 2015This issue brief explores the distribution of health care spending among commercially insured individuals, with a focus on the top 5 percent of spenders and turnover within that group from year to year. It considers the share of spending incurred by this group of top spenders, how those dollars are distributed among the health care…
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ER spending increased 85%, driven by price increases for the most severe cases (2009-2015)
Read more: ER spending increased 85%, driven by price increases for the most severe cases (2009-2015)Medical bills from the Emergency Room (ER) are a mystery to many patients in the US health system. From incredibly high, varying charges to surprise bills resulting from in/out of network confusion, many Americans have no idea what to expect when it comes to the cost of this necessary service. Recently, Vox reporter, Sarah Kliff,…
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New England Journal of Medicine: The Value of Health Insurance through Price Discounts
Read more: New England Journal of Medicine: The Value of Health Insurance through Price DiscountsNEJM 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….
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Health Affairs: Medicare Competitive Bidding Program Realized Price Savings For Durable Medical Equipment Purchases
Read more: Health Affairs: Medicare Competitive Bidding Program Realized Price Savings For Durable Medical Equipment PurchasesABSTRACT: From the inception of the Medicare program there have been questions regarding whether and how to pay for durable medical equipment, prosthetics, orthotics, and supplies. In 2011 the Centers for Medicare and Medicaid Services (CMS) implemented a competitive bidding program to reduce spending on durable medical equipment and similar items. Previously, CMS had used…
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Non-Shoppable Health Care Services: Inpatient Hospitalizations
Read more: Non-Shoppable Health Care Services: Inpatient HospitalizationsThis data brief reports on spending and utilization in populations likely unable to shop for a hospital prior to seeking care, comparing spending and length-of-stay for individuals who were admitted through the emergency department (ED) to that of individuals who needed ambulance services the day of their admission through the ED.
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JAMA Internal Medicine: A Perspective on Out-of-Pocket Spending
Read more: JAMA Internal Medicine: A Perspective on Out-of-Pocket SpendingTo the Editor Understanding out-of-pocket spending is critical to understanding health care costs in the United States. We applaud the efforts of Adrion et al as an important contribution to understanding the out-of-pocket spending of the commercially insured population younger than 65 years. The commercially insured comprise over 50% of the nonelderly US population and, as…
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2015 Health Care Cost and Utilization Report
Tags: Commercially Insured, Drug Spending, HCCUR, Inpatient Spending, Outpatient Spending, Physician Spending, Utilization
Read more: 2015 Health Care Cost and Utilization ReportThe 2015 Health Care Cost and Utilization Report shows that spending per privately insured averaged $5,141 in 2015, up $226 from the year before. Key Findings Health care spending averaged $5,141 per individual in 2015, up $226 from the year before. Out-of-pocket spending rose 3.0 percent in 2015, to an average of $813 per capita….