Emergency Room
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Childrens Asthma ER Visits
Read more: Childrens Asthma ER VisitsAsthma 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 and mold which can trigger asthma…
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Greater Share of Children’s Emergency Room Visits were for Mental Health Needs in 2020
Read more: Greater Share of Children’s Emergency Room Visits were for Mental Health Needs in 2020In 2021, the American Academy of Pediatrics, the American Academy of Child and Adolescent Psychiatry, and the Children’s Hospital Association, declared a National State of Emergency in Children’s Mental Health associated with the COVID-19 pandemic, including the loss of caregivers, school closures, social isolation, and gaps in health care (see citations below). Understanding the effect…
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Love is Expensive; So is a Trip to the Emergency Room
Tags: Emergency Room
Read more: Love is Expensive; So is a Trip to the Emergency RoomWe further explored state variation in the difference between per person ER spending and per person Valentine’s Day spending. We find that if you live in Texas, Colorado, Alaska, or Nevada, you might end up paying over $200 more for an ER visit than a Valentine’s Day gift. If you live in California, Hawaii, or…
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Ouch!: New Data reveals ER spending increased by 51% from 2012 – 2019, with patient out of pocket payments increasing by 85%
Tags: Emergency Room
Read more: Ouch!: New Data reveals ER spending increased by 51% from 2012 – 2019, with patient out of pocket payments increasing by 85%Introduction Excessive emergency room (ER) spending and utilization have long been major areas of focus for health care stakeholders. The ER is an important source of health care for many individuals, especially those who lack a usual source of care, or those with work schedules that limit the ability to access care during “normal business…
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How common is out-of-network billing?
Tags: Commercially Insured, Emergency Room, Geographic Variation, Mental Health and Substance Use, Out-of-Network, Surprise Billing
Read more: How common is out-of-network billing?Congress is considering legislation to address “surprise bills”, which occur when a person visits an in-network facility, but receives services from a provider that is outside of their insurer’s network. Bills in both the House and Senate include provisions to determine a benchmark rate for out-of-network payments based on what in-network providers of the same…
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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
Read more: Air Ambulances – 10 Year Trends in Costs and UseAir 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…
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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
Read more: Comparing Average Rates for Select Anesthesiology, Emergency Medicine, and Radiology Services by Local AreasWhen 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…
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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 BillingRead more: Comparing Commercial and Medicare Rates for Select Anesthesia, Emergency Room, and Radiology Services by StateCommittees 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…
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ER facility prices grew in tandem with faster-growing charges from 2009-2016
Read more: ER facility prices grew in tandem with faster-growing charges from 2009-2016HCCI 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…
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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…