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ESI

  • From Prenatal through Postpartum Care, it Cost More Than $24,000 to Have a Baby on Average

    Tags: ESI, Maternal Health
    From Prenatal through Postpartum Care, it Cost More Than ,000 to Have a Baby on Average
    Zehra Valencia, Aditi Sen, Jessica Chang
    May 12, 2023

    Total Spending Averaged $24,336 across the Prenatal, Childbirth, and Postpartum Periods among ESI Enrollees HCCI has highlighted the high cost of childbirth in the United States, but delivery is only one component of the full financial cost of having a baby. The cost of prenatal and postpartum care may cause people to forgo appropriate services,…

    Read more: From Prenatal through Postpartum Care, it Cost More Than $24,000 to Have a Baby on Average
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  • Focusing on Seven Services Could Eliminate More Than Two-Thirds of Low-Value Care in HCCI’s ESI Data

    Tags: ESI, LowValueCare, Spending, Utilization
    Focusing on Seven Services Could Eliminate More Than Two-Thirds of Low-Value Care in HCCI’s ESI Data
    Debra Bozzi, Aditi Sen, Katie Martin
    April 25, 2023

    There is substantial evidence that people in the U.S. receive health care services judged to be of low-value. These services are identified as low value based on recommendations from the U.S. Preventive Services Task Force (USPSTF) and professional medical societies that there is little to no clinical value associated with their provision and potential for…

    Read more: Focusing on Seven Services Could Eliminate More Than Two-Thirds of Low-Value Care in HCCI’s ESI Data
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  • ​HCCI Data Brief: Sexual and Reproductive Health Among People with Employer-Sponsored Insurance

    Tags: ESI, Utilization
    ​HCCI Data Brief: Sexual and Reproductive Health Among People with Employer-Sponsored Insurance
    Tanya Natwick, Aditi Sen, and Katie Martin
    January 24, 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 use…

    Read more: ​HCCI Data Brief: Sexual and Reproductive Health Among People with Employer-Sponsored Insurance
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  • ESI Enrollees Paid $853 on Average Out-of-Pocket for Health Care in 2020, But Some People Paid Over Four Times as Much

    Tags: ESI, HMI, Out-of-Pocket, Spending
    ESI Enrollees Paid 3 on Average Out-of-Pocket for Health Care in 2020, But Some People Paid Over Four Times as Much
    Debra Bozzi, Katie Martin, Aditi Sen
    December 20, 2022

    High out-of-pocket costs for health care services can put necessary care and medications out of reach for many people. In one survey, nearly half of adults reported difficulty paying for health care services. In this brief, we used HCCI’s commercial claims dataset, which includes health care spending information for over one-third of the population who…

    Read more: ESI Enrollees Paid $853 on Average Out-of-Pocket for Health Care in 2020, But Some People Paid Over Four Times as Much
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  • HCCI Spotlights National Diabetes Month: ESI Enrollees with Diabetes Face High Out-of-Pocket Costs. A Cap on Insulin Costs Would Help Many.

    Tags: Diabetes, ESI, Insulin
    HCCI Spotlights National Diabetes Month: ESI Enrollees with Diabetes Face High Out-of-Pocket Costs. A Cap on Insulin Costs Would Help Many.
    HCCI Staff
    November 12, 2022

    Diabetes is a chronic health condition that affects over 10% of the U.S. population. It is possible for people  who are diagnosed with diabetes to live a healthy, long life if the condition is managed properly. However, management often involves significant health care use, which can be costly for patients. Over the past few months, we used HCCI’s…

    Read more: HCCI Spotlights National Diabetes Month: ESI Enrollees with Diabetes Face High Out-of-Pocket Costs. A Cap on Insulin Costs Would Help Many.
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  • Greater Share of Children’s Emergency Room Visits were for Mental Health Needs in 2020

    Tags: Children, COVID-19, Emergency Room, ESI
    Greater Share of Children’s Emergency Room Visits were for Mental Health Needs in 2020
    Zehra Valencia and Aditi Sen
    October 11, 2022

    In 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…

    Read more: Greater Share of Children’s Emergency Room Visits were for Mental Health Needs in 2020
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  • COVID-19 Disrupted On-Time Vaccination Rates In ESI and Medicaid in 2020

    Tags: Children, COVID-19, ESI, Medicaid, Primary Care, Utilization
    COVID-19 Disrupted On-Time Vaccination Rates In ESI and Medicaid in 2020
    Bianca Silva Gordon, Daniel Kurowski, Linsay Sarfo
    September 7, 2022

    It is no secret that the COVID-19 pandemic upended the U.S. health care system in 2020, with effects still being felt in 2022. HCCI previously published a brief that showed precipitous drops in the utilization of several preventive health care services in early 2020. Several news outlets have also covered the effect of the pandemic on routine…

    Read more: COVID-19 Disrupted On-Time Vaccination Rates In ESI and Medicaid in 2020
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  • Use of and Spending on Firearm-Related Injuries Increased among People with Employer-Sponsored Health Insurance from 2016-2020

    Tags: ESI, Firearm Injuries
    Use of and Spending on Firearm-Related Injuries Increased among People with Employer-Sponsored Health Insurance from 2016-2020
    Jessica Chang, John Hargraves, and Katie Martin
    August 31, 2022

    The Centers for Disease Control and Prevention (CDC) reports that there were more than 45,000 firearm-related deaths in 2020; in addition, evidence suggests that there were an additional 2-3 nonfatal firearm injuries seen per death. Recent studies estimate that more than 200 people are injured by firearms each day, and the notable tragedies in 2022,…

    Read more: Use of and Spending on Firearm-Related Injuries Increased among People with Employer-Sponsored Health Insurance from 2016-2020
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  • Employer-Sponsored Health Insurance Plays a Significant Role in Vulnerable and Rural Communities

    Tags: ESI, HCCIData, SVI
    Employer-Sponsored Health Insurance Plays a Significant Role in Vulnerable and Rural Communities
    Debra Bozzi, Bianca Silva Gordon, Katie Martin, and Aditi Sen
    August 24, 2022

    Health care insurance claims data capture what health care services people use and how much they pay. These data are crucial for understanding the state of the U.S. health care system, including aspects that function well, those that need improvement, and how to achieve better health and access to care across populations. In this report,…

    Read more: Employer-Sponsored Health Insurance Plays a Significant Role in Vulnerable and Rural Communities
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  • One-Third of Births Occurred by C-Section in ESI and Medicaid in 2020

    Tags: ESI, Maternal Health, Medicaid, Prices, Spending
    One-Third of Births Occurred by C-Section in ESI and Medicaid in 2020
    Zehra Valencia, Aditi Sen, Debra Bozzi, Katie Martin, Daniel Kurowski
    June 9, 2022

    Caesarean sections (c-sections) are often life-saving procedures that can prevent injury and death among birthing people and newborns. At the same time, when they are not medically necessary, c-sections may have higher risks to babies and birthing people than vaginal births. Monitoring rates of c-sections among birthing people is an important component of efforts to improve…

    Read more: One-Third of Births Occurred by C-Section in ESI and Medicaid in 2020
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