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Geographic Variation

  • HCCI Data Byte: Using 5-Digit Enrollee and Hospital Zip Code Data to Examine Travel Times for Children’s Hospital Services

    Tags: Children, Geographic Variation, Hospital Services
    HCCI Data Byte: Using 5-Digit Enrollee and Hospital Zip Code Data to Examine Travel Times for Children’s Hospital Services
    Zehra Valencia and Aditi Sen
    January 13, 2023

    HCCI’s commercial claims dataset includes claims for over one-third of the population with health insurance through their job (employer-sponsored insurance, or ESI). There are a number of unique features of these data that make them valuable for answering important health care and health policy questions. One such feature is the 5-digit zip codes of ESI…

    Read more: HCCI Data Byte: Using 5-Digit Enrollee and Hospital Zip Code Data to Examine Travel Times for Children’s Hospital Services
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  • International comparisons of health care prices from the 2019 iFHP study

    Tags: Geographic Variation, Insulin, Prices
    International comparisons of health care prices from the 2019 iFHP study
    John Hargraves
    July 20, 2022

    The International Federation of Health Plans (iFHP), an executive network of the global health insurance industry based in London, in partnership with the Health Care Cost Institute (HCCI) in the United States, and iFHP member companies in multiple countries, today published the latest International Health Cost Comparison Report. The report compares the median prices paid…

    Read more: International comparisons of health care prices from the 2019 iFHP study
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  • Analysis of Electronic Medical Record Data Shows Significantly Higher Rates of COVID-19 Infection among Hispanic and Black Patients

    Tags: COVID-19, Geographic Variation, Transparency
    Analysis of Electronic Medical Record Data Shows Significantly Higher Rates of COVID-19 Infection among Hispanic and Black Patients
    Daniel Kurowski, Katie Martin, Anna Milewski, Angela Pupino, Niall Brennan
    July 27, 2020

    The COVID-19 pandemic has resulted in a previously unimaginable impact both in the United States and globally. It is increasingly clear as we enter the fifth month of the pandemic, with rising caseloads and deaths, that the United States will need to continue to address the COVID-19 pandemic for the foreseeable future. Each day, we learn…

    Read more: Analysis of Electronic Medical Record Data Shows Significantly Higher Rates of COVID-19 Infection among Hispanic and Black Patients
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  • Consumer-Directed Health Plan Enrollment Rises in All Cities over 10 Years (2008 to 2017)

    Tags: 10 Year Trend, Commercially Insured, Consumer-Directed Health Plans, Geographic Variation, Out-of-Pocket, Spending
    Consumer-Directed Health Plan Enrollment Rises in All Cities over 10 Years (2008 to 2017)
    John Hargraves and Aaron Bloschichak
    June 10, 2020

    Recent analysis by HCCI finds that enrollment in consumer-directed health plans (CDHPs) increased dramatically since 2008. Nationally, nearly a third of commercially insured individuals were enrolled in a CDHP in 2017, up from 7.5% in 2008. Over ten years, enrollment in CDHPs doubled in 85 of the 88 metro areas studied. High-deductible health plans (HDHPs) have become increasingly common…

    Read more: Consumer-Directed Health Plan Enrollment Rises in All Cities over 10 Years (2008 to 2017)
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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
    How common is out-of-network billing?
    John Hargraves and Jean Fuglesten Biniek
    November 21, 2019

    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…

    Read more: How common is out-of-network billing?
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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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  • 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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  • 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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  • Surprise out-of-network medical bills during in-network hospital admissions varied by state and medical specialty, 2016

    Tags: Geographic Variation, Out-of-Network, Senate HELP Committee, Surprise Billing
    Surprise out-of-network medical bills during in-network hospital admissions varied by state and medical specialty, 2016
    Kevin Kennedy, William Johnson, and Jean Fuglesten Biniek
    March 28, 2019

     Out-of-network billing practices have increasingly garnered attention as individuals with commercial health insurance continue to experience “surprise billing.” A surprise medical bill commonly describes a charge to a patient for care delivered by an out-of-network (OON) professional who works within an in-network facility. We used the Health Care Cost Institute’s (HCCI) vast commercial claims database to…

    Read more: Surprise out-of-network medical bills during in-network hospital admissions varied by state and medical specialty, 2016
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