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Geographic Variation

  • Understanding how price growth affected areas differently across the country

    Tags: Geographic Variation, Healthy Marketplace Index, Prices
    Understanding how price growth affected areas differently across the country
    Kevin Kennedy, William Johnson
    October 24, 2018

    Recently, the Health Care Cost Institute (HCCI) published its Healthy Marketplace Index (HMI) – Price Index report, examining relative health care prices in 112 different metropolitan areas. This report is the first in a new series of releases from the HMI project, funded by the Robert Wood Johnson Foundation, which compares commercial health care markets…

    Read more: Understanding how price growth affected areas differently across the country
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  • 2016 Health Care Cost and Utilization Report

    Tags: Drug Spending, Geographic Variation, HCCUR, Inpatient Spending, Out-of-Pocket, Outpatient Spending, Physician Spending, Prices, Utilization
    2016 Health Care Cost and Utilization Report
    HCCI
    June 19, 2018

    The 2016 Health Care Cost and Utilization Report shows that spending per privately insured person grew by 4.6 percent, faster than in previous years. Price increases were the primary driver. The report covers the period 2012 through 2016 and includes claims data from four national insurance companies: Aetna, Humana, Kaiser Permanente, and UnitedHealthcare.​  The data in…

    Read more: 2016 Health Care Cost and Utilization Report
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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
    ER spending among the commercially insured continued to rise in 2016, driven by the price and use of high severity cases (2009-2016)
    John Hargraves; Kevin Kennedy
    May 30, 2018

    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…

    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)
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  • Workers in low income counties more likely to be long-term opioid users

    Tags: Geographic Variation, Opioids, Utilization
    Workers in low income counties more likely to be long-term opioid users
    Chao Zhou, Kevin Kennedy, John Hargraves
    December 20, 2017

    Past literature has found links between higher opioid use and local economic conditions for people enrolled in public health programs, but there has been little discussion of whether this relationship occurs among the privately insured. Using HCCI claims data and county level income data from the US Census Bureau, we examined how a county’s median…

    Read more: Workers in low income counties more likely to be long-term opioid users
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  • Health Affairs: Understanding Health Spending – Lessons From The Healthy Marketplace Index

    Tags: Geographic Variation, Health Affairs, Healthy Marketplace Index, Market Concentration
    Health Affairs: Understanding Health Spending – Lessons From The Healthy Marketplace Index
    Eric Barrette, Niall Brennan, Katherine Hempstead, Kevin Kennedy
    December 7, 2017

    HEALTH AFFAIRS BLOG: “As policymakers consider actions to address challenges with the Affordable Care Act and ongoing growth in health spending, the importance of understanding local health care market dynamics is more important than ever. Traditionally, policy makers and other stakeholders have evaluated commercial health care markets’ total spending and often attributed high spending to…

    Read more: Health Affairs: Understanding Health Spending – Lessons From The Healthy Marketplace Index
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  • Price of insulin prescription doubled between 2012 and 2016

    Tags: Diabetes, Drug Spending, Geographic Variation, Insulin, Prices
    Price of insulin prescription doubled between 2012 and 2016
    John Hargraves and Amanda Frost
    November 29, 2017

    In honor of National Diabetes Month, our inaugural blog post focuses on a topic of particular interest to people with diabetes: the price of insulin. Insulin is the hormone responsible for the body’s ability to use sugar and prevent dangerously high and potentially deadly levels of blood sugar. Diabetics are unable to make enough insulin…

    Read more: Price of insulin prescription doubled between 2012 and 2016
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  • Trends in Total and Out-of-Pocket Spending in Metro Areas: 2012-2015

    Tags: Consumer-Directed Health Plans, Geographic Variation, Out-of-Pocket
    Trends in Total and Out-of-Pocket Spending in Metro Areas: 2012-2015
    Amanda Frost
    August 1, 2017

    This data brief examines geographic variation in health care per capita spending, with a focus on consumer per capita out-of-pocket spending across geographies (2012-2015). It also explores whether the proportion of people enrolled in consumer-directed health plans (CDHPs) and the proportion not utilizing health care services had any influence on out-of-pocket spending.​

    Read more: Trends in Total and Out-of-Pocket Spending in Metro Areas: 2012-2015
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  • Children’s Health Spending Report 2010-2014

    Tags: Children, Geographic Variation, Prices
    Children’s Health Spending Report 2010-2014
    HCCI
    May 16, 2016

    Children’s Health Spending: 2010-2014 examines spending on health care for children covered by employer-sponsored insurance from 2010 to 2014. For the first time, HCCI analyzed children’s health care spending trends at the state level, reporting on Arizona, Connecticut, Florida, Illinois, Maryland, Ohio, Texas, Virginia, and Wisconsin, as well as the District of Columbia.   Key…

    Read more: Children’s Health Spending Report 2010-2014
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  • National Chartbook of Health Care Prices 2015

    Tags: Commercially Insured, Geographic Variation, Prices
    National Chartbook of Health Care Prices 2015
    HCCI
    April 21, 2016

    The National Chartbook of Health Care Prices – 2015 and accompanying Health Affairs article “Prices For Common Medical Services Vary Substantially Among the Commercially Insured” illuminates differences in price for over 240 common medical services in 41 states and the District of Columbia. Among the commercially insured, wide variation in prices have some states paying…

    Read more: National Chartbook of Health Care Prices 2015
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  • The Price-Quality Paradox in Health Care

    Tags: Chronic Conditions, Diabetes, Geographic Variation, Hypertension, Prices
    The Price-Quality Paradox in Health Care
    Eric Barrette, Kevin Kennedy
    April 1, 2016

    This data brief compares average state-level prices against quality measures for asthma, diabetes and hypertension care and finds that higher prices for medical services are not always indicative of higher quality of care. 

    Read more: The Price-Quality Paradox in Health Care
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