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Out-of-Pocket

  • 2017 Health Care Cost and Utilization Report

    Tags: Drug Spending, HCCUR, Inpatient Spending, Out-of-Pocket, Outpatient Spending, Physician Spending, Prices, Utilization
    2017 Health Care Cost and Utilization Report
    HCCI
    February 12, 2019

    The 2017 Health Care Cost and Utilization Report shows that spending per privately insured person grew by 4.2 percent, the second year in a row of spending growth over four percent. Price increases were the primary driver. The report covers the period 2013 through 2017 and includes claims data from four national insurance companies: Aetna, Humana, Kaiser Permanente, and…

    Read more: 2017 Health Care Cost and Utilization Report
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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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  • 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
    Top Spenders Among the Commercially Insured Increased Spending Concentration and Consistent Turnover from 2013 to 2015
    William Johnson, Sally Rodriguez
    February 1, 2018

     This 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…

    Read more: Top Spenders Among the Commercially Insured Increased Spending Concentration and Consistent Turnover from 2013 to 2015
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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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  • JAMA Internal Medicine: A Perspective on Out-of-Pocket Spending

    Tags: Commercially Insured, Inpatient Spending, JAMA, Out-of-Pocket, Peer Reviewed Journals
    JAMA Internal Medicine: A Perspective on Out-of-Pocket Spending
    Amanda Frost, Eric Barrette
    January 1, 2017

    To 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…

    Read more: JAMA Internal Medicine: A Perspective on Out-of-Pocket Spending
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  • Consumer-Driven Health Plans: A Cost and Utilization Analysis

    Tags: Consumer-Directed Health Plans, Out-of-Pocket, Utilization
    Consumer-Driven Health Plans: A Cost and Utilization Analysis
    Amanda Frost, Kevin Kennedy
    September 1, 2016

    This data brief examines the health care use and spending from 2010-2014 for people who are enrolled in consumer-driven health plans (CDHPs), and compares these trends to non-CDHP enrollees. Findings indicate that although fewer total dollars were spent on health care for CDHP enrollees, they had higher per capita out-of-pocket spending on deductibles, copays, and…

    Read more: Consumer-Driven Health Plans: A Cost and Utilization Analysis
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  • Spending on Shoppable Services in Health Care

    Tags: Commercially Insured, Out-of-Pocket, Shoppable Services, Transparency
    Spending on Shoppable Services in Health Care
    Amanda Frost, David Newman
    March 1, 2016

    This issue brief examines health care spending on shoppable services in 2011. Contrary to expectations, giving consumers prices so they can shop for health care services may only have a modest effect on reducing health spending.   Key Findings: ​In 2011, about 43% of the $524.2 billion spent on health care services for commercially insured people…

    Read more: Spending on Shoppable Services in Health Care
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  • 2014 Health Care Cost and Utilization Report

    Tags: Commercially Insured, Drug Spending, HCCUR, Inpatient Spending, Out-of-Pocket, Outpatient Spending, Physician Spending
    2014 Health Care Cost and Utilization Report
    HCCI
    October 29, 2015

    The 2014 Health Care Cost and Utilization Report tracks changes in health care prices, utilization, and spending for people younger than 65 covered by employer-sponsored health insurance (ESI). The 2014 Health Care Cost and Utilization Report shows that spending per privately insured person grew 3.4% in 2014, with more dollars going to brand-name drugs than…

    Read more: 2014 Health Care Cost and Utilization Report
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  • Per Capita Health Care Spending on Diabetes: 2009-2013

    Tags: Children, Diabetes, Insulin, Out-of-Pocket
    Per Capita Health Care Spending on Diabetes: 2009-2013
    Patrick Shakiba, Amanda Frost
    May 7, 2015

    This issue brief examines health care spending for adults and children with diabetes relative to those without diabetes, both in terms of total per capita health care spending and out-of-pocket costs from 2009-2013.  Key Findings:  ​ In 2013, $14,999 was spent per capita on health care for people with diabetes. Per capita health care spending for…

    Read more: Per Capita Health Care Spending on Diabetes: 2009-2013
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  • Shopping for Health Care Makes “Cents” for Consumers

    Tags: Geographic Variation, Out-of-Pocket, Shoppable Services
    Shopping for Health Care Makes “Cents” for Consumers
    Eric Barrette
    February 1, 2015

    This data brief looks at per capita out-of-pocket spending rates nationally and statewide and examines average differences in consumer prices for a set of five common medical procedures: office visit for the evaluation of a new patient, colonoscopy, cataract removal, lower leg MRI; and ultrasound for pregnancy nationally and in nine states: Arizona, Colorado, Florida,…

    Read more: Shopping for Health Care Makes “Cents” for Consumers
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