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Outpatient Spending

  • International Comparisons of Health Care Prices from the 2024 iFHP Study

    Tags: Drug Spending, HCCUR, Inpatient Spending, Out-of-Pocket, Outpatient Spending, Physician Spending, Prices, Utilization
    International Comparisons of Health Care Prices from the 2024 iFHP Study
    John Hargraves
    January 14, 2025

    The International Federation of Health Plans (iFHP) has published its 2024 International Healthcare Cost Comparison Report, marking its latest biennial analysis of global healthcare costs. Compiled in collaboration with the Health Care Cost Institute (HCCI), the report compares costs for inpatient and outpatient treatments, as well as prescription drugs, across nine countries using data from…

    Read more: International Comparisons of Health Care Prices from the 2024 iFHP Study
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  • CMS-specified shoppable services accounted for 12% of 2017 health care spending among individuals with employer-sponsored insurance

    Tags: Commercially Insured, Inpatient Spending, Out-of-Pocket, Outpatient Spending, Shoppable Services, Utilization
    CMS-specified shoppable services accounted for 12% of 2017 health care spending among individuals with employer-sponsored insurance
    Aaron Bloschichak, Anna Milewski, Katie Martin
    January 16, 2020

    In response to high and growing health care spending, policymakers have proposed improving price transparency as a solution. Several such proposals rely on consumers taking action on publicly available information for shoppable services – generally, non-emergency services that a person could choose more deliberately. In 2021, hospitals will be required to display, in a consumer-friendly manner,…

    Read more: CMS-specified shoppable services accounted for 12% of 2017 health care spending among individuals with employer-sponsored insurance
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  • International comparisons of health care prices from the 2017 iFHP survey

    Tags: Administered Drugs, Commercially Insured, Drug Spending, Inpatient Spending, Outpatient Spending, Prices
    International comparisons of health care prices from the 2017 iFHP survey
    John Hargraves and Aaron Bloschichak
    December 17, 2019

    The International Federation of Health Plans (iFHP), a CEO 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 eight countries, today published the latest International Comparison of Health Prices Report. The report compares the median prices…

    Read more: International comparisons of health care prices from the 2017 iFHP survey
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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
    Air Ambulances – 10 Year Trends in Costs and Use
    John Hargraves and Aaron Bloschichak
    November 7, 2019

    Air 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…

    Read more: Air Ambulances – 10 Year Trends in Costs and Use
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  • Shifting Care from Office to Outpatient Settings: Services are Increasingly Performed in Outpatient Settings with Higher Prices

    Tags: Outpatient Spending, Physician Spending, Prices, Utilization
    Shifting Care from Office to Outpatient Settings: Services are Increasingly Performed in Outpatient Settings with Higher Prices
    John Hargraves, Julie Reiff
    April 2, 2019

    Where people receive health care matters, especially in terms of costs. The same services may have a much higher price tag when performed in one setting rather than another, but this price difference is rarely publicized to patients. To understand what settings people used and how prices differed, we looked at the utilization and average…

    Read more: Shifting Care from Office to Outpatient Settings: Services are Increasingly Performed in Outpatient Settings with Higher Prices
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  • 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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  • Health Affairs: Health Care Spending Under Employer-Sponsored Insurance: A 10-Year Retrospective

    Tags: Commercially Insured, Drug Spending, Health Affairs, Inpatient Spending, Outpatient Spending, Peer Reviewed Journals, Physician Spending
    Health Affairs: Health Care Spending Under Employer-Sponsored Insurance: A 10-Year Retrospective
    Amanda Frost, Eric Barrette, Kevin Kennedy, Niall Brennan
    September 19, 2018

    ABSTRACT Using a national sample of health care claims data from the Health Care Cost Institute, we found that total spending per capita (not including premiums) on health services for enrollees in employer-sponsored insurance plans increased by 44 percent from 2007 through 2016 (average annual growth of 4.1 percent). Spending increased across all major categories…

    Read more: Health Affairs: Health Care Spending Under Employer-Sponsored Insurance: A 10-Year Retrospective
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  • ER facility prices grew in tandem with faster-growing charges from 2009-2016

    Tags: Charges, Commercially Insured, Emergency Room, Outpatient Spending, Prices
    ER facility prices grew in tandem with faster-growing charges from 2009-2016
    John Hargraves, Kevin Kennedy
    September 11, 2018

    HCCI 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…

    Read more: ER facility prices grew in tandem with faster-growing charges from 2009-2016
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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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