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Physician 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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  • HCCUR Data Point: Use and Spending on Clinician Services in Hospital and Non-Hospital Settings

    Tags: HCCUR, Hospital Spending, Physician Spending
    HCCUR Data Point: Use and Spending on Clinician Services in Hospital and Non-Hospital Settings
    HCCI Staff
    August 23, 2022

    In HCCI’s Health Care Cost and Utilization Report (HCCUR), we report per person spending on health care services of $5,607 in 2020. Of this spending, $1,514 (27%) was on services that occurred in a hospital outpatient setting and $1,071 (19%) was on services that occurred in a hospital inpatient setting. These spending amounts do not…

    Read more: HCCUR Data Point: Use and Spending on Clinician Services in Hospital and Non-Hospital Settings
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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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  • Comparing Commercial and Medicare Rates for Select Anesthesia, Emergency Room, and Radiology Services by State

    Tags: Commercially Insured, Emergency Room, Medicare, Physician Spending, Prices, Spending, Surprise Billing
    Comparing Commercial and Medicare Rates for Select Anesthesia, Emergency Room, and Radiology Services by State
    John Hargraves and Jean Fuglesten Biniek
    July 23, 2019

    Committees in both the House and Senate have advanced legislation that includes measures to address “surprise bills.” A surprise bill results when a person unknowingly receives medical care from a provider that is not part of their insurer’s network. Both pieces of legislation set a benchmark for out-of-network payments. Those benchmarks are determined based on…

    Read more: Comparing Commercial and Medicare Rates for Select Anesthesia, Emergency Room, and Radiology Services by State
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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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  • Trends In Primary Care Visits

    Tags: Commercially Insured, Physician Spending, Prices, Primary Care, Utilization
    Trends In Primary Care Visits
    John Hargraves, Amanda Frost
    November 15, 2018

    Office visits to primary care physicians (PCPs) declined 18 percent from 2012 to 2016 for adults under 65 years old with employer-sponsored health insurance, while office visits to nurse practitioners (NPs) and physician assistants (PAs) increased 129 percent. Comparing 2012 to 2016, there were 273 fewer office visits per 1,000 insured individuals to primary care…

    Read more: Trends In Primary Care Visits
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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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  • 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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  • Under Pressure – Adults with Hypertension are Spending Increasingly More on Health Care

    Tags: Chronic Conditions, Drug Spending, Hypertension, Outpatient Spending, Physician Spending
    Under Pressure – Adults with Hypertension are Spending Increasingly More on Health Care
    William Johnson, Dan Fulop, Sally Rodriguez
    March 14, 2018

    This issue brief compares trends in health care spending from 2012 to 2016 for adults with employer-sponsored insurance who were diagnosed with hypertension to those not diagnosed with hypertension. It also considers how changes in prescription drug spending compare to changes in prescription drug use for adults with a hypertension diagnosis.  

    Read more: Under Pressure – Adults with Hypertension are Spending Increasingly More on Health Care
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