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Prices

  • 2018 Health Care Cost and Utilization Report

    Tags: HCCUR, Out-of-Pocket, Prices, Spending, Utilization
    2018 Health Care Cost and Utilization Report
    HCCI
    February 13, 2020

    The 2018 Health Care Cost and Utilization Report presents data on health care spending, utilization, and average prices from 2014 through 2018 for individuals under the age of 65 who receive health insurance coverage through an employer. The report draws on data from more than 2.5 billion medical and prescription drug claims for approximately 40…

    Read more: 2018 Health Care Cost and Utilization Report
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  • What if Price Transparency Reduced Commercial Price Variation?

    Tags: Commercially Insured, Prices, Spending, Transparency
    What if Price Transparency Reduced Commercial Price Variation?
    Kevin Kennedy, William Johnson, and John Hargraves
    January 29, 2020

    As previous reports have indicated, there is widespread price variation in the U.S. commercial health care system. Many studies have shown that prices are dramatically different not only across geographies, but they vary substantially even within the same market for the same service. For example, we found that prices for the same blood tests could…

    Read more: What if Price Transparency Reduced Commercial Price Variation?
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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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  • Health Services Research: Comparing Different Methods of Indexing Commercial Health Care Prices

    Tags: Healthy Marketplace Index, HSR, Peer Reviewed Journals, Prices
    Health Services Research: Comparing Different Methods of Indexing Commercial Health Care Prices
    William Johnson, Kevin Kennedy
    November 25, 2019

    ​The methodology for HCCI’s Healthy Marketplace Index was published in a Methods Brief for Health Services Research. Abstract Objective: To compare different methods of indexing health care service prices for the commercially insured population across geographic markets. Data Sources: Health Care Cost Institute commercial claims data from 2012 to 2016. Study Design: We compare price indices computed using…

    Read more: Health Services Research: Comparing Different Methods of Indexing Commercial Health Care Prices
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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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  • 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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  • Past the Price Index: Exploring Actual Prices Paid for Specific Services by Metro Area

    Tags: Healthy Marketplace Index, Prices
    Past the Price Index: 
Exploring Actual Prices Paid for Specific Services by Metro Area
    Kevin Kennedy, William Johnson, Sally Rodriguez, Niall Brennan
    April 30, 2019

    As policymakers, employers, and patients increasingly struggle with rising health care costs, there is a lack of clarity around the actual price of health care services and why those prices are so different. Recent efforts have focused on greater price transparency as a way to impact growing prices. A range of proposals from both Congress…

    Read more: Past the Price Index: Exploring Actual Prices Paid for Specific Services by Metro Area
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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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  • Spending on Individuals with Type 1 Diabetes and the Role of Rapidly Increasing Insulin Prices

    Tags: Chronic Conditions, Diabetes, Drug Spending, Insulin, Prices
    Spending on Individuals with Type 1 Diabetes and the Role of Rapidly Increasing Insulin Prices
    Jean Fuglesten Biniek, William Johnson
    January 22, 2019

    We used health care claims data to investigate trends in total health care spending on individuals with type 1 diabetes between 2012 and 2016. We found a rapid increase in total health care spending, driven primarily by gross spending on insulin that doubled over the period. During that time insulin use rose only modestly. While…

    Read more: Spending on Individuals with Type 1 Diabetes and the Role of Rapidly Increasing Insulin Prices
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