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Spending

  • NICU Admissions and Spending Increased Slightly from 2017-2021

    Tags: ESI, NICU, Spending, Utilization
    NICU Admissions and Spending Increased Slightly from 2017-2021
    Zehra Valencia, Aditi Sen, Katie Martin
    July 25, 2023

    Neonatal Intensive Care Units (NICUs) provide critical, often life-saving, care to over 300,000 infants every year. The specialized care and technology available in NICUs have allowed preterm and otherwise vulnerable babies to survive and thrive even in the face of a host of potentially life-threatening complications and are recognized as contributing to the decline in…

    Read more: NICU Admissions and Spending Increased Slightly from 2017-2021
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  • Focusing on Seven Services Could Eliminate More Than Two-Thirds of Low-Value Care in HCCI’s ESI Data

    Tags: ESI, LowValueCare, Spending, Utilization
    Focusing on Seven Services Could Eliminate More Than Two-Thirds of Low-Value Care in HCCI’s ESI Data
    Debra Bozzi, Aditi Sen, Katie Martin
    April 25, 2023

    There is substantial evidence that people in the U.S. receive health care services judged to be of low-value. These services are identified as low value based on recommendations from the U.S. Preventive Services Task Force (USPSTF) and professional medical societies that there is little to no clinical value associated with their provision and potential for…

    Read more: Focusing on Seven Services Could Eliminate More Than Two-Thirds of Low-Value Care in HCCI’s ESI Data
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  • ESI Enrollees Paid $853 on Average Out-of-Pocket for Health Care in 2020, But Some People Paid Over Four Times as Much

    Tags: ESI, HMI, Out-of-Pocket, Spending
    ESI Enrollees Paid 3 on Average Out-of-Pocket for Health Care in 2020, But Some People Paid Over Four Times as Much
    Debra Bozzi, Katie Martin, Aditi Sen
    December 20, 2022

    High out-of-pocket costs for health care services can put necessary care and medications out of reach for many people. In one survey, nearly half of adults reported difficulty paying for health care services. In this brief, we used HCCI’s commercial claims dataset, which includes health care spending information for over one-third of the population who…

    Read more: ESI Enrollees Paid $853 on Average Out-of-Pocket for Health Care in 2020, But Some People Paid Over Four Times as Much
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  • Children’s Health Services 2020 Report

    Tags: Children, HCCUR, Prices, Spending, Utilization
    Children’s Health Services 2020 Report
    HCCI Staff
    September 7, 2022

    The population with employer-sponsored health insurance (ESI) includes individuals who receive health insurance coverage from an employer, including employees and their dependents, such as spouses and eligible children. Half of the children in the U.S. are covered by ESI, making this form of coverage the largest source of insurance for American children. In this report,…

    Read more: Children’s Health Services 2020 Report
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  • Mental Health and Respiratory Admissions Account for the Majority of Non-Newborn Children’s Hospitalizations from 2016-2020

    Tags: Children, HCCUR, Inpatient Spending, Spending, Utilization
    Mental Health and Respiratory Admissions Account for the Majority of Non-Newborn Children’s Hospitalizations from 2016-2020
    Jessica Chang and Aditi Sen
    September 7, 2022

    Half of American children have health insurance coverage through an employer (typically as a dependent on a parent’s coverage). Therefore, a major asset of employer-sponsored insurance (ESI) claims data is the opportunity to understand more about how children use and experience the health care system. In this brief, we use HCCI’s unique national dataset encompassing…

    Read more: Mental Health and Respiratory Admissions Account for the Majority of Non-Newborn Children’s Hospitalizations from 2016-2020
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  • One-Third of Births Occurred by C-Section in ESI and Medicaid in 2020

    Tags: ESI, Maternal Health, Medicaid, Prices, Spending
    One-Third of Births Occurred by C-Section in ESI and Medicaid in 2020
    Zehra Valencia, Aditi Sen, Debra Bozzi, Katie Martin, Daniel Kurowski
    June 9, 2022

    Caesarean sections (c-sections) are often life-saving procedures that can prevent injury and death among birthing people and newborns. At the same time, when they are not medically necessary, c-sections may have higher risks to babies and birthing people than vaginal births. Monitoring rates of c-sections among birthing people is an important component of efforts to improve…

    Read more: One-Third of Births Occurred by C-Section in ESI and Medicaid in 2020
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  • Effects of COVID-19 on Health Care Spending Were Concentrated in April-May 2020

    Tags: COVID-19, Prices, Spending, Utilization
    Effects of COVID-19 on Health Care Spending Were Concentrated in April-May 2020
    Aditi Sen, John Hargraves, Katie Martin
    June 8, 2022

    The COVID-19 pandemic shaped health care spending and use over the past two years in numerous ways. We recently released our Health Care Cost and Utilization Report which provides data from the first year of the pandemic on health care use, spending, and prices across different types of services for approximately 55 million individuals enrolled…

    Read more: Effects of COVID-19 on Health Care Spending Were Concentrated in April-May 2020
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  • The Price of Childbirth in the U.S. Tops $13,000 in 2020

    Tags: Commercially Insured, Maternal Health, Prices, Spending
    The Price of Childbirth in the U.S. Tops ,000 in 2020
    Zehra Valencia, Debra Bozzi, Aditi Sen, Katie Martin
    May 10, 2022

    As HCCI has previously documented, the price of childbirth in the U.S. is higher than in many other countries. When prices are high, patients with health insurance pay directly through coinsurance (i.e., cost-sharing calculated as a percent of what their insurer pays for the service) and over time, as higher prices charged to insurers are…

    Read more: The Price of Childbirth in the U.S. Tops $13,000 in 2020
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  • Birthing People in the U.S. Pay Nearly $2,000 Out-of-Pocket to Have a Baby

    Tags: Commercially Insured, Maternal Health, Prices, Spending
    Birthing People in the U.S. Pay Nearly style=
    Zehra Valencia, Debra Bozzi, Aditi Sen, Katie Martin
    May 10, 2022

    The birth of a child is momentous for any person and family. New parents may face a range of challenges, including a lack of paid family leave, the rising costs of childcare, and potential health-related complications for the birthing person and new baby. In the midst of this major life transition, parents also face new…

    Read more: Birthing People in the U.S. Pay Nearly $2,000 Out-of-Pocket to Have a Baby
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  • COVID Tests Cost $0 for Most People in 2020

    Tags: Commercially Insured, COVID-19, Spending, Utilization
    COVID Tests Cost <img width= for Most People in 2020″ style=”border-radius:5px;width:100%;height:100%;object-fit:cover;” decoding=”async” loading=”lazy” />
    Debra Bozzi, Jessica Chang, Aditi Sen
    April 28, 2022

    COVID-19 testing has become a regular part of life for many Americans over the last two years. In addition to facilitating individual returns to work, school, and other activities, testing is a crucial component of the public health strategy to monitor and address the spread of the virus. Even as testing becomes more available, there…

    Read more: COVID Tests Cost $0 for Most People in 2020
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