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Utilization

  • 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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  • Antidepressant Use Increased for Individuals with a Mood Disorder with Employer-Sponsored Insurance

    Tags: Antidepressants, Commercially Insured, Mental Health and Substance Use, Utilization
    Antidepressant Use Increased for Individuals with a Mood Disorder with Employer-Sponsored Insurance
    Aaron Bloschichak, Anna Milewski, and William Johnson
    October 30, 2019

    Depression is a common mood disorder that affects how people feel, think, and conduct daily activities. Approximately 17 million adults (1 in 14) had at least one major depressive episode in 2017. Surveys have found that antidepressant prescribing has increased over the past two decades. For example, a 2017 National Center for Health Statistics survey found that,…

    Read more: Antidepressant Use Increased for Individuals with a Mood Disorder with Employer-Sponsored Insurance
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  • State Variation in Opioid Prescribing over 10 Years

    Tags: 10 Year Trend, Commercially Insured, Geographic Variation, Opioids, Utilization
    State Variation in Opioid Prescribing over 10 Years
    Aaron Bloschichak and John Hargraves
    July 31, 2019

    Changes in opioid utilization correlated with state-level policy changes aimed at decreasing opioid prescription rates. Previous research by HCCI illustrated that national opioid utilization in pills per person fell 27% between the years of 2008 and 2017, driven by declines in the use of hydrocodone (Vicodin). In addition to giving insight into prescription opioid utilization…

    Read more: State Variation in Opioid Prescribing over 10 Years
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  • Opioid Prescriptions Declined 32% for the Commercially Insured over 10 Years (2008 to 2017)

    Tags: 10 Year Trend, Commercially Insured, Geographic Variation, Opioids, Utilization
    Opioid Prescriptions Declined 32% for the Commercially Insured over 10 Years (2008 to 2017)
    Aaron Bloschichak and John Hargraves
    July 15, 2019

    Among people who get health insurance from their employers (56% of the population in 2017), prescription opioid use peaked in 2010/2011 and declined every year from 2012 to 2017. In a new study using the Health Care Cost Institute’s commercial claims data from 2008 to 2017, we observed a decline regardless of how utilization was…

    Read more: Opioid Prescriptions Declined 32% for the Commercially Insured over 10 Years (2008 to 2017)
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  • Examining the adoption of a new Medicare billing code for cognitive assessments: a slow but steady uptake

    Tags: Alzheimer’s, Medicare, Utilization
    Examining the adoption of a new Medicare billing code for cognitive assessments: a slow but steady uptake
    John Hargraves
    May 15, 2019

     On January 1, 2017, the Medicare program started reimbursing providers for a new procedure code for clinical visits for cognitive assessments and care planning services (CPT code G0505). This newly-billable service is intended to improve the care of patients with Alzheimer’s disease and related dementias and hopefully increase early detection and diagnosis. A G0505 visit…

    Read more: Examining the adoption of a new Medicare billing code for cognitive assessments: a slow but steady uptake
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  • Lower Health Care Spending and Use for People with Chronic Conditions in Consumer-Directed Health Plans

    Tags: Chronic Conditions, Consumer-Directed Health Plans, Spending, Utilization
    Lower Health Care Spending and Use for People with Chronic Conditions in Consumer-Directed Health Plans
    William Johnson, Anna Milewski
    May 2, 2019

    To better understand differences in spending and use across types of health plans, we examine individuals enrolled in consumer-directed health plans (CDHPs) and individuals enrolled in non-CDHP health plans. CDHPs are a type of HDHP that typically include a health savings account (HSA) or a health reimbursement arrangement (HRA). We analyzed a sample of over…

    Read more: Lower Health Care Spending and Use for People with Chronic Conditions in Consumer-Directed Health Plans
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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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  • 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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