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Utilization

  • 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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  • Health Affairs: Health Spending Growth Is Accelerating; Prices Are In The Driver’s Seat

    Tags: Commercially Insured, HCCUR, Health Affairs, Prices, Utilization
    Health Affairs: Health Spending Growth Is Accelerating; Prices Are In The Driver’s Seat
    Niall Brennan, John Hargraves, Amanda Frost, Sally Rodriguez
    February 9, 2018

     HEALTH AFFAIRS BLOG: “Perhaps nothing illustrates the intractability of America’s struggle with health spending more than the recent announcement by Amazon, JP Morgan, and Berkshire Hathaway that they were founding a new entity to address health care costs for their employees. Despite lacking any concrete details this announcement managed to wipe billions of dollars in…

    Read more: Health Affairs: Health Spending Growth Is Accelerating; Prices Are In The Driver’s Seat
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  • Workers in low income counties more likely to be long-term opioid users

    Tags: Geographic Variation, Opioids, Utilization
    Workers in low income counties more likely to be long-term opioid users
    Chao Zhou, Kevin Kennedy, John Hargraves
    December 20, 2017

    Past literature has found links between higher opioid use and local economic conditions for people enrolled in public health programs, but there has been little discussion of whether this relationship occurs among the privately insured. Using HCCI claims data and county level income data from the US Census Bureau, we examined how a county’s median…

    Read more: Workers in low income counties more likely to be long-term opioid users
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  • Medicare Advantage Health Care Utilization – Observation Stays

    Tags: Inpatient Spending, Medicare Advantage, Observation Stays, Utilization, Value Based Care
    Medicare Advantage Health Care Utilization – Observation Stays
    Eric Barrette, Katharine McGraves-Llyod
    December 1, 2016

    This data brief reports on outpatient observations stays in the Medicare Advantage population from 2010 through 2014. The results show that the rate of observations stays increased in total as well as following hospitalizations. 

    Read more: Medicare Advantage Health Care Utilization – Observation Stays
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  • 2015 Health Care Cost and Utilization Report

    Tags: Commercially Insured, Drug Spending, HCCUR, Inpatient Spending, Outpatient Spending, Physician Spending, Utilization
    2015 Health Care Cost and Utilization Report
    HCCI
    November 22, 2016

    The 2015 Health Care Cost and Utilization Report shows that spending per privately insured averaged $5,141 in 2015, up $226 from the year before. Key Findings  ​Health care spending averaged $5,141 per individual in 2015, up $226 from the year before. Out-of-pocket spending rose 3.0 percent in 2015, to an average of $813 per capita….

    Read more: 2015 Health Care Cost and Utilization Report
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  • Consumer-Driven Health Plans: A Cost and Utilization Analysis

    Tags: Consumer-Directed Health Plans, Out-of-Pocket, Utilization
    Consumer-Driven Health Plans: A Cost and Utilization Analysis
    Amanda Frost, Kevin Kennedy
    September 1, 2016

    This data brief examines the health care use and spending from 2010-2014 for people who are enrolled in consumer-driven health plans (CDHPs), and compares these trends to non-CDHP enrollees. Findings indicate that although fewer total dollars were spent on health care for CDHP enrollees, they had higher per capita out-of-pocket spending on deductibles, copays, and…

    Read more: Consumer-Driven Health Plans: A Cost and Utilization Analysis
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  • Taking the Pulse of Health Care Markets

    Tags: Geographic Variation, Healthy Marketplace Index, Prices, Utilization
    Taking the Pulse of Health Care Markets
    Eric Barrette
    September 1, 2015

     This data brief discusses patterns in the price and utilization indices reported in the 2015 Healthy Marketplace Index Report.

    Read more: Taking the Pulse of Health Care Markets
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  • The Impact of the Mental Health Parity and Addiction Equity Act on Inpatient Admissions

    Tags: Inpatient Spending, Mental Health and Substance Use, Utilization
    The Impact of the Mental Health Parity and Addiction Equity Act on Inpatient Admissions
    John Hargraves, Carolina-Nicole Herrera, Gregory Stanton
    February 1, 2013

     The 2008 Mental Health Parity and Addiction Equity Act (MHPAEA) sought to improve access to mental health and substance use services. The Health Care Cost Institute, Inc. (HCCI) analyzed mental health, substance use, and medical/surgical inpatient per capita spending, utilization, prices, and out-of-pocket payments for individuals younger than age 65 and covered by employer-sponsored health…

    Read more: The Impact of the Mental Health Parity and Addiction Equity Act on Inpatient Admissions
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  • Trends in Children’s Health Care Costs and Utilization

    Tags: Children, Commercially Insured, Prices, Utilization
    Trends in Children’s Health Care Costs and Utilization
    Carolina-Nicole Herrera, David Newman
    July 1, 2012

    This research brief highlights findings from the Health Care Cost Institute’s (HCCI) Children’s Health Care Spending Report: 2007—2010. 1 The report tracks changes in expenditure and utilization of health care services for children age 18 and younger, who were covered by employer-sponsored private health insurance (ESI).

    Read more: Trends in Children’s Health Care Costs and Utilization
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  • 2010 Health Care Cost and Utilization Report

    Tags: Commercially Insured, Drug Spending, HCCUR, Inpatient Spending, Outpatient Spending, Physician Spending, Utilization
    2010 Health Care Cost and Utilization Report
    HCCI
    May 21, 2012

    The 2010 HCCI Health Care Cost and Utilization Report is the first report of its kind to track changes in expenditures and utilization of health care services by those younger than 65 covered by employer sponsored, private health insurance (ESI). This report assesses the levels and changes in prices and utilization (including changes in the…

    Read more: 2010 Health Care Cost and Utilization Report
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