HCCI Reports
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New England Journal of Medicine: The Value of Health Insurance through Price Discounts
Read more: New England Journal of Medicine: The Value of Health Insurance through Price DiscountsNEJM CATALYST: “As context for the ongoing health care reform debate, we analyzed Health Care Cost Institute (HCCI) data. HCCI is a nonpartisan, nonprofit organization aimed at providing complete and accurate information about health care utilization and costs in the United States. Our goal was to demonstrate the value of insurance through these discounted rates….
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Health Affairs: Medicare Competitive Bidding Program Realized Price Savings For Durable Medical Equipment Purchases
Read more: Health Affairs: Medicare Competitive Bidding Program Realized Price Savings For Durable Medical Equipment PurchasesABSTRACT: From the inception of the Medicare program there have been questions regarding whether and how to pay for durable medical equipment, prosthetics, orthotics, and supplies. In 2011 the Centers for Medicare and Medicaid Services (CMS) implemented a competitive bidding program to reduce spending on durable medical equipment and similar items. Previously, CMS had used…
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Trends in Total and Out-of-Pocket Spending in Metro Areas: 2012-2015
Read more: Trends in Total and Out-of-Pocket Spending in Metro Areas: 2012-2015This data brief examines geographic variation in health care per capita spending, with a focus on consumer per capita out-of-pocket spending across geographies (2012-2015). It also explores whether the proportion of people enrolled in consumer-directed health plans (CDHPs) and the proportion not utilizing health care services had any influence on out-of-pocket spending.
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Non-Shoppable Health Care Services: Inpatient Hospitalizations
Read more: Non-Shoppable Health Care Services: Inpatient HospitalizationsThis data brief reports on spending and utilization in populations likely unable to shop for a hospital prior to seeking care, comparing spending and length-of-stay for individuals who were admitted through the emergency department (ED) to that of individuals who needed ambulance services the day of their admission through the ED.
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JAMA Internal Medicine: A Perspective on Out-of-Pocket Spending
Read more: JAMA Internal Medicine: A Perspective on Out-of-Pocket SpendingTo the Editor Understanding out-of-pocket spending is critical to understanding health care costs in the United States. We applaud the efforts of Adrion et al as an important contribution to understanding the out-of-pocket spending of the commercially insured population younger than 65 years. The commercially insured comprise over 50% of the nonelderly US population and, as…
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Medicare Advantage Health Care Utilization – Observation Stays
Read more: Medicare Advantage Health Care Utilization – Observation StaysThis 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.
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2015 Health Care Cost and Utilization Report
Tags: Commercially Insured, Drug Spending, HCCUR, Inpatient Spending, Outpatient Spending, Physician Spending, Utilization
Read more: 2015 Health Care Cost and Utilization ReportThe 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….
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Medicare Advantage Health Care Utilization – Hospital Readmissions
Read more: Medicare Advantage Health Care Utilization – Hospital ReadmissionsThis data brief, reports on five readmission rate measures for the Medicare Advantage (MA) population: 30-day all-cause hospital-wide readmissions and 30-day all-cause readmissions following acute myocardial infarction (AMI), heart failure, chronic obstructive pulmonary disease (COPD), and pneumonia. The results show that MA readmission rates have been declining over the past five years.
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Consumer-Driven Health Plans: A Cost and Utilization Analysis
Read more: Consumer-Driven Health Plans: A Cost and Utilization AnalysisThis 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…
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Necessary versus Sufficient Claims Data
Read more: Necessary versus Sufficient Claims DataThis data brief compares membership characteristics and health care service prices in non-ERISA and ERISA populations. The results suggest that non-ERISA data may be sufficient for policy relevant analyses, even when ERISA data is not available.