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HCCI Reports

  • Employer Sponsored Insurance Paid Twice as Much as Medicare for Services at Ambulatory Surgical Centers

    Employer Sponsored Insurance Paid Twice as Much as Medicare for Services at Ambulatory Surgical Centers
    Jessica Chang and Katie Martin
    August 14, 2024

    Technological medical advancements have shifted an array of procedures previously rendered in inpatient hospitals to ambulatory surgical centers (ASCs). For example, same-day procedures (e.g., cataracts surgery) that do not require an overnight hospital stay and musculoskeletal procedures, such as arthroscopy, are commonly performed at ASCs.  Because they operate independently of brick-and-mortar hospital facilities, ASCs are considered…

    Read more: Employer Sponsored Insurance Paid Twice as Much as Medicare for Services at Ambulatory Surgical Centers
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  • HCCI Spotlights American Heart Month: Cardiac Rehabilitation Rates Have Room to Grow

    HCCI Spotlights American Heart Month: Cardiac Rehabilitation Rates Have Room to Grow
    Tanya Natwick, Daniel Kurowski, Katie Martin
    February 12, 2024

    Cardiac rehabilitation is a program to help patients with heart events recover and return to normal activities. It is recommended following acute heart events and as a component of addressing chronic heart failure. Despite recommendations from federal agencies, advocacy groups, and national health associations and the documented benefits of cardiac rehabilitation, only 20-30% of people…

    Read more: HCCI Spotlights American Heart Month: Cardiac Rehabilitation Rates Have Room to Grow
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  • Can Employers Help Lower Health Care Prices through Self-Insured Plans?

    Tags: Prices
    Can Employers Help Lower Health Care Prices through Self-Insured Plans?
    HCCI Staff
    January 8, 2024

    Read more: Can Employers Help Lower Health Care Prices through Self-Insured Plans?
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  • Severe Maternal Morbidity Increased by 25% from 2017-2021 among those with Employer Sponsored Insurance

    Tags: Childbirth, Maternal Health
    Severe Maternal Morbidity Increased by 25% from 2017-2021 among those with Employer Sponsored Insurance
    Bianca Silva Gordon, Jessica Chang, Daniel Kurowski
    December 17, 2023

    The CDC defines Severe Maternal Morbidity (SMM) as ‘unexpected outcomes of labor and delivery that result in significant short- or long-term consequences to a woman’s health.’ These outcomes are largely preventable and are an important indicator of maternal health care quality. The CDC reports that SMM has steadily increased in recent years, and the consequences…

    Read more: Severe Maternal Morbidity Increased by 25% from 2017-2021 among those with Employer Sponsored Insurance
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  • On Average, ESI Pays Nearly 3 times Medicare for Hospital Outpatient Services

    On Average, ESI Pays Nearly 3 times Medicare for Hospital Outpatient Services
    HCCI Staff
    December 14, 2023

    Health care spending continues to grow, and prices are the primary driver. Without addressing high and growing prices, efforts to make care more affordable will not be successful. One way to understand what is going on with prices in employer-sponsored insurance (ESI) is to compare negotiated rates paid in that market to Medicare payments for the same…

    Read more: On Average, ESI Pays Nearly 3 times Medicare for Hospital Outpatient Services
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  • Antidepressant Medication Use Increased Post-Pandemic, but Large Disparities Exist across Nearly Every Demographic Measure

    Tags: Antidepressants, Utilization
    Antidepressant Medication Use Increased Post-Pandemic, but Large Disparities Exist across Nearly Every Demographic Measure
    Bianca Silva Gordon, Aditi Sen, Daniel Kurowski
    November 13, 2023

    The World Health Organization reported that, following the COVID-19 pandemic, there was a 25% increase in the prevalence of anxiety and depression worldwide. Mental health crises following months and years of social isolation and other effects of the pandemic have renewed national interest in mental health care access. Understanding how mental health services, including medications…

    Read more: Antidepressant Medication Use Increased Post-Pandemic, but Large Disparities Exist across Nearly Every Demographic Measure
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  • Telehealth use increased dramatically from 2019-2021, but varied by state, age, and area-level social determinants of health

    Telehealth use increased dramatically from 2019-2021, but varied by state, age, and area-level social determinants of health
    HCCI Staff
    October 30, 2023

    Building on existing work on telehealth use early in the COVID-19 pandemic among people who get health insurance through work, HCCI examined the use of telehealth services by year through 2021. We examined patterns of telehealth use by modality (synchronous or asynchronous) and state, as well as select measures of area (zip or county)-level social…

    Read more: Telehealth use increased dramatically from 2019-2021, but varied by state, age, and area-level social determinants of health
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  • Emergency Room Spending, Price, and Use Trends 2012-2021

    Emergency Room Spending, Price, and Use Trends 2012-2021
    John Hargraves
    October 26, 2023

    The emergency room (ER) is a critical and life-saving source of care for many Americans, but the resulting medical bills that patients receive can be a source of confusion and extreme financial burden. From incredibly high, varying prices to surprise bills resulting from in/out of network confusion, many Americans have no idea what to expect when it…

    Read more: Emergency Room Spending, Price, and Use Trends 2012-2021
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  • Ambulance Trends over 10 Years (2012-2021)

    Ambulance Trends over 10 Years (2012-2021)
    John Hargraves & Linsay Sarfo
    October 12, 2023

    Ambulance services play an essential, life-saving role in the health care system but can also be a source of surprise bills to patients and unexpected high out-of-pocket costs. This HCCI data brief and downloadable data explores the 10-year trends in ambulance prices, utilization, spending, and the frequency of out-of-network billing for the commercially insured – people…

    Read more: Ambulance Trends over 10 Years (2012-2021)
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  • Long COVID Affects People with Higher Medical Needs and is Associated with Higher Per Person Health Spending

    Long COVID Affects People with Higher Medical Needs and is Associated with Higher Per Person Health Spending
    Jessica Chang, Katie Martin, Tanya Natwick, and Aditi Sen
    September 28, 2023

    Important research is underway to understand the impacts of Long COVID. Studies about the clinical pathways, patient-specific needs, and treatment for Long COVID are highlighting necessary medical care and intervention. To inform public and private decisionmakers’ efforts to support and treat patients, this study uses HCCI’s unique health care claims dataset to identify the effects of…

    Read more: Long COVID Affects People with Higher Medical Needs and is Associated with Higher Per Person Health Spending
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