The Health Cost Landscape is an interactive tool created by the Health Care Cost Institute (HCCI) that provides metro area and state-level data on health care spending. It breaks down the factors that contribute to spending, including the use, prices, and mix of services that people in an area receive. The Health Cost Landscape website also provides data about hospital market concentration and health care affordability. The data include people who have health insurance through their employer (ESI) and represent nearly 40% of people living in the United States.
What years are available? 2018 and 2022
How many metro areas? 269
How many states? 45
The Health Cost Landscape includes 6 different measures of health care spending and related factors :
- Health Spending Index: the overall per-person health care spending in an area relative to the national average.
- Cost Burden Index: the total annual average per-person spending divided by the average income for people living in an area, relative to the national average.
- Price Index: the price of all services in an area compared to the national average price.
- Use Index: the volume of services used per person compared to the national average.
- Service Mix: the complexity of services used compared to the national average.
- Hospital Market Concentration: the competitiveness of a health care market. The Health Cost Landscape reports the standard measure for market concentration, the Herfindahl-Hirschman Index (HHI).
In addition to the overall Spending, Price, Use, and Service Mix indices, which include all services, the Health Cost Landscape includes detailed service category indices that break out the relative spend, price, use or service mix by Hospital Inpatient, Hospital Outpatient and Professional services. Together, the included metrics help map out the health cost landscape of metro areas and states across the United States.