Annual Reports
HCCI’s Health Care Cost and Utilization Reports

The Health Care Cost Institute (HCCI) conducted an analysis on estimated acquisition costs and ESI reimbursement costs among 340B-participating hospitals in 2022. This issue brief analyzes the estimated ESI and Medicare fee-for-service price mark-up, relative to estimated acquisition costs, among 340B hospitals. Among the three physician-administered drugs of interests: daratumumab, pegfilgrastim,...

The federal 340B Drug Discount Program was created in 1992 to lower the cost of drugs for non-profit hospitals that disproportionately care for people with lower incomes. Under the program, discounts from drug manufacturers to hospitals are estimated to range from 20 to 50% on most outpatient medications, although the actual discounts are not publicly disclosed. Because the program does not restri...

Primary care offers patients a critical connection point to the health care system. With contact, continuity, comprehensiveness, and coordination as its base1, primary care has been shown to improve health outcomes and population health, reduce health disparities, and save health care dollars. Despite the virtues and benefits of primary care, it seems to be getting harder to access. In 2025, ...

As federal and state policymakers pursue policies to lower health care costs, "site neutral payment" has emerged as a potential tool with bipartisan support to bring down spending. Adopting "site neutral payments" would mean that a given service would cost the same amount regardless of where the care was received (i.e., the site of service). Currently, in many cases, hospital outpatient department...

Forty-five percent of per-person health spending among people with employer-sponsored insurance was spent on inpatient or outpatient services. The Health Care Cost Institute (HCCI) conducted an analysis of hospital inpatient and outpatient prices by key hospital characteristics from 2012-2022. During our study period, we found system-affiliated hospitals were associated with higher prices; non-pro...