Annual Reports
HCCI’s Health Care Cost and Utilization Reports

Yearly reviews of spending, price and utilization trends for commercially-insured Americans. Learn more about our methodology, definitions, and other resources.

Jun
09

One-Third of Births Occurred by C-Section in ESI and Medicaid in 2020

Caesarean sections (c-sections) are often life-saving procedures that can prevent injury and death among birthing people and newborns. At the same time, when they are not medically necessary, c-sections may have higher risks to babies and birthing people than vaginal births. Monitoring rates of c-sections among birthing people is an important component of efforts to improve the quality of mat...

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Jun
09

Average Payments for Childbirth Among the Commercially Insured and Fee-for-Service Medicaid

It is well-established that the rates hospitals and physicians are paid to provide health care services are significantly lower in Medicaid than in private health insurance. In this brief, we provide new data on this payment gap in the context of childbirth, an especially relevant area of care since Medicaid and ESI together cover the vast majority of births in the United States. We used HCCI's un...

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Jun
08

Effects of COVID-19 on Health Care Spending Were Concentrated in April-May 2020

The COVID-19 pandemic shaped health care spending and use over the past two years in numerous ways. We recently released our Health Care Cost and Utilization Report which provides data from the first year of the pandemic on health care use, spending, and prices across different types of services for approximately 55 million individuals enrolled in employer-sponsored health insurance. In the report...

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May
25

HCCI Releases 2020 Health Care Cost and Utilization Report

Data show dramatic drop in medical service use, lower out-of-pocket spending but rise in prescription drug spending WASHINGTON, May 25, 2022 -- A new report from the Health Care Cost Institute (HCCI) shows how the onset of the COVID-19 pandemic drastically shifted the ways Americans interacted with the health care system. Even though hundreds of thousands of individuals were hospitalized with the ...

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May
10

The Price of Childbirth in the U.S. Tops $13,000 in 2020

As HCCI has previously documented, the price of childbirth in the U.S. is higher than in many other countries. When prices are high, patients with health insurance pay directly through coinsurance (i.e., cost-sharing calculated as a percent of what their insurer pays for the service) and over time, as higher prices charged to insurers are passed along to individuals through higher premiums. We exa...

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