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Healthy Marketplace Index

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Using nearly 4.2 billion commercial claims from 2015 to 2019, HCCI tracks drivers of health care spending across 185 U.S. cities through the Healthy Marketplace Index (HMI) project.

Our full report presents an interactive exploration of each HMI metric and a deep dive into each metro area. Collectively, they compare how spending drivers varied across and even within cities, as well as over time.

Interactive Report Metro Area Snapshot

Explore HMI metrics:

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Other HMI Publications

Past the Healthy Marketplace Index: Using Common Services to Contextualize Geographic Variation

This volume of the HMI reports the dramatic variation in price, utilization, and spending trends for a set of 6 common services used by individuals with employer-sponsored insurance. Explore the striking findings: prices for the same blood test varied 40-fold within Tampa, FL, the use of a screening mammography fell 85% in Dayton, OH over 5 years, and more…

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Price & Use Comparison

Health care spending is the product of how much health care services cost and how often they are used, so to develop a more complete picture of how these drivers affect commercial health care markets, we compared our overall price and use indices both across and within 124 metro areas throughout the United States from 2013 to 2017.


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HMI in the News

See media coverage of HMI findings and reports.