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  • Trends In Primary Care Visits

    Tags: Commercially Insured, Physician Spending, Prices, Primary Care, Utilization
    Trends In Primary Care Visits
    John Hargraves, Amanda Frost
    November 15, 2018

    Office visits to primary care physicians (PCPs) declined 18 percent from 2012 to 2016 for adults under 65 years old with employer-sponsored health insurance, while office visits to nurse practitioners (NPs) and physician assistants (PAs) increased 129 percent. Comparing 2012 to 2016, there were 273 fewer office visits per 1,000 insured individuals to primary care…

    Read more: Trends In Primary Care Visits
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  • Understanding how price growth affected areas differently across the country

    Tags: Geographic Variation, Healthy Marketplace Index, Prices
    Understanding how price growth affected areas differently across the country
    Kevin Kennedy, William Johnson
    October 24, 2018

    Recently, the Health Care Cost Institute (HCCI) published its Healthy Marketplace Index (HMI) – Price Index report, examining relative health care prices in 112 different metropolitan areas. This report is the first in a new series of releases from the HMI project, funded by the Robert Wood Johnson Foundation, which compares commercial health care markets…

    Read more: Understanding how price growth affected areas differently across the country
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  • Health Affairs: Health Care Spending Under Employer-Sponsored Insurance: A 10-Year Retrospective

    Tags: Commercially Insured, Drug Spending, Health Affairs, Inpatient Spending, Outpatient Spending, Peer Reviewed Journals, Physician Spending
    Health Affairs: Health Care Spending Under Employer-Sponsored Insurance: A 10-Year Retrospective
    Amanda Frost, Eric Barrette, Kevin Kennedy, Niall Brennan
    September 19, 2018

    ABSTRACT Using a national sample of health care claims data from the Health Care Cost Institute, we found that total spending per capita (not including premiums) on health services for enrollees in employer-sponsored insurance plans increased by 44 percent from 2007 through 2016 (average annual growth of 4.1 percent). Spending increased across all major categories…

    Read more: Health Affairs: Health Care Spending Under Employer-Sponsored Insurance: A 10-Year Retrospective
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  • ER facility prices grew in tandem with faster-growing charges from 2009-2016

    Tags: Charges, Commercially Insured, Emergency Room, Outpatient Spending, Prices
    ER facility prices grew in tandem with faster-growing charges from 2009-2016
    John Hargraves, Kevin Kennedy
    September 11, 2018

    HCCI often reports the prices of health care services, defined as the average amount a provider is paid for a given service based on negotiations with health care insurers. These prices typically represent a portion of charges, which are the amounts health care providers bill for the procedures they perform. The charge amount is often…

    Read more: ER facility prices grew in tandem with faster-growing charges from 2009-2016
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  • 2016 Health Care Cost and Utilization Report

    Tags: Drug Spending, Geographic Variation, HCCUR, Inpatient Spending, Out-of-Pocket, Outpatient Spending, Physician Spending, Prices, Utilization
    2016 Health Care Cost and Utilization Report
    HCCI
    June 19, 2018

    The 2016 Health Care Cost and Utilization Report shows that spending per privately insured person grew by 4.6 percent, faster than in previous years. Price increases were the primary driver. The report covers the period 2012 through 2016 and includes claims data from four national insurance companies: Aetna, Humana, Kaiser Permanente, and UnitedHealthcare.​  The data in…

    Read more: 2016 Health Care Cost and Utilization Report
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  • ER spending among the commercially insured continued to rise in 2016, driven by the price and use of high severity cases (2009-2016)

    Tags: Commercially Insured, Emergency Room, Geographic Variation, Outpatient Spending, Prices, Utilization
    ER spending among the commercially insured continued to rise in 2016, driven by the price and use of high severity cases (2009-2016)
    John Hargraves; Kevin Kennedy
    May 30, 2018

    HCCI recently expanded its reporting on emergency room (ER) spending trends to include the most recent data available (2016). We characterize trends in spending, price, and utilization for the five Current Procedural Terminology (CPT) codes designed to capture the level of severity and complexity of every ER visit. While average prices for all five ER…

    Read more: ER spending among the commercially insured continued to rise in 2016, driven by the price and use of high severity cases (2009-2016)
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  • Interactive Tool: Disease Modifying Therapies Drove 82% of Total Increase in Health Care Spending for People with Multiple Sclerosis

    Tags: Drug Spending, Multiple Sclerosis
    Interactive Tool: Disease Modifying Therapies Drove 82% of Total Increase in Health Care Spending for People with Multiple Sclerosis
    William Johnson; John Hargraves; Sally Rodriguez
    April 24, 2018

    In a recent issue brief, HCCI found that the already high cost of care for people with multiple sclerosis (MS) rose dramatically over the past several years. The primary driver was the increasing cost of a small group of prescription drugs called Disease Modifying Therapies (DMTs). To illustrate the role prescription drug prices play in…

    Read more: Interactive Tool: Disease Modifying Therapies Drove 82% of Total Increase in Health Care Spending for People with Multiple Sclerosis
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  • The Rising Cost of Specialty Drugs Drove Spending Increases for People with Multiple Sclerosis

    Tags: Chronic Conditions, Drug Spending, Multiple Sclerosis
    The Rising Cost of Specialty Drugs Drove Spending Increases for People with Multiple Sclerosis
    William Johnson
    April 12, 2018

    This issue brief investigates how the cost of prescription drugs affects the total cost of care for people with multiple sclerosis (MS). It decomposes total health care spending by category, specifically separating out spending on specialty drugs used to treat MS, called Disease Modifying Therapies (DMTs). The issue brief subsequently examines whether changes in spending…

    Read more: The Rising Cost of Specialty Drugs Drove Spending Increases for People with Multiple Sclerosis
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  • Under Pressure – Adults with Hypertension are Spending Increasingly More on Health Care

    Tags: Chronic Conditions, Drug Spending, Hypertension, Outpatient Spending, Physician Spending
    Under Pressure – Adults with Hypertension are Spending Increasingly More on Health Care
    William Johnson, Dan Fulop, Sally Rodriguez
    March 14, 2018

    This issue brief compares trends in health care spending from 2012 to 2016 for adults with employer-sponsored insurance who were diagnosed with hypertension to those not diagnosed with hypertension. It also considers how changes in prescription drug spending compare to changes in prescription drug use for adults with a hypertension diagnosis.  

    Read more: Under Pressure – Adults with Hypertension are Spending Increasingly More on Health Care
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  • How common is your health care spending?

    Tags: Top Spenders
    How common is your health care spending?
    William Johnson; John Hargraves
    February 21, 2018

    It is well documented that Americans spend a lot on health care, but this issue is often discussed in terms of share of GDP, billions of dollars, or an astoundingly high hospital bill. These numbers can be hard to relate to; it’s hard to imagine billions of dollars, let alone a share of the national…

    Read more: How common is your health care spending?
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