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  • From Prenatal through Postpartum Care, it Cost More Than $24,000 to Have a Baby on Average

    Tags: ESI, Maternal Health
    From Prenatal through Postpartum Care, it Cost More Than ,000 to Have a Baby on Average
    Zehra Valencia, Aditi Sen, Jessica Chang
    May 12, 2023

    Total Spending Averaged $24,336 across the Prenatal, Childbirth, and Postpartum Periods among ESI Enrollees HCCI has highlighted the high cost of childbirth in the United States, but delivery is only one component of the full financial cost of having a baby. The cost of prenatal and postpartum care may cause people to forgo appropriate services,…

    Read more: From Prenatal through Postpartum Care, it Cost More Than $24,000 to Have a Baby on Average
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  • Focusing on Seven Services Could Eliminate More Than Two-Thirds of Low-Value Care in HCCI’s ESI Data

    Tags: ESI, LowValueCare, Spending, Utilization
    Focusing on Seven Services Could Eliminate More Than Two-Thirds of Low-Value Care in HCCI’s ESI Data
    Debra Bozzi, Aditi Sen, Katie Martin
    April 25, 2023

    There is substantial evidence that people in the U.S. receive health care services judged to be of low-value. These services are identified as low value based on recommendations from the U.S. Preventive Services Task Force (USPSTF) and professional medical societies that there is little to no clinical value associated with their provision and potential for…

    Read more: Focusing on Seven Services Could Eliminate More Than Two-Thirds of Low-Value Care in HCCI’s ESI Data
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  • Insulin Prices in ESI Nearly Doubled from 2012-2021, with Effects of Emerging Biosimilars Evident in Recent Years

    Tags: Insulin, Prices
    Insulin Prices in ESI Nearly Doubled from 2012-2021, with Effects of Emerging Biosimilars Evident in Recent Years
    Bianca Silva Gordon, Aditi Sen, John Hargraves
    April 4, 2023

    Insulin is a life-saving medication for millions of Americans who live with diabetes. As the price of insulin has risen, people who depend on insulin have had to make difficult decisions about whether to pay for their medication or other necessities. Some have been forced to ration their supply, with devastating results. Recent legislation has limited insulin out-of-pocket costs at…

    Read more: Insulin Prices in ESI Nearly Doubled from 2012-2021, with Effects of Emerging Biosimilars Evident in Recent Years
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  • Uptake of Biosimilars Remains Low Among People with Employer-Sponsored Insurance

    Tags: Biosimilars, Drug Spending
    Uptake of Biosimilars Remains Low Among People with Employer-Sponsored Insurance
    Jessica Chang, Aditi Sen
    March 30, 2023

    Biologic drugs represent advances in medical research and treatment but are a major driver of drug spending in the United States. Spending on biologics increased by 50% between 2014 and 2018 in the U.S. even though just 2% of Americans used them. Biosimilars, clinically equivalent, lower-cost versions of original biologic drugs, analogous to generic versions…

    Read more: Uptake of Biosimilars Remains Low Among People with Employer-Sponsored Insurance
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  • Rising Share of Chemotherapy Services Provided in Outpatient Departments is Associated with Higher Costs for Patients and Payers

    Tags: Prices, SiteofService
    Rising Share of Chemotherapy Services Provided in Outpatient Departments is Associated with Higher Costs for Patients and Payers
    Jessica Chang, Aditi Sen
    March 28, 2023

    Every year, 1 million people in the U.S. receive chemotherapy for cancer treatment. Most chemotherapy treatment requires patients to be present in a physician’s office or hospital outpatient department to receive the treatment (typically an infusion or injection). Chemotherapy plays a critical role in treatment for many patients with cancer, but it also often leads…

    Read more: Rising Share of Chemotherapy Services Provided in Outpatient Departments is Associated with Higher Costs for Patients and Payers
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  • HCCI Spotlights Colorectal Cancer Awareness Month: Use of Cologuard Doubled over 2018-2020, Despite Drops Early in the COVID-19 Pandemic

    HCCI Spotlights Colorectal Cancer Awareness Month: Use of Cologuard Doubled over 2018-2020, Despite Drops Early in the COVID-19 Pandemic
    Linsay Sarfo & Aditi Sen
    March 20, 2023

    Colorectal cancer screenings are essential for early disease detection, prevention, and treatment. Since 2014, Cologuard, a DNA-based screening test that can detect colorectal cancer and precancerous cells, has been available to individuals 45 and older at average risk for colorectal cancer. In contrast to colonoscopies, which must be done at a health care facility, Cologuard is…

    Read more: HCCI Spotlights Colorectal Cancer Awareness Month: Use of Cologuard Doubled over 2018-2020, Despite Drops Early in the COVID-19 Pandemic
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  • HCCI Spotlights Colorectal Cancer Awareness Month: Colonoscopy Prep Drugs Underscore the Tradeoff Between Cost and Patient Preference

    HCCI Spotlights Colorectal Cancer Awareness Month: Colonoscopy Prep Drugs Underscore the Tradeoff Between Cost and Patient Preference
    Debra Bozzi, John Hargraves, Katie Martin, Aditi Sen
    March 17, 2023

    Colorectal cancer is the third most common cancer diagnosed in the U.S., and the second most common cause of cancer deaths among men and women combined. Screening via colonoscopy is highly effective in terms of improving prognosis of colorectal cancer via early detection; over 90% of patients who are diagnosed early (i.e., when the cancer is small…

    Read more: HCCI Spotlights Colorectal Cancer Awareness Month: Colonoscopy Prep Drugs Underscore the Tradeoff Between Cost and Patient Preference
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  • Seasonal Trends in Antibiotic Use were Disrupted by COVID-19

    Seasonal Trends in Antibiotic Use were Disrupted by COVID-19
    Tanya Natwick, Daniel Kurowski, Katie Martin
    January 31, 2023

    November and December of 2022 saw growth in rates of flu, RSV, and COVID, that renewed attention to a seasonal trend of increased respiratory illnesses in the winter months. Data from Medicare, Medicaid, and private insurance illustrate the seasonal ups and downs of respiratory infections. Earlier HCCI research showed that hospitalizations from respiratory illness increased…

    Read more: Seasonal Trends in Antibiotic Use were Disrupted by COVID-19
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  • ​HCCI Data Brief: Sexual and Reproductive Health Among People with Employer-Sponsored Insurance

    Tags: ESI, Utilization
    ​HCCI Data Brief: Sexual and Reproductive Health Among People with Employer-Sponsored Insurance
    Tanya Natwick, Aditi Sen, and Katie Martin
    January 24, 2023

    Reproductive and sexual health services play an important role in daily life and wellbeing for many people. These services include preventive services (such as screenings for sexually transmitted infections and reproductive cancers), contraceptive services, and services relating to pregnancy and childbirth. The objective of this report is to provide national and state data on the use…

    Read more: ​HCCI Data Brief: Sexual and Reproductive Health Among People with Employer-Sponsored Insurance
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  • Going Beyond the Healthy Marketplace Index: A Closer Look at Four Metro Areas

    Tags: HMI
    Going Beyond the Healthy Marketplace Index: A Closer Look at Four Metro Areas
    Linsay Sarfo, Debra Bozzi, Aditi Sen, Katie Martin
    January 18, 2023

    Each year, HCCI creates the Healthy Marketplace Index (HMI) to examine how health care spending varies across the United States. The HMI shows health care spending, prices, and use compared to the national median for close to 200 local metro areas. By describing how health care spending varies geographically and how use and price contribute…

    Read more: Going Beyond the Healthy Marketplace Index: A Closer Look at Four Metro Areas
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