News
Media coverage of HCCI’s original research

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Jun
10

Consumer-Directed Health Plan Enrollment Rises in All Cities over 10 Years (2008 to 2017)

Recent analysis by HCCI finds that enrollment in consumer-directed health plans (CDHPs) increased dramatically since 2008. Nationally, nearly a third of commercially insured individuals were enrolled in a CDHP in 2017, up from 7.5% in 2008. Over ten years, enrollment in CDHPs doubled in 85 of the 88 metro areas studied. High-deductible health plans (HDHPs) have become increasin...
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May
13

Understanding Variation in Spending on Childbirth Among the Commercially Insured

Childbirth is the most frequent reason for an inpatient admission in the United States, and Cesarean-section (C-section) is the most common operating room procedure in an inpatient hospital stay. Among people who get insurance through an employer, the combination of labor, delivery, and newborn care makes up nearly one in six dollars spent on inpatient care. Childbirth accounts for an estimated fo...
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May
13

Most Postpartum Spending Occurs Beyond 60 Days After Delivery

The postpartum period is a vulnerable time for both birthing parent and newborn and is critically important to their health and well-being. The American College of Obstetricians and Gynecologists (ACOG) recommends ongoing, comprehensive care, including physical, social, and psychological services, during the postpartum period. In large part because of an increasing maternal mortalit...
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Mar
01

The Dallas Morning News: Texans are paying more for health insurance — and using it less

 HCCI's 2017 Annual Report and Healthy Marketplace Index were featured in an article in The Dallas Morning News.  Texans are paying more for health insurance — and using it less Nearly everyone is spending more on health care, often a lot more. But did you realize people are using it less? Utilization of health care is growing... https://www.dallasnews.com/business/health-care/2020/03/01...
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Feb
13

2018 Health Care Cost and Utilization Report

The 2018 Health Care Cost and Utilization Report presents data on health care spending, utilization, and average prices from 2014 through 2018 for individuals under the age of 65 who receive health insurance coverage through an employer. The report draws on data from more than 2.5 billion medical and prescription drug claims for approximately 40 million individuals enrolled in employer-sponsored h...
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Jan
30

The Washington Post: The Health 202: Health-care costs might decline if hospitals are forced by the Trump administration to disclose their prices

HCCI research on the potential effects of price transparency on price variation was cited in a recent Washington Post article. "There is more wiggle room on the high side — it could make up for price increases on the lower side," said Kevin Kennedy, one of the study researchers. The Health 202: Health-care costs might decline if hospitals are forced by the Trump administration to disclose the...
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Jan
29

What if Price Transparency Reduced Commercial Price Variation?

As previous reports have indicated, there is widespread price variation in the U.S. commercial health care system. Many studies have shown that prices are dramatically different not only across geographies, but they vary substantially even within the same market for the same service. For example, we found that prices for the same blood tests could vary 39-fold within Tampa, Florida and the cost of...
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Jul
30

The Wall Street Journal: Health-Care Spending Soars in New York State

HCCI's report with the New York State Health Foundation on health care spending in New York was recently featured in a Wall Street Journal article. From the article:  "Health-care spending on New Yorkers who get insurance through work is higher and rising more sharply than the national average. The main reason, according to a new report, is price growth. Rising prices of doctor visits, i...
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Jul
29

Health Care Spending in New York Growing Faster Than Rest of U.S.

Spending per person in employer-sponsored plans reaches all-time high of $6,335 Health care spending for the average New Yorker with employer-sponsored health insurance is increasing faster in New York State than the rest of the country, according to a new analysis released today by the New York State Health Foundation (NYSHealth) and the Health Care Cost Institute (HCCI). Per-person spending grew...
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Jul
23

Comparing Commercial and Medicare Rates for Select Anesthesia, Emergency Room, and Radiology Services by State

Committees in both the House and Senate have advanced legislation that includes measures to address "surprise bills." A surprise bill results when a person unknowingly receives medical care from a provider that is not part of their insurer's network. Both pieces of legislation set a benchmark for out-of-network payments. Those benchmarks are determined based on the median in-network amount paid by...
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Jun
06

Los Angeles Times: Soaring Insurance Deductibles and High Drug Prices Hit Sick Americans with a 'Double Whammy'

HCCI's research on consumer-directed health plans was recently used to support the second in a series of articles by the Los Angeles Times on high-deductible health plans. From the article:  "New research conducted in partnership with The Times for this project also shows that sick Americans use less healthcare when their plan requires them to pay more out of pocket. Analyzing data from ...
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Jun
04

USA Today: 'Really astonishing': Average cost of hospital ER visit surges 176% in a decade, report says

​HCCI research presented at this year's AcademyHealth Annual Research Meeting on emergency room spending was recently featured in a story in USA today.  From the article:  "Hospital emergency rooms are more likely to charge pricier levels of care than a decade ago, generating bigger bills that consumers increasingly must pay with their own money, according to a new report. The nonprofit ...
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May
02

Los Angeles Times: Health Insurance Deductibles Soar, Leaving Americans with Unaffordable Bills

HCCI's research on consumer-directed health plans was recently used to support the first in a series of articles by the Los Angeles Times on high-deductible health plans.  From the article:  "The challenges are most severe for people with the highest deductibles, according to the poll: Nearly half of those in a plan with at least a $3,000 individual deductible or a $5,000 family deductib...
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May
02

Lower Health Care Spending and Use for People with Chronic Conditions in Consumer-Directed Health Plans

To better understand differences in spending and use across types of health plans, we examine individuals enrolled in consumer-directed health plans (CDHPs) and individuals enrolled in non-CDHP health plans. CDHPs are a type of HDHP that typically include a health savings account (HSA) or a health reimbursement arrangement (HRA). We analyzed a sample of over 10 million individuals under the age of...
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Apr
01

American Economic Journal: Applied Economics: Health Care Spending and Utilization in Public and Private Medicare

Abstract: We compare health care spending in public and private Medicare using newly available claims data from Medicare Advantage (MA) insurers. MA insurer revenues are 30 percent higher than their health care spending. Adjusting for enrollee mix, health care spending per enrollee in MA is 9 to 30 percent lower than in Traditional Medicare (TM), depending on the way we define "comparable" enrolle...
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Feb
04

Health Affairs: Variation In Health Spending Growth For The Privately Insured From 2007 to 2014

ABSTRACT We examined the growth in health spending on people with employer-sponsored private insurance in the period 2007–14. Our analysis relied on information from the Health Care Cost Institute data set, which includes insurance claims from Aetna, Humana, and UnitedHealthcare. In the study period private health spending per enrollee grew 16.9 percent, while growth in Medicare spending per fee-f...
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