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May
22

How do Pre-Medicare Adults Aged 55-64 Interact with the Health Care System?

The Health Care Cost Institute (HCCI), in collaboration with West Health, conducted an analysis on health care use and spend patterns among older adults with employer-sponsored insurance (ESI). This group is the key to anticipating future needs and demands on the health care system as they approach Medicare eligibility. We found that from 2018 to 2022, people aged 55-64 used mo...

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May
15

Shorter Stays, Lower C-Section Rates, and Fewer System-Affiliated Hospitals Contribute to Lower Childbirth Costs in Rural Areas

Childbirth costs, outcomes, and access to care differ between rural and urban hospitals. Rural areas have fewer short-term general acute care (GAC) hospitals, with only about 35% of all GAC hospitals operating in rural locations in 2023. As rural hospitals continue to face financial distress, many unprofitable service lines, such as hospital-based obstetric service units have closed. A recent stud...

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May
08

From Prenatal to Postpartum Care, Total Spending on Childbirth Averaged over $25,000 among ESI Enrollees

The high and rising costs of childbirth pose a financial challenge to many families. One study found that 60% of pregnant and postpartum women reported having difficulty affording care, with women enrolled in commercial insurance more likely to report affordability challenges than those with public insurance. To understand the average total spending on childbirth related services, as well as to lo...

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May
06

Facility Fees: What are they and how do they impact health care prices?

Research has shown that the price of a single service provided in a hospital outpatient department is consistently higher than the same service provided in a physician office. An earlier HCCI analysis examined 46 services that could be provided in either setting and found higher prices in outpatient departments for all services in all years studied. More recently, we evaluated prices for laborator...

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Apr
01

Off-label use of Semaglutides Continued to Grow in 2022 for those with Employer-Sponsored Insurance

Previously, HCCI analyzed Ozempic medication use in the ESI population and found that the percentage of patients using Ozempic that had a diabetes diagnosis, the condition Ozempic is clinically indicated to treat, had decreased from 92% in 2018 to 77% 2021. This indicated a growing trend of off-label use of Ozempic. Our findings aligned with reports at the time of off-label use of Ozempic for weig...

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