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Sep
11

American Journal of Managed Care: Policies to Address Surprise Billing Can Affect Health Insurance Premiums

 Abstract:  Objectives: To quantify the proportion of health plan spending on services for which surprise billing is common—provided by radiologists, anesthesiologists, pathologists, emergency physicians, emergency ground ambulances, and emergency outpatient facilities—and estimate the potential impact of proposed policies to address surprise billing on health insurance premiums. Study D...

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Sep
11

The New York Times: Missed Vaccines, Skipped Colonoscopies: Preventive Care Plummets

HCCI's research on non-urgent medical care during the coronavirus pandemic was featured in The New York Times.   From the article:  "Vaccinations dropped by nearly 60 percent in April, and almost no one was getting a colonoscopy, according to new data from the nonprofit Health Care Cost Institute. The data, drawn from millions of health insurance claims, shows a consistent patt...

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Sep
01

Kaiser Health News: California Rx: State May Dive Into Generic Drug Market

HCCI's research on insulin prices was cited by Kaiser Health News.   From the article:  "Patients who need insulin have faced huge cost spikes. A 2019 report by the Health Care Cost Institute concluded that average prices for insulin doubled from 2012 to 2016." California Rx: State May Dive Into Generic Drug Market | Kaiser Health News California could become the first state to deve...

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Aug
31

STAT: Seeing the ‘Deep Pocket’ Effect When Insurers Pay for Health Care

HCCI's Guroo tool was cited in a STAT article on direct versus insurance-covered health care service prices.   From the article: "I compared prices from this health system's booklet to the average allowed amounts for the same services reported by the Health Care Cost Institute's Guroo tool for hospitals in the state of Pennsylvania. For all services for which insurers pay more than ...

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Aug
28

AHCJ: Report Shows Wide Variation in What Insurers Pay Providers Versus What Medicare Would Have Paid

HCCI's research on comparing commercial and Medicare professional service prices was featured in the newsletter of the Association of Health Care Journalists. From the article:  "In Comparing Commercial and Medicare Professional Service Prices, HCCI researchers compared what health insurers paid to physicians and other providers with what Medicare pays for those services. This repor...

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