Issue Brief: Spending on Shoppable Services in Health Care

This issue brief examines health care spending on shoppable services in 2011. Contrary to expectations, giving consumers prices so they can shop for health care services may only have a modest effect on reducing health spending.

Key Takeaways Include:

  • In 2011, about 43% of the $524.2 billion spent on health care services for commercially insured people was considered shoppable.
  • About 15%—nearly $81 billion—of the total spent on health care for the commercially insured was spent out of pocket.
  • Of the total amount spent, about 7%—$37.7 billion—was spent on shoppable services out of pocket by consumers.
  • Most out-of-pocket dollars (44%) were spent on shoppable ambulatory doctor services.

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Read the accompanying blog post in Health Affairs co-authored with Lynn Quincy of Consumers Union: Health Care Consumerism: Can The Tail Wag The Dog


Data Brief: Taking the Pulse of Health Care Markets

This data brief discusses patterns in the price and utilization indices reported in the 2015 Healthy Marketplace Index Report.

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Issue Brief: Per Capita Health Care Spending on Diabetes: 2009-2013

This issue brief examines health care spending for adults and children with diabetes relative to those without diabetes, both in terms of total per capita health care spending and out-of-pocket costs from 2009-2013.

This issue brief examines health care spending for adults and children with diabetes relative to those without diabetes, both in terms of total per capita health care spending and out-of-pocket costs from 2009-2013.

Key Takeaways Include:

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Data Brief: Shopping for Health Care Makes “Cents” for Consumers

This data brief looks at:

  • Per capita out-of-pocket spending rates nationally and statewide
  • Average differences in consumer prices for a set of five common medical procedures: office visit for the evaluation of a new patient, colonoscopy, cataract removal, lower leg MRI; and ultrasound for pregnancy nationally and in nine states: Arizona, Colorado, Florida, Georgia, Maryland, New Jersey, Ohio, Texas, and Wisconsin

It finds consumer out-of-pocket spending for common health care procedures can vary from $10 to nearly $1,000, depending on the procedure.

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Issue Brief: Out-of-Pocket Spending Trends (2013)

This issue brief accompanies the 2013 Spending Cost & Utilization Report and examines trends in out-of-pocket expenditures per capita for the national, younger than age 65 population covered by employer-sponsored insurance for the period of 2011 through 2013.

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Issue Brief: Selected Health Care Trends for Young Adults: 2007-2012

This issue brief is one of the first to examine health care trends for young adults (ages 19-25) with employer-sponsored insurance before and after implementation of Section 1001 of the Affordable Care Act that allows parents to include their adult children in family health plans.

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Issue Brief: Key Findings from Children’s Health Spending: 2009-2012

This issue brief summarizes the main findings of the Health Care Cost Institute’s (HCCI’s) Children’s Health Spending: 2009-2012.

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Issue Brief: The Prevalence of Diagnosed Diabetes, Pre-Diabetes, and Gestational Diabetes among the ESI Population, 2008-2012

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Issue Brief: The Impact of the Mental Health Parity and Addiction Equity Act on Inpatient Admissions

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Issue Brief: Spending on Prescriptions in 2011

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