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Research

Original, data-rich research that equips healthcare leaders with
authoritative insights into trends shaping the health economy.
Health Plan Price Transparency Cover

Health Plan Price Transparency

Leveraging Transparency in Coverage Data to Reveal Actionable Information on Commercial Negotiated Rates

Our newest report analyzes health plan price transparency data to examine unexplainable differences in healthcare prices.

 
ABA Therapy Utilization Grew Nearly 300%, Driven by Increases in Medicaid
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State Hospital Pricing Law Signals 2026 Legislative Activity and Potential Federal Reform
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High Polypharmacy Rates Underscore Pharmaceutical Reliance
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Cash Rates Are Often Lower Than Negotiated Rates for Common Hospital Services
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Limited Network Options Offered to Employers Can Result in Thousands More for the Same Healthcare Service
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2025 Labor and Delivery Closures Disproportionately Affect Smaller Hospitals Serving Roughly One-Third of Local Births
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Growth in Emerging Chronic Conditions Signals a General Sense of Unwellness
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Rendering of Figure 3
Projected Population Change and Market-Level Incidence Rates Influence Healthcare Demand
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Hospital Administrative Expenditures Exceed Direct Patient Care by Nearly 2x
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How Regression to the Mean in Commercial Rates Would Impact Healthcare Costs
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Younger Adults and Women Drive Growth in Nutrition Services
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Market Trends in Private Equity-Backed Healthcare, With Insights From Home Health
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The Proposed Elimination of the Inpatient Only List Will Further Accelerate the Shift of Surgeries to Outpatient Settings
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Surgical Procedures Are Increasingly Imperiled by New Pharmaceuticals
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Minnesota's Novel 340B Financial Reporting Program Reveals Revenue Concentration Among Disproportionate Share Hospitals and Specialty Medications
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Winning in an Outpatient World: Preparing for Potential Changes to Medicare’s IPO List
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Antibiotic Overprescribing Remains High in Certain Provider Types, Care Settings and Regions
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Medicare Advantage Utilization Remained Relatively Flat from 2022 to 2023, While Utilization by Care Setting Was Variable
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Despite Regulatory Scrutiny, Increases in Adult ADHD Diagnosis and Off-Label Stimulant Prescribing Continued Through 2023
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Changes in Coding Intensity Across Outpatient Settings
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Outpatient Utilization Rates in Cancer Care Reflect Procedure-Specific Shifts
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Cycle of Care Delivery Shifting From Hospital to Non-Hospital Settings, 1950-2040
Lower-Cost Care Settings Can Offer Better Value
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Whether a Market Has an Oversupply or Undersupply of Hospital Beds Is Defined by Market-Level Demographic and Demand Characteristics
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Community Hospital Beds per 1,000 Population, By State, 2022
Whether a Market Has an Oversupply or Undersupply of Hospital Beds Is Defined by Market-Level Demographic and Demand Characteristics
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Percent Change in Patient Volume for Select Skin Conditions, 2021 to 2023
Increased Patient Volumes for Select Skin Conditions Align With Evolving Dermatologic Treatment Patterns
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Telehealth Utilization, Behavioral Health vs. All Other, Q1 2019-Q3 2023
Telehealth Demand: An Update Four Years After the Onset of the COVID-19 Pandemic
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Liver-Related Mortality and Healthcare Utilization Among Younger Men Is Growing
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The Marked Shift in Urgent Care Utilization: Two Years Later
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Analyzing the Wide Range of Value for High-Volume Outpatient Preventive Procedures
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UnitedHealthcare In-Network Negotiated Rates for MS-DRG 280, For-Profit and Nonprofit Hospitals, 2023
Exploring Reimbursement Differences Between Nonprofit and For-Profit Health Systems
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Exploring Reimbursement Differences Between Nonprofit and For-Profit Health Systems
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Match Day 2024: Primary Care Residency Positions Continue to Go Unfilled
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Leveraging Risk Adjustment to Analyze Health Status of Patients Receiving Cancer Treatment in 2017 and 2022
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The Factors Influencing Cancer Disease Burden Are Evolving
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Local Analysis of Nonalcoholic Steatohepatitis Underscores Need for Targeted Treatment
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Part 2: Harnessing Price Transparency Data to Analyze True Cost of Care
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Part 1: The Economic Framework of Price Transparency Data
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The Market Rate Has Been Revealed, and It Is Lower Than You Think
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GLP-1 Utilization in New York City Is Not Correlated with Clinical Indication
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The Cell and Gene Patient Journey Is Determined by Access to Treatment Sites
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Employers Have a Critical Role in Containing U.S. Healthcare Spending
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National Distribution Reveals Variation in Quality, Financial and Competitive Performance Among Renowned U.S. Hospitals
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While Originally Intended for Consumers, Health Plan Price Transparency Will Ultimately Promote Value-Based Competition
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Patients Prescribed Drugs Like Ozempic® and Mounjaro® Have Increased Over 300%
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Eating Disorders Among Child and Adolescent Patients Incrementally Spiked Following the Pandemic’s Onset
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Life Science Investments Signal a Continued Focus on Oncology and Immunology
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Most Behavioral Health Patients, Particularly Those with Alcohol or Substance Use Disorder, Do Not Receive Follow-Up Care After an Emergency Department Visit
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Anxiety, Depression, Chronic Pain Among Common Diagnoses Preceding Endometriosis and PCOS Diagnosis
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The Share of Younger New Patients Seeing Oncology Providers Is Increasing Over Time
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Sharp Uptick in Adderall Prescribing for Adults Ages 22-44 Amid COVID-19 Pandemic
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