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  Health Care Cost and Utilization

Alternative OrderingPhone: 1-800-358-9295; Outside of the United States: 703-437-2078; TTY/TDD: 1-888-586-6340
Mail: AHRQ Publications Clearinghouse, P.O. Box 8547, Silver Spring, MD 20907-8547
 
  Ambulatory Surgery in U.S. Hospitals, 2003. AHRQ 07-0007
C. Russo, P. Owens, C. Steiner, et al., HCUP Fact Book No. 9, January 2007, 52 pp. Examines differences in utilization and cost of various surgical procedures performed in inpatient and hospital-based outpatient settings. Data are from 17 States in AHRQ's Healthcare Cost and Utilization Project (HCUP) State Inpatient Databases and State Ambulatory Surgery Databases.  
 
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  Annual Medical Spending Attributable to Obesity: Payer- and Service-Specific Estimates AHRQ 09-R087
E. Finkelstein, J. Trogdon, J. Cohen, W. Dietz, Health Affairs, 28(5):July 2009, w822-w831. Presents updated estimates of the costs of obesity for the United States across payers (Medicare, Medicaid, and private insurers) in separate categories for inpatient, outpatient, and prescription drug spending. (AHRQ 09-R087)  
 
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  Care of Adults With Mental Health and Substance Abuse Disorders in U.S. Community Hospitals, 2004. AHRQ 07-0008
P. Owens, M. Myers, A. Elixhauser, et al., HCUP Fact Book No. 10, January 2007, 56 pp. Examines patient characteristics and resource use by people ages 18 and older who were treated for mental health and/or substance use conditions in general (as opposed to specialty) hospitals in 2004. Special topics including suicide-related stays and maternal stays complicated by mental health conditions are included.  
 
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  Consumer Financial Incentives: A Decision Guide for Purchasers AHRQ 07(08)-0059
Agency for Healthcare Research and Quality, November 2007, 39 pp. Provides a tool for exploring if and how consumer financial incentives might be used to improve community or market readiness for health care quality improvement.  
 
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  Contemporary Costs of HIV Healthcare in the HAART Era AHRQ 11-R020
K. Gebo, J. Fleishman, R. Conviser, et al., AIDS, November 2010, 24(17):2705-2715. Provides updated estimates of expenditures for HIV management.  
 
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  Cost Sharing in Medicaid and CHIP: How Does It Affect Out-of-Pocket Spending? AHRQ 09-R072
T. Selden, G. Kenney, M. Pantell, J. Ruhter, Health Affairs, 28(4):July/August 2009, w607-w619. Assesses the role of cost sharing in Medicaid and the Children's Health Insurance Program (CHIP) and its potential financial burden on low-income families with children. (AHRQ 09-R072)  
 
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  Costly Hospital Readmissions and Complex Chronic Illness AHRQ 09-R064
B. Friedman, H. Jiang, A. Elixhauser, Inquiry, 45(4):Winter 2008/2009, 408-421. Discusses how the rate of hospital readmissions and hospital cost per person in a year depend on a patient's number of different chronic conditions, severity of illness, principal diagnosis at discharge, payer group, and other variables. (AHRQ 09-R064)  
 
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  Costs and State-Specific Rates of Thoracic and Lumbar Vertebroplasty, 2001-2005 AHRQ 09-R015
D. Gray, W. Hollingworth, N. Onwudiwe, et al., Spine, 33(17):2008, 1905-1912. Examines the volume, rates, and inflation-adjusted costs for vertebroplasty?a nonsurgical procedure to stabilize compressed vertebrae?among Medicare fee-for-service patients from 2001 to 2005.  
 
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  Does Participation in the Food Stamp Program Increase the Prevalence of Obesity and Health Care Spending? AHRQ 08-R072
C. Meyerhoefer, Y. Pylypchuk, American Journal of Agriculatural Economics, 90(2):May 2008, 287-305. Uses panel data techniques and information on State-level food stamp program characteristics to obtain unbiased estimates of the impact of food stamp program participation on weight status and health care expenditures of nonelderly adults.  
 
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  Economic and Health Costs of Diabetes. AHRQ 05-0034
HCUP Highlights Issue 1, January 2005, 4 pp. Summarizes findings from AHRQ?s Healthcare Cost and Utilization Project (HCUP) using hospital care data to examine how diabetes-related complications affect health status, hospitalizations, and economic costs.  
 
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  Financial Burden of Health Care, 2001-2004 AHRQ 08-R032
J. Banthin, P. Cunningham, D. Bernard, Health Affairs, 27(1):January/February 2008, 188-195. Presents the results of an analysis of MEPS data, which found that rising out-of-pocket expenses and stagnant incomes increased the financial burden of health care for families in 2001-2004, especially for the privately insured.  
 
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  Health Care Expenses for Injuries: Estimates From the 1997 MEPS. AHRQ 04-0005
N. Krauss, S. Machlin, G. Adams, MEPS Research Findings No. 19, December 2003, 19 pp. Uses data from the 1997 MEPS Household Component to examine the health care costs of injury-related conditions. Gives estimates of injury-related expenses for inpatient hospital services and ambulatory medical care services by age, sex, race, health insurance, and poverty level.  
 
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  Health Care Expenses in the United States, 2000. AHRQ 04-0022
T. Rice, D. Kashihara, S. Machlin, MEPS Research Findings No. 21, April 2004, 55 pp. Presents descriptive data on health care spending in the United States. Estimates are based on data from the 2000 Medical Expenditure Panel Survey and cover the civilian noninstitutionalized U.S. population. Estimates of total health care expenses and expenses for hospital inpatient services, ambulatory services, prescription medicines, dental services, home health services, and other medical equipment and supplies are provided.  
 
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  Hospital Charges Attributable to a Primary Diagnosis of Infectious Diseases in Older Adults in the United States, 1998 to 2004 AHRQ 08-R073
A. Curns, C. Steiner, J. Sejvar, et al., Journal of the American Geriatrics Society, 56:June 2008, 969-975. Describes total and average hospital charges associated with infectious disease hospitalization rates in adults aged 65 and older in the United States from 1998 through 2004.  
 
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  Hospital and Ambulatory Surgery Care for Women's Cancers AHRQ 06-0038
HCUP Highlights Issue 2, September 2006, 6 pp. Summarizes findings on hospital use, outpatient surgery use, hospital charges, and changing practice patterns for the care of breast and gynecologic cancers.  
 
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  Hospitalization in the United States, 2002. AHRQ 05-0056
C. Merrill, A. Elixhauser, HCUP Fact Book No. 6, June 2005, 52 pp. Summarizes information from the Nationwide Inpatient Sample, an all-payer hospital database maintained by AHRQ. Updates an earlier fact book that described hospital care in 1997, and allows for easy comparisons between 1997 and 2002 hospital care information.  
 
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  Inefficiency Differences Between Critical Access Hospitals and Prospectively Paid Rural Hospitals AHRQ 10-R056
M. Rosko, R. Mutter, Journal of Health Politics, Policy and Law, February 2010; 35(1):95-126. Compares the cost efficiency of critical access hospitals with that of rural hospitals to contrast the performance of hospitals operating under different payment systems.  
 
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  Infectious Disease Hospitalizations in the United States AHRQ 10-R010
K. Christensen, R. Holman, C. Steiner, et al., Clinical Infectious Diseases, 49(7):October 2009, 1025-1035. Describes the epidemiology of U.S. hospitalizations for infectious diseases, including differences in trends and patterns of illnesses and care. (AHRQ 10-R010)  
 
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  Inpatient Health Services Utilization Among HIV-Infected Adult Patients in Care 2002-2007 AHRQ 10-R046
B. Yehia, J. Fleishman, P. Hicks, et al., Journal of Acquired Immune Deficiency Syndrome, March 2010; 53(3):397-404. Examines the frequency of inpatient hospitalization, the number of inpatient days, and factors associated with use of inpatient resources in a multistate cohort of HIV-infected adults between 2002 and 2007.  
 
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  Kids' Inpatient Database (KID) AHRQ 06(07)-0016-2
May 2007, Two-fold brochure. Provides information about the Kids' Inpatient Database, a hospital administrative dataset that is designed specifically to assess hospital care among newborns, children, and adolescents. Part of the Healthcare Cost and Utilization Project, the KID is an affordable database for studying hospital use among children.  
 
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  MEPS: A Survey of Health Care Use and Spending AHRQ 07-0078
Agency for Healthcare Research and Quality, July 2007, 9 pp. Brochure describes the Medical Expenditure Panel Survey (MEPS), including the various survey components; the types of data collected; how the data can be used by researchers, policymakers, health care administrators, and others; and how to obtain MEPS data. Sample MEPS findings are presented.  
 
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  Mental Health and Family Out-of-Pocket Expenditure Burdens AHRQ 10-R069
S. Zuvekas, T. Selden, Medical Care Research and Review, April 2010; 67(2):194-212. Uses data from the Medical Expenditure Panel Survey to determine the annual and within-year concentration of medical spending and the extent to which mental health treatment contributes to high out-of-pocket burdens among families with and without mental health problems.  
 
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  Monitoring and Evaluating Medicaid Fee-for-Service Care Management Programs: A User's Guide AHRQ 08-0012
Agency for Healthcare Research and Quality, November 2007, 43 pp and 2 pp insert. Guides users through the steps of program evaluation, from getting started to thinking about budget to executing the evaluation itself. Includes a two-page insert for program directors and policymakers.  
 
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  Nationwide Inpatient Sample (NIS) Brochure. AHRQ 06-0016-1
Agency for Healthcare Research and Quality, March 2006. Provides information about the Nationwide Inpatient Sample (NIS), a nationally representative of all short-term, non-Federal hospitals. Part of the Healthcare Cost and Utilization Project, the NIS is a reliable and affordable database for studying hospital data on important health care topics.  
 
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  New Estimates of the Demand for Physical and Mental Health Treatment AHRQ 09-R056
C. Meyerhoefer, S. Zuvekas, Health Economics April 2009, E-pub. Discusses the methods used to estimate health care demands, examines the substantial decrease in the cost of mental health care, and explores the implications of this decrease for mental health coverage decisions in the light of health care reform.  
 
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