New AHRQ Reports Show Private Insurance Premiums Rising at Modest Rate
From 2003 to 2011, average hospital costs for all discharges grew by about 2 percent annually while total number of hospital discharges and average length of stay remained relatively stable. Projections indicate the trend will continue. (Source: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project Statistical Brief #175: Trends and Projections in Inpatient Hospital Costs and Utilization, 2003-2013.)
- New AHRQ Reports Show Private Insurance Premiums Rising at Modest Rate.
- Evidence Lacking on Depression Treatment for Pregnant and Postpartum Women.
- Study Suggests Ways To Measure Quality of Children's Health Care More Accurately.
- New Guide To Clinical Preventive Services Available, E-Book Version Coming Soon.
- Register Now for July 22 AHRQ Health Care Innovations Exchange Webinar on Patient- and Family-Centered Care.
- AHRQ in the Professional Literature.
Average annual premiums for employer-sponsored private health insurance rose 3.5 percent for individuals and 3.6 percent for families in 2013, according to a series of newly published AHRQ statistical briefs. Comparing premium amounts in 2012 with 2013, single coverage rose from $5,384 to $5,571 while family coverage increased from $15,473 to $16,029. The findings are based on data from AHRQ's Medical Expenditure Panel Survey (MEPS), an annual survey of nearly 40,000 households conducted annually since 1996. The briefs are State Differences in the Cost of Job-Related Health Insurance, 2013; Selection and Costs For Employer-Sponsored Health Insurance in the Private Sector, 2013 versus 2012; and Offer Rates, Enrollment Rates, Premiums and Employee Contributions for Employer-Sponsored Health Insurance in the Private Sector for the 10 Largest Metropolitan Areas, 2013. MEPS is the most comprehensive national data source measuring how Americans pay for and use medical care, health insurance and out-of-pocket spending.
A research review from AHRQ has found that there is not enough evidence to determine the relative benefits and harms of depression treatment in pregnant and postpartum women. Some of the evidence shows a higher risk of breathing difficulty in newborn children of women with depression who took selective serotonin reuptake inhibitors (SSRIs) during pregnancy, compared with those women who did not. The review, "Antidepressant Treatment of Depression During Pregnancy and the Postpartum Period," also found that there is not enough evidence to make an association between autism spectrum disorder and depression during pregnancy, antidepressant treatment or the interaction of the two. According to the review, future research is needed to compare available treatments in groups of women with depression that takes into account the impact of dose, severity of depression, timing of diagnosis or prior depressive episodes.
Adding electronic health record (EHR) data to administrative claims data might yield a more complete measurement of the quality of children's care, because quality measures might not be accurate when assessed using administrative claims alone, according to a recent AHRQ-funded study. The abstract and article, "Variation in Outcomes of Quality Measurement by Data Source," published online May 26 in Pediatrics, examined quality measures that included childhood and adolescent immunization status, well-child visits, body mass index and annual chlamydia screening for females aged 16 and older. The "hybrid" method recommended to assess quality measures, which includes medical record review, is more comprehensive but has time and financial constraints. To overcome those constraints, the researchers demonstrated an alternative data-collection method for systems that are able to electronically abstract clinically relevant EHR data.
The U.S. Preventive Services Task Force has released the "Guide to Clinical Preventive Services, 2014," a comprehensive resource that can help primary care clinicians and patients decide together what preventive services are right for a patient's needs. The guide also can be used as a teaching tool for new clinicians as they learn about clinical preventive care. The 2014 guide includes all active Task Force evidence-based recommendations since 2004, including 28 new and updated recommendations since the 2012 version, in a format meant for use at the point of patient care. It also includes information about topics in development, clinical summary tables and additional resources. The guide is available in both electronic and print versions. Bulk orders can be made via Email or phone, (800) 358-9295. An e-book version of the publication will be available later this year.
AHRQ is hosting a free webinar July 22 from 1 to 2:30 p.m. ET about how the core concepts of patient- and family-centered care have been put into practice. The event is the second in a series of webinars on the topic by the AHRQ Health Care Innovations Exchange to share new approaches to care and explore lessons learned.
- Michelle Rickerby, M.D., co-director, Hasbro Children's Partial Hospital Program, Providence, Rhode Island.
- Diane DerMarderosian, M.D., pediatric co-director, Hasbro Children's Partial Hospital Program, Providence, Rhode Island.
- Judith Rogers, Ph.D., M.S.N., R.N., president, Holy Cross Hospital Silver Spring, Maryland.
- Moderator: Beverley H. Johnson, president and chief executive officer, Institute for Patient- and Family-Centered Care, Bethesda, Maryland.
The AHRQ Health Care Innovations Exchange is an online repository of information where health professionals and researchers can share and learn about evidence-based practices. It includes searchable innovations and quality tools, along with learning and networking opportunities involving an array of health care settings and populations. Registration is open.
Murphy DR, Laxmisan A, Reis BA, et al. Electronic health record-based triggers to detect potential delays in cancer diagnosis. BMJ Qual Saf 2014 Jan;23(1):8-16. Epub 2013 Jul 19. Select to access the abstract on PubMed®.
Glance LG, Mukamel DB, Osler TM, at al. Ranking trauma center quality: can past performance predict future performance? Ann Surg 2014 Apr;259(4):682-6. Select to access the abstract on PubMed®.
Bergeron AR, Webb JR, Serper M, et al. Impact of electronic prescribing on medication use in ambulatory care. Am J Manag Care 2013 Dec;19(12):1012-7. Select to access the abstract on PubMed®.
Samji H, Cescon A, Hogg RS, et al. Closing the gap: increases in life expectancy among treated HIV-positive individuals in the United States and Canada. PLoS One 2013 Dec 18;8(12):e81355. Select to access the abstract on PubMed®.
Taliani CA, Bricker PL, Adelman AM, et al. Implementing effective care management in the patient-centered medical home. Am J Manag Care 2013 Dec;19(12):957-64. Select to access the abstract on PubMed®.
Huesch MD, Currid-Halkett E, Dcotor JN. Measurement and risk adjustment of prelabor cesarean rates in a large sample of California hospitals. Am J Obstet Gynecol 2014 May;210(5):443.e1-17. Epub 2013 Dec 4. Select to access the abstract on PubMed®.
Lawrence WF. Comparative effectiveness research in practice and policy for radiation oncology. Semin Radiat Oncol 2014 Jan;24(1):54-60. Select to access the abstract on PubMed®.
Bao Y, Ryan AM, Shao H, et al. Generic initiation and antidepressant therapy adherence under Medicare Part D. Am J Manag Care 2013 Dec;19(12):989-98. Select to access the abstract on PubMed®.
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