Healthcare Payments Data (HPD) Medical Out-of-Pocket Costs and Chronic Conditions

Description

This dataset contains data for the Healthcare Payments Data (HPD): Medical Out-of-Pocket Costs and Chronic Conditions report. The data covers three measurement categories: annual member count, annual median out-of-pocket count, annual median claim count. The annual member count quantify the number of unique individuals who received at least one medical service in the reporting year. Annual median out-of-pocket measurements quantifies the sum of copay, coinsurance, and deductible incurred by members. Annual median claim count measurements quantifies the number of distinct claims or encounters associated with members. Both 25th and 75th percentiles for out-of-pocket cost and claim count are also included. Measures are grouped by payer types, chronic conditions flag, chronic condition types, and chronic condition numbers.

Resources

Name Format Description Link
53 data-dictionary-oop-cost-final.xlsx https://data.chhs.ca.gov/dataset/becda735-95a1-4efb-b3d5-7af4a6c75fbb/resource/d69a5b5f-ab94-490a-8583-d56d5b0d4e19/download/data-dictionary-oop-cost-final.xlsx
33 Technical note for the HCAI Healthcare Payments Data (HPD) Medical Out-of-Pocket Costs and Chronic Conditions (2022). https://data.chhs.ca.gov/dataset/becda735-95a1-4efb-b3d5-7af4a6c75fbb/resource/8f868d74-788c-4f13-a041-837411c36ab1/download/tech_note_for_hpd_medical_oop_and_chronic_condition_2022_ada.pdf
57 healthcare-payments-data-hpd-medical-out-of-pocket-costs-and-chronic-conditions-asa5gtye.zip https://data.chhs.ca.gov/dataset/becda735-95a1-4efb-b3d5-7af4a6c75fbb/resource/5bfe370b-dcef-4085-a82f-c48a2c22a47a/download/healthcare-payments-data-hpd-medical-out-of-pocket-costs-and-chronic-conditions-asa5gtye.zip
53 This dataset contains data for the Healthcare Payments Data (HPD): Medical Out-of-Pocket Costs and Chronic Conditions report. The data covers three measurement categories: annual member count, annual median out-of-pocket count, annual median claim count. The annual member count quantify the number of unique individuals who received at least one medical service in 2022. Annual median out-of-pocket measurements quantifies the sum of copay, coinsurance, and deductible incurred by members. Annual median claim count measurements quantifies the number of distinct claims or encounters associated with members. Both 25th and 75th percentiles for out-of-pocket cost and claim count are also included. Measures are grouped by payer types, chronic conditions flag, chronic condition types, and chronic condition numbers. https://data.chhs.ca.gov/dataset/becda735-95a1-4efb-b3d5-7af4a6c75fbb/resource/e7794d13-4134-4230-b2d5-8698d438fd34/download/hpd_oop_chronic_2022_masked.xlsx

Tags

  • apcd
  • utilization
  • health-care-costs
  • hcai
  • out-of-pocket-costs
  • hpd
  • department-of-health-care-access-and-information
  • chronic-conditions
  • medical-costs

Topics

Categories