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

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.

Data files

Data title and descriptionAccess dataFile detailsLast updated

All resource data

DownloadZIP
03/21/25

Supporting files

Data title and descriptionAccess dataFile detailsLast updated

HPD Medical Out-of-Pocket Costs and Chronic Conditions Data, 2022

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.

XLSX
03/21/25

HPD Medical Out-of-Pocket Costs and Chronic Conditions - Data Dictionary

XLSX
03/21/25

HPD Medical Out-of-Pocket Costs and Chronic Conditions Technical Note (2022 Data) - March 2025

Technical note for the HCAI Healthcare Payments Data (HPD) Medical Out-of-Pocket Costs and Chronic Conditions (2022).

PDF
03/21/25

API endpoint

Dataset Name

Use the query web API to retrieve data with a set of basic parameters. Copy the API endpoint you need to start.

Usage documentation