State Market Health Spending Index

Price

$3,500

Years

2018, 2022

Geography

State

Included

  • State Market Health Spending Index – Years 2018-2022 Data (.csv)

  • Market Health Spending Index (States) Data Dictionary (.xlsx)

  • Data Reference Guide: Measures, Methodology & End User License Agreement (PDF)

Description

State estimates of spending, price, use, service mix, and cost burden indices for 2018 and 2022. Index values are expressed relative to the national value (national =1.0). The data represent people under age 65 who are covered by employer-sponsored insurance (ESI). *Reference the Data Dictionary for a complete list of states represented in the dataset.

Data Dictionary

Measures

  • Average per-member-per-year spending in geographic area divided by national average per-member-per-year spending.
  • Average number of weighted services (claim lines) per-member-per-year in the geographic area divided by the national average number of weighted services (claim lines) per-member-per-year. Weights are derived from the share of national spending attributable to the service category.
  • Weighted average of median service prices in a geographic area divided by the national weighted average of median service prices.
  • The service mix index recalculates the price index by fixing service prices at the national median, using utilization weights for the geographic area. The index tracks how average category prices would change if service-level prices did not vary by geography, while allowing the service mix to vary across areas. The service mix value is then divided by the national average to calculate the index.
  • Per-member-per-year spending in the geographic area divided by per capita Personal Income in the geographic area. We then divided each area’s cost burden measure by the national average to convert it to an index value.

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