As new health policy debates come to life in Washington and state capitals, the Blue Cross and Blue Shield Association is trying to use its member companies' claims experience data to show how strange the U.S. health care system is.
The association commissioned BHI, a data analysis company, to help it analyze members' experience data for two types of common surgery — hip replacement surgery and knee replacement surgery — to illustrate how much costs can vary from facility to facility.
The analysts looked at claims incurred in 64 markets during the 36 months ending in July 2013. They tried to make "apples to apples" comparisons by using only data for patients outside Medicare and only for patients ages 18 to 65. When possible, they excluded episodes complicated by conditions such as cancer or HIV.
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