Peterson-KFF Health System Tracker


The Peterson-KFF Health System Tracker is an online hub monitoring how well the U.S. health system is operating through key quality and cost measures. A partnership of the Peterson Center on Healthcare and KFF, the Tracker documents trends in Health Spending, Quality of Care, Access & Affordability, and Health & Wellbeing through issue briefs and downloadable chart collections. The Tracker also includes the Interactive Health Spending Explorer tool, which helps users analyze more than 50 years of health expenditure data, and a Health System Dashboard, which provides quick and easy access to the latest, most relevant statistics.


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  • Most Insurers Participating in the Marketplaces Don’t Expect COVID to Affect Their 2022 Costs

    News Release

    After a tumultuous year of unpredictable COVID-19 changes to utilization and spending, a review of early rate filings for individual market insurers participating in the Affordable Care Act Marketplace finds that most are expecting a return to normal in 2022 without the pandemic playing a large role. The review of insurers’ preliminary rate filings in 13 states and the District of Columbia reveals that most expect health utilization patterns to return to their pre-pandemic levels…

  • Few Adults Are Aware of Hospital Price Transparency Requirements

    Issue Brief

    This data note for the Peterson-KFF Health System Tracker shows that few Americans realize that starting this year hospitals are required to post prices of common health services on their websites in a format patients can access and use.

  • Analysis: Half of Emergency Ambulance Rides Lead to Out-of-Network Bills for Privately Insured Patients

    News Release

    About half of emergency ground ambulance rides result in an out-of-network charge for people with private health insurance, potentially leaving patients at risk of getting a surprise bill, a new KFF analysis for the Peterson-KFF Health System Tracker finds. Congress last year enacted the “No Surprises Act,” which prohibits most surprise out-of-network bills when a patient receives out-of-network services during an emergency visit or at an in-network hospital without advance notice starting in 2022. However,…

  • Ground Ambulance Rides and Potential for Surprise Billing

    Issue Brief

    This analysis for the Peterson-KFF Health System Tracker finds that half of emergency ground ambulance rides result in an out-of-network charge for people with private health insurance, potentially leaving patients at risk of getting a surprise bill.

  • Analysis: Hospital Price Transparency Data Lacks Standardization, Limiting Its Use to Insurers, Employers, and Consumers

    News Release

    In spite of a new price transparency rule that requires hospitals to publish the prices of common health services, comparing prices across hospitals remains challenging due to limited compliance with the law and a lack of standardization in the available data, a new KFF analysis finds. The federal rule, which went into effect on January 1, 2021, aims to lift the veil on how much health plans pay hospitals for health services. To be compliant,…

  • Early Results from Federal Price Transparency Rule Show Difficultly in Estimating the Cost of Care

    Issue Brief

    A new issue brief examines compliance with a new federal price transparency rule and variation in payer-negotiated rates at U.S. hospitals. The analysis looks at the websites of the two largest hospitals in each state and the District of Columbia, and finds that a lack of consistency in the data and limited compliance among the hospitals sampled makes it difficult to compare prices across facilities. The brief is available on the Peterson-KFF Health System Tracker,…

  • COVID-19 Pandemic-Related Excess Mortality and Potential Years of Life Lost in the U.S. and Peer Countries

    Issue Brief

    A new issue brief reviews excess death rates in the U.S. and peer countries by age groups to examine how the pandemic has affected excess mortality rate among younger people. The analysis looks specifically at the excess deaths that arose in 2020 to examine how the age at death during the pandemic has differed between the U.S. and peer nations, and estimates the excess potential years of life lost (a measure of “premature excess death”)…

  • Compared to Peer Countries, the U.S. Had the Highest Rate of Mortality Among People Under Age 65 and Potential Years of Life Lost in 2020 Due to the Pandemic

    News Release

    A new KFF issue brief examines 2020 data on excess mortality – the number of deaths above what is expected in a typical year - and finds that among similarly large and wealthy nations, the United States had the highest premature excess mortality rate in 2020, indicating that younger people in the U.S. were more likely to have died due to the pandemic than younger people in other countries. The excess mortality rate among Americans…

  • COVID-19 is the Number One Cause of Death in the U.S. in Early 2021

    Issue Brief

    A updated issue brief examines the most recent data on deaths from COVID-19 and other causes, and finds that COVID-19 is currently the number one cause of death in the United States. As of February 20, 2021, an average of more than 2,400 people per day died of COVID-19 in the U.S. during February 2021 - a number nearly 20% higher than the next leading cause. Heart disease, which is typically the number one cause…

  • Where Do Americans Get Vaccines and How Much Does It Cost to Administer Them?

    Issue Brief

    A new issue brief shows where Americans typically get flu vaccines in the U.S. and how much it costs to administer flu and other vaccines. Among the analysis' findings: while most people get flu vaccines at a doctor’s office or retail health clinic, White people are more likely than Black, Hispanic, Asian, and American Indian or Alaska Native adults to get vaccinated through a retail pharmacy or store - a discrepancy could have implications for…