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.
Complete Metadata
| @type | dcat:Dataset |
|---|---|
| accessLevel | public |
| contactPoint |
{
"fn": "Healthcare Payments Data (HPD) Program",
"@type": "vcard:Contact",
"hasEmail": "mailto:dataandreports@hcai.ca.gov"
}
|
| 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. |
| distribution |
[
{
"@type": "dcat:Distribution",
"title": "HPD Medical Out-of-Pocket Costs and Chronic Conditions - Data Dictionary",
"format": "XLSX",
"mediaType": "application/vnd.openxmlformats-officedocument.spreadsheetml.sheet",
"describedBy": "https://data.ca.gov/api/action/datastore_search?resource_id=40b66a72-250c-413b-8852-aa62a5143c24&limit=0",
"downloadURL": "https://data.chhs.ca.gov/dataset/becda735-95a1-4efb-b3d5-7af4a6c75fbb/resource/d69a5b5f-ab94-490a-8583-d56d5b0d4e19/download/data-dictionary-oop-cost-final.xlsx",
"describedByType": "application/json"
},
{
"@type": "dcat:Distribution",
"title": "HPD Medical Out-of-Pocket Costs and Chronic Conditions Data, 2022",
"format": "XLSX",
"mediaType": "application/vnd.openxmlformats-officedocument.spreadsheetml.sheet",
"describedBy": "https://data.ca.gov/api/action/datastore_search?resource_id=ccb853b9-e3da-4a19-88fd-ee5247d38289&limit=0",
"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 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.",
"downloadURL": "https://data.chhs.ca.gov/dataset/becda735-95a1-4efb-b3d5-7af4a6c75fbb/resource/e7794d13-4134-4230-b2d5-8698d438fd34/download/hpd_oop_chronic_2022_masked.xlsx",
"describedByType": "application/json"
},
{
"@type": "dcat:Distribution",
"title": "HPD Medical Out-of-Pocket Costs and Chronic Conditions Technical Note (2022 Data) - March 2025",
"format": "PDF",
"mediaType": "application/pdf",
"description": "Technical note for the HCAI Healthcare Payments Data (HPD) Medical Out-of-Pocket Costs and Chronic Conditions (2022).",
"downloadURL": "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"
},
{
"@type": "dcat:Distribution",
"title": "All resource data",
"format": "ZIP",
"mediaType": "application/zip",
"downloadURL": "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-96hzjei6.zip"
}
]
|
| identifier | cfe246b5-95c1-4f00-9139-a008cf661563 |
| issued | 2025-02-11T22:42:11.588288 |
| keyword |
[
"apcd",
"chronic conditions",
"department of health care access and information",
"hcai",
"health care costs",
"hpd",
"medical costs",
"out-of-pocket costs",
"utilization"
]
|
| license | http://www.opendefinition.org/licenses/cc-by |
| modified | 2025-11-07T00:55:09.659336 |
| publisher |
{
"name": "Department of Health Care Access and Information",
"@type": "org:Organization"
}
|
| theme |
[
"Health and Human Services"
]
|
| title | Healthcare Payments Data (HPD) Medical Out-of-Pocket Costs and Chronic Conditions |
