JAMA Network November 7, 2017
Joseph L. Dieleman, PhD; Ellen Squires, MPH; Anthony L. Bui, MPH; et al

Key Points

Question How are 5 factors—population growth, population aging, disease prevalence or incidence, service utilization, and service price and intensity—associated with health care spending increases in the United States from 1996 to 2013?

Findings Health care spending increased by $933.5 billion from 1996 to 2013. Service price and intensity alone accounted for more than 50% of the spending increase, although the association of the 5 factors with spending varied by type of care and health condition.

Meaning Understanding the factors associated with health care spending increases, and their variability across conditions and types of care, can inform policy efforts to contain health care spending.

Abstract

Importance Health care spending in the United States increased substantially...

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