Health Affairs August 29, 2025
Connecticut, Delaware, Massachusetts, Oregon, and Rhode Island have released their 2023 performance data comparing actual health care spending growth against their statewide targets. These states are among eight that have established cost growth targets to promote transparency and help rein in rising health care costs. Data collected as part of this effort provide a comprehensive view of statewide health care spending patterns, aggregating information across commercial, Medicaid, and Medicare Advantage payers for each state’s population. Unlike other data sources, these data include both claims and non-claims transactions.
This article is the third annual analysis of spending growth trends across cost growth target states, following publications focused on 2021 and 2022 spending. This year’s analysis examines 2023 health care spending trends...







