HCCI Releases 2018 Health Care Cost and Utilization Report
Per-Person Health Care Spending Grew 18% from 2014 to 2018, Driven Mostly by Prices
The report examines four groups of health care services and dozens of sub-categories. Of the four major categories, outpatient visits and procedures saw the highest 2018 spending increase (5.5%). Other notable trends include:
- Inpatient services.
- Per-person spending on inpatient admissions rose 11.4% between 2014 and 2018
- Within each sub-category of inpatient admissions, average prices grew steadily between 2014 and 2018 while utilization trends varied. However, the 2.0% price increase in 2018 was lower than the near 4% annual increases from 2014 to 2017.
- Outpatient services.
- Increases in prices and use led to a 16% increase in spending from 2014 to 2018.
- ver that period, ER visit spending increased 32% and spending on observation stays went up 29%.
- Professional services.
- Spending increased 16% and growth accelerated over the 5-year period, driven by office visits and administered drugs.
- Psychiatry also saw strikingly high spending growth of 43% from 2014 to 2018, which was driven mostly by increased use.
- Prescription Drugs.
- Generic drugs accounted for 88% of all prescriptions. .
- Out-of-pocket payments for prescriptions for generic drugs was less than one-fifth of out-of-pocket payments on brand drugs.