Baltimore Sun Sunday

U.S. health care spending growth slowed last year

- — Andrea K. McDaniels

U.S. spending on health care increased 4.3 percent last year to $3.3 trillion, or $10,348 per person, according to an annual report released last week by the Centers for Medicare & Medicaid Services.

The rate of spending slowed compared to the previous two years, the Baltimore-based agency reported. Spending grew by 5.1 percent in 2014 and 5.8 percent in 2015.

Health care spending represente­d 17.9 percent of the economy, a slight increase from 2015 when it was 17.7 percent.

The slowing growth was attributed to less spending on prescripti­on drugs, particular­ly brand name drugs used to treat hepatitis C, the report said.

There were also fewer new drug approvals.

The Affordable Care Act also had less of an impact on spending in 2016 than the prior two years and helped restrain growth.

Spending increased in those years as more people got private insurance and Medicaid coverage under the law, the CMS report said.

Medicaid spending also decelerate­d last year. It only increased 3.9 percent to $565.5 billion after growing by 11.5 percent in 2014 and 9.5 percent in 2015. Private health insurance spending increased by 5.1 percent to $1.1 trillion in 2016, which was slower than the 6.9 percent growth in 2015.

“Over the last decade, the U.S. has experience­d unique events that have affected the health care sector, including the most severe economic recession since the Great Depression, major changes to the health care system because of the ACA, and historic lows in medical price inflation,” Micah Hartman, a statistici­an in the Office of the Actuary at CMS, said in a statement. “In 2016, the slowdown in health care spending followed significan­t insurance coverage expansions under the ACA and very strong growth in retail prescripti­on drug spending in 2014 and 2015.”

Hartman was the lead author of an article in the journal Health Affairs about the health spending findings.

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