U.S. health care spending per capita has risen at historically low rates recently, but is expected to pick up
Health spending in the U.S. had grown at historically low levels starting in 2008, likely due to a combination of the economic downturn and slow recovery and higher patient cost-sharing, as well as structural changes to the health system. Starting in 2014, health spending grew faster (4.4% per capita), particularly due to more people having health coverage from the ACA. Projections suggest that health-spending growth will continue at a moderate (averaging 4.8% per year on a per capita basis) but is unlikely to reach the double-digit growth of previous decades.
Growth in prescription spending has slowed again in 2016, after increasing rapidly in 2014 and 2015
In 2016, per capita prescription drug spending grew at a slow rate (0.6%), particularly in comparison to the previous two years when new specialty drugs came on the market. In 2015, pharmaceutical spending grew 8.1% on a per capita basis and in 2014 these costs had grown 11.5%. Looking ahead, CMS projections suggests growth in per capita drug spending will be moderate through 2025.
Per capita out-of-pocket spending grew slowly in 2014, but picked up again in 2015
The insurance coverage gains since 2014 have given more people access to health care, which is likely increasing overall spending, but having a moderating effect on out-of-pocket costs.
Out-of-pocket spending for Rx drugs remained flat in 2016, while out-of-pocket spending on physician services grew
In 2016, per capita out-of-pocket spending on prescription drugs was down slightly from the previous year ($140 per person in 2016 and $142 in 2015). However out-of-pocket spending on physician services increased (from $176 per person in 2015 to $183 in 2016), as did hospital out-of-pocket spending (from $97 per person in 2015 to $101 in 2016).
An annual percentage point difference in growth rates makes a very large difference in spending over time
What may seem to be small differences in growth rates are very meaningful over time. Per capita expenditures are projected to grow from $10,833 in 2017 to $15,800 in 2025, which is an average annual growth rate of 4.6 percent. If growth rates were 1 percentage point lower each year over that same period, per capita spending would be $1,166 lower than expected. If growth rates were 1 percentage point higher each year, spending would rise to $17,047 per person in 2025, which would increase total health spending by over $437 billion in 2025 alone and by nearly $2 trillion in the 9-year period.
Health spending projections are now lower than previous projections
Health spending projections are now lower than previous projections.