企业、家庭与政府：1994年的医疗支出

Cowan C A, Braden B R, McDonnell P A, Sivarajan L

Office of the Actuary, Health Care Financing Administration, USA.

Health Care Financ Rev. 1996 Summer;17(4):157-78.

During the 1990s, growth in health care costs slowed considerably, helping to lessen the spending strain on business, government, and households. Although cost growth has slowed, the Federal Government continues to pay an ever-increasing share of the total health care bill. This article reviews important health care spending trends, and for the first time, provides separate estimates of the employer and employee share of the premium costs for employer-sponsored private health insurance. This article also highlights some of the emerging trends in the employer-sponsored insurance market, including managed care, cost-sharing, and employment shifts.

在20世纪90年代，医疗保健成本的增长大幅放缓，这有助于减轻企业、政府和家庭的支出压力。尽管成本增长已经放缓，但联邦政府在医疗保健总费用中所占的份额仍在不断增加。本文回顾了重要的医疗保健支出趋势，并首次分别估算了雇主和雇员在雇主提供的私人医疗保险保费成本中所占的份额。本文还重点介绍了雇主提供保险市场中的一些新趋势，包括管理式医疗、成本分摊和就业转移。