Ginsburg Paul B, Strunk Bradley C, Banker Michelle I, Cookson John P
Center for Studying Health System Change, Washington, DC, USA.
Health Aff (Millwood). 2006 Nov-Dec;25(6):w486-95. doi: 10.1377/hlthaff.25.w486. Epub 2006 Oct 3.
Health care spending per privately insured person increased 7.4 percent in 2005, marking the third year that the cost trend hovered between 7 and 8 percent following double-digit trends in 2001 and 2002. Data for the first quarter of 2006 suggest continued stability. The trend for 2005 reflected increased growth in spending for hospital and physician care, offsetting a sharp drop in spending growth for prescription drugs. Hospital utilization trends accelerated, while price trends decelerated in 2005. In contrast to stable spending trends in 2005, premium trends continued to decline in 2006, likely reflecting the lagged effects of earlier years' slowing in cost trends and perhaps signaling a turn in the insurance underwriting cycle.
2005年,每位参加私人保险者的医疗保健支出增长了7.4%,这是自2001年和2002年两位数增长趋势之后,成本趋势连续第三年徘徊在7%至8%之间。2006年第一季度的数据显示这种稳定性仍在持续。2005年的趋势反映出医院和医生护理支出增长加快,抵消了处方药支出增长的大幅下降。2005年,医院利用率趋势加快,而价格趋势放缓。与2005年稳定的支出趋势形成对比的是,2006年保费趋势继续下降,这可能反映了前些年成本趋势放缓的滞后影响,也许还预示着保险承保周期的转变。