Micah Hartman (
Anne B. Martin is an economist in the CMS Office of the Actuary.
Health Aff (Millwood). 2018 Jan;37(1):150-160. doi: 10.1377/hlthaff.2017.1299. Epub 2017 Dec 6.
Total nominal US health care spending increased 4.3 percent and reached $3.3 trillion in 2016. Per capita spending on health care increased by $354, reaching $10,348. The share of gross domestic product devoted to health care spending was 17.9 percent in 2016, up from 17.7 percent in 2015. Health spending growth decelerated in 2016 following faster growth in 2014 and 2015 associated with coverage expansions under the Affordable Care Act (ACA) and strong retail prescription drug spending growth. In 2016 the slowdown was broadly based, as spending for the largest categories by payer and by service decelerated. Enrollment trends drove the slowdown in Medicaid and private health insurance spending growth in 2016, while slower per enrollee spending growth influenced Medicare spending. Furthermore, spending for retail prescription drugs slowed, partly as a result of lower spending for drugs used to treat hepatitis C, while slower use and intensity of services drove the slowdown in hospital care and physician and clinical services.
2016 年,美国名义医疗保健总支出增长 4.3%,达到 3.3 万亿美元。人均医疗保健支出增长 354 美元,达到 10348 美元。2016 年,医疗保健支出占国内生产总值的 17.9%,高于 2015 年的 17.7%。2014 年和 2015 年,《平价医疗法案》(ACA)覆盖范围扩大和零售处方药支出强劲增长,推动医疗支出增长加快。2016 年,支出增长放缓是全面的,因为按支付方和服务分类的最大类别支出都有所放缓。2016 年,医疗补助和私人健康保险支出增长放缓的主要原因是参保人数增加,而每名参保人支出增长放缓则影响了医疗保险支出。此外,零售处方药支出放缓,部分原因是用于治疗丙型肝炎的药物支出减少,而服务使用和强度的放缓则导致了医院护理以及医生和临床服务支出放缓。