The Health Care Cost Institute (HCCI) is pleased to present the fifth in a series of annual reports detailing the health care cost and utilization trends for the national population younger than age 65 and covered by employer-sponsored insurance (ESI). This report, the 2014 Health Care Cost and Utilization Report, covers the period 2010 to 2014, with the bulk of the analysis focused on the 2014 data. Previous reports can be found on the HCCI Website. As with previous reports, this report details trends in per capita spending, out-of-pocket spending per capita, utilization of services per 1,000 individuals, and the average price per service. These trends were broken down by various demographic groups including U.S. Census regions, age, gender, and age/gender groupings. Additionally, we studied trends for two broad types of services: medical (inpatient admissions, outpatient facility, and professional services) and prescription (brand and generic). In 2014, per capita health care spending for the national ESI population grew 3.4%. Overall, this increase in spending was largely driven by increased prices, which were not offset by declining service utilization. These trends, increased average prices and lower utilization of services, were observed across categories of services genders, and age groups.
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