The Heath Care Cost Institute (HCCI) is pleased to release the 2015 Health Care Cost and Utilization Report. The report covers the health care cost and utilization trends for Americans younger than age 65 and covered by employer-sponsored insurance (ESI) for the years 2012 through 2015. It includes data from four national insurance companies: Aetna, Humana, Kaiser Permanente, and UnitedHealthcare. Due to the inclusion of Kaiser Permanente data in the HCCI dataset, data and trends in the 2015 Report cannot be directly compared to those in HCCI's previous Health Care Cost and Utilization Reports (which can be found on HCCI's Website). However, the methodology used to analyze the new dataset was the same as in previous years (see Data and Methods, page 28). As in previous years, the focus of this report is on trends in health care per capita spending, per capita out-- spending, utilization of health care services, and average price of services for the younger than 65, national ESI population. The report also measures growth in intensity--that is, the complexity--of health care services and adjusts for intensity to produce an intensity-adjusted average price (see "Decomposition key definitions", page 12). For national per capita spending and out-of-pocket spending, trends are also broken down by region of the country, age group, gender, and age-gender groups. Health care utilization, price, intensity, and intensity-adjusted price trends are presented for each of the four major health care service categories (the three medical service categories and prescriptions), and for the subservice and detailed service categories that make up the major service categories (see "Key definitions" for more information about HCCI's health care service categories, page iii).
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