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Medicare spending trends 2010-2016: increase in prescription drug spending more than offsets lower beneficiary costs for other services
Medicare spending trends 2010-2016: increase in prescription drug spending more than offsets lower beneficiary costs for other services
ISSUE. From 2010 through 2016, total Medicare spending per beneficiary was remarkably stable. We know less about how beneficiaries fared in terms of out-of-pocket spending for health care services. GOAL. To inform discussions of Medicare cost-control efforts and potential benefit design reforms, this data brief examines the trend in total and out-of-pocket spending from 2010 to 2016, with a focus on mix of expenditures by type of service as well as total spending per beneficiary. METHODS. Analyzes the Medicare Current Beneficiary Survey and Cost Supplement for 2010 to 2016. FINDINGS. Stability in total and out-of-pocket spending masks a marked shift in spending by service. There was a sharp increase in total and out-of-pocket spending on prescription drugs; total spending was up by $1,000 per person, a 38 percent increase. Out-of-pocket spending on drugs increased by 16 percent. Increased total spending on drugs was partially offset by a 22 percent decrease spending on hospital services and a 30 percent decrease on skilled nursing home care. Notably, Medicare beneficiaries spent more out-of-pocket on prescription drugs in 2016 than on doctors' visits and hospital care combined. CONCLUSION. Findings highlight a need for policy changes that will lower drug prices and costs and provide a more protective benefit design.
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