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Americans under age 65 years who were insured through their employer spent more than ever before on health care in 2016

Health Care Spending Up, Mainly Due to Rising Prices

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Spending increasing despite no change or decline in utilization of most health care services
Across cancers

Out-of-Pocket Costs Correlate With Receipt of Cancer Care

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Across cancers, higher costs tied to higher rates of oral prescription abandonment, delayed initiation
Among commercially-insured patients

Observation Care Cost Saving in Commercially-Insured Patients

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Total, out-of-pocket spending considerably lower for observation care; both increased from '09 to '13
Health care spending growth slowed in 2016 following faster growth in 2014 and 2015

Deceleration in Health Care Spending Growth in 2016

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Enrollment trends drove slowdown in Medicaid and private health insurance spending growth in 2016
Few patients have conversations with providers about the cost of glaucoma medications

Few Patients, Providers Discuss Costs of Glaucoma Medications

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Authors say these discussions are important, as cost is a barrier to treatment adherence
Single measles cases trigger coordinated public health action that is associated with considerable costs

Considerable Costs Incurred in Response to Single Measles Cases

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Public health costs of disease investigation for two single measles cases estimated at $49,769, $18,423
Immediate access to opioid agonist treatment for patients presenting with opioid use disorder may provide greater health benefits at less cost than observed standard of care

Immediate Access to Opioid Agonists Found Cost-Effective

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Findings among patients with opioid use disorder in publicly-funded treatment facilities
The adoption of state oral chemotherapy parity laws has improved financial protection for many patients

Oral Chemotherapy Parity Laws Offer Some Financial Protection

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Decrease in estimated out-of-pocket spending at the 25th, 50th, 75th percentiles; increase at 90th, 95th
Factors including increases in health care service price and intensity are associated with increases in U.S. health care spending from 1996 to 2013

Increases in U.S. Health Spending Tied to Health Service Price

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Higher spending also linked to population growth and aging, negatively linked to disease incidence
For women with ovarian cancer who underwent both surgery and adjuvant chemotherapy

Average Cost of Care in Year After Ovarian Cancer Surgery ~$100K

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Patients bear about 3 percent of these costs in the form of out-of-pocket expenses