In 2013, 16.4% of health care spending per individual covered by employer-sponsored insurance (ESI) was paid out of pocket. In that year, out-of-pocket expenditures for those with ESI rose by 4.0% to $800 per capita. Most of the increase came from rising out-of-pocket spending on professional services and outpatient visits. In contrast, out-of-pocket spending on prescriptions fell for the third consecutive year. Among the four Census regions studied, the South continued to have the highest level and fastest growing out-of-pocket spending. Among age groups, out-of-pocket-spending growth jumped for pre-Medicare adults (ages 55-44), while growth slowed for other age groups. Spending differences between men and women generally continued to widen. Unlike the other ESI populations examined, young adult women (ages 19-25) did not experience an increase in out-of-pocket spending in 2013. KEY FINDINGS: 2013. (2) 16.4% Share of health care costs paid out of pocket. (2) $800 AND 4.0% Out-of-pocket spending per capita and growth rate (2012-2013) for national ESI population. (3) $662 AND 0.0% Out-of-pocket spending per capita and growth rate (2012-2013) for young adult women. (4) $51 AND 10.5% Out-of-pocket per capita spending and growth rate (2012-2013) on acute inpatient admissions. (5) -0.6% AND -10.2% Growth rates for out-of-pocket spending (2012-2013) on generic and brand prescriptions.
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