IN THE JOURNAL

AHEAD OF PRINT

National Health Care Spending In 2018: Growth Driven By Accelerations In Medicare And Private Insurance Spending
By Micah Hartman, Anne B. Martin, Joseph Benson, Aaron Catlin, and
The National Health Expenditure Accounts Team

This new analysis from the Office of the Actuary at the Centers for Medicare and Medicaid Services estimates that in 2018 health care spending in the United States grew at a rate of 4.6 percent to $3.6 trillion, or $11,172 per person. The 4.6 percent growth rate in 2018 was faster than that of 4.2 percent in 2017 but was equal to the rate in 2016. The 0.4-percentage-point acceleration in overall growth in 2018 was driven by faster growth in private health insurance spending and Medicare. For the second year in a row, the number of uninsured people increased by 1.0 million, reaching 30.7 million in 2018. Read More >>

TODAY ON THE BLOG

MEDICARE

Moving To A Market-Driven Medicare Program
By Brian J. Miller and Gail R. Wilensky

With more than half a century of price setting in Medicare fee-for-service, we have failed to control health care expenditure growth. Now is the time to try something different.
Read More >>

FOLLOWING THE ACA

ACA Round-Up: Enrollment Lags, IRS Reporting Requirements, And QHP Compliance Report
By Katie Keith

With less than two weeks left until the December 15 deadline, enrollment through HealthCare.gov is lagging by about 10 percent relative to last year. This update also covers the release of new issuer-level enrollment data for prior years, nonenforcement of penalties connected with certain IRS reporting requirements, and a report on improved insurer compliance with 2019 notices. Read More >>

VIOLENCE AND HEALTH

The Critical Role Of Philanthropy In Researching Solutions To Gun Violence
By Nina E. Vinik

The Joyce Foundation looks back at 25 years of funding gun violence research. Grantees have included universities, hospitals, and think tanks. Early research supported by Joyce helped define gun violence as a public health discipline. And, because lack of data was a barrier to understanding gun violence, this foundation and others funded development of a comprehensive data set on all violent deaths in the US. There is more we need to learn, though, says this author. Read More >>

About Health Affairs

Health Affairs is the leading peer-reviewed journal at the intersection of health, health care, and policy. Published monthly by Project HOPE, the journal is available in print and online. Late-breaking content is also found through healthaffairs.org, Health Affairs Today, and Health Affairs Sunday Update.

Project HOPE is a global health and humanitarian relief organization that places power in the hands of local health care workers to save lives across the globe. Project HOPE has published Health Affairs since 1981.

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