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The Affordable Care Act has increased prescription use and reduced out-of-pocket spending

ACA Has Increased Rx Drug Use, Cut Out-of-Pocket Spending

Larger decreases in out-of-pocket spending for those who gained coverage and had chronic conditions
For patients with familial hypercholesterolemia or atherosclerotic cardiovascular disease

PCSK9 Inhibitor Use Not Found to Be Cost-Effective

In patients with familial hypercholesterolemia, atherosclerotic cardiovascular disease
Contemporary electrocardiographic screening criteria can reduce the costs of screening of athletes

Contemporary ECG Criteria Cuts Costs of Screening Athletes

Use of Seattle and refined criteria reduces costs per athlete, per serious diagnosis versus 2010 ESC recs
Hospitals with higher intensive care unit utilization for four common conditions have greater use of invasive procedures and costs of hospitalization

ICU May Up Invasive Procedures, Costs, Without Mortality Benefit

Hospital-level ICU utilization rate not linked to hospital mortality for four common conditions
Government spending on compounded drugs has skyrocketed

Spending on Compounded Drugs Skyrocketing

Number of Medicare beneficiaries getting compounded drugs up 281 percent since 2006
European health systems are requiring an increase in cost-sharing measures for patients 50 years of age and older

European Countries Implementing Cost-Sharing

Some financial protections are in place for poorer populations
Pancreaticoduodenectomy is associated with high costs at safety-net hospitals

Pancreaticoduodenectomy Costs High at Safety-Net Hospitals

Marked cost savings with redistribution of patients from high- to medium- or low-burden hospitals
Total drug expenditures are expected to increase by 11 to 13 percent in 2016

Total Drug Expenditures Projected to Increase in 2016

In nonfederal hospitals, growth in spending mainly due to increased prices for existing drugs
While overall U.S. medical spending growth slowed between 2004 and 2013

Health Expenditures Rising for Middle Class, Wealthy

But, since 2004, simultaneous decline in expenditures for the nonelderly poor
Medicare per capita spending was much higher for beneficiaries who died during 2014 than for those who survived the entire year

Medicare Spending Up for Decedents Versus Survivors

Average per capita spending for Medicare beneficiaries who died 4-fold higher than survivors