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U.S. out-of-pocket health care spending hit $486 billion in 2016: Report

Press releases may be edited for formatting or style | April 27, 2017 Business Affairs
ROCKVILLE, Md., April 26, 2017 /PRNewswire/ -- Total consumer out-of-pocket spending reached an estimated at $486 billion in 2016, having risen by 8% per year since 2011, according to Kalorama Information. The New York City-based healthcare market research publisher said that consumers in the United States utilize a variety of methods to pay for healthcare products and services. These are required in instances when payment is not made directly from a healthcare plan directly to the provider. Out-of-Pocket Healthcare Expenditures in the United States examines the market for consumers' out-of-pocket medical costs, which for individuals has risen from $250 per year in 1980 to over $1,400 in 2016.

"There is still a lot of cash in healthcare; for both elective and non-elective procedures, cash or check represented the most commonly used payment method in 2016, almost $294 billion in out-of-pocket spending." said Bruce Carlson, Publisher of Kalorama Information. "This was due mainly to the use of employee wages to pay healthcare plan premiums, as premiums comprised the lion's share of healthcare expenditures."

Consumers use several different methods to pay out of pocket for healthcare, the following being the key payment options utilized:
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Cash or check
Credit cards
Loans and lines of credit
Healthcare financing programs
Flexible Spending Accounts
Health Savings Accounts

Credit cards follow cash or check in popularity, followed by loans or lines of credit. Flexible Spending Accounts (FSAs), healthcare financing programs, and new Health Savings Accounts (HSAs) accounted for very small portions of overall spending.

Healthcare financing programs are a relatively new entrant in this market. To address consumers' increasing inability to finance healthcare costs, a rising number of financial services firms have begun offering patient financing programs. These and other such companies allow patients to finance a variety of procedures on favorable terms, and are similar to conventional unsecured consumer credit in that they offer competitive interest rates, high credit limits, card member services, and incentives such as cash back on purchases, no annual fee, etc.

Through 2021, usage of cash will continue to expand by an estimated 6.1% annually, although other payment methods such as healthcare financing for elective procedures and HSAs will demonstrate much stronger growth from their low bases of current utilization.

Kalorama Information's report examines the average person's out-of-pocket medical costs, including the following data points:

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