America’s priciest health conditions

The cost of healthcare in the U.S. varies dramatically based on condition and geography, with some states spending thousands more per capita than others, according to research published Feb. 14 in JAMA Network

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The study analyzed more than 40 billion insurance claims and nearly 1 billion facility records to estimate healthcare spending for each of the 3,110 U.S. counties. Researchers captured 76.6% of personal healthcare spending from 2010 to 2019. 

The most expensive health conditions in the 2010s were: 

  • Type 2 diabetes — $143.9 billion 
  • Joint pain and osteoporosis — $108.6 billion
  • Oral disorders — $93 billion
  • Ischemic heart disease — $80.7 billion 

The health conditions with the fastest average annual per capita growth rate, with at least $5 billion in spending, were:

  • Autism spectrum disorders — 13% growth rate
  • Opioid use disorders — 9%
  • Alcohol use disorders — 7%
  • Other substance use disorders — 6%

The study revealed wide variation in healthcare expenditures across the U.S. The states with the lowest per capita healthcare spending were:

  • Idaho: $6,028
  • Utah: $6,147
  • New Mexico: $6,368

The states with the highest per capita healthcare spending were:

  • Alaska: $9,282
  • New York: $9,115
  • Massachusetts: $9,097

“[T]hese disparities in health care expenditures across states support the argument that some states have found more efficient ways to deliver care without escalating costs,” according to a news release. “Whether it is through innovative care models, more effective use of technology, or superior preventive care initiatives, they emphasize that these insights could guide a national strategy to modernize health care.”

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