A report from the CMS Office of the Actuary showed total hospital services spending grew nearly threefold from 1991 to 2014, with annual growth rates ranging from 3.8% in the District of Columbia to 7.9% in Idaho. Per capita health care spending in Medicaid expansion and non-expansion states climbed by 4.4% and 4.5%, respectively, which the report attributed to increased coverage in expansion states and higher spending growth per insured person in non-expansion states, the report said.
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