Concentration and Persistence of Healthcare Spending: Evidence from China

One way to reduce healthcare costs is target the high spenders who remain persistently in cost over time. Using claims data from China between 2010 2014, we sought identify level of concentration spending and proportion whose five years. a transition matrix linear regression strategy, find that top 10% account for more than 50% total expenditures. Of individuals were 2010, 33.6% remained one year later 23.6% still category even four years later. Past plays major role dynamic health spending. A increase expenditure associated with an 0.36% 1.33% future. Persistence has some heterogeneity terms age, gender, income level. Many diseases have strong predictive power future Research on persistence expenditures will inform policymakers controlling providing protection catastrophic