EBRI Fast Facts

Health Care Spending Trends and Medical Condition Prevalence Among Top Health Care Users

Oct 2, 2025 3  pages

Summary

This is the third in a series of EBRI Fast Facts related to the uneven distribution of health care spending. Health care use and spending are highly concentrated, with a small share of individuals accounting for a disproportionate amount of total costs. These “high-cost claimants” typically have complex and intensive medical needs, often related to chronic conditions. This Fast Fact examines two issues in employment-based health plans — trends in the share of enrollees exceeding various annual health care spending thresholds and spending patterns among individuals with multiple medical conditions.