Medication is a growing proportion of U.S. total spending. An expenditures report for health spending growth in the United States in 2014 shows that prescription drug spending rose 12.6% ($425 billion) from the previous year — and it now accounts for 9.9% of total costs. It is expected to increase to 10.4% of total health care spending by 2024 (see National Health Expenditure Projections, 2014–24: Spending Growth Faster Than Recent Trends).

Integrated care coordination models are looking at “total spending” (including medications) as a value measure in state Medicaid vertical carve-out models like Arizona and . . .

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