Out-of-pocket payments increased each year of the study. Families in the top 10% of healthcare spending remain the highest spenders each year, which study authors said showed the costs of chronic conditions and long-term healthcare needs.
The report also found there is a wide difference between out-of-pocket expenses depending on states. Colorado spent the most out of pocket, while Louisiana and Oklahoma saw the largest percentage of income on healthcare. On the other end of costs, California was one of the lowest for both dollar amounts and share of income.
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