Perspective

The Next Decade of Health Spending—Affordability and Value

JAMA 10.1001/jama.2026.15967

September 14, 2026 at 11:00 AM EDT

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This Perspective discusses health care spending in the US and how factors such as consolidation, intensity of health care delivery, and artificial intelligence can affect who bears the costs and whether health gains are achieved.

Corresponding Authors: Irene Papanicolas, PhD, Brown University School of Public Health, 121 S Main St, Providence, RI 12930 (irene_papanicolas@brown.edu); Anna D. Sinaiko, PhD, Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, 677 Huntington Ave, Room 409, Boston, MA 02115 (asinaiko@hsph.harvard.edu).

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