A report from the Centers for Medicare and Medicaid Services’ Office of the Actuary concludes that the nation’s growth in health care spending during the next 10 years will be modest compared with historical trends.

The annual National Health Expenditure report predicts that spending in several areas including hospitals, prescription drugs, out-of-pocket costs, and Medicare, will be below their peak rates during the past decade, with the Affordable Care Act a contributing factor. The Office of the Actuary estimates that Medicare spending increased 4.6 percent in 2012 compared with 6.2 percent in 2011, to a total of $579.9 billion.

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