The Health Care Cost Institute issued a report in January 2018 on health care spending among employed workers and their family members. The 2016 Health Care Cost and Utilization Report is based on analyses of HCCI’s data from commercial health insurers. It contains day from those employed workers who under age 65 and who have employer-sponsored insurance (ESI) in the United States. In the report, HCCI said health care spending for the ESI population grew by 4.6 percent in 2016, an increase over the lower rates observed between 2012 and 2015.