The cost of health care in West Virginia has increased significantly, with over half of the population having delayed or cancelled their care due to cost, and nearly 65% have experienced one health-care affordability burden. The Bipartisan Policy Center is focusing on hospital and physician spending and "values-based" payment. The rising costs continue to put pressure on employers and small businesses. Experts attribute the increase to exorbitant hospital prices, site-of-service differentials, reduced competition, and an aging population that needs more care.