On the heals of Fitch Ratings’ news of improved pricing but declining underwriting performance for personal auto insurers in the United States in 2012 comes a new report from Assured Research that says medical cost-shifting and an aging population could dramatically increase auto insurance costs in the years ahead.

“As health care economics shift in favor of ever-larger institutions, auto insurers may find they have less power to contain prices or utilization,” said William Wilt, president of the firm and author of thereport, “Behind Auto Bodily Injury Severity.” “The age of accident victims is also rising—a dynamic that will magnify the effects of cost-shifting.”

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