National Health Expenditures, 1960-2007
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Table 1 National Health Expenditures Aggregate, Per Capita Amounts, Percent Distribution, and Average Annual Percent Growth, by Source of Funds: Selected Calendar Years 1960-2007 Item
1960
1970
1980
1990
1993
1997
National Health Expenditures Private Public Federal State and Local
$27.5 20.7 6.8 2.9 3.9
$74.9 46.8 28.1 17.7 10.4
$253.4 147.0 106.3 71.6 34.8
$714.1 427.4 286.8 193.9 92.8
$912.5 512.3 400.2 279.4 120.8
$1,124.9 613.5 511.4 365.1 146.3
186
210
230
254
263
274
$526
$1,039
$2,790
$5,803
$6,657
$8,304
Per Capita Amount in Dollars $4,102 $4,296 $4,522 2,237 2,390 2,534 1,865 1,906 1,987 1,331 1,344 1,393 534 562 594
U.S. Population
1
Gross Domestic Product
2
National Health Expenditures Private Public Federal State and Local
$148 111 36 15 21
$356 222 134 84 49
$1,100 638 462 311 151
$2,814 1,684 1,130 764 366
$3,468 1,947 1,521 1,062 459
National Health Expenditures Private Public Federal State and Local
100.0 75.3 24.7 10.4 14.3
100.0 62.4 37.6 23.7 13.9
100.0 58.0 42.0 28.2 13.7
100.0 59.8 40.2 27.2 13.0
100.0 56.1 43.9 30.6 13.2
National Health Expenditures
5.2
7.2
9.1
12.3
13.7
National Health Expenditures Private Public Federal State and Local 1
U.S. Population 2 Gross Domestic Product
10.5 8.5 15.3 20.0 10.2
13.0 12.1 14.2 15.0 12.8
10.9 11.3 10.4 10.5 10.3
1.2 7.0
0.9 10.4
1.0 7.6
100.0 54.5 45.5 32.5 13.0
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
Billions of Dollars $1,190.1 $1,265.2 662.0 709.1 528.0 556.0 372.2 389.8 155.8 166.2
$1,353.2 756.4 596.8 417.7 179.0
$1,469.4 807.0 662.4 464.5 197.9
$1,602.3 880.7 721.6 509.0 212.6
$1,734.9 956.0 779.0 552.3 226.7
$1,854.8 1,014.9 839.9 599.5 240.4
$1,980.6 1,081.6 899.0 640.3 258.7
$2,112.7 1,139.7 973.0 707.6 265.4
$2,241.2 1,205.5 1,035.7 754.4 281.3
280
283
285
288
291
294
296
299
302
Billions of Dollars $8,747 $9,268
$9,817
$10,128
$10,470
$10,961
$11,686
$12,422
$13,178
$13,808
$4,789 2,677 2,112 1,479 634
$5,149 2,828 2,321 1,628 694
$5,560 3,056 2,504 1,766 738
$5,967 3,288 2,679 1,900 780
$6,319 3,458 2,861 2,043 819
$6,687 3,652 3,035 2,162 873
$7,062 3,810 3,252 2,365 887
$7,421 3,991 3,429 2,498 931
100.0 55.9 44.1 30.9 13.2
100.0 54.9 45.1 31.6 13.5
100.0 55.0 45.0 31.8 13.3
100.0 55.1 44.9 31.8 13.1
100.0 54.7 45.3 32.3 13.0
100.0 54.6 45.4 32.3 13.1
100.0 53.9 46.1 33.5 12.6
100.0 53.8 46.2 33.7 12.6
13.8
14.5
15.3
15.8
15.9
15.9
16.0
16.2
8.6 6.7 11.0 11.2 10.5
9.0 9.1 8.9 9.6 7.4
8.3 8.5 8.0 8.5 6.6
6.9 6.2 7.8 8.6 6.0
6.8 6.6 7.0 6.8 7.6
6.7 5.4 8.2 10.5 2.6
6.1 5.8 6.4 6.6 6.0
1.0 3.2
1.0 3.4
0.9 4.7
1.0 6.6
0.9 6.3
1.0 6.1
1.0 4.8
Millions 277
Percent Distribution 100.0 100.0 55.6 56.1 44.4 43.9 31.3 30.8 13.1 13.1
Percent of Gross Domestic Product 13.5 13.6 13.7
Average Annual Percent Growth from Previous Year Shown 8.5 5.4 5.8 6.3 7.0 6.2 4.6 7.9 7.1 6.7 11.8 6.3 3.2 5.3 7.3 12.9 6.9 2.0 4.7 7.2 9.2 4.9 6.5 6.7 7.7 1.2 4.7
1.0 5.7
1.0 5.3
1.0 6.0
1.0 5.9
1
Census resident-based population less armed forces overseas and population of outlying areas. Source: U.S. Bureau of the Census.
2
U.S. Department of Commerce, Bureau of Economic Analysis.
NOTE: Numbers and percents may not add to totals because of rounding. Dollar amounts shown are in current dollars. SOURCE: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group; U.S. Department of Commerce, Bureau of Economic Analysis; and U.S. Bureau of the Census.
Table 2 National Health Expenditures Aggregate Amounts and Average Annual Percent Change, by Type of Expenditure: Selected Calendar Years 1960-2007 Type of Expenditure National Health Expenditures Health Services and Supplies Personal Health Care Hospital Care Professional Services Physician and Clinical Services Other Professional Services Dental Services Other Personal Health Care Nursing Home and Home Health Home Health Care Nursing Home Care Retail Outlet Sales of Medical Products Prescription Drugs Other Medical Products Durable Medical Equipment Other Non-Durable Medical Products Government Administration and Net Cost of Private Health Insurance Government Public Health Activities Investment 1 Research Structures and Equipment National Health Expenditures Health Services and Supplies Personal Health Care Hospital Care Professional Services Physician and Clinical Services Other Professional Services Dental Services Other Personal Health Care Nursing Home and Home Health Home Health Care Nursing Home Care Retail Outlet Sales of Medical Products Prescription Drugs Other Medical Products Durable Medical Equipment Other Non-Durable Medical Products Government Administration and Net Cost of Private Health Insurance Government Public Health Activities Investment 1 Research Structures and Equipment
1960 1970
1980
1990
1993
1997
1999 2000 2001 2002 2003 2004 2005 2006 2007 Billions of Dollars $27.5 $74.9 $253.4 $714.1 $912.5 $1,124.9 $1,190.1 $1,265.2 $1,353.2 $1,469.4 $1,602.3 $1,734.9 $1,854.8 $1,980.6 $2,112.7 $2,241.2 24.9 67.1 233.4 666.8 853.1 1,053.8 1,110.9 1,179.7 1,264.4 1,375.9 1,498.3 1,623.1 1,733.1 1,850.4 1,976.1 2,098.1 23.3 62.9 214.8 607.6 773.6 959.3 1,010.0 1,067.8 1,139.2 1,238.3 1,340.3 1,447.5 1,550.2 1,655.1 1,765.5 1,878.3 9.2 27.6 101.0 251.6 317.1 364.7 376.2 394.8 416.9 451.2 488.4 527.4 566.8 607.5 649.3 696.5 8.3 20.6 67.3 216.8 280.8 352.6 375.9 397.9 426.8 465.4 503.2 543.0 581.2 621.5 661.4 702.1 5.4 14.0 47.1 157.6 201.2 241.0 256.4 269.7 288.6 313.2 337.9 366.7 393.6 422.2 449.7 478.8 0.4 0.7 3.6 18.2 24.5 33.4 35.7 37.1 39.1 42.8 45.6 49.0 52.9 56.0 58.7 62.0 2.0 4.7 13.3 31.5 38.9 50.2 53.5 57.1 62.0 67.5 73.3 76.9 81.5 86.4 90.5 95.2 0.6 1.2 3.3 9.6 16.2 28.1 30.3 34.0 37.1 41.9 46.3 50.4 53.3 56.9 62.5 66.2 0.9 4.3 20.9 65.2 87.3 119.0 122.8 122.0 125.8 133.7 139.9 148.5 157.9 168.7 178.4 190.4 0.1 0.2 2.4 12.6 21.9 34.5 33.2 31.5 30.5 32.2 34.2 38.0 42.7 48.1 53.0 59.0 0.8 4.0 18.5 52.6 65.4 84.5 89.5 90.5 95.3 101.5 105.7 110.5 115.2 120.6 125.4 131.3 4.9 10.5 25.7 74.0 88.4 123.0 135.2 153.1 169.8 188.0 208.8 228.6 244.3 257.5 276.4 289.3 2.7 5.5 12.0 40.3 51.0 77.6 88.5 104.6 120.6 138.3 157.6 174.2 188.8 199.7 216.8 227.5 2.3 5.0 13.6 33.7 37.4 45.4 46.6 48.5 49.2 49.7 51.2 54.5 55.5 57.8 59.6 61.8 0.6 1.6 3.8 11.3 13.5 18.1 18.8 19.1 19.4 19.7 20.8 22.4 22.8 23.8 24.2 24.5 1.6 3.3 9.8 22.5 23.9 27.3 27.9 29.4 29.8 30.0 30.4 32.1 32.7 34.0 35.3 37.4 1.2 2.8 12.2 39.2 52.8 59.6 63.3 71.2 81.8 90.6 105.8 121.9 128.8 138.7 150.4 155.7 0.4 1.4 6.4 20.0 26.8 34.9 37.6 40.7 43.4 47.0 52.1 53.7 54.0 56.6 60.2 64.1 2.6 7.8 19.9 47.3 59.3 71.1 79.2 85.4 88.8 93.5 104.0 111.8 121.7 130.2 136.6 143.1 0.7 2.0 5.4 12.7 16.4 19.4 21.5 23.4 25.6 28.8 32.5 35.5 38.8 40.2 41.3 42.4 1.9 5.8 14.5 34.7 42.9 51.7 57.7 62.0 63.2 64.7 71.5 76.3 83.0 90.0 95.2 100.7 10.5 10.4 10.4 11.6 9.5 10.1 6.6 9.1 7.3 17.2 14.5 17.4 7.8 7.5 8.1 9.7 7.4 8.6 12.8 11.7 10.9 11.9
13.0 13.3 13.1 13.9 12.5 12.9 17.1 11.1 10.1 17.2 26.9 16.4 9.4 8.2 10.6 8.9 11.4 16.0 16.5 9.9 10.8 9.5
10.9 11.1 11.0 9.6 12.4 12.8 17.5 9.0 11.4 12.1 18.1 11.0 11.2 12.8 9.5 11.5 8.6 12.4 12.0 9.0 8.9 9.1
8.5 8.6 8.4 8.0 9.0 8.5 10.4 7.3 19.1 10.2 20.3 7.5 6.1 8.2 3.5 6.2 2.0 10.4 10.4 7.8 9.0 7.4
Average Annual Percent Change From Previous Year Shown 5.4 5.8 6.3 7.0 8.6 9.0 8.3 5.4 5.4 6.2 7.2 8.8 8.9 8.3 5.5 5.3 5.7 6.7 8.7 8.2 8.0 3.6 3.2 5.0 5.6 8.2 8.2 8.0 5.9 6.6 5.8 7.3 9.0 8.1 7.9 4.6 6.4 5.2 7.0 8.5 7.9 8.5 8.1 7.0 3.8 5.4 9.4 6.6 7.5 6.6 6.6 6.8 8.5 9.0 8.6 4.8 14.8 7.9 12.3 9.0 13.0 10.6 8.7 8.1 3.1 -0.6 3.1 6.3 4.7 6.1 12.1 -3.8 -5.1 -3.2 5.5 6.3 11.1 6.6 6.0 1.1 5.2 6.6 4.1 4.5 8.6 9.9 13.2 10.9 10.7 11.1 9.5 11.1 14.1 18.1 15.3 14.7 14.0 10.5 5.0 2.6 3.9 1.5 1.0 3.1 6.4 7.6 3.7 1.5 1.8 1.7 5.5 7.8 3.5 1.9 5.5 1.4 0.5 1.5 5.5 3.1 6.1 12.5 14.9 10.8 16.8 15.2 6.8 7.8 8.4 6.5 8.2 11.0 3.0 4.6 11.4 7.9 4.0 5.2 11.3 7.5 4.3 10.6 9.1 9.2 12.3 13.1 9.2 4.8 11.7 7.4 2.0 2.3 10.5 6.7
1
1998
6.9 6.8 7.1 7.5 7.0 7.3 7.9 6.0 5.7 6.3 12.3 4.2 6.9 8.4 1.9 1.7 2.0 5.7 0.6 8.9 9.1 8.8
6.8 6.8 6.8 7.2 6.9 7.3 6.0 6.0 6.8 6.9 12.6 4.7 5.4 5.8 4.0 4.2 3.9 7.6 4.7 7.0 3.8 8.5
6.7 6.8 6.7 6.9 6.4 6.5 4.8 4.7 9.8 5.8 10.3 4.0 7.4 8.6 3.2 2.0 4.0 8.4 6.5 4.9 2.7 5.8
6.1 6.2 6.4 7.3 6.2 6.5 5.6 5.2 5.9 6.7 11.3 4.8 4.6 4.9 3.7 0.9 5.7 3.6 6.4 4.8 2.7 5.7
Research and development expenditures of drug companies and other manufacturers and providers of medical equipment and supplies are excluded from research expenditures. These research expenditures are implicitly included in the expenditure class in which the product falls, in that they are covered by the payment received for that product. NOTE: Numbers may not add to totals due to rounding. Dollar amounts shown are in current dollars. SOURCE: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group.
Table 3 National Health Expenditures (NHE), Levels and Average Annual Growth from Previous Year Shown, by Source of Funds, Selected Calendar Years 1960-2007 1960 NHE, billions Private Consumer payments Out-of-pocket payments Private health insurance Other private funds Public Federal Medicare Medicaid Other federal a State and local Medicaid a Other state and local Total Medicaid NHE Private Consumer payments Out-of-pocket payments Private health insurance Other private funds Public Federal Medicare Medicaid Other federal a State and local Medicaid a Other state and local Total Medicaid
1970
1980
1990
1993
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
Source of funds $27.5 $74.9 $253.4 $714.1 $912.5 $1,124.9 $1,190.1 $1,265.2 $1,353.2 $1,469.4 $1,602.3 $1,734.9 $1,854.8 $1,980.6 $2,112.7 $2,241.2 20.7 46.8 147.0 427.4 512.3 613.5 662.0 709.1 756.4 807.0 880.7 956.0 1,014.9 1,081.6 1,139.7 1,205.5 18.7 40.4 127.0 369.9 440.5 521.1 559.9 600.5 647.4 697.1 762.3 828.3 880.8 937.0 986.3 1,043.5 12.9 24.9 58.1 136.2 145.1 162.1 175.2 183.7 192.6 199.5 211.2 224.6 234.9 247.0 255.0 268.6 5.9 15.5 68.8 233.7 295.4 359.0 384.7 416.8 454.7 497.6 551.1 603.7 645.9 690.0 731.3 775.0 2.0 6.4 20.0 57.5 71.8 92.4 102.1 108.6 109.0 109.8 118.4 127.6 134.2 144.6 153.4 162.0 6.8 28.1 106.3 286.8 400.2 511.4 528.0 556.0 596.8 662.4 721.6 779.0 839.9 899.0 973.0 1,035.7 707.6 754.4 2.9 17.7 71.6 193.9 279.4 365.1 372.2 389.8 417.7 464.5 509.0 552.3 599.5 640.3 0.0 7.7 37.2 109.5 150.0 210.4 209.2 212.8 224.4 247.4 264.8 282.7 311.2 339.4 402.3 431.2 0.0 2.8 14.5 42.5 76.8 95.2 99.4 107.9 117.3 131.9 146.8 160.4 171.1 177.8 174.9 186.1 2.9 7.2 19.9 41.9 52.6 59.5 63.6 69.1 76.1 85.3 97.4 109.2 117.3 123.1 130.4 137.0 3.9 10.4 34.8 92.8 120.8 146.3 155.8 166.2 179.0 197.9 212.6 226.7 240.4 258.7 265.4 281.3 0.0 2.4 11.5 31.1 45.6 63.3 69.4 75.7 83.3 92.4 101.4 109.9 119.4 133.7 134.5 143.3 3.9 7.9 23.2 61.7 75.2 83.0 86.4 90.5 95.8 105.5 111.1 116.8 121.0 125.0 130.8 138.1 0.0 5.3 26.0 73.7 122.4 158.5 168.8 183.6 200.5 224.2 248.3 270.3 290.5 311.5 309.4 329.4 10.5% 13.0% 10.9% 8.5 12.1 11.3 8.0 12.1 11.3 6.8 8.8 8.9 10.2 16.1 13.0 12.2 12.2 11.1 15.3 14.2 10.4 20.0 15.0 10.5 —b 17.1 11.4 b 17.7 11.4 — 9.7 10.7 7.7 10.2 12.8 10.3 —b 16.8 10.4 7.3 11.3 10.3 —b 17.3 11.0
8.5% 6.2 6.0 2.1 8.1 7.7 11.8 12.9 11.1 21.7 7.9 9.2 13.6 6.8 18.4
Average Annual Percent Change from Previous Year Shown 5.4% 5.8% 6.3% 7.0% 8.6% 9.0% 8.3% 4.6 7.9 7.1 6.7 6.7 9.1 8.5 4.3 7.4 7.3 7.8 7.7 9.3 8.7 2.8 8.1 4.8 4.8 3.6 5.8 6.4 5.0 7.1 8.4 9.1 9.4 10.7 9.5 6.5 10.5 6.3 0.4 0.7 7.8 7.8 6.3 3.2 5.3 7.3 11.0 8.9 8.0 6.9 2.0 4.7 7.2 11.2 9.6 8.5 8.8 -0.6 1.7 5.4 10.2 7.1 6.8 5.5 4.5 8.5 8.7 12.4 11.4 9.2 3.1 6.8 8.6 10.1 12.0 14.2 12.2 4.9 6.5 6.7 7.7 10.5 7.4 6.6 8.6 9.6 9.0 10.0 10.9 9.8 8.4 2.5 4.0 4.8 5.8 10.2 5.3 5.1 6.7 6.5 8.7 9.2 11.8 10.7 8.9
a
Includes State Children's Health Insurance Program (Title XXI) and State Children's Health Insurance Program (SCHIP) expansion (Title XIX).
b
Not applicable; Medicare and Medicaid became effective in July 1966.
NOTE: Numbers may not add to totals because of rounding. SOURCE: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group.
6.9% 6.2 6.3 4.6 7.0 5.1 7.8 8.6 10.1 6.7 7.4 6.0 8.6 3.6 7.5
6.8% 6.6 6.4 5.2 6.8 7.8 7.0 6.8 9.1 4.0 5.0 7.6 12.0 3.3 7.2
6.7% 5.4 5.3 3.3 6.0 6.1 8.2 10.5 18.5 -1.6 5.9 2.6 0.6 4.7 -0.7
6.1% 5.8 5.8 5.3 6.0 5.6 6.4 6.6 7.2 6.4 5.1 6.0 6.5 5.5 6.4
Table 4 National Health Expenditures, by Source of Funds and Type of Expenditure: Calendar Years 2002-2007 (Billions of Dollars)
Year and Type of Expenditure 2002 National Health Expenditures Health Services and Supplies Personal Health Care Hospital Care Professional Services Physician and Clinical Services Other Professional Services Dental Services Other Personal Health Care Nursing Home and Home Health Home Health Care Nursing Home Care Retail Outlet Sales of Medical Products Prescription Drugs Other Medical Products Durable Medical Equipment Other Non-Durable Medical Products Government Administration and Net Cost of Private Health Insurance Government Public Health Activities Investment Research Structures and Equipment 2003 National Health Expenditures Health Services and Supplies Personal Health Care Hospital Care Professional Services Physician and Clinical Services Other Professional Services Dental Services Other Personal Health Care Nursing Home and Home Health Home Health Care Nursing Home Care Retail Outlet Sales of Medical Products Prescription Drugs Other Medical Products Durable Medical Equipment Other Non-Durable Medical Products Government Administration and Net Cost of Private Health Insurance Government Public Health Activities Investment Research Structures and Equipment
Total
All Private Funds
Total
Private Consumer Out-ofPrivate Pocket Health Payments Insurance
Public
Other
Total
Federal
State and Local
$1,602.3 1,498.3 1,340.3 488.4 503.2 337.9 45.6 73.3 46.3 139.9 34.2 105.7 208.8 157.6 51.2 20.8 30.4
$880.7 821.8 751.7 209.2 327.0 222.6 30.7 69.0 4.7 53.5 11.1 42.4 162.0 118.3 43.7 15.0 28.7
$762.3 762.3 693.5 187.7 295.2 198.3 28.0 68.9 -48.6 10.2 38.4 162.0 118.3 43.7 15.0 28.7
$211.2 211.2 211.2 15.6 79.5 35.3 11.9 32.3 -34.6 5.0 29.7 81.4 40.4 41.1 12.4 28.7
$551.1 551.1 482.3 172.1 215.7 163.1 16.1 36.6 -13.9 5.3 8.7 80.6 77.9 2.6 2.6 0.0
$118.4 59.5 58.3 21.6 31.8 24.3 2.7 0.1 4.7 4.9 0.9 4.0 0.0 0.0 0.0 0.0 0.0
$721.6 676.5 588.6 279.1 176.2 115.2 14.9 4.4 41.7 86.5 23.1 63.3 46.8 39.3 7.5 5.8 1.7
$509.0 477.2 448.3 225.9 130.8 93.7 10.2 2.6 24.3 61.4 17.0 44.4 30.2 23.1 7.1 5.4 1.7
$212.6 199.3 140.3 53.2 45.3 21.6 4.6 1.8 17.4 25.1 6.2 18.9 16.6 16.2 0.4 0.4 0.0
105.8 52.1 104.0 32.5 71.5
70.0 -58.9 3.1 55.9
68.8 -----
------
68.8 -----
1.2 -58.9 3.1 55.9
35.8 52.1 45.1 29.5 15.6
20.9 8.0 31.8 25.6 6.3
14.9 44.1 13.2 3.9 9.3
1,734.9 1,623.1 1,447.5 527.4 543.0 366.7 49.0 76.9 50.4 148.5 38.0 110.5 228.6 174.2 54.5 22.4 32.1
956.0 893.3 809.9 230.0 351.7 241.3 33.3 72.2 4.9 54.7 11.3 43.4 173.5 127.5 46.0 15.8 30.2
828.3 828.3 746.1 205.2 317.7 215.2 30.4 72.1 -49.6 10.4 39.2 173.5 127.5 46.0 15.8 30.2
224.6 224.6 224.6 17.2 84.5 37.5 12.8 34.2 -35.5 5.0 30.5 87.3 44.1 43.2 13.0 30.2
603.7 603.7 521.5 188.0 233.2 177.7 17.6 37.9 -14.1 5.4 8.7 86.2 83.4 2.8 2.8 0.0
127.6 65.0 63.8 24.8 33.9 26.0 2.9 0.0 4.9 5.1 0.9 4.2 0.0 0.0 0.0 0.0 0.0
779.0 729.8 637.6 297.4 191.3 125.5 15.7 4.7 45.4 93.8 26.7 67.1 55.1 46.6 8.5 6.6 1.9
552.3 517.5 486.5 241.3 143.3 102.6 10.9 2.8 27.0 66.0 20.0 46.0 35.8 27.8 8.1 6.2 1.9
226.7 212.3 151.1 56.1 48.0 22.9 4.8 1.9 18.4 27.8 6.7 21.1 19.3 18.9 0.4 0.4 0.0
121.9 53.7 111.8 35.5 76.3
83.4 -62.6 3.3 59.3
82.2 -----
------
82.2 -----
1.2 -62.6 3.3 59.3
38.5 53.7 49.2 32.2 17.0
22.1 8.9 34.8 28.0 6.9
16.3 44.9 14.3 4.2 10.1
Table 4 National Health Expenditures, by Source of Funds and Type of Expenditure: Calendar Years 2002-2007 (Billions of Dollars)
Year and Type of Expenditure 2004 National Health Expenditures Health Services and Supplies Personal Health Care Hospital Care Professional Services Physician and Clinical Services Other Professional Services Dental Services Other Personal Health Care Nursing Home and Home Health Home Health Care Nursing Home Care Retail Outlet Sales of Medical Products Prescription Drugs Other Medical Products Durable Medical Equipment Other Non-Durable Medical Products Government Administration and Net Cost of Private Health Insurance Government Public Health Activities Investment Research Structures and Equipment 2005 National Health Expenditures Health Services and Supplies Personal Health Care Hospital Care Professional Services Physician and Clinical Services Other Professional Services Dental Services Other Personal Health Care Nursing Home and Home Health Home Health Care Nursing Home Care Retail Outlet Sales of Medical Products Prescription Drugs Other Medical Products Durable Medical Equipment Other Non-Durable Medical Products Government Administration and Net Cost of Private Health Insurance Government Public Health Activities Investment Research Structures and Equipment
Total
All Private Funds
Total
Private Consumer Out-ofPrivate Pocket Health Payments Insurance
Public
Other
Total
Federal
State and Local
$1,854.8 1,733.1 1,550.2 566.8 581.2 393.6 52.9 81.5 53.3 157.9 42.7 115.2 244.3 188.8 55.5 22.8 32.7
$1,014.9 947.0 860.5 246.8 375.1 257.3 36.0 76.6 5.3 55.6 11.8 43.8 182.9 136.2 46.7 16.0 30.7
$880.8 880.8 795.5 221.5 340.7 231.1 33.1 76.5 -50.3 10.8 39.6 182.9 136.2 46.7 16.0 30.7
$234.9 234.9 234.9 18.7 89.9 40.0 13.8 36.0 -36.2 5.3 30.9 90.1 46.2 43.9 13.2 30.7
$645.9 645.9 560.6 202.8 250.8 191.1 19.2 40.5 -14.1 5.5 8.7 92.8 90.0 2.8 2.8 0.0
$134.2 66.3 65.0 25.3 34.4 26.2 2.9 0.0 5.3 5.3 1.0 4.3 0.0 0.0 0.0 0.0 0.0
$839.9 786.1 689.8 320.0 206.1 136.3 16.9 4.9 48.0 102.3 30.9 71.3 61.4 52.6 8.8 6.8 2.0
$599.5 561.8 527.6 260.0 155.4 112.0 12.1 3.0 28.3 72.4 23.3 49.1 39.8 31.4 8.4 6.4 2.0
$240.4 224.3 162.1 60.0 50.7 24.3 4.7 2.0 19.7 29.9 7.7 22.2 21.6 21.2 0.4 0.4 0.0
128.8 54.0 121.7 38.8 83.0
86.6 -67.9 3.4 64.5
85.3 -----
------
85.3 -----
1.3 -67.9 3.4 64.5
42.3 54.0 53.8 35.4 18.4
25.2 9.0 37.8 30.9 6.8
17.1 45.1 16.1 4.5 11.6
1,980.6 1,850.4 1,655.1 607.5 621.5 422.2 56.0 86.4 56.9 168.7 48.1 120.6 257.5 199.7 57.8 23.8 34.0
1,081.6 1,007.4 914.9 262.5 402.3 278.0 37.5 81.2 5.6 57.0 12.3 44.7 193.1 144.5 48.6 16.7 31.8
937.0 937.0 845.9 235.2 366.1 250.4 34.6 81.1 -51.5 11.2 40.3 193.1 144.5 48.6 16.7 31.8
247.0 247.0 247.0 19.8 95.9 43.3 14.3 38.3 -37.0 5.5 31.5 94.3 48.7 45.6 13.8 31.8
690.0 690.0 598.9 215.4 270.2 207.1 20.3 42.9 -14.5 5.6 8.8 98.8 95.8 3.0 3.0 0.0
144.6 70.4 69.0 27.3 36.2 27.6 2.9 0.1 5.6 5.5 1.1 4.4 0.0 0.0 0.0 0.0 0.0
899.0 843.0 740.2 345.0 219.2 144.2 18.5 5.2 51.3 111.7 35.8 75.9 64.4 55.2 9.2 7.0 2.1
640.3 600.8 563.3 277.9 165.1 118.7 13.8 3.1 29.6 78.8 26.9 51.9 41.4 32.7 8.8 6.6 2.1
258.7 242.2 176.9 67.1 54.1 25.6 4.7 2.1 21.7 32.8 8.9 24.0 22.9 22.5 0.4 0.4 0.0
138.7 56.6 130.2 40.2 90.0
92.4 -74.2 3.7 70.5
91.1 -----
------
91.1 -----
1.4 -74.2 3.7 70.5
46.2 56.6 56.0 36.6 19.4
28.3 9.1 39.5 31.9 7.6
17.9 47.4 16.5 4.6 11.8
Table 4 National Health Expenditures, by Source of Funds and Type of Expenditure: Calendar Years 2002-2007 (Billions of Dollars)
Year and Type of Expenditure 2006 National Health Expenditures Health Services and Supplies Personal Health Care Hospital Care Professional Services Physician and Clinical Services Other Professional Services Dental Services Other Personal Health Care Nursing Home and Home Health Home Health Care Nursing Home Care Retail Outlet Sales of Medical Products Prescription Drugs Other Medical Products Durable Medical Equipment Other Non-Durable Medical Products Government Administration and Net Cost of Private Health Insurance Government Public Health Activities Investment Research Structures and Equipment 2007 National Health Expenditures Health Services and Supplies Personal Health Care Hospital Care Professional Services Physician and Clinical Services Other Professional Services Dental Services Other Personal Health Care Nursing Home and Home Health Home Health Care Nursing Home Care Retail Outlet Sales of Medical Products Prescription Drugs Other Medical Products Durable Medical Equipment Other Non-Durable Medical Products Government Administration and Net Cost of Private Health Insurance Government Public Health Activities Investment Research Structures and Equipment
Total
All Private Funds
Total
Private Consumer Out-ofPrivate Pocket Health Payments Insurance
Public
Other
Total
Federal
State and Local
$2,112.7 1,976.1 1,765.5 649.3 661.4 449.7 58.7 90.5 62.5 178.4 53.0 125.4 276.4 216.8 59.6 24.2 35.3
$1,139.7 1,061.6 966.8 287.4 427.5 297.2 39.4 85.0 5.9 59.1 12.5 46.6 192.8 143.0 49.8 16.8 33.0
$986.3 986.3 893.0 257.5 389.3 267.9 36.4 85.0 -53.4 11.4 42.0 192.8 143.0 49.8 16.8 33.0
$255.0 255.0 255.0 21.4 101.5 46.4 15.0 40.1 -38.5 5.8 32.7 93.6 46.7 46.9 13.8 33.0
$731.3 731.3 637.9 236.1 287.8 221.5 21.4 44.9 -14.9 5.6 9.3 99.2 96.2 3.0 3.0 0.0
$153.4 75.3 73.8 29.9 38.2 29.2 3.0 0.1 5.9 5.7 1.1 4.6 0.0 0.0 0.0 0.0 0.0
$973.0 914.5 798.7 362.0 233.8 152.5 19.3 5.5 56.5 119.3 40.5 78.8 83.6 73.9 9.8 7.5 2.3
$707.6 666.9 620.6 291.0 176.4 126.2 14.8 3.2 32.1 85.2 30.9 54.3 68.1 58.7 9.4 7.1 2.3
$265.4 247.6 178.1 71.0 57.5 26.3 4.5 2.2 24.4 34.2 9.7 24.5 15.5 15.1 0.4 0.4 0.0
150.4 60.2 136.6 41.3 95.2
94.8 -78.1 4.0 74.1
93.3 -----
------
93.3 -----
1.5 -78.1 4.0 74.1
55.5 60.2 58.5 37.4 21.1
36.8 9.5 40.7 32.5 8.2
18.7 50.8 17.7 4.8 12.9
2,241.2 2,098.1 1,878.3 696.5 702.1 478.8 62.0 95.2 66.2 190.4 59.0 131.3 289.3 227.5 61.8 24.5 37.4
1,205.5 1,123.9 1,027.7 312.2 454.5 317.4 41.7 89.1 6.3 62.4 12.6 49.7 198.6 146.6 52.0 16.9 35.0
1,043.5 1,043.5 948.9 280.0 413.7 286.1 38.5 89.0 -56.6 11.5 45.1 198.6 146.6 52.0 16.9 35.0
268.6 268.6 268.6 23.2 107.6 49.6 15.9 42.1 -41.3 6.0 35.3 96.5 47.6 49.0 14.0 35.0
775.0 775.0 680.3 256.9 306.1 236.5 22.6 46.9 -15.3 5.6 9.8 102.1 99.1 3.0 3.0 0.0
162.0 80.4 78.8 32.2 40.9 31.3 3.2 0.1 6.3 5.8 1.1 4.6 0.0 0.0 0.0 0.0 0.0
1,035.7 974.2 850.6 384.3 247.6 161.3 20.3 6.1 59.8 128.0 46.4 81.6 90.7 80.8 9.9 7.5 2.3
754.4 712.9 663.0 307.8 186.9 133.5 16.1 3.6 33.7 92.4 35.4 57.0 76.0 66.5 9.5 7.1 2.3
281.3 261.3 187.6 76.6 60.7 27.8 4.3 2.5 26.1 35.6 11.0 24.6 14.7 14.3 0.4 0.4 0.0
155.7 64.1 143.1 42.4 100.7
96.2 -81.6 4.3 77.3
94.6 -----
------
94.6 -----
1.6 -81.6 4.3 77.3
59.5 64.1 61.5 38.1 23.4
40.2 9.7 41.5 33.0 8.5
19.3 54.4 20.1 5.2 14.9
NOTE: Research and development expenditures of drug companies and other manufacturers and providers of medical equipment and supplies are excluded from research expenditures. These research expenditures are implicitly included in the expenditure class in which the product falls, in that they are covered by the payment received for that product. Numbers may not add to totals because of rounding. The figure 0.0 denotes amounts less than $50 million. Dashes (--) indicate "not applicable". Dollar amounts shown are in current dollars. SOURCE: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group.
Table 5 National Health Expenditures, by Source of Funds, Type of Expenditure and Sponsor: Calendar Years 2002-2007 (Billions of Dollars)
Year and Type of Expenditure Sponsor
Total
Total Private Funds
Total
Private Consumer Out-ofPrivate Pocket Health 1 Payments Insurance Other
Total Public Funds
Public Federal and State 2 Medicare Medicaid
Other 3 Public
2002 Health Services and Supplies Business, Households and Other Private Revenues Private Business Household Other Private Revenues Government Federal government State and local government
1,498.3 927.6 390.4 482.3 54.8 570.7 317.1 253.6
821.8 731.0 298.0 378.2 54.8 90.7 17.7 73.1
762.3 671.5 293.4 378.2 — 90.7 17.7 73.1
211.2 211.2 — 211.2 — — — —
551.1 460.4 293.4 167.0 — 90.7 17.7 73.1
59.5 59.5 4.7 — 54.8 — — —
676.5 196.5 92.4 104.2 — 480.0 299.4 180.6
259.6 167.2 63.0 104.2 — 92.4 84.0 8.4
253.5 — — — — 253.5 149.9 103.6
163.4 29.4 29.4 — — 134.1 65.5 68.6
2003 Health Services and Supplies Business, Households and Other Private Revenues Private Business Household Other Private Revenues Government Federal government State and local government
1,623.1 993.5 418.1 515.3 60.1 629.6 353.7 276.0
893.3 791.5 324.2 407.3 60.1 101.8 19.7 82.1
828.3 726.5 319.2 407.3 — 101.8 19.7 82.1
224.6 224.6 — 224.6 — — — —
603.7 501.9 319.2 182.7 — 101.8 19.7 82.1
65.0 65.0 4.9 — 60.1 — — —
729.8 201.9 93.9 108.0 — 527.9 333.9 193.9
277.0 172.6 64.6 108.0 — 104.4 95.7 8.7
276.0 — — — — 276.0 163.8 112.2
176.8 29.4 29.4 — — 147.5 74.4 73.1
2004 Health Services and Supplies Business, Households and Other Private Revenues Private Business Household Other Private Revenues Government Federal government State and local government
1,733.1 1,050.6 443.5 546.1 61.0 682.5 387.0 295.5
947.0 834.9 343.8 430.1 61.0 112.2 21.6 90.6
880.8 768.6 338.5 430.1 — 112.2 21.6 90.6
234.9 234.9 — 234.9 — — — —
645.9 533.7 338.5 195.2 — 112.2 21.6 90.6
66.3 66.3 5.3 — 61.0 — — —
786.1 215.7 99.7 116.0 — 570.4 365.4 204.9
304.4 184.5 68.6 116.0 — 119.9 110.8 9.1
297.2 — — — — 297.2 175.1 122.1
184.5 31.2 31.2 — — 153.3 79.5 73.8
2005 Health Services and Supplies Business, Households and Other Private Revenues Private Business Household Other Private Revenues Government Federal government State and local government
1,850.0 1,114.6 471.9 577.9 64.8 735.5 412.6 322.9
1,007.0 884.4 367.4 452.2 64.8 122.7 23.1 99.5
937.0 814.3 362.1 452.2 — 122.7 23.1 99.5
247.0 247.0 — 247.0 — — — —
690.0 567.3 362.1 205.2 — 122.7 23.1 99.5
70.1 70.1 5.3 — 64.8 — — —
843.0 230.2 104.5 125.7 — 612.8 389.4 223.4
330.9 198.4 72.7 125.7 — 132.5 123.1 9.4
320.0 — — — — 320.0 182.8 137.2
192.1 31.8 31.8 — — 160.4 83.6 76.8
2006 Health Services and Supplies Business, Households and Other Private Revenues Private Business Household Other Private Revenues Government Federal government State and local government
1,976.1 1,183.2 490.4 623.4 69.4 792.9 454.3 338.6
1,057.8 930.2 381.3 479.5 69.4 127.6 24.3 103.3
982.5 854.9 375.4 479.5 — 127.6 24.3 103.3
255.0 255.0 — 255.0 — — — —
727.5 599.9 375.4 224.5 — 127.6 24.3 103.3
75.3 75.3 5.9 — 69.4 — — —
918.3 253.0 109.1 143.9 — 665.3 430.0 235.3
391.0 221.3 77.4 143.9 — 169.7 159.8 9.9
319.1 — — — — 319.1 180.5 138.5
208.2 31.7 31.7 — — 176.6 89.7 86.9
80.4 80.4 6.3 — 74.1 — — —
978.2 266.4 113.3 153.1 — 711.8 460.4 251.4
417.9 234.8 81.6 153.1 — 183.1 172.6 10.5
339.8 — — — — 339.8 192.2 147.6
220.5 31.7 31.7 — — 188.8 95.6 93.2
2007 Health Services and Supplies 2,098.1 1,119.9 1,039.5 268.6 771.0 Business, Households and Other Private Revenues 1,252.3 985.9 905.5 268.6 636.9 Private Business 518.0 404.7 398.4 — 398.4 Household 660.3 507.1 507.1 268.6 238.6 Other Private Revenues 74.1 74.1 — — — Government 845.8 134.0 134.0 — 134.0 Federal government 485.9 25.5 25.5 — 25.5 State and local government 359.9 108.5 108.5 — 108.5 1 Includes industrial inplant and other private (non-patient revenue including philanthropy). 2 Includes Medicaid State Childrens' Health Insurance Program (SCHIP) expansion (Title XIX). 3 Includes SCHIP (Title XXI). NOTE: Dashes (—) indicate "not applicable." Dollar amounts are shown in current dollars. SOURCE: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group.
Table 6 Personal Health Care Expenditures Aggregate, Per Capita Amounts, and Percent Distribution, by Source of Funds: Selected Calendar Years 1970-2007 Third-Party Payments Public
Year
Total
Out-ofPocket Payments
1970 1980 1990 2000 2001 2002 2003 2004 2005 2006 2007
$62.9 214.8 607.6 1,139.2 1,238.3 1,340.3 1,447.5 1,550.2 1,655.1 1,765.5 1,878.3
$24.9 58.1 136.2 192.6 199.5 211.2 224.6 234.9 247.0 255.0 268.6
$38.0 156.6 471.4 946.6 1,038.8 1,129.1 1,222.9 1,315.4 1,408.2 1,510.5 1,609.7
1970 1980 1990 2000 2001 2002 2003 2004 2005 2006 2007
$299 932 2,394 4,032 4,339 4,651 4,979 5,281 5,588 5,902 6,219
$119 252 536 682 699 733 773 800 834 852 889
$181 680 1,857 3,350 3,640 3,918 4,206 4,481 4,755 5,049 5,330
1970 1980 1990 2000 2001 2002 2003 2004 2005 2006 2007
100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0
39.6 27.1 22.4 16.9 16.1 15.8 15.5 15.2 14.9 14.4 14.3
60.4 72.9 77.6 83.1 83.9 84.2 84.5 84.8 85.1 85.6 85.7
Total
Private Other Health Private Insurance Funds Total Billions of Dollars $14.1 $1.7 $22.2 61.2 9.2 86.2 204.6 30.5 236.3 402.8 57.0 486.9 441.0 56.4 541.4 482.3 58.3 588.6 521.5 63.8 637.6 560.6 65.0 689.8 598.9 69.0 740.2 637.9 73.8 798.7 680.3 78.8 850.6 Per Capita Amount in Dollars $67 $8 $106 266 40 374 806 120 931 1,426 202 1,723 1,545 198 1,897 1,674 202 2,042 1,794 219 2,193 1,910 221 2,350 2,022 233 2,499 2,133 247 2,670 2,253 261 2,816 Percent Distribution 22.3 2.8 35.3 28.5 4.3 40.1 33.7 5.0 38.9 35.4 5.0 42.7 35.6 4.6 43.7 36.0 4.3 43.9 36.0 4.4 44.0 36.2 4.2 44.5 36.2 4.2 44.7 36.1 4.2 45.2 36.2 4.2 45.3
State and Local1
Medicare2
Medicaid3
$14.4 62.3 172.8 369.7 411.7 448.3 486.5 527.6 563.3 620.6 663.0
$7.8 23.9 63.5 117.1 129.7 140.3 151.1 162.1 176.9 178.1 187.6
$7.3 36.1 106.6 215.9 238.8 256.0 274.1 300.6 327.4 382.8 409.6
$5.0 24.7 69.7 187.0 208.9 230.7 250.9 269.9 288.8 285.4 303.9
$69 270 681 1,309 1,443 1,556 1,673 1,798 1,902 2,075 2,195
$37 104 250 415 454 487 520 552 597 596 621
(4) (4) (4) (4) (4) (4) (4) (4) (4) (4) (4)
(4) (4) (4) (4) (4) (4) (4) (4) (4) (4) (4)
22.9 29.0 28.4 32.5 33.2 33.4 33.6 34.0 34.0 35.2 35.3
12.4 11.1 10.4 10.3 10.5 10.5 10.4 10.5 10.7 10.1 10.0
11.6 16.8 17.5 18.9 19.3 19.1 18.9 19.4 19.8 21.7 21.8
8.0 11.5 11.5 16.4 16.9 17.2 17.3 17.4 17.4 16.2 16.2
1
Federal
1
Includes State Children's Health Insurance Program (Title XXI) and State Children's Health Insurance Program (SCHIP) expansion (Title XIX).
2
Subset of Federal funds.
3
Subset of Federal and State and local funds.
4
Calculation of per capita estimates is inappropriate.
NOTE: Per capita amounts based on July 1 Census resident-based population estimates for each year. Numbers and percents may not add to due to rounding. Dollar amounts shown are in current dollars. SOURCE: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group; U.S. Bureau of the Census.
Table 7 Hospital Care Expenditures Aggregate, Per Capita Amounts, and Percent Distribution, by Source of Funds: Selected Calendar Years 1970-2007 Third-Party Payments
Year
Total
Out-ofPocket Payments
1970 1980 1990 2000 2001 2002 2003 2004 2005 2006 2007
$27.6 101.0 251.6 416.9 451.2 488.4 527.4 566.8 607.5 649.3 696.5
$2.5 5.4 11.3 13.6 14.3 15.6 17.2 18.7 19.8 21.4 23.2
$25.1 95.6 240.3 403.2 437.0 472.8 510.1 548.1 587.7 627.9 673.4
1970 1980 1990 2000 2001 2002 2003 2004 2005 2006 2007
$131 438 991 1,475 1,581 1,695 1,814 1,931 2,051 2,171 2,306
$12 23 45 48 50 54 59 64 67 72 77
$119 415 947 1,427 1,531 1,641 1,755 1,867 1,984 2,099 2,230
1970 1980 1990 2000 2001 2002 2003 2004 2005 2006 2007
100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0
9.0 5.4 4.5 3.3 3.2 3.2 3.3 3.3 3.3 3.3 3.3
91.0 94.6 95.5 96.7 96.8 96.8 96.7 96.7 96.7 96.7 96.7
Total
Public Other Private 1 Funds Total Federal Billions of Dollars $9.0 $0.9 $15.2 $10.0 37.0 5.1 53.6 40.5 97.8 10.4 132.0 101.7 144.0 21.9 237.3 191.9 157.1 20.9 258.9 209.7 172.1 21.6 279.1 225.9 188.0 24.8 297.4 241.3 202.8 25.3 320.0 260.0 215.4 27.3 345.0 277.9 236.1 29.9 362.0 291.0 256.9 32.2 384.3 307.8 Per Capita Amount in Dollars $43 $4 $72 $47 160 22 233 176 385 41 520 401 510 77 840 679 550 73 907 735 597 75 969 784 647 85 1,023 830 691 86 1,090 886 727 92 1,165 938 789 100 1,210 973 850 107 1,273 1,019 Percent Distribution 32.5 3.2 55.2 36.1 36.6 5.0 53.0 40.1 38.9 4.1 52.5 40.4 34.6 5.3 56.9 46.0 34.8 4.6 57.4 46.5 35.2 4.4 57.2 46.3 35.6 4.7 56.4 45.8 35.8 4.5 56.5 45.9 35.5 4.5 56.8 45.7 36.4 4.6 55.7 44.8 36.9 4.6 55.2 44.2
Private Health Insurance
State and Local1
Medicare2
Medicaid3
$5.3 13.0 30.3 45.4 49.2 53.2 56.1 60.0 67.1 71.0 76.6
$5.4 26.4 67.8 124.4 136.4 145.3 153.2 165.5 179.5 187.6 196.2
$2.6 9.2 26.7 71.1 76.5 84.4 90.3 96.8 105.1 110.2 120.0
$25 57 120 161 172 185 193 205 226 237 253
(4) (4) (4) (4) (4) (4) (4) (4) (4) (4) (4)
(4) (4) (4) (4) (4) (4) (4) (4) (4) (4) (4)
19.1 12.9 12.1 10.9 10.9 10.9 10.6 10.6 11.0 10.9 11.0
19.4 26.1 27.0 29.8 30.2 29.8 29.1 29.2 29.6 28.9 28.2
9.6 9.1 10.6 17.0 17.0 17.3 17.1 17.1 17.3 17.0 17.2
1
Includes State Children's Health Insurance Program (Title XXI) and State Children's Health Insurance Program (SCHIP) expansion (Title XIX).
2
Subset of Federal funds.
3
Subset of Federal and State and local funds.
4
Calculation of per capita estimates is inappropriate.
NOTE: Per capita amounts based on July 1 Census resident-based population estimates for each year. Numbers and percents may not add to totals due to rounding. Dollar amounts shown are in current dollars. SOURCE: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group; U.S. Bureau of the Census.
Table 8 Physician and Clinical Services Expenditures Aggregate, Per Capita Amounts, and Percent Distribution, by Source of Funds: Selected Calendar Years 1970-2007 Third-Party Payments Public
Year
Total
Out-ofPocket Payments
1970 1980 1990 2000 2001 2002 2003 2004 2005 2006 2007
$14.0 47.1 157.6 288.6 313.2 337.9 366.7 393.6 422.2 449.7 478.8
$6.5 14.3 30.2 32.2 33.5 35.3 37.5 40.0 43.3 46.4 49.6
$7.5 32.8 127.3 256.4 279.7 302.6 329.2 353.6 379.0 403.3 429.1
1970 1980 1990 2000 2001 2002 2003 2004 2005 2006 2007
$67 204 621 1,022 1,097 1,173 1,261 1,341 1,426 1,503 1,585
$31 62 119 114 117 122 129 136 146 155 164
$36 142 502 908 980 1,050 1,132 1,205 1,280 1,348 1,421
1970 1980 1990 2000 2001 2002 2003 2004 2005 2006 2007
100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0
46.2 30.4 19.2 11.1 10.7 10.4 10.2 10.2 10.3 10.3 10.4
53.8 69.6 80.8 88.9 89.3 89.6 89.8 89.8 89.7 89.7 89.6
Total
Private Health Insurance
Other Private Funds Total Billions of Dollars $4.2 $0.2 $3.1 16.7 1.8 14.2 67.3 11.3 48.7 136.7 22.2 97.6 148.9 23.2 107.6 163.1 24.3 115.2 177.7 26.0 125.5 191.1 26.2 136.3 207.1 27.6 144.2 221.5 29.2 152.5 236.5 31.3 161.3 Per Capita Amount in Dollars $20 $1 $15 73 8 62 265 45 192 484 79 345 522 81 377 566 84 400 611 90 432 651 89 465 699 93 487 740 98 510 783 104 534 Percent Distribution 30.1 1.6 22.1 35.5 3.9 30.2 42.7 7.2 30.9 47.4 7.7 33.8 47.5 7.4 34.4 48.3 7.2 34.1 48.4 7.1 34.2 48.5 6.7 34.6 49.0 6.5 34.2 49.3 6.5 33.9 49.4 6.5 33.7
State and Local1
Medicare2
Medicaid3
$2.3 11.2 38.0 78.9 86.7 93.7 102.6 112.0 118.7 126.2 133.5
$0.8 3.0 10.7 18.6 20.9 21.6 22.9 24.3 25.6 26.3 27.8
$1.6 8.0 29.4 58.2 63.4 67.4 73.5 80.9 86.4 91.9 96.1
$0.6 2.4 7.0 19.1 21.6 23.8 25.4 27.8 29.7 31.1 33.2
$11 49 150 279 304 325 353 382 401 422 442
$4 13 42 66 73 75 79 83 86 88 92
(4) (4) (4) (4) (4) (4) (4) (4) (4) (4) (4)
(4) (4) (4) (4) (4) (4) (4) (4) (4) (4) (4)
16.1 23.8 24.1 27.3 27.7 27.7 28.0 28.5 28.1 28.1 27.9
6.0 6.4 6.8 6.5 6.7 6.4 6.3 6.2 6.1 5.9 5.8
11.8 17.0 18.6 20.2 20.2 19.9 20.0 20.5 20.5 20.4 20.1
4.6 5.2 4.5 6.6 6.9 7.0 6.9 7.1 7.0 6.9 6.9
1
Federal
1
Includes State Children's Health Insurance Program (Title XXI) and State Children's Health Insurance Program (SCHIP) expansion (Title XIX).
2
Subset of Federal funds.
3
Subset of Federal and State and local funds.
4
Calculation of per capita estimates is inappropriate.
NOTE: Per capita amounts based on July 1 Census resident-based population estimates for each year. Numbers and percents may not add to totals due to rounding. Dollar amounts shown are in current dollars. SOURCE: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group; U.S. Bureau of the Census.
Table 9 Nursing Home Care Expenditures Aggregate, Per Capita Amounts, and Percent Distribution by Source of Funds: Selected Calendar Years 1970-2007 Third-Party Payments Public
Year
Total
Out-ofPocket Payments
1970 1980 1990 2000 2001 2002 2003 2004 2005 2006 2007
$4.0 18.5 52.6 95.3 101.5 105.7 110.5 115.2 120.6 125.4 131.3
$2.1 6.6 19.0 28.7 29.0 29.7 30.5 30.9 31.5 32.7 35.3
$1.9 11.9 33.6 66.6 72.5 76.0 79.9 84.2 89.1 92.6 96.0
1970 1980 1990 2000 2001 2002 2003 2004 2005 2006 2007
$19 80 207 337 356 367 380 392 407 419 435
$10 29 75 102 102 103 105 105 106 109 117
$9 52 132 236 254 264 275 287 301 310 318
1970 1980 1990 2000 2001 2002 2003 2004 2005 2006 2007
100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0
52.0 35.7 36.1 30.1 28.5 28.1 27.6 26.9 26.1 26.1 26.9
48.0 64.3 63.9 69.9 71.5 71.9 72.4 73.1 73.9 73.9 73.1
Total
Private Health Insurance
Other Private Funds Total Billions of Dollars $0.0 $0.2 $1.7 0.2 0.7 10.9 2.9 3.8 26.9 7.9 4.5 54.1 8.1 4.0 60.4 8.7 4.0 63.3 8.7 4.2 67.1 8.7 4.3 71.3 8.8 4.4 75.9 9.3 4.6 78.8 9.8 4.6 81.6 Per Capita Amount in Dollars $0 $1 $8 1 3 47 12 15 106 28 16 192 28 14 212 30 14 220 30 14 231 29 14 243 30 15 256 31 15 263 32 15 270 Percent Distribution 0.2 4.8 43.0 1.1 4.0 59.2 5.6 7.2 51.1 8.3 4.8 56.8 8.0 4.0 59.5 8.2 3.8 59.9 7.8 3.8 60.7 7.5 3.7 61.9 7.3 3.6 62.9 7.4 3.6 62.9 7.5 3.5 62.1
State and Local1
Medicare2
Medicaid3
$1.0 6.4 16.3 36.4 42.0 44.4 46.0 49.1 51.9 54.3 57.0
$0.7 4.6 10.6 17.8 18.4 18.9 21.1 22.2 24.0 24.5 24.6
$0.1 0.3 1.7 10.1 12.4 13.9 14.7 16.9 19.1 21.1 23.2
$0.9 10.2 24.1 42.0 45.8 47.1 49.7 51.5 53.7 54.5 54.8
$5 28 64 129 147 154 158 167 175 182 189
$3 20 42 63 65 66 72 76 81 82 81
(4) (4) (4) (4) (4) (4) (4) (4) (4) (4) (4)
(4) (4) (4) (4) (4) (4) (4) (4) (4) (4) (4)
25.9 34.6 31.0 38.2 41.3 42.0 41.7 42.6 43.0 43.3 43.4
17.1 24.6 20.1 18.6 18.1 17.9 19.1 19.3 19.9 19.5 18.7
3.5 1.7 3.2 10.6 12.2 13.1 13.3 14.7 15.8 16.8 17.7
23.3 55.4 45.8 44.1 45.1 44.6 45.0 44.7 44.6 43.5 41.7
1
Federal
1
Includes State Children's Health Insurance Program (Title XXI) and State Children's Health Insurance Program (SCHIP) expansion (Title XIX).
2
Subset of Federal funds.
3
Subset of Federal and State and local funds.
4
Calculation of per capita estimates is inappropriate.
NOTE: The figure 0.0 denotes less than $50 million for aggregate amounts and 0 denotes less than $0.50 for per capita amounts. Per capita amounts based on July 1 Census resident-based population estimates for each year. Numbers and percents may not add to totals due to rounding. Dollar amounts shown are in current dollars. SOURCE: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group; U.S. Bureau of the Census.
Table 10 Personal Health Care Expenditures other than Hospital Care, Physician and Clinical Services, and Nursing Home Care1 Aggregate, Per Capita Amounts, and Percent Distribution, by Source of Funds: Selected Calendar Years 1970-2007 Third-Party Payments Public
Year
Total
Out-ofPocket Payments
1970 1980 1990 2000 2001 2002 2003 2004 2005 2006 2007
$17.3 48.2 145.8 338.4 372.4 408.3 442.9 474.6 504.8 541.1 571.6
$13.9 31.8 75.6 118.1 122.7 130.6 139.3 145.2 152.4 154.4 160.5
$3.5 16.4 70.2 220.3 249.6 277.7 303.6 329.4 352.4 386.7 411.2
1970 1980 1990 2000 2001 2002 2003 2004 2005 2006 2007
$82 209 575 1,198 1,305 1,417 1,523 1,617 1,704 1,809 1,893
$66 138 298 418 430 453 479 495 515 516 531
$16 71 277 780 875 964 1,044 1,122 1,190 1,293 1,361
1970 1980 1990 2000 2001 2002 2003 2004 2005 2006 2007
100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0
80.0 66.0 51.8 34.9 33.0 32.0 31.5 30.6 30.2 28.5 28.1
20.0 34.0 48.2 65.1 67.0 68.0 68.5 69.4 69.8 71.5 71.9
Total
Private Other Health Private Insurance Funds Total Billions of Dollars $0.9 $0.4 $2.2 7.3 1.5 7.5 36.6 5.0 28.6 114.2 8.3 97.9 126.9 8.3 114.4 138.5 8.4 130.9 147.2 8.8 147.6 158.0 9.2 162.1 167.6 9.7 175.1 171.1 10.1 205.4 177.2 10.7 223.3 Per Capita Amount in Dollars $4 $2 $10 32 7 33 144 20 113 404 29 346 445 29 401 481 29 454 506 30 508 538 31 552 566 33 591 572 34 687 587 35 739 Percent Distribution 5.0 2.5 12.5 15.2 3.2 15.6 25.1 3.4 19.6 33.7 2.5 28.9 34.1 2.2 30.7 33.9 2.0 32.0 33.2 2.0 33.3 33.3 1.9 34.2 33.2 1.9 34.7 31.6 1.9 38.0 31.0 1.9 39.1
State and Local2
Medicare3
Medicaid4
$1.2 4.2 16.8 62.6 73.2 84.3 96.6 106.5 114.8 149.1 164.7
$1.0 3.3 11.8 35.3 41.2 46.6 51.1 55.6 60.3 56.3 58.6
$0.1 1.4 7.7 23.1 26.5 29.4 32.7 37.3 42.4 82.2 94.1
$0.8 2.8 11.9 54.8 65.1 75.4 85.4 93.7 100.3 89.5 95.9
$6 18 66 221 257 292 332 363 388 499 545
$5 14 47 125 144 162 176 189 204 188 194
(5) (5) (5) (5) (5) (5) (5) (5) (5) (5) (5)
(5) (5) (5) (5) (5) (5) (5) (5) (5) (5) (5)
6.8 8.7 11.5 18.5 19.7 20.6 21.8 22.4 22.7 27.6 28.8
5.7 6.9 8.1 10.4 11.1 11.4 11.5 11.7 11.9 10.4 10.3
0.8 2.8 5.3 6.8 7.1 7.2 7.4 7.9 8.4 15.2 16.5
4.6 5.8 8.2 16.2 17.5 18.5 19.3 19.8 19.9 16.5 16.8
2
Federal
1
Personal health care expenditures include other professional services, dental services, other personal health care services, home health care services, prescription drugs, durable medical equipment, and other non-durable medical equipment. 2
Includes State Children's Health Insurance Program (Title XXI) and State Children's Health Insurance Program (SCHIP) expansion (Title XIX).
3
Subset of Federal funds.
4
Subset of Federal and State and local funds.
5
Calculation of per capita estimates is inappropriate.
NOTE: Per capita amounts based on July 1 Census resident-based population estimates for each year. Numbers and percents may not add to totals due to rounding. Dollar amounts shown are in current dollars. SOURCE: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group; U.S. Bureau of the Census.
Table 11 Expenditures for Health Services and Supplies Under Public Programs, by Type of Expenditure and Program: Calendar Year 2007 (Billions of Dollars) Personal Health Care Other Other Non Other Total Health Durable ProfesServices Public Durable Nursing Personal Home Physician Medical Home Health Adminis- Health Health Prescription Medical sional and Hospital and Clinical Dental Care tration Activities Products Equipment Drugs Supplies Total Care Care Care Services Services Services $2,098.1 $1,878.3 $696.5 $478.8 $95.2 $62.0 $59.0 $227.5 $37.4 $24.5 $131.3 $66.2 $155.7 $64.1 974.2 850.6 384.3 161.3 6.1 20.3 46.4 80.8 2.3 7.5 81.6 59.8 59.5 64.1 712.9 663.0 307.8 133.5 3.6 16.1 35.4 66.5 2.3 7.1 57.0 33.7 40.2 9.7 261.3 187.6 76.6 27.8 2.5 4.3 11.0 14.3 0.0 0.4 24.6 26.1 19.3 54.4
Program Area Public and Private Spending All Public Programs Federal Funds State and Local Funds Medicare 1 Medicaid Federal State and Local Other State and Local Public Assistance Programs Department of Veterans Affairs 2 Department of Defense Workers' Compensation Federal State and Local 3 State and Local Hospitals Other Public Programs for Personal Health Care Federal State and Local Government Public Health Activities Federal State and Local CMS Programs Medicare, Medicaid and SCHIP
4
431.2 329.4 186.1 143.3
409.6 303.9 171.7 132.2
196.2 120.0 68.2 51.8
96.1 33.2 19.4 13.8
0.2 5.0 2.8 2.2
13.7 3.5 2.0 1.5
23.8 20.5 11.1 9.4
47.0 18.8 10.8 7.9
2.3 — — —
7.0 — — —
23.2 54.8 30.6 24.2
— 48.2 26.9 21.3
21.6 25.4 14.4 11.1
— — — —
6.3 33.8 31.7 32.4 0.8 31.6 20.6
6.3 33.6 28.6 24.7 0.8 23.9 20.6
1.8 22.5 16.0 6.2 0.2 6.0 15.8
0.7 3.6 6.2 12.7 0.4 12.3 —
0.1 0.1 — — — — —
0.1 — — 2.4 0.1 2.3 —
0.1 0.5 — — — — 1.5
2.8 2.6 4.8 3.1 0.1 3.0 —
0.0 — — — — — —
0.0 — — 0.3 0.0 0.3 —
0.4 3.3 — — — — —
0.2 1.2 1.6 — — — 3.3
— 0.2 3.1 7.7 0.0 7.7 0.0
— — — — — — —
24.7 19.6 5.1 64.1 9.7 54.4
23.2 18.7 4.6 — — —
5.8 4.7 1.1 — — —
8.8 7.9 1.0 — — —
0.7 0.6 0.2 — — —
0.6 0.2 0.4 — — —
0.0 0.0 0.0 — — —
1.7 1.1 0.6 — — —
— — — — — —
0.2 0.1 0.1 — — —
0.0 0.0 0.0 — — —
5.3 4.0 1.3 — — —
1.5 1.0 0.5 — — —
— — — 64.1 9.7 54.4
769.6
721.4
319.1
131.5
5.7
17.4
44.3
67.3
2.3
7.1
78.0
48.7
48.2
—
1
Excludes funds paid into the Medicare trust funds by States under buy-in agreements to cover premiums for Medicaid recipients.
2
Includes care for retirees and military dependents
.
3
Category comprises state and local subsidies to hospitals and home health agencies, as well as school health programs.
4
Includes program spending for State Children's Health Insurance Program (Title XXI) and State Children's Health Insurance Program (SCHIP) expansion (Title XIX), maternal and child health, vocational rehabilitation medical payments, temporary disability insurance medical payments, Public Health Service and other Federal hospitals, Indian health services, and alcoholism, drug abuse, and mental health. NOTE: The figure 0.0 denotes amounts less than $50 million. Numbers may not add to total due to rounding. Dashes (—) indicate not applicable. Dollar amounts shown are in current dollars. SOURCE: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group.
Table 12 Private Health Insurance Premiums, Benefits and Net Cost, Selected Calendar Years 1980-2007 Private Health Insurance Premiums Health Services and Supplies Private Health Insurance Benefits Personal Health Care Hospital Physician and Clinical Services Other Professional Services Dental Services Other Personal Health Care Home Health Care Nursing Home Care Prescription Drugs Other Non-durable Medical Products Durable Medical Equipment Net Cost Net Cost of Private Health Insurance Private Health Insurance Premiums Health Services and Supplies Private Health Insurance Benefits Personal Health Care Hospital Physician and Clinical Services Other Professional Services Dental Services Other Personal Health Care Home Health Care Nursing Home Care Prescription Drugs Other Non-durable Medical Products Durable Medical Equipment Net Cost Net Cost of Private Health Insurance Private Health Insurance Premiums Health Services and Supplies Private Health Insurance Benefits Personal Health Care Hospital Physician and Clinical Services Other Professional Services Dental Services Other Personal Health Care Home Health Care Nursing Home Care Prescription Drugs Other Non-durable Medical Products Durable Medical Equipment Net Cost Net Cost of Private Health Insurance
1960
1970
1980
1990
1997
1998
1999 2000 2001 Billions of Dollars $416.8 $454.7 $497.6
2002
2003
2004
2005
2006
2007
$5.9
$15.5
$68.8
$233.7
$359.0
$384.7
$551.1
$603.7
$645.9
$690.0
$731.3
$775.0
5.0 3.3 1.6 0.0 0.0 — 0.0 0.0 0.0 — 0.0
14.1 9.0 4.2 0.0 0.2 — 0.0 0.0 0.5 — 0.1
61.2 37.0 16.7 0.8 3.8 — 0.3 0.2 1.8 — 0.5
204.6 97.8 67.3 6.6 15.3 — 2.9 2.9 10.6 — 1.3
319.5 114.4 115.0 12.2 25.7 — 7.1 7.5 35.5 — 2.3
344.4 121.9 122.1 12.5 27.1 — 8.4 8.0 41.9 — 2.5
371.0 131.4 127.6 13.1 29.2 — 7.8 8.2 51.0 — 2.6
402.8 144.0 136.7 13.8 31.3 — 6.9 7.9 59.5 — 2.6
441.0 157.1 148.9 15.1 34.3 — 5.8 8.1 69.2 — 2.6
482.3 172.1 163.1 16.1 36.6 — 5.3 8.7 77.9 — 2.6
521.5 188.0 177.7 17.6 37.9 — 5.4 8.7 83.4 — 2.8
560.6 202.8 191.1 19.2 40.5 — 5.5 8.7 90.0 — 2.8
598.9 215.4 207.1 20.3 42.9 — 5.6 8.8 95.8 — 3.0
637.9 236.1 221.5 21.4 44.9 — 5.6 9.3 96.2 — 3.0
680.3 256.9 236.5 22.6 46.9 — 5.6 9.8 99.1 — 3.0
0.9
1.4
7.6
29.1
39.5
40.3
45.9
52.0
56.6
68.8
82.2
85.3
91.1
93.3
94.6
100.0
100.0
100.0
100.0
100.0
100.0
Percent Distribution 100.0 100.0 100.0
100.0
100.0
100.0
100.0
100.0
100.0
85.3 56.1 27.2 0.1 0.6
90.7 57.9 27.1 0.3 1.4
88.9 53.7 24.3 1.2 5.5
87.6 41.8 28.8 2.8 6.5
89.0 31.9 32.0 3.4 7.1
89.5 31.7 31.7 3.2 7.1
89.0 31.5 30.6 3.2 7.0
88.6 31.7 30.1 3.0 6.9
88.6 31.6 29.9 3.0 6.9
87.5 31.2 29.6 2.9 6.6
86.4 31.1 29.4 2.9 6.3
86.8 31.4 29.6 3.0 6.3
86.8 31.2 30.0 2.9 6.2
87.2 32.3 30.3 2.9 6.1
87.8 33.1 30.5 2.9 6.1
0.0 0.0 0.6
0.0 0.1 3.1
0.5 0.3 2.6
1.2 1.3 4.5
2.0 2.1 9.9
2.2 2.1 10.9
1.9 2.0 12.2
1.5 1.7 13.1
1.2 1.6 13.9
1.0 1.6 14.1
0.9 1.4 13.8
0.8 1.3 13.9
0.8 1.3 13.9
0.8 1.3 13.2
0.7 1.3 12.8
0.6
0.8
0.8
0.5
0.7
0.7
0.6
0.6
0.5
0.5
0.5
0.4
0.4
0.4
0.4
14.7
9.3
11.1
12.4
11.0
10.5
11.0
11.4
11.4
12.5
13.6
13.2
13.2
12.8
12.2
9.5
7.0
6.8
6.0
6.0
Average Annual Percent Change from Previous Year Shown 6.3 7.1 8.4 9.1 9.4 10.7
10.2
16.1
13.0
10.9 10.6 10.2 17.7 18.7 — 16.8 — 30.0 — 13.9
15.8 15.2 14.8 34.6 33.5 — 48.5 35.6 13.9 — 15.6
12.8 10.2 14.9 23.0 14.9 — 23.5 30.5 19.5 — 8.8
6.6 2.3 8.0 9.2 7.7 — 13.7 14.2 18.8 — 9.3
7.8 6.5 6.2 2.5 5.8 — 18.2 6.8 18.1 — 8.3
7.7 7.9 4.5 5.6 7.7 — -6.8 2.7 21.6 — 0.9
8.6 9.6 7.1 5.3 7.1 — -11.1 -3.5 16.6 — 1.3
9.5 9.1 8.9 9.2 9.4 — -16.8 2.9 16.4 — -0.5
9.4 9.5 9.5 6.5 6.8 — -9.0 7.0 12.6 — 2.1
8.1 9.3 9.0 9.5 3.7 — 3.1 -0.2 7.0 — 5.7
7.5 7.9 7.5 9.2 6.8 — 1.1 -0.2 7.9 — 1.8
6.8 6.2 8.4 5.3 5.9 — 3.0 2.0 6.5 — 4.7
6.5 9.6 6.9 5.8 4.7 — -0.4 4.9 0.4 — -0.5
6.6 8.8 6.8 5.5 4.6 — -1.2 5.7 2.9 — 1.2
5.3
18.2
14.3
4.5
2.1
13.7
13.4
8.9
21.5
19.5
3.7
6.8
2.5
1.4
NOTE: The figure 0 denotes amounts less than $50 million. Dashes (—) indicate not applicable. Numbers and percents may not add to totals due to rounding. Dollar amounts are shown in current dollars. SOURCE: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group.
Table 13 Per Enrollee Expenditures and Average Annual Percent Change in Medicare Spending and in Private Health Insurance Premiums, Calendar Years 1969-2007 1
Calendar Years Per Enrollee Spending 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007
All Benefits Health Services and Supplies Private Health Medicare Insurance $358 $383 $414 $449 $468 $568 $670 $783 $885 $1,004 $1,135 $1,335 $1,571 $1,804 $2,017 $2,206 $2,347 $2,459 $2,604 $2,739 $3,056 $3,264 $3,526 $3,897 $4,213 $4,631 $5,009 $5,325 $5,580 $5,497 $5,550 $5,779 $6,307 $6,685 $7,020 $7,596 $8,152 $9,489 $10,003
$87 $100 $114 $132 $144 $161 $185 $231 $279 $313 $360 $406 $474 $539 $598 $675 $743 $757 $821 $957 $1,104 $1,250 $1,372 $1,487 $1,605 $1,664 $1,749 $1,829 $1,909 $2,012 $2,136 $2,306 $2,537 $2,821 $3,106 $3,306 $3,527 $3,729 $3,946
2
Common Benefits Health Services and Supplies Private Health Medicare Insurance $327 $352 $385 $417 $433 $525 $622 $726 $830 $938 $1,064 $1,257 $1,479 $1,703 $1,902 $2,077 $2,203 $2,316 $2,457 $2,567 $2,808 $3,007 $3,206 $3,492 $3,725 $4,010 $4,298 $4,524 $4,713 $4,717 $4,828 $4,987 $5,414 $5,719 $6,003 $6,412 $6,819 $7,049 $7,262
$75 $86 $96 $107 $117 $136 $156 $188 $217 $241 $281 $324 $373 $421 $457 $495 $545 $572 $634 $727 $819 $925 $1,022 $1,102 $1,162 $1,189 $1,223 $1,250 $1,296 $1,355 $1,408 $1,507 $1,650 $1,812 $1,986 $2,129 $2,279 $2,457 $2,642
Table 13 Per Enrollee Expenditures and Average Annual Percent Change in Medicare Spending and in Private Health Insurance Premiums, Calendar Years 1969-2007 1
Calendar Years Annual Percent Change 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007
All Benefits Health Services and Supplies Private Health Medicare Insurance 7.0 8.3 8.4 4.3 21.3 17.9 16.9 13.0 13.5 13.0 17.7 17.6 14.8 11.8 9.4 6.4 4.8 5.9 5.2 11.6 6.8 8.0 10.5 8.1 9.9 8.2 6.3 4.8 -1.5 1.0 4.1 9.1 6.0 5.0 8.2 7.3 16.4 5.4
Average Annual Percent Change by Period 1970 - 2007 9.2 1970 - 1993 11.0 1993 - 1997 7.3 1997 - 1999 -0.3 1999 - 2002 6.4 2002 - 2007 8.4 1
2
Common Benefits Health Services and Supplies Private Health Medicare Insurance
14.4 14.0 15.4 9.4 11.7 15.0 24.9 20.7 12.5 14.9 12.6 16.7 13.8 11.0 12.9 10.1 1.9 8.5 16.5 15.3 13.3 9.8 8.4 7.9 3.7 5.1 4.6 4.4 5.4 6.1 8.0 10.0 11.2 10.1 6.4 6.7 5.7 5.8
7.9 9.4 8.2 3.9 21.1 18.6 16.7 14.4 13.0 13.5 18.1 17.6 15.2 11.7 9.2 6.1 5.1 6.1 4.5 9.4 7.1 6.6 8.9 6.7 7.6 7.2 5.3 4.2 0.1 2.4 3.3 8.6 5.6 5.0 6.8 6.4 3.4 3.0
15.4 11.2 11.1 9.5 16.2 14.8 20.5 15.8 10.9 16.7 15.5 15.0 12.9 8.6 8.2 10.2 4.9 10.8 14.7 12.6 13.0 10.5 7.8 5.5 2.3 2.9 2.2 3.7 4.5 3.9 7.1 9.5 9.8 9.7 7.2 7.0 7.8 7.5
10.4 12.8 4.4 5.8 9.7 6.9
8.5 10.8 6.1 1.2 5.8 4.9
9.7 12.0 2.8 4.2 8.8 7.8
Per enrollee includes primary policy holder plus dependents.
2
Common benefits refers to benefits commonly covered by Medicare and Private Health Insurance. These benefits are hospital services, physician and clinical services, other professional services and durable medical products. SOURCE: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group.
1960
1970
1980
1990
1993
1997
National Health Expenditures Private Public Federal State and Local
$27.5 20.7 6.8 2.9 3.9
$74.9 46.8 28.1 17.7 10.4
$253.4 147.0 106.3 71.6 34.8
$714.1 427.4 286.8 193.9 92.8
$912.5 512.3 400.2 279.4 120.8
$1,124.9 613.5 511.4 365.1 146.3
186
210
230
254
263
274
$526
$1,039
$2,790
$5,803
$6,657
$8,304
Per Capita Amount in Dollars $4,102 $4,296 $4,522 2,237 2,390 2,534 1,865 1,906 1,987 1,331 1,344 1,393 534 562 594
U.S. Population
1
Gross Domestic Product
2
National Health Expenditures Private Public Federal State and Local
$148 111 36 15 21
$356 222 134 84 49
$1,100 638 462 311 151
$2,814 1,684 1,130 764 366
$3,468 1,947 1,521 1,062 459
National Health Expenditures Private Public Federal State and Local
100.0 75.3 24.7 10.4 14.3
100.0 62.4 37.6 23.7 13.9
100.0 58.0 42.0 28.2 13.7
100.0 59.8 40.2 27.2 13.0
100.0 56.1 43.9 30.6 13.2
National Health Expenditures
5.2
7.2
9.1
12.3
13.7
National Health Expenditures Private Public Federal State and Local 1
U.S. Population 2 Gross Domestic Product
10.5 8.5 15.3 20.0 10.2
13.0 12.1 14.2 15.0 12.8
10.9 11.3 10.4 10.5 10.3
1.2 7.0
0.9 10.4
1.0 7.6
100.0 54.5 45.5 32.5 13.0
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
Billions of Dollars $1,190.1 $1,265.2 662.0 709.1 528.0 556.0 372.2 389.8 155.8 166.2
$1,353.2 756.4 596.8 417.7 179.0
$1,469.4 807.0 662.4 464.5 197.9
$1,602.3 880.7 721.6 509.0 212.6
$1,734.9 956.0 779.0 552.3 226.7
$1,854.8 1,014.9 839.9 599.5 240.4
$1,980.6 1,081.6 899.0 640.3 258.7
$2,112.7 1,139.7 973.0 707.6 265.4
$2,241.2 1,205.5 1,035.7 754.4 281.3
280
283
285
288
291
294
296
299
302
Billions of Dollars $8,747 $9,268
$9,817
$10,128
$10,470
$10,961
$11,686
$12,422
$13,178
$13,808
$4,789 2,677 2,112 1,479 634
$5,149 2,828 2,321 1,628 694
$5,560 3,056 2,504 1,766 738
$5,967 3,288 2,679 1,900 780
$6,319 3,458 2,861 2,043 819
$6,687 3,652 3,035 2,162 873
$7,062 3,810 3,252 2,365 887
$7,421 3,991 3,429 2,498 931
100.0 55.9 44.1 30.9 13.2
100.0 54.9 45.1 31.6 13.5
100.0 55.0 45.0 31.8 13.3
100.0 55.1 44.9 31.8 13.1
100.0 54.7 45.3 32.3 13.0
100.0 54.6 45.4 32.3 13.1
100.0 53.9 46.1 33.5 12.6
100.0 53.8 46.2 33.7 12.6
13.8
14.5
15.3
15.8
15.9
15.9
16.0
16.2
8.6 6.7 11.0 11.2 10.5
9.0 9.1 8.9 9.6 7.4
8.3 8.5 8.0 8.5 6.6
6.9 6.2 7.8 8.6 6.0
6.8 6.6 7.0 6.8 7.6
6.7 5.4 8.2 10.5 2.6
6.1 5.8 6.4 6.6 6.0
1.0 3.2
1.0 3.4
0.9 4.7
1.0 6.6
0.9 6.3
1.0 6.1
1.0 4.8
Millions 277
Percent Distribution 100.0 100.0 55.6 56.1 44.4 43.9 31.3 30.8 13.1 13.1
Percent of Gross Domestic Product 13.5 13.6 13.7
Average Annual Percent Growth from Previous Year Shown 8.5 5.4 5.8 6.3 7.0 6.2 4.6 7.9 7.1 6.7 11.8 6.3 3.2 5.3 7.3 12.9 6.9 2.0 4.7 7.2 9.2 4.9 6.5 6.7 7.7 1.2 4.7
1.0 5.7
1.0 5.3
1.0 6.0
1.0 5.9
1
Census resident-based population less armed forces overseas and population of outlying areas. Source: U.S. Bureau of the Census.
2
U.S. Department of Commerce, Bureau of Economic Analysis.
NOTE: Numbers and percents may not add to totals because of rounding. Dollar amounts shown are in current dollars. SOURCE: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group; U.S. Department of Commerce, Bureau of Economic Analysis; and U.S. Bureau of the Census.
Table 2 National Health Expenditures Aggregate Amounts and Average Annual Percent Change, by Type of Expenditure: Selected Calendar Years 1960-2007 Type of Expenditure National Health Expenditures Health Services and Supplies Personal Health Care Hospital Care Professional Services Physician and Clinical Services Other Professional Services Dental Services Other Personal Health Care Nursing Home and Home Health Home Health Care Nursing Home Care Retail Outlet Sales of Medical Products Prescription Drugs Other Medical Products Durable Medical Equipment Other Non-Durable Medical Products Government Administration and Net Cost of Private Health Insurance Government Public Health Activities Investment 1 Research Structures and Equipment National Health Expenditures Health Services and Supplies Personal Health Care Hospital Care Professional Services Physician and Clinical Services Other Professional Services Dental Services Other Personal Health Care Nursing Home and Home Health Home Health Care Nursing Home Care Retail Outlet Sales of Medical Products Prescription Drugs Other Medical Products Durable Medical Equipment Other Non-Durable Medical Products Government Administration and Net Cost of Private Health Insurance Government Public Health Activities Investment 1 Research Structures and Equipment
1960 1970
1980
1990
1993
1997
1999 2000 2001 2002 2003 2004 2005 2006 2007 Billions of Dollars $27.5 $74.9 $253.4 $714.1 $912.5 $1,124.9 $1,190.1 $1,265.2 $1,353.2 $1,469.4 $1,602.3 $1,734.9 $1,854.8 $1,980.6 $2,112.7 $2,241.2 24.9 67.1 233.4 666.8 853.1 1,053.8 1,110.9 1,179.7 1,264.4 1,375.9 1,498.3 1,623.1 1,733.1 1,850.4 1,976.1 2,098.1 23.3 62.9 214.8 607.6 773.6 959.3 1,010.0 1,067.8 1,139.2 1,238.3 1,340.3 1,447.5 1,550.2 1,655.1 1,765.5 1,878.3 9.2 27.6 101.0 251.6 317.1 364.7 376.2 394.8 416.9 451.2 488.4 527.4 566.8 607.5 649.3 696.5 8.3 20.6 67.3 216.8 280.8 352.6 375.9 397.9 426.8 465.4 503.2 543.0 581.2 621.5 661.4 702.1 5.4 14.0 47.1 157.6 201.2 241.0 256.4 269.7 288.6 313.2 337.9 366.7 393.6 422.2 449.7 478.8 0.4 0.7 3.6 18.2 24.5 33.4 35.7 37.1 39.1 42.8 45.6 49.0 52.9 56.0 58.7 62.0 2.0 4.7 13.3 31.5 38.9 50.2 53.5 57.1 62.0 67.5 73.3 76.9 81.5 86.4 90.5 95.2 0.6 1.2 3.3 9.6 16.2 28.1 30.3 34.0 37.1 41.9 46.3 50.4 53.3 56.9 62.5 66.2 0.9 4.3 20.9 65.2 87.3 119.0 122.8 122.0 125.8 133.7 139.9 148.5 157.9 168.7 178.4 190.4 0.1 0.2 2.4 12.6 21.9 34.5 33.2 31.5 30.5 32.2 34.2 38.0 42.7 48.1 53.0 59.0 0.8 4.0 18.5 52.6 65.4 84.5 89.5 90.5 95.3 101.5 105.7 110.5 115.2 120.6 125.4 131.3 4.9 10.5 25.7 74.0 88.4 123.0 135.2 153.1 169.8 188.0 208.8 228.6 244.3 257.5 276.4 289.3 2.7 5.5 12.0 40.3 51.0 77.6 88.5 104.6 120.6 138.3 157.6 174.2 188.8 199.7 216.8 227.5 2.3 5.0 13.6 33.7 37.4 45.4 46.6 48.5 49.2 49.7 51.2 54.5 55.5 57.8 59.6 61.8 0.6 1.6 3.8 11.3 13.5 18.1 18.8 19.1 19.4 19.7 20.8 22.4 22.8 23.8 24.2 24.5 1.6 3.3 9.8 22.5 23.9 27.3 27.9 29.4 29.8 30.0 30.4 32.1 32.7 34.0 35.3 37.4 1.2 2.8 12.2 39.2 52.8 59.6 63.3 71.2 81.8 90.6 105.8 121.9 128.8 138.7 150.4 155.7 0.4 1.4 6.4 20.0 26.8 34.9 37.6 40.7 43.4 47.0 52.1 53.7 54.0 56.6 60.2 64.1 2.6 7.8 19.9 47.3 59.3 71.1 79.2 85.4 88.8 93.5 104.0 111.8 121.7 130.2 136.6 143.1 0.7 2.0 5.4 12.7 16.4 19.4 21.5 23.4 25.6 28.8 32.5 35.5 38.8 40.2 41.3 42.4 1.9 5.8 14.5 34.7 42.9 51.7 57.7 62.0 63.2 64.7 71.5 76.3 83.0 90.0 95.2 100.7 10.5 10.4 10.4 11.6 9.5 10.1 6.6 9.1 7.3 17.2 14.5 17.4 7.8 7.5 8.1 9.7 7.4 8.6 12.8 11.7 10.9 11.9
13.0 13.3 13.1 13.9 12.5 12.9 17.1 11.1 10.1 17.2 26.9 16.4 9.4 8.2 10.6 8.9 11.4 16.0 16.5 9.9 10.8 9.5
10.9 11.1 11.0 9.6 12.4 12.8 17.5 9.0 11.4 12.1 18.1 11.0 11.2 12.8 9.5 11.5 8.6 12.4 12.0 9.0 8.9 9.1
8.5 8.6 8.4 8.0 9.0 8.5 10.4 7.3 19.1 10.2 20.3 7.5 6.1 8.2 3.5 6.2 2.0 10.4 10.4 7.8 9.0 7.4
Average Annual Percent Change From Previous Year Shown 5.4 5.8 6.3 7.0 8.6 9.0 8.3 5.4 5.4 6.2 7.2 8.8 8.9 8.3 5.5 5.3 5.7 6.7 8.7 8.2 8.0 3.6 3.2 5.0 5.6 8.2 8.2 8.0 5.9 6.6 5.8 7.3 9.0 8.1 7.9 4.6 6.4 5.2 7.0 8.5 7.9 8.5 8.1 7.0 3.8 5.4 9.4 6.6 7.5 6.6 6.6 6.8 8.5 9.0 8.6 4.8 14.8 7.9 12.3 9.0 13.0 10.6 8.7 8.1 3.1 -0.6 3.1 6.3 4.7 6.1 12.1 -3.8 -5.1 -3.2 5.5 6.3 11.1 6.6 6.0 1.1 5.2 6.6 4.1 4.5 8.6 9.9 13.2 10.9 10.7 11.1 9.5 11.1 14.1 18.1 15.3 14.7 14.0 10.5 5.0 2.6 3.9 1.5 1.0 3.1 6.4 7.6 3.7 1.5 1.8 1.7 5.5 7.8 3.5 1.9 5.5 1.4 0.5 1.5 5.5 3.1 6.1 12.5 14.9 10.8 16.8 15.2 6.8 7.8 8.4 6.5 8.2 11.0 3.0 4.6 11.4 7.9 4.0 5.2 11.3 7.5 4.3 10.6 9.1 9.2 12.3 13.1 9.2 4.8 11.7 7.4 2.0 2.3 10.5 6.7
1
1998
6.9 6.8 7.1 7.5 7.0 7.3 7.9 6.0 5.7 6.3 12.3 4.2 6.9 8.4 1.9 1.7 2.0 5.7 0.6 8.9 9.1 8.8
6.8 6.8 6.8 7.2 6.9 7.3 6.0 6.0 6.8 6.9 12.6 4.7 5.4 5.8 4.0 4.2 3.9 7.6 4.7 7.0 3.8 8.5
6.7 6.8 6.7 6.9 6.4 6.5 4.8 4.7 9.8 5.8 10.3 4.0 7.4 8.6 3.2 2.0 4.0 8.4 6.5 4.9 2.7 5.8
6.1 6.2 6.4 7.3 6.2 6.5 5.6 5.2 5.9 6.7 11.3 4.8 4.6 4.9 3.7 0.9 5.7 3.6 6.4 4.8 2.7 5.7
Research and development expenditures of drug companies and other manufacturers and providers of medical equipment and supplies are excluded from research expenditures. These research expenditures are implicitly included in the expenditure class in which the product falls, in that they are covered by the payment received for that product. NOTE: Numbers may not add to totals due to rounding. Dollar amounts shown are in current dollars. SOURCE: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group.
Table 3 National Health Expenditures (NHE), Levels and Average Annual Growth from Previous Year Shown, by Source of Funds, Selected Calendar Years 1960-2007 1960 NHE, billions Private Consumer payments Out-of-pocket payments Private health insurance Other private funds Public Federal Medicare Medicaid Other federal a State and local Medicaid a Other state and local Total Medicaid NHE Private Consumer payments Out-of-pocket payments Private health insurance Other private funds Public Federal Medicare Medicaid Other federal a State and local Medicaid a Other state and local Total Medicaid
1970
1980
1990
1993
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
Source of funds $27.5 $74.9 $253.4 $714.1 $912.5 $1,124.9 $1,190.1 $1,265.2 $1,353.2 $1,469.4 $1,602.3 $1,734.9 $1,854.8 $1,980.6 $2,112.7 $2,241.2 20.7 46.8 147.0 427.4 512.3 613.5 662.0 709.1 756.4 807.0 880.7 956.0 1,014.9 1,081.6 1,139.7 1,205.5 18.7 40.4 127.0 369.9 440.5 521.1 559.9 600.5 647.4 697.1 762.3 828.3 880.8 937.0 986.3 1,043.5 12.9 24.9 58.1 136.2 145.1 162.1 175.2 183.7 192.6 199.5 211.2 224.6 234.9 247.0 255.0 268.6 5.9 15.5 68.8 233.7 295.4 359.0 384.7 416.8 454.7 497.6 551.1 603.7 645.9 690.0 731.3 775.0 2.0 6.4 20.0 57.5 71.8 92.4 102.1 108.6 109.0 109.8 118.4 127.6 134.2 144.6 153.4 162.0 6.8 28.1 106.3 286.8 400.2 511.4 528.0 556.0 596.8 662.4 721.6 779.0 839.9 899.0 973.0 1,035.7 707.6 754.4 2.9 17.7 71.6 193.9 279.4 365.1 372.2 389.8 417.7 464.5 509.0 552.3 599.5 640.3 0.0 7.7 37.2 109.5 150.0 210.4 209.2 212.8 224.4 247.4 264.8 282.7 311.2 339.4 402.3 431.2 0.0 2.8 14.5 42.5 76.8 95.2 99.4 107.9 117.3 131.9 146.8 160.4 171.1 177.8 174.9 186.1 2.9 7.2 19.9 41.9 52.6 59.5 63.6 69.1 76.1 85.3 97.4 109.2 117.3 123.1 130.4 137.0 3.9 10.4 34.8 92.8 120.8 146.3 155.8 166.2 179.0 197.9 212.6 226.7 240.4 258.7 265.4 281.3 0.0 2.4 11.5 31.1 45.6 63.3 69.4 75.7 83.3 92.4 101.4 109.9 119.4 133.7 134.5 143.3 3.9 7.9 23.2 61.7 75.2 83.0 86.4 90.5 95.8 105.5 111.1 116.8 121.0 125.0 130.8 138.1 0.0 5.3 26.0 73.7 122.4 158.5 168.8 183.6 200.5 224.2 248.3 270.3 290.5 311.5 309.4 329.4 10.5% 13.0% 10.9% 8.5 12.1 11.3 8.0 12.1 11.3 6.8 8.8 8.9 10.2 16.1 13.0 12.2 12.2 11.1 15.3 14.2 10.4 20.0 15.0 10.5 —b 17.1 11.4 b 17.7 11.4 — 9.7 10.7 7.7 10.2 12.8 10.3 —b 16.8 10.4 7.3 11.3 10.3 —b 17.3 11.0
8.5% 6.2 6.0 2.1 8.1 7.7 11.8 12.9 11.1 21.7 7.9 9.2 13.6 6.8 18.4
Average Annual Percent Change from Previous Year Shown 5.4% 5.8% 6.3% 7.0% 8.6% 9.0% 8.3% 4.6 7.9 7.1 6.7 6.7 9.1 8.5 4.3 7.4 7.3 7.8 7.7 9.3 8.7 2.8 8.1 4.8 4.8 3.6 5.8 6.4 5.0 7.1 8.4 9.1 9.4 10.7 9.5 6.5 10.5 6.3 0.4 0.7 7.8 7.8 6.3 3.2 5.3 7.3 11.0 8.9 8.0 6.9 2.0 4.7 7.2 11.2 9.6 8.5 8.8 -0.6 1.7 5.4 10.2 7.1 6.8 5.5 4.5 8.5 8.7 12.4 11.4 9.2 3.1 6.8 8.6 10.1 12.0 14.2 12.2 4.9 6.5 6.7 7.7 10.5 7.4 6.6 8.6 9.6 9.0 10.0 10.9 9.8 8.4 2.5 4.0 4.8 5.8 10.2 5.3 5.1 6.7 6.5 8.7 9.2 11.8 10.7 8.9
a
Includes State Children's Health Insurance Program (Title XXI) and State Children's Health Insurance Program (SCHIP) expansion (Title XIX).
b
Not applicable; Medicare and Medicaid became effective in July 1966.
NOTE: Numbers may not add to totals because of rounding. SOURCE: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group.
6.9% 6.2 6.3 4.6 7.0 5.1 7.8 8.6 10.1 6.7 7.4 6.0 8.6 3.6 7.5
6.8% 6.6 6.4 5.2 6.8 7.8 7.0 6.8 9.1 4.0 5.0 7.6 12.0 3.3 7.2
6.7% 5.4 5.3 3.3 6.0 6.1 8.2 10.5 18.5 -1.6 5.9 2.6 0.6 4.7 -0.7
6.1% 5.8 5.8 5.3 6.0 5.6 6.4 6.6 7.2 6.4 5.1 6.0 6.5 5.5 6.4
Table 4 National Health Expenditures, by Source of Funds and Type of Expenditure: Calendar Years 2002-2007 (Billions of Dollars)
Year and Type of Expenditure 2002 National Health Expenditures Health Services and Supplies Personal Health Care Hospital Care Professional Services Physician and Clinical Services Other Professional Services Dental Services Other Personal Health Care Nursing Home and Home Health Home Health Care Nursing Home Care Retail Outlet Sales of Medical Products Prescription Drugs Other Medical Products Durable Medical Equipment Other Non-Durable Medical Products Government Administration and Net Cost of Private Health Insurance Government Public Health Activities Investment Research Structures and Equipment 2003 National Health Expenditures Health Services and Supplies Personal Health Care Hospital Care Professional Services Physician and Clinical Services Other Professional Services Dental Services Other Personal Health Care Nursing Home and Home Health Home Health Care Nursing Home Care Retail Outlet Sales of Medical Products Prescription Drugs Other Medical Products Durable Medical Equipment Other Non-Durable Medical Products Government Administration and Net Cost of Private Health Insurance Government Public Health Activities Investment Research Structures and Equipment
Total
All Private Funds
Total
Private Consumer Out-ofPrivate Pocket Health Payments Insurance
Public
Other
Total
Federal
State and Local
$1,602.3 1,498.3 1,340.3 488.4 503.2 337.9 45.6 73.3 46.3 139.9 34.2 105.7 208.8 157.6 51.2 20.8 30.4
$880.7 821.8 751.7 209.2 327.0 222.6 30.7 69.0 4.7 53.5 11.1 42.4 162.0 118.3 43.7 15.0 28.7
$762.3 762.3 693.5 187.7 295.2 198.3 28.0 68.9 -48.6 10.2 38.4 162.0 118.3 43.7 15.0 28.7
$211.2 211.2 211.2 15.6 79.5 35.3 11.9 32.3 -34.6 5.0 29.7 81.4 40.4 41.1 12.4 28.7
$551.1 551.1 482.3 172.1 215.7 163.1 16.1 36.6 -13.9 5.3 8.7 80.6 77.9 2.6 2.6 0.0
$118.4 59.5 58.3 21.6 31.8 24.3 2.7 0.1 4.7 4.9 0.9 4.0 0.0 0.0 0.0 0.0 0.0
$721.6 676.5 588.6 279.1 176.2 115.2 14.9 4.4 41.7 86.5 23.1 63.3 46.8 39.3 7.5 5.8 1.7
$509.0 477.2 448.3 225.9 130.8 93.7 10.2 2.6 24.3 61.4 17.0 44.4 30.2 23.1 7.1 5.4 1.7
$212.6 199.3 140.3 53.2 45.3 21.6 4.6 1.8 17.4 25.1 6.2 18.9 16.6 16.2 0.4 0.4 0.0
105.8 52.1 104.0 32.5 71.5
70.0 -58.9 3.1 55.9
68.8 -----
------
68.8 -----
1.2 -58.9 3.1 55.9
35.8 52.1 45.1 29.5 15.6
20.9 8.0 31.8 25.6 6.3
14.9 44.1 13.2 3.9 9.3
1,734.9 1,623.1 1,447.5 527.4 543.0 366.7 49.0 76.9 50.4 148.5 38.0 110.5 228.6 174.2 54.5 22.4 32.1
956.0 893.3 809.9 230.0 351.7 241.3 33.3 72.2 4.9 54.7 11.3 43.4 173.5 127.5 46.0 15.8 30.2
828.3 828.3 746.1 205.2 317.7 215.2 30.4 72.1 -49.6 10.4 39.2 173.5 127.5 46.0 15.8 30.2
224.6 224.6 224.6 17.2 84.5 37.5 12.8 34.2 -35.5 5.0 30.5 87.3 44.1 43.2 13.0 30.2
603.7 603.7 521.5 188.0 233.2 177.7 17.6 37.9 -14.1 5.4 8.7 86.2 83.4 2.8 2.8 0.0
127.6 65.0 63.8 24.8 33.9 26.0 2.9 0.0 4.9 5.1 0.9 4.2 0.0 0.0 0.0 0.0 0.0
779.0 729.8 637.6 297.4 191.3 125.5 15.7 4.7 45.4 93.8 26.7 67.1 55.1 46.6 8.5 6.6 1.9
552.3 517.5 486.5 241.3 143.3 102.6 10.9 2.8 27.0 66.0 20.0 46.0 35.8 27.8 8.1 6.2 1.9
226.7 212.3 151.1 56.1 48.0 22.9 4.8 1.9 18.4 27.8 6.7 21.1 19.3 18.9 0.4 0.4 0.0
121.9 53.7 111.8 35.5 76.3
83.4 -62.6 3.3 59.3
82.2 -----
------
82.2 -----
1.2 -62.6 3.3 59.3
38.5 53.7 49.2 32.2 17.0
22.1 8.9 34.8 28.0 6.9
16.3 44.9 14.3 4.2 10.1
Table 4 National Health Expenditures, by Source of Funds and Type of Expenditure: Calendar Years 2002-2007 (Billions of Dollars)
Year and Type of Expenditure 2004 National Health Expenditures Health Services and Supplies Personal Health Care Hospital Care Professional Services Physician and Clinical Services Other Professional Services Dental Services Other Personal Health Care Nursing Home and Home Health Home Health Care Nursing Home Care Retail Outlet Sales of Medical Products Prescription Drugs Other Medical Products Durable Medical Equipment Other Non-Durable Medical Products Government Administration and Net Cost of Private Health Insurance Government Public Health Activities Investment Research Structures and Equipment 2005 National Health Expenditures Health Services and Supplies Personal Health Care Hospital Care Professional Services Physician and Clinical Services Other Professional Services Dental Services Other Personal Health Care Nursing Home and Home Health Home Health Care Nursing Home Care Retail Outlet Sales of Medical Products Prescription Drugs Other Medical Products Durable Medical Equipment Other Non-Durable Medical Products Government Administration and Net Cost of Private Health Insurance Government Public Health Activities Investment Research Structures and Equipment
Total
All Private Funds
Total
Private Consumer Out-ofPrivate Pocket Health Payments Insurance
Public
Other
Total
Federal
State and Local
$1,854.8 1,733.1 1,550.2 566.8 581.2 393.6 52.9 81.5 53.3 157.9 42.7 115.2 244.3 188.8 55.5 22.8 32.7
$1,014.9 947.0 860.5 246.8 375.1 257.3 36.0 76.6 5.3 55.6 11.8 43.8 182.9 136.2 46.7 16.0 30.7
$880.8 880.8 795.5 221.5 340.7 231.1 33.1 76.5 -50.3 10.8 39.6 182.9 136.2 46.7 16.0 30.7
$234.9 234.9 234.9 18.7 89.9 40.0 13.8 36.0 -36.2 5.3 30.9 90.1 46.2 43.9 13.2 30.7
$645.9 645.9 560.6 202.8 250.8 191.1 19.2 40.5 -14.1 5.5 8.7 92.8 90.0 2.8 2.8 0.0
$134.2 66.3 65.0 25.3 34.4 26.2 2.9 0.0 5.3 5.3 1.0 4.3 0.0 0.0 0.0 0.0 0.0
$839.9 786.1 689.8 320.0 206.1 136.3 16.9 4.9 48.0 102.3 30.9 71.3 61.4 52.6 8.8 6.8 2.0
$599.5 561.8 527.6 260.0 155.4 112.0 12.1 3.0 28.3 72.4 23.3 49.1 39.8 31.4 8.4 6.4 2.0
$240.4 224.3 162.1 60.0 50.7 24.3 4.7 2.0 19.7 29.9 7.7 22.2 21.6 21.2 0.4 0.4 0.0
128.8 54.0 121.7 38.8 83.0
86.6 -67.9 3.4 64.5
85.3 -----
------
85.3 -----
1.3 -67.9 3.4 64.5
42.3 54.0 53.8 35.4 18.4
25.2 9.0 37.8 30.9 6.8
17.1 45.1 16.1 4.5 11.6
1,980.6 1,850.4 1,655.1 607.5 621.5 422.2 56.0 86.4 56.9 168.7 48.1 120.6 257.5 199.7 57.8 23.8 34.0
1,081.6 1,007.4 914.9 262.5 402.3 278.0 37.5 81.2 5.6 57.0 12.3 44.7 193.1 144.5 48.6 16.7 31.8
937.0 937.0 845.9 235.2 366.1 250.4 34.6 81.1 -51.5 11.2 40.3 193.1 144.5 48.6 16.7 31.8
247.0 247.0 247.0 19.8 95.9 43.3 14.3 38.3 -37.0 5.5 31.5 94.3 48.7 45.6 13.8 31.8
690.0 690.0 598.9 215.4 270.2 207.1 20.3 42.9 -14.5 5.6 8.8 98.8 95.8 3.0 3.0 0.0
144.6 70.4 69.0 27.3 36.2 27.6 2.9 0.1 5.6 5.5 1.1 4.4 0.0 0.0 0.0 0.0 0.0
899.0 843.0 740.2 345.0 219.2 144.2 18.5 5.2 51.3 111.7 35.8 75.9 64.4 55.2 9.2 7.0 2.1
640.3 600.8 563.3 277.9 165.1 118.7 13.8 3.1 29.6 78.8 26.9 51.9 41.4 32.7 8.8 6.6 2.1
258.7 242.2 176.9 67.1 54.1 25.6 4.7 2.1 21.7 32.8 8.9 24.0 22.9 22.5 0.4 0.4 0.0
138.7 56.6 130.2 40.2 90.0
92.4 -74.2 3.7 70.5
91.1 -----
------
91.1 -----
1.4 -74.2 3.7 70.5
46.2 56.6 56.0 36.6 19.4
28.3 9.1 39.5 31.9 7.6
17.9 47.4 16.5 4.6 11.8
Table 4 National Health Expenditures, by Source of Funds and Type of Expenditure: Calendar Years 2002-2007 (Billions of Dollars)
Year and Type of Expenditure 2006 National Health Expenditures Health Services and Supplies Personal Health Care Hospital Care Professional Services Physician and Clinical Services Other Professional Services Dental Services Other Personal Health Care Nursing Home and Home Health Home Health Care Nursing Home Care Retail Outlet Sales of Medical Products Prescription Drugs Other Medical Products Durable Medical Equipment Other Non-Durable Medical Products Government Administration and Net Cost of Private Health Insurance Government Public Health Activities Investment Research Structures and Equipment 2007 National Health Expenditures Health Services and Supplies Personal Health Care Hospital Care Professional Services Physician and Clinical Services Other Professional Services Dental Services Other Personal Health Care Nursing Home and Home Health Home Health Care Nursing Home Care Retail Outlet Sales of Medical Products Prescription Drugs Other Medical Products Durable Medical Equipment Other Non-Durable Medical Products Government Administration and Net Cost of Private Health Insurance Government Public Health Activities Investment Research Structures and Equipment
Total
All Private Funds
Total
Private Consumer Out-ofPrivate Pocket Health Payments Insurance
Public
Other
Total
Federal
State and Local
$2,112.7 1,976.1 1,765.5 649.3 661.4 449.7 58.7 90.5 62.5 178.4 53.0 125.4 276.4 216.8 59.6 24.2 35.3
$1,139.7 1,061.6 966.8 287.4 427.5 297.2 39.4 85.0 5.9 59.1 12.5 46.6 192.8 143.0 49.8 16.8 33.0
$986.3 986.3 893.0 257.5 389.3 267.9 36.4 85.0 -53.4 11.4 42.0 192.8 143.0 49.8 16.8 33.0
$255.0 255.0 255.0 21.4 101.5 46.4 15.0 40.1 -38.5 5.8 32.7 93.6 46.7 46.9 13.8 33.0
$731.3 731.3 637.9 236.1 287.8 221.5 21.4 44.9 -14.9 5.6 9.3 99.2 96.2 3.0 3.0 0.0
$153.4 75.3 73.8 29.9 38.2 29.2 3.0 0.1 5.9 5.7 1.1 4.6 0.0 0.0 0.0 0.0 0.0
$973.0 914.5 798.7 362.0 233.8 152.5 19.3 5.5 56.5 119.3 40.5 78.8 83.6 73.9 9.8 7.5 2.3
$707.6 666.9 620.6 291.0 176.4 126.2 14.8 3.2 32.1 85.2 30.9 54.3 68.1 58.7 9.4 7.1 2.3
$265.4 247.6 178.1 71.0 57.5 26.3 4.5 2.2 24.4 34.2 9.7 24.5 15.5 15.1 0.4 0.4 0.0
150.4 60.2 136.6 41.3 95.2
94.8 -78.1 4.0 74.1
93.3 -----
------
93.3 -----
1.5 -78.1 4.0 74.1
55.5 60.2 58.5 37.4 21.1
36.8 9.5 40.7 32.5 8.2
18.7 50.8 17.7 4.8 12.9
2,241.2 2,098.1 1,878.3 696.5 702.1 478.8 62.0 95.2 66.2 190.4 59.0 131.3 289.3 227.5 61.8 24.5 37.4
1,205.5 1,123.9 1,027.7 312.2 454.5 317.4 41.7 89.1 6.3 62.4 12.6 49.7 198.6 146.6 52.0 16.9 35.0
1,043.5 1,043.5 948.9 280.0 413.7 286.1 38.5 89.0 -56.6 11.5 45.1 198.6 146.6 52.0 16.9 35.0
268.6 268.6 268.6 23.2 107.6 49.6 15.9 42.1 -41.3 6.0 35.3 96.5 47.6 49.0 14.0 35.0
775.0 775.0 680.3 256.9 306.1 236.5 22.6 46.9 -15.3 5.6 9.8 102.1 99.1 3.0 3.0 0.0
162.0 80.4 78.8 32.2 40.9 31.3 3.2 0.1 6.3 5.8 1.1 4.6 0.0 0.0 0.0 0.0 0.0
1,035.7 974.2 850.6 384.3 247.6 161.3 20.3 6.1 59.8 128.0 46.4 81.6 90.7 80.8 9.9 7.5 2.3
754.4 712.9 663.0 307.8 186.9 133.5 16.1 3.6 33.7 92.4 35.4 57.0 76.0 66.5 9.5 7.1 2.3
281.3 261.3 187.6 76.6 60.7 27.8 4.3 2.5 26.1 35.6 11.0 24.6 14.7 14.3 0.4 0.4 0.0
155.7 64.1 143.1 42.4 100.7
96.2 -81.6 4.3 77.3
94.6 -----
------
94.6 -----
1.6 -81.6 4.3 77.3
59.5 64.1 61.5 38.1 23.4
40.2 9.7 41.5 33.0 8.5
19.3 54.4 20.1 5.2 14.9
NOTE: Research and development expenditures of drug companies and other manufacturers and providers of medical equipment and supplies are excluded from research expenditures. These research expenditures are implicitly included in the expenditure class in which the product falls, in that they are covered by the payment received for that product. Numbers may not add to totals because of rounding. The figure 0.0 denotes amounts less than $50 million. Dashes (--) indicate "not applicable". Dollar amounts shown are in current dollars. SOURCE: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group.
Table 5 National Health Expenditures, by Source of Funds, Type of Expenditure and Sponsor: Calendar Years 2002-2007 (Billions of Dollars)
Year and Type of Expenditure Sponsor
Total
Total Private Funds
Total
Private Consumer Out-ofPrivate Pocket Health 1 Payments Insurance Other
Total Public Funds
Public Federal and State 2 Medicare Medicaid
Other 3 Public
2002 Health Services and Supplies Business, Households and Other Private Revenues Private Business Household Other Private Revenues Government Federal government State and local government
1,498.3 927.6 390.4 482.3 54.8 570.7 317.1 253.6
821.8 731.0 298.0 378.2 54.8 90.7 17.7 73.1
762.3 671.5 293.4 378.2 — 90.7 17.7 73.1
211.2 211.2 — 211.2 — — — —
551.1 460.4 293.4 167.0 — 90.7 17.7 73.1
59.5 59.5 4.7 — 54.8 — — —
676.5 196.5 92.4 104.2 — 480.0 299.4 180.6
259.6 167.2 63.0 104.2 — 92.4 84.0 8.4
253.5 — — — — 253.5 149.9 103.6
163.4 29.4 29.4 — — 134.1 65.5 68.6
2003 Health Services and Supplies Business, Households and Other Private Revenues Private Business Household Other Private Revenues Government Federal government State and local government
1,623.1 993.5 418.1 515.3 60.1 629.6 353.7 276.0
893.3 791.5 324.2 407.3 60.1 101.8 19.7 82.1
828.3 726.5 319.2 407.3 — 101.8 19.7 82.1
224.6 224.6 — 224.6 — — — —
603.7 501.9 319.2 182.7 — 101.8 19.7 82.1
65.0 65.0 4.9 — 60.1 — — —
729.8 201.9 93.9 108.0 — 527.9 333.9 193.9
277.0 172.6 64.6 108.0 — 104.4 95.7 8.7
276.0 — — — — 276.0 163.8 112.2
176.8 29.4 29.4 — — 147.5 74.4 73.1
2004 Health Services and Supplies Business, Households and Other Private Revenues Private Business Household Other Private Revenues Government Federal government State and local government
1,733.1 1,050.6 443.5 546.1 61.0 682.5 387.0 295.5
947.0 834.9 343.8 430.1 61.0 112.2 21.6 90.6
880.8 768.6 338.5 430.1 — 112.2 21.6 90.6
234.9 234.9 — 234.9 — — — —
645.9 533.7 338.5 195.2 — 112.2 21.6 90.6
66.3 66.3 5.3 — 61.0 — — —
786.1 215.7 99.7 116.0 — 570.4 365.4 204.9
304.4 184.5 68.6 116.0 — 119.9 110.8 9.1
297.2 — — — — 297.2 175.1 122.1
184.5 31.2 31.2 — — 153.3 79.5 73.8
2005 Health Services and Supplies Business, Households and Other Private Revenues Private Business Household Other Private Revenues Government Federal government State and local government
1,850.0 1,114.6 471.9 577.9 64.8 735.5 412.6 322.9
1,007.0 884.4 367.4 452.2 64.8 122.7 23.1 99.5
937.0 814.3 362.1 452.2 — 122.7 23.1 99.5
247.0 247.0 — 247.0 — — — —
690.0 567.3 362.1 205.2 — 122.7 23.1 99.5
70.1 70.1 5.3 — 64.8 — — —
843.0 230.2 104.5 125.7 — 612.8 389.4 223.4
330.9 198.4 72.7 125.7 — 132.5 123.1 9.4
320.0 — — — — 320.0 182.8 137.2
192.1 31.8 31.8 — — 160.4 83.6 76.8
2006 Health Services and Supplies Business, Households and Other Private Revenues Private Business Household Other Private Revenues Government Federal government State and local government
1,976.1 1,183.2 490.4 623.4 69.4 792.9 454.3 338.6
1,057.8 930.2 381.3 479.5 69.4 127.6 24.3 103.3
982.5 854.9 375.4 479.5 — 127.6 24.3 103.3
255.0 255.0 — 255.0 — — — —
727.5 599.9 375.4 224.5 — 127.6 24.3 103.3
75.3 75.3 5.9 — 69.4 — — —
918.3 253.0 109.1 143.9 — 665.3 430.0 235.3
391.0 221.3 77.4 143.9 — 169.7 159.8 9.9
319.1 — — — — 319.1 180.5 138.5
208.2 31.7 31.7 — — 176.6 89.7 86.9
80.4 80.4 6.3 — 74.1 — — —
978.2 266.4 113.3 153.1 — 711.8 460.4 251.4
417.9 234.8 81.6 153.1 — 183.1 172.6 10.5
339.8 — — — — 339.8 192.2 147.6
220.5 31.7 31.7 — — 188.8 95.6 93.2
2007 Health Services and Supplies 2,098.1 1,119.9 1,039.5 268.6 771.0 Business, Households and Other Private Revenues 1,252.3 985.9 905.5 268.6 636.9 Private Business 518.0 404.7 398.4 — 398.4 Household 660.3 507.1 507.1 268.6 238.6 Other Private Revenues 74.1 74.1 — — — Government 845.8 134.0 134.0 — 134.0 Federal government 485.9 25.5 25.5 — 25.5 State and local government 359.9 108.5 108.5 — 108.5 1 Includes industrial inplant and other private (non-patient revenue including philanthropy). 2 Includes Medicaid State Childrens' Health Insurance Program (SCHIP) expansion (Title XIX). 3 Includes SCHIP (Title XXI). NOTE: Dashes (—) indicate "not applicable." Dollar amounts are shown in current dollars. SOURCE: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group.
Table 6 Personal Health Care Expenditures Aggregate, Per Capita Amounts, and Percent Distribution, by Source of Funds: Selected Calendar Years 1970-2007 Third-Party Payments Public
Year
Total
Out-ofPocket Payments
1970 1980 1990 2000 2001 2002 2003 2004 2005 2006 2007
$62.9 214.8 607.6 1,139.2 1,238.3 1,340.3 1,447.5 1,550.2 1,655.1 1,765.5 1,878.3
$24.9 58.1 136.2 192.6 199.5 211.2 224.6 234.9 247.0 255.0 268.6
$38.0 156.6 471.4 946.6 1,038.8 1,129.1 1,222.9 1,315.4 1,408.2 1,510.5 1,609.7
1970 1980 1990 2000 2001 2002 2003 2004 2005 2006 2007
$299 932 2,394 4,032 4,339 4,651 4,979 5,281 5,588 5,902 6,219
$119 252 536 682 699 733 773 800 834 852 889
$181 680 1,857 3,350 3,640 3,918 4,206 4,481 4,755 5,049 5,330
1970 1980 1990 2000 2001 2002 2003 2004 2005 2006 2007
100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0
39.6 27.1 22.4 16.9 16.1 15.8 15.5 15.2 14.9 14.4 14.3
60.4 72.9 77.6 83.1 83.9 84.2 84.5 84.8 85.1 85.6 85.7
Total
Private Other Health Private Insurance Funds Total Billions of Dollars $14.1 $1.7 $22.2 61.2 9.2 86.2 204.6 30.5 236.3 402.8 57.0 486.9 441.0 56.4 541.4 482.3 58.3 588.6 521.5 63.8 637.6 560.6 65.0 689.8 598.9 69.0 740.2 637.9 73.8 798.7 680.3 78.8 850.6 Per Capita Amount in Dollars $67 $8 $106 266 40 374 806 120 931 1,426 202 1,723 1,545 198 1,897 1,674 202 2,042 1,794 219 2,193 1,910 221 2,350 2,022 233 2,499 2,133 247 2,670 2,253 261 2,816 Percent Distribution 22.3 2.8 35.3 28.5 4.3 40.1 33.7 5.0 38.9 35.4 5.0 42.7 35.6 4.6 43.7 36.0 4.3 43.9 36.0 4.4 44.0 36.2 4.2 44.5 36.2 4.2 44.7 36.1 4.2 45.2 36.2 4.2 45.3
State and Local1
Medicare2
Medicaid3
$14.4 62.3 172.8 369.7 411.7 448.3 486.5 527.6 563.3 620.6 663.0
$7.8 23.9 63.5 117.1 129.7 140.3 151.1 162.1 176.9 178.1 187.6
$7.3 36.1 106.6 215.9 238.8 256.0 274.1 300.6 327.4 382.8 409.6
$5.0 24.7 69.7 187.0 208.9 230.7 250.9 269.9 288.8 285.4 303.9
$69 270 681 1,309 1,443 1,556 1,673 1,798 1,902 2,075 2,195
$37 104 250 415 454 487 520 552 597 596 621
(4) (4) (4) (4) (4) (4) (4) (4) (4) (4) (4)
(4) (4) (4) (4) (4) (4) (4) (4) (4) (4) (4)
22.9 29.0 28.4 32.5 33.2 33.4 33.6 34.0 34.0 35.2 35.3
12.4 11.1 10.4 10.3 10.5 10.5 10.4 10.5 10.7 10.1 10.0
11.6 16.8 17.5 18.9 19.3 19.1 18.9 19.4 19.8 21.7 21.8
8.0 11.5 11.5 16.4 16.9 17.2 17.3 17.4 17.4 16.2 16.2
1
Federal
1
Includes State Children's Health Insurance Program (Title XXI) and State Children's Health Insurance Program (SCHIP) expansion (Title XIX).
2
Subset of Federal funds.
3
Subset of Federal and State and local funds.
4
Calculation of per capita estimates is inappropriate.
NOTE: Per capita amounts based on July 1 Census resident-based population estimates for each year. Numbers and percents may not add to due to rounding. Dollar amounts shown are in current dollars. SOURCE: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group; U.S. Bureau of the Census.
Table 7 Hospital Care Expenditures Aggregate, Per Capita Amounts, and Percent Distribution, by Source of Funds: Selected Calendar Years 1970-2007 Third-Party Payments
Year
Total
Out-ofPocket Payments
1970 1980 1990 2000 2001 2002 2003 2004 2005 2006 2007
$27.6 101.0 251.6 416.9 451.2 488.4 527.4 566.8 607.5 649.3 696.5
$2.5 5.4 11.3 13.6 14.3 15.6 17.2 18.7 19.8 21.4 23.2
$25.1 95.6 240.3 403.2 437.0 472.8 510.1 548.1 587.7 627.9 673.4
1970 1980 1990 2000 2001 2002 2003 2004 2005 2006 2007
$131 438 991 1,475 1,581 1,695 1,814 1,931 2,051 2,171 2,306
$12 23 45 48 50 54 59 64 67 72 77
$119 415 947 1,427 1,531 1,641 1,755 1,867 1,984 2,099 2,230
1970 1980 1990 2000 2001 2002 2003 2004 2005 2006 2007
100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0
9.0 5.4 4.5 3.3 3.2 3.2 3.3 3.3 3.3 3.3 3.3
91.0 94.6 95.5 96.7 96.8 96.8 96.7 96.7 96.7 96.7 96.7
Total
Public Other Private 1 Funds Total Federal Billions of Dollars $9.0 $0.9 $15.2 $10.0 37.0 5.1 53.6 40.5 97.8 10.4 132.0 101.7 144.0 21.9 237.3 191.9 157.1 20.9 258.9 209.7 172.1 21.6 279.1 225.9 188.0 24.8 297.4 241.3 202.8 25.3 320.0 260.0 215.4 27.3 345.0 277.9 236.1 29.9 362.0 291.0 256.9 32.2 384.3 307.8 Per Capita Amount in Dollars $43 $4 $72 $47 160 22 233 176 385 41 520 401 510 77 840 679 550 73 907 735 597 75 969 784 647 85 1,023 830 691 86 1,090 886 727 92 1,165 938 789 100 1,210 973 850 107 1,273 1,019 Percent Distribution 32.5 3.2 55.2 36.1 36.6 5.0 53.0 40.1 38.9 4.1 52.5 40.4 34.6 5.3 56.9 46.0 34.8 4.6 57.4 46.5 35.2 4.4 57.2 46.3 35.6 4.7 56.4 45.8 35.8 4.5 56.5 45.9 35.5 4.5 56.8 45.7 36.4 4.6 55.7 44.8 36.9 4.6 55.2 44.2
Private Health Insurance
State and Local1
Medicare2
Medicaid3
$5.3 13.0 30.3 45.4 49.2 53.2 56.1 60.0 67.1 71.0 76.6
$5.4 26.4 67.8 124.4 136.4 145.3 153.2 165.5 179.5 187.6 196.2
$2.6 9.2 26.7 71.1 76.5 84.4 90.3 96.8 105.1 110.2 120.0
$25 57 120 161 172 185 193 205 226 237 253
(4) (4) (4) (4) (4) (4) (4) (4) (4) (4) (4)
(4) (4) (4) (4) (4) (4) (4) (4) (4) (4) (4)
19.1 12.9 12.1 10.9 10.9 10.9 10.6 10.6 11.0 10.9 11.0
19.4 26.1 27.0 29.8 30.2 29.8 29.1 29.2 29.6 28.9 28.2
9.6 9.1 10.6 17.0 17.0 17.3 17.1 17.1 17.3 17.0 17.2
1
Includes State Children's Health Insurance Program (Title XXI) and State Children's Health Insurance Program (SCHIP) expansion (Title XIX).
2
Subset of Federal funds.
3
Subset of Federal and State and local funds.
4
Calculation of per capita estimates is inappropriate.
NOTE: Per capita amounts based on July 1 Census resident-based population estimates for each year. Numbers and percents may not add to totals due to rounding. Dollar amounts shown are in current dollars. SOURCE: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group; U.S. Bureau of the Census.
Table 8 Physician and Clinical Services Expenditures Aggregate, Per Capita Amounts, and Percent Distribution, by Source of Funds: Selected Calendar Years 1970-2007 Third-Party Payments Public
Year
Total
Out-ofPocket Payments
1970 1980 1990 2000 2001 2002 2003 2004 2005 2006 2007
$14.0 47.1 157.6 288.6 313.2 337.9 366.7 393.6 422.2 449.7 478.8
$6.5 14.3 30.2 32.2 33.5 35.3 37.5 40.0 43.3 46.4 49.6
$7.5 32.8 127.3 256.4 279.7 302.6 329.2 353.6 379.0 403.3 429.1
1970 1980 1990 2000 2001 2002 2003 2004 2005 2006 2007
$67 204 621 1,022 1,097 1,173 1,261 1,341 1,426 1,503 1,585
$31 62 119 114 117 122 129 136 146 155 164
$36 142 502 908 980 1,050 1,132 1,205 1,280 1,348 1,421
1970 1980 1990 2000 2001 2002 2003 2004 2005 2006 2007
100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0
46.2 30.4 19.2 11.1 10.7 10.4 10.2 10.2 10.3 10.3 10.4
53.8 69.6 80.8 88.9 89.3 89.6 89.8 89.8 89.7 89.7 89.6
Total
Private Health Insurance
Other Private Funds Total Billions of Dollars $4.2 $0.2 $3.1 16.7 1.8 14.2 67.3 11.3 48.7 136.7 22.2 97.6 148.9 23.2 107.6 163.1 24.3 115.2 177.7 26.0 125.5 191.1 26.2 136.3 207.1 27.6 144.2 221.5 29.2 152.5 236.5 31.3 161.3 Per Capita Amount in Dollars $20 $1 $15 73 8 62 265 45 192 484 79 345 522 81 377 566 84 400 611 90 432 651 89 465 699 93 487 740 98 510 783 104 534 Percent Distribution 30.1 1.6 22.1 35.5 3.9 30.2 42.7 7.2 30.9 47.4 7.7 33.8 47.5 7.4 34.4 48.3 7.2 34.1 48.4 7.1 34.2 48.5 6.7 34.6 49.0 6.5 34.2 49.3 6.5 33.9 49.4 6.5 33.7
State and Local1
Medicare2
Medicaid3
$2.3 11.2 38.0 78.9 86.7 93.7 102.6 112.0 118.7 126.2 133.5
$0.8 3.0 10.7 18.6 20.9 21.6 22.9 24.3 25.6 26.3 27.8
$1.6 8.0 29.4 58.2 63.4 67.4 73.5 80.9 86.4 91.9 96.1
$0.6 2.4 7.0 19.1 21.6 23.8 25.4 27.8 29.7 31.1 33.2
$11 49 150 279 304 325 353 382 401 422 442
$4 13 42 66 73 75 79 83 86 88 92
(4) (4) (4) (4) (4) (4) (4) (4) (4) (4) (4)
(4) (4) (4) (4) (4) (4) (4) (4) (4) (4) (4)
16.1 23.8 24.1 27.3 27.7 27.7 28.0 28.5 28.1 28.1 27.9
6.0 6.4 6.8 6.5 6.7 6.4 6.3 6.2 6.1 5.9 5.8
11.8 17.0 18.6 20.2 20.2 19.9 20.0 20.5 20.5 20.4 20.1
4.6 5.2 4.5 6.6 6.9 7.0 6.9 7.1 7.0 6.9 6.9
1
Federal
1
Includes State Children's Health Insurance Program (Title XXI) and State Children's Health Insurance Program (SCHIP) expansion (Title XIX).
2
Subset of Federal funds.
3
Subset of Federal and State and local funds.
4
Calculation of per capita estimates is inappropriate.
NOTE: Per capita amounts based on July 1 Census resident-based population estimates for each year. Numbers and percents may not add to totals due to rounding. Dollar amounts shown are in current dollars. SOURCE: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group; U.S. Bureau of the Census.
Table 9 Nursing Home Care Expenditures Aggregate, Per Capita Amounts, and Percent Distribution by Source of Funds: Selected Calendar Years 1970-2007 Third-Party Payments Public
Year
Total
Out-ofPocket Payments
1970 1980 1990 2000 2001 2002 2003 2004 2005 2006 2007
$4.0 18.5 52.6 95.3 101.5 105.7 110.5 115.2 120.6 125.4 131.3
$2.1 6.6 19.0 28.7 29.0 29.7 30.5 30.9 31.5 32.7 35.3
$1.9 11.9 33.6 66.6 72.5 76.0 79.9 84.2 89.1 92.6 96.0
1970 1980 1990 2000 2001 2002 2003 2004 2005 2006 2007
$19 80 207 337 356 367 380 392 407 419 435
$10 29 75 102 102 103 105 105 106 109 117
$9 52 132 236 254 264 275 287 301 310 318
1970 1980 1990 2000 2001 2002 2003 2004 2005 2006 2007
100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0
52.0 35.7 36.1 30.1 28.5 28.1 27.6 26.9 26.1 26.1 26.9
48.0 64.3 63.9 69.9 71.5 71.9 72.4 73.1 73.9 73.9 73.1
Total
Private Health Insurance
Other Private Funds Total Billions of Dollars $0.0 $0.2 $1.7 0.2 0.7 10.9 2.9 3.8 26.9 7.9 4.5 54.1 8.1 4.0 60.4 8.7 4.0 63.3 8.7 4.2 67.1 8.7 4.3 71.3 8.8 4.4 75.9 9.3 4.6 78.8 9.8 4.6 81.6 Per Capita Amount in Dollars $0 $1 $8 1 3 47 12 15 106 28 16 192 28 14 212 30 14 220 30 14 231 29 14 243 30 15 256 31 15 263 32 15 270 Percent Distribution 0.2 4.8 43.0 1.1 4.0 59.2 5.6 7.2 51.1 8.3 4.8 56.8 8.0 4.0 59.5 8.2 3.8 59.9 7.8 3.8 60.7 7.5 3.7 61.9 7.3 3.6 62.9 7.4 3.6 62.9 7.5 3.5 62.1
State and Local1
Medicare2
Medicaid3
$1.0 6.4 16.3 36.4 42.0 44.4 46.0 49.1 51.9 54.3 57.0
$0.7 4.6 10.6 17.8 18.4 18.9 21.1 22.2 24.0 24.5 24.6
$0.1 0.3 1.7 10.1 12.4 13.9 14.7 16.9 19.1 21.1 23.2
$0.9 10.2 24.1 42.0 45.8 47.1 49.7 51.5 53.7 54.5 54.8
$5 28 64 129 147 154 158 167 175 182 189
$3 20 42 63 65 66 72 76 81 82 81
(4) (4) (4) (4) (4) (4) (4) (4) (4) (4) (4)
(4) (4) (4) (4) (4) (4) (4) (4) (4) (4) (4)
25.9 34.6 31.0 38.2 41.3 42.0 41.7 42.6 43.0 43.3 43.4
17.1 24.6 20.1 18.6 18.1 17.9 19.1 19.3 19.9 19.5 18.7
3.5 1.7 3.2 10.6 12.2 13.1 13.3 14.7 15.8 16.8 17.7
23.3 55.4 45.8 44.1 45.1 44.6 45.0 44.7 44.6 43.5 41.7
1
Federal
1
Includes State Children's Health Insurance Program (Title XXI) and State Children's Health Insurance Program (SCHIP) expansion (Title XIX).
2
Subset of Federal funds.
3
Subset of Federal and State and local funds.
4
Calculation of per capita estimates is inappropriate.
NOTE: The figure 0.0 denotes less than $50 million for aggregate amounts and 0 denotes less than $0.50 for per capita amounts. Per capita amounts based on July 1 Census resident-based population estimates for each year. Numbers and percents may not add to totals due to rounding. Dollar amounts shown are in current dollars. SOURCE: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group; U.S. Bureau of the Census.
Table 10 Personal Health Care Expenditures other than Hospital Care, Physician and Clinical Services, and Nursing Home Care1 Aggregate, Per Capita Amounts, and Percent Distribution, by Source of Funds: Selected Calendar Years 1970-2007 Third-Party Payments Public
Year
Total
Out-ofPocket Payments
1970 1980 1990 2000 2001 2002 2003 2004 2005 2006 2007
$17.3 48.2 145.8 338.4 372.4 408.3 442.9 474.6 504.8 541.1 571.6
$13.9 31.8 75.6 118.1 122.7 130.6 139.3 145.2 152.4 154.4 160.5
$3.5 16.4 70.2 220.3 249.6 277.7 303.6 329.4 352.4 386.7 411.2
1970 1980 1990 2000 2001 2002 2003 2004 2005 2006 2007
$82 209 575 1,198 1,305 1,417 1,523 1,617 1,704 1,809 1,893
$66 138 298 418 430 453 479 495 515 516 531
$16 71 277 780 875 964 1,044 1,122 1,190 1,293 1,361
1970 1980 1990 2000 2001 2002 2003 2004 2005 2006 2007
100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0
80.0 66.0 51.8 34.9 33.0 32.0 31.5 30.6 30.2 28.5 28.1
20.0 34.0 48.2 65.1 67.0 68.0 68.5 69.4 69.8 71.5 71.9
Total
Private Other Health Private Insurance Funds Total Billions of Dollars $0.9 $0.4 $2.2 7.3 1.5 7.5 36.6 5.0 28.6 114.2 8.3 97.9 126.9 8.3 114.4 138.5 8.4 130.9 147.2 8.8 147.6 158.0 9.2 162.1 167.6 9.7 175.1 171.1 10.1 205.4 177.2 10.7 223.3 Per Capita Amount in Dollars $4 $2 $10 32 7 33 144 20 113 404 29 346 445 29 401 481 29 454 506 30 508 538 31 552 566 33 591 572 34 687 587 35 739 Percent Distribution 5.0 2.5 12.5 15.2 3.2 15.6 25.1 3.4 19.6 33.7 2.5 28.9 34.1 2.2 30.7 33.9 2.0 32.0 33.2 2.0 33.3 33.3 1.9 34.2 33.2 1.9 34.7 31.6 1.9 38.0 31.0 1.9 39.1
State and Local2
Medicare3
Medicaid4
$1.2 4.2 16.8 62.6 73.2 84.3 96.6 106.5 114.8 149.1 164.7
$1.0 3.3 11.8 35.3 41.2 46.6 51.1 55.6 60.3 56.3 58.6
$0.1 1.4 7.7 23.1 26.5 29.4 32.7 37.3 42.4 82.2 94.1
$0.8 2.8 11.9 54.8 65.1 75.4 85.4 93.7 100.3 89.5 95.9
$6 18 66 221 257 292 332 363 388 499 545
$5 14 47 125 144 162 176 189 204 188 194
(5) (5) (5) (5) (5) (5) (5) (5) (5) (5) (5)
(5) (5) (5) (5) (5) (5) (5) (5) (5) (5) (5)
6.8 8.7 11.5 18.5 19.7 20.6 21.8 22.4 22.7 27.6 28.8
5.7 6.9 8.1 10.4 11.1 11.4 11.5 11.7 11.9 10.4 10.3
0.8 2.8 5.3 6.8 7.1 7.2 7.4 7.9 8.4 15.2 16.5
4.6 5.8 8.2 16.2 17.5 18.5 19.3 19.8 19.9 16.5 16.8
2
Federal
1
Personal health care expenditures include other professional services, dental services, other personal health care services, home health care services, prescription drugs, durable medical equipment, and other non-durable medical equipment. 2
Includes State Children's Health Insurance Program (Title XXI) and State Children's Health Insurance Program (SCHIP) expansion (Title XIX).
3
Subset of Federal funds.
4
Subset of Federal and State and local funds.
5
Calculation of per capita estimates is inappropriate.
NOTE: Per capita amounts based on July 1 Census resident-based population estimates for each year. Numbers and percents may not add to totals due to rounding. Dollar amounts shown are in current dollars. SOURCE: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group; U.S. Bureau of the Census.
Table 11 Expenditures for Health Services and Supplies Under Public Programs, by Type of Expenditure and Program: Calendar Year 2007 (Billions of Dollars) Personal Health Care Other Other Non Other Total Health Durable ProfesServices Public Durable Nursing Personal Home Physician Medical Home Health Adminis- Health Health Prescription Medical sional and Hospital and Clinical Dental Care tration Activities Products Equipment Drugs Supplies Total Care Care Care Services Services Services $2,098.1 $1,878.3 $696.5 $478.8 $95.2 $62.0 $59.0 $227.5 $37.4 $24.5 $131.3 $66.2 $155.7 $64.1 974.2 850.6 384.3 161.3 6.1 20.3 46.4 80.8 2.3 7.5 81.6 59.8 59.5 64.1 712.9 663.0 307.8 133.5 3.6 16.1 35.4 66.5 2.3 7.1 57.0 33.7 40.2 9.7 261.3 187.6 76.6 27.8 2.5 4.3 11.0 14.3 0.0 0.4 24.6 26.1 19.3 54.4
Program Area Public and Private Spending All Public Programs Federal Funds State and Local Funds Medicare 1 Medicaid Federal State and Local Other State and Local Public Assistance Programs Department of Veterans Affairs 2 Department of Defense Workers' Compensation Federal State and Local 3 State and Local Hospitals Other Public Programs for Personal Health Care Federal State and Local Government Public Health Activities Federal State and Local CMS Programs Medicare, Medicaid and SCHIP
4
431.2 329.4 186.1 143.3
409.6 303.9 171.7 132.2
196.2 120.0 68.2 51.8
96.1 33.2 19.4 13.8
0.2 5.0 2.8 2.2
13.7 3.5 2.0 1.5
23.8 20.5 11.1 9.4
47.0 18.8 10.8 7.9
2.3 — — —
7.0 — — —
23.2 54.8 30.6 24.2
— 48.2 26.9 21.3
21.6 25.4 14.4 11.1
— — — —
6.3 33.8 31.7 32.4 0.8 31.6 20.6
6.3 33.6 28.6 24.7 0.8 23.9 20.6
1.8 22.5 16.0 6.2 0.2 6.0 15.8
0.7 3.6 6.2 12.7 0.4 12.3 —
0.1 0.1 — — — — —
0.1 — — 2.4 0.1 2.3 —
0.1 0.5 — — — — 1.5
2.8 2.6 4.8 3.1 0.1 3.0 —
0.0 — — — — — —
0.0 — — 0.3 0.0 0.3 —
0.4 3.3 — — — — —
0.2 1.2 1.6 — — — 3.3
— 0.2 3.1 7.7 0.0 7.7 0.0
— — — — — — —
24.7 19.6 5.1 64.1 9.7 54.4
23.2 18.7 4.6 — — —
5.8 4.7 1.1 — — —
8.8 7.9 1.0 — — —
0.7 0.6 0.2 — — —
0.6 0.2 0.4 — — —
0.0 0.0 0.0 — — —
1.7 1.1 0.6 — — —
— — — — — —
0.2 0.1 0.1 — — —
0.0 0.0 0.0 — — —
5.3 4.0 1.3 — — —
1.5 1.0 0.5 — — —
— — — 64.1 9.7 54.4
769.6
721.4
319.1
131.5
5.7
17.4
44.3
67.3
2.3
7.1
78.0
48.7
48.2
—
1
Excludes funds paid into the Medicare trust funds by States under buy-in agreements to cover premiums for Medicaid recipients.
2
Includes care for retirees and military dependents
.
3
Category comprises state and local subsidies to hospitals and home health agencies, as well as school health programs.
4
Includes program spending for State Children's Health Insurance Program (Title XXI) and State Children's Health Insurance Program (SCHIP) expansion (Title XIX), maternal and child health, vocational rehabilitation medical payments, temporary disability insurance medical payments, Public Health Service and other Federal hospitals, Indian health services, and alcoholism, drug abuse, and mental health. NOTE: The figure 0.0 denotes amounts less than $50 million. Numbers may not add to total due to rounding. Dashes (—) indicate not applicable. Dollar amounts shown are in current dollars. SOURCE: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group.
Table 12 Private Health Insurance Premiums, Benefits and Net Cost, Selected Calendar Years 1980-2007 Private Health Insurance Premiums Health Services and Supplies Private Health Insurance Benefits Personal Health Care Hospital Physician and Clinical Services Other Professional Services Dental Services Other Personal Health Care Home Health Care Nursing Home Care Prescription Drugs Other Non-durable Medical Products Durable Medical Equipment Net Cost Net Cost of Private Health Insurance Private Health Insurance Premiums Health Services and Supplies Private Health Insurance Benefits Personal Health Care Hospital Physician and Clinical Services Other Professional Services Dental Services Other Personal Health Care Home Health Care Nursing Home Care Prescription Drugs Other Non-durable Medical Products Durable Medical Equipment Net Cost Net Cost of Private Health Insurance Private Health Insurance Premiums Health Services and Supplies Private Health Insurance Benefits Personal Health Care Hospital Physician and Clinical Services Other Professional Services Dental Services Other Personal Health Care Home Health Care Nursing Home Care Prescription Drugs Other Non-durable Medical Products Durable Medical Equipment Net Cost Net Cost of Private Health Insurance
1960
1970
1980
1990
1997
1998
1999 2000 2001 Billions of Dollars $416.8 $454.7 $497.6
2002
2003
2004
2005
2006
2007
$5.9
$15.5
$68.8
$233.7
$359.0
$384.7
$551.1
$603.7
$645.9
$690.0
$731.3
$775.0
5.0 3.3 1.6 0.0 0.0 — 0.0 0.0 0.0 — 0.0
14.1 9.0 4.2 0.0 0.2 — 0.0 0.0 0.5 — 0.1
61.2 37.0 16.7 0.8 3.8 — 0.3 0.2 1.8 — 0.5
204.6 97.8 67.3 6.6 15.3 — 2.9 2.9 10.6 — 1.3
319.5 114.4 115.0 12.2 25.7 — 7.1 7.5 35.5 — 2.3
344.4 121.9 122.1 12.5 27.1 — 8.4 8.0 41.9 — 2.5
371.0 131.4 127.6 13.1 29.2 — 7.8 8.2 51.0 — 2.6
402.8 144.0 136.7 13.8 31.3 — 6.9 7.9 59.5 — 2.6
441.0 157.1 148.9 15.1 34.3 — 5.8 8.1 69.2 — 2.6
482.3 172.1 163.1 16.1 36.6 — 5.3 8.7 77.9 — 2.6
521.5 188.0 177.7 17.6 37.9 — 5.4 8.7 83.4 — 2.8
560.6 202.8 191.1 19.2 40.5 — 5.5 8.7 90.0 — 2.8
598.9 215.4 207.1 20.3 42.9 — 5.6 8.8 95.8 — 3.0
637.9 236.1 221.5 21.4 44.9 — 5.6 9.3 96.2 — 3.0
680.3 256.9 236.5 22.6 46.9 — 5.6 9.8 99.1 — 3.0
0.9
1.4
7.6
29.1
39.5
40.3
45.9
52.0
56.6
68.8
82.2
85.3
91.1
93.3
94.6
100.0
100.0
100.0
100.0
100.0
100.0
Percent Distribution 100.0 100.0 100.0
100.0
100.0
100.0
100.0
100.0
100.0
85.3 56.1 27.2 0.1 0.6
90.7 57.9 27.1 0.3 1.4
88.9 53.7 24.3 1.2 5.5
87.6 41.8 28.8 2.8 6.5
89.0 31.9 32.0 3.4 7.1
89.5 31.7 31.7 3.2 7.1
89.0 31.5 30.6 3.2 7.0
88.6 31.7 30.1 3.0 6.9
88.6 31.6 29.9 3.0 6.9
87.5 31.2 29.6 2.9 6.6
86.4 31.1 29.4 2.9 6.3
86.8 31.4 29.6 3.0 6.3
86.8 31.2 30.0 2.9 6.2
87.2 32.3 30.3 2.9 6.1
87.8 33.1 30.5 2.9 6.1
0.0 0.0 0.6
0.0 0.1 3.1
0.5 0.3 2.6
1.2 1.3 4.5
2.0 2.1 9.9
2.2 2.1 10.9
1.9 2.0 12.2
1.5 1.7 13.1
1.2 1.6 13.9
1.0 1.6 14.1
0.9 1.4 13.8
0.8 1.3 13.9
0.8 1.3 13.9
0.8 1.3 13.2
0.7 1.3 12.8
0.6
0.8
0.8
0.5
0.7
0.7
0.6
0.6
0.5
0.5
0.5
0.4
0.4
0.4
0.4
14.7
9.3
11.1
12.4
11.0
10.5
11.0
11.4
11.4
12.5
13.6
13.2
13.2
12.8
12.2
9.5
7.0
6.8
6.0
6.0
Average Annual Percent Change from Previous Year Shown 6.3 7.1 8.4 9.1 9.4 10.7
10.2
16.1
13.0
10.9 10.6 10.2 17.7 18.7 — 16.8 — 30.0 — 13.9
15.8 15.2 14.8 34.6 33.5 — 48.5 35.6 13.9 — 15.6
12.8 10.2 14.9 23.0 14.9 — 23.5 30.5 19.5 — 8.8
6.6 2.3 8.0 9.2 7.7 — 13.7 14.2 18.8 — 9.3
7.8 6.5 6.2 2.5 5.8 — 18.2 6.8 18.1 — 8.3
7.7 7.9 4.5 5.6 7.7 — -6.8 2.7 21.6 — 0.9
8.6 9.6 7.1 5.3 7.1 — -11.1 -3.5 16.6 — 1.3
9.5 9.1 8.9 9.2 9.4 — -16.8 2.9 16.4 — -0.5
9.4 9.5 9.5 6.5 6.8 — -9.0 7.0 12.6 — 2.1
8.1 9.3 9.0 9.5 3.7 — 3.1 -0.2 7.0 — 5.7
7.5 7.9 7.5 9.2 6.8 — 1.1 -0.2 7.9 — 1.8
6.8 6.2 8.4 5.3 5.9 — 3.0 2.0 6.5 — 4.7
6.5 9.6 6.9 5.8 4.7 — -0.4 4.9 0.4 — -0.5
6.6 8.8 6.8 5.5 4.6 — -1.2 5.7 2.9 — 1.2
5.3
18.2
14.3
4.5
2.1
13.7
13.4
8.9
21.5
19.5
3.7
6.8
2.5
1.4
NOTE: The figure 0 denotes amounts less than $50 million. Dashes (—) indicate not applicable. Numbers and percents may not add to totals due to rounding. Dollar amounts are shown in current dollars. SOURCE: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group.
Table 13 Per Enrollee Expenditures and Average Annual Percent Change in Medicare Spending and in Private Health Insurance Premiums, Calendar Years 1969-2007 1
Calendar Years Per Enrollee Spending 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007
All Benefits Health Services and Supplies Private Health Medicare Insurance $358 $383 $414 $449 $468 $568 $670 $783 $885 $1,004 $1,135 $1,335 $1,571 $1,804 $2,017 $2,206 $2,347 $2,459 $2,604 $2,739 $3,056 $3,264 $3,526 $3,897 $4,213 $4,631 $5,009 $5,325 $5,580 $5,497 $5,550 $5,779 $6,307 $6,685 $7,020 $7,596 $8,152 $9,489 $10,003
$87 $100 $114 $132 $144 $161 $185 $231 $279 $313 $360 $406 $474 $539 $598 $675 $743 $757 $821 $957 $1,104 $1,250 $1,372 $1,487 $1,605 $1,664 $1,749 $1,829 $1,909 $2,012 $2,136 $2,306 $2,537 $2,821 $3,106 $3,306 $3,527 $3,729 $3,946
2
Common Benefits Health Services and Supplies Private Health Medicare Insurance $327 $352 $385 $417 $433 $525 $622 $726 $830 $938 $1,064 $1,257 $1,479 $1,703 $1,902 $2,077 $2,203 $2,316 $2,457 $2,567 $2,808 $3,007 $3,206 $3,492 $3,725 $4,010 $4,298 $4,524 $4,713 $4,717 $4,828 $4,987 $5,414 $5,719 $6,003 $6,412 $6,819 $7,049 $7,262
$75 $86 $96 $107 $117 $136 $156 $188 $217 $241 $281 $324 $373 $421 $457 $495 $545 $572 $634 $727 $819 $925 $1,022 $1,102 $1,162 $1,189 $1,223 $1,250 $1,296 $1,355 $1,408 $1,507 $1,650 $1,812 $1,986 $2,129 $2,279 $2,457 $2,642
Table 13 Per Enrollee Expenditures and Average Annual Percent Change in Medicare Spending and in Private Health Insurance Premiums, Calendar Years 1969-2007 1
Calendar Years Annual Percent Change 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007
All Benefits Health Services and Supplies Private Health Medicare Insurance 7.0 8.3 8.4 4.3 21.3 17.9 16.9 13.0 13.5 13.0 17.7 17.6 14.8 11.8 9.4 6.4 4.8 5.9 5.2 11.6 6.8 8.0 10.5 8.1 9.9 8.2 6.3 4.8 -1.5 1.0 4.1 9.1 6.0 5.0 8.2 7.3 16.4 5.4
Average Annual Percent Change by Period 1970 - 2007 9.2 1970 - 1993 11.0 1993 - 1997 7.3 1997 - 1999 -0.3 1999 - 2002 6.4 2002 - 2007 8.4 1
2
Common Benefits Health Services and Supplies Private Health Medicare Insurance
14.4 14.0 15.4 9.4 11.7 15.0 24.9 20.7 12.5 14.9 12.6 16.7 13.8 11.0 12.9 10.1 1.9 8.5 16.5 15.3 13.3 9.8 8.4 7.9 3.7 5.1 4.6 4.4 5.4 6.1 8.0 10.0 11.2 10.1 6.4 6.7 5.7 5.8
7.9 9.4 8.2 3.9 21.1 18.6 16.7 14.4 13.0 13.5 18.1 17.6 15.2 11.7 9.2 6.1 5.1 6.1 4.5 9.4 7.1 6.6 8.9 6.7 7.6 7.2 5.3 4.2 0.1 2.4 3.3 8.6 5.6 5.0 6.8 6.4 3.4 3.0
15.4 11.2 11.1 9.5 16.2 14.8 20.5 15.8 10.9 16.7 15.5 15.0 12.9 8.6 8.2 10.2 4.9 10.8 14.7 12.6 13.0 10.5 7.8 5.5 2.3 2.9 2.2 3.7 4.5 3.9 7.1 9.5 9.8 9.7 7.2 7.0 7.8 7.5
10.4 12.8 4.4 5.8 9.7 6.9
8.5 10.8 6.1 1.2 5.8 4.9
9.7 12.0 2.8 4.2 8.8 7.8
Per enrollee includes primary policy holder plus dependents.
2
Common benefits refers to benefits commonly covered by Medicare and Private Health Insurance. These benefits are hospital services, physician and clinical services, other professional services and durable medical products. SOURCE: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group.
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