Table 44. Personal health care expenditures, by source of ...

Table 44. Personal health care expenditures, by source of funds and type of expenditure: United States, selected years 1960?2017

Excel version (with more data years and standard errors when available): . [Data are compiled from various sources by the Centers for Medicare & Medicaid Services]

Type of personal health care expenditure and source of funds

Per capita

All personal health care expenditures1

Out-of-pocket payments Health insurance

Private health insurance Medicare Medicaid

Federal State and local CHIP2 Federal State and local

1960 125

1970 300

1980 942

1990

2000

2005

2010

Amount in dollars 2,425 4,119 5,743

7,108

Amount in billions (dollars)

2015 8,482

2016 8,833

2017 9,106

23.3

63.1 217.0 615.3 1161.5 1695.7 2196.1 2717.8 2851.9 2961.0

12.9

25.0

58.1 137.9 198.9 263.8 299.8 340.9 356.1 365.5

6.6

29.6 132.1 402.9 843.8 1278.8 1701.0 2150.9 2257.8 2347.3

5.0

14.1

61.5 204.8 405.6 604.4 755.9 944.2 1004.3 1039.8

...

7.3

36.3 107.3 216.3 326.3 489.1 607.3 630.3 660.0

...

5.0

24.7

69.7 186.9 287.6 365.8 484.1 504.2 521.3

...

2.7

13.7

40.3 109.3 165.5 247.3 304.5 318.5 323.1

...

2.3

11.0

29.4

77.6 122.1 118.5 179.7 185.7 198.2

...

...

...

...

2.5

6.4

9.7

12.1

13.9

15.2

...

...

...

...

1.8

4.5

6.8

9.0

12.6

13.8

...

...

...

...

0.8

2.0

2.9

3.1

1.3

1.3

Other health insurance programs3 Other third-party payers and programs4

Chain-weighted personal health care deflator5 (2012 = 100.0)

All sources of funds Out-of-pocket payments Health insurance Private health insurance Medicare Medicaid Federal State and local CHIP2 Federal State and local Other health insurance programs3 Other third-party payers and programs4

1.7

3.7

8.7

100.0 55.7 28.5 21.3 ... ... ... ... ... ... ...

7.2

15.8

3.3

8.5

12.6

100.0 39.6 47.0 22.3 11.5 8.0 4.3 3.7 ... ... ...

5.2

13.4

9.6

26.7

26.7

100.0 26.8 60.9 28.4 16.7 11.4 6.3 5.1 ... ... ...

4.4

12.3

21.2

32.3

54.1

74.5 118.9 153.1 Deflator

52.8

70.9

83.5

Percent distribution

100.0 100.0 100.0

22.4

17.1

15.6

65.5

72.6

75.4

33.3

34.9

35.6

17.4

18.6

19.2

11.3

16.1

17.0

6.6

9.4

9.8

4.8

6.7

7.2

...

0.2

0.4

...

0.2

0.3

...

0.1

0.1

3.4

2.8

3.2

12.1

10.2

9.0

80.6

195.3

96.2

100.0 13.7 77.5 34.4 22.3 16.7 11.3 5.4 0.4 0.3 0.1

3.7

8.9

103.1

226.0

103.7

100.0 12.5 79.1 34.7 22.3 17.8 11.2 6.6 0.4 0.3 0.1

3.8

8.3

105.2

238.0

104.9

100.0 12.5 79.2 35.2 22.1 17.7 11.2 6.5 0.5 0.4 0.0

3.7

8.3

110.9

248.3

106.2

100.0 12.3 79.3 35.1 22.3 17.6 10.9 6.7 0.5 0.5 0.0

3.7

8.4

Page 1 of 5

Trend Tables

Health, United States, 2018

Table 44. Personal health care expenditures, by source of funds and type of expenditure: United States, selected years 1960?2017

Excel version (with more data years and standard errors when available): . [Data are compiled from various sources by the Centers for Medicare & Medicaid Services]

Type of personal health care expenditure and source of funds

Hospital expenditures6

All sources of funds Out-of-pocket payments Health insurance Private health insurance Medicare Medicaid Federal State and local CHIP2 Federal State and local Other health insurance programs3 Other third-party payers and programs4

1960

9.0

100.0 20.6 50.7 35.6 ... ... ... ... ... ... ...

1970

27.2

100.0 9.0

71.5 32.5 19.7

9.7 5.2 4.5

... ... ...

1980

100.5

100.0 5.4

79.7 36.6 26.1

9.2 5.0 4.2

... ... ...

1990

2000

2005

2010

Amount in billions (dollars) 250.4 415.5 608.6 822.3

Percent distribution

100.0 100.0 100.0

4.5

3.2

3.2

82.6

86.2

87.4

38.5

33.9

35.5

26.9

29.7

29.0

10.6

17.1

17.1

6.3

10.3

9.9

4.3

6.8

7.1

...

0.2

0.4

...

0.2

0.3

...

0.1

0.1

100.0 3.4

86.8 36.6 26.8 17.2 11.6

5.7

0.4 0.3 0.1

2015

1,034.5

100.0 3.0

87.9 38.7 25.2 17.8 11.5

6.3 0.4 0.3 0.1

2016

2017

1,092.8 1,142.6

100.0 2.9

88.0 39.7 24.9 17.3 11.3

6.1

0.4 0.4 0.0

100.0 3.0

87.7 39.9 24.8 17.0 10.8

6.2

0.4 0.4 0.0

15.2

9.6

7.8

6.5

5.3

5.4

5.9

5.8

5.7

5.7

28.7

19.5

15.0

12.9

10.6

9.4

9.8

9.1

9.0

9.4

Amount in billions (dollars)

Physician and clinical expenditures

All sources of funds Out-of-pocket payments Health insurance Private health insurance Medicare Medicaid Federal State and local CHIP2 Federal State and local Other health insurance programs3 Other third-party payers and programs4

5.6

100.0 59.5 33.1 28.7 ... ... ... ... ... ... ...

4.4

7.4

14.3

100.0 45.1 48.8 29.4 11.5 4.5 2.4 2.1 ... ... ...

3.4

6.1

47.7

100.0 29.8 59.8 34.8 17.4 5.1 2.9 2.2 ... ... ...

2.4

10.4

158.4 288.2 413.0

Percent distribution

100.0 100.0 100.0

18.9

11.1

10.1

67.8

76.4

78.8

42.1

47.0

47.9

19.2

20.4

20.7

4.4

6.7

7.3

2.6

3.9

4.4

1.8

2.7

2.9

...

0.3

0.4

...

0.2

0.3

...

0.1

0.1

2.1

2.1

2.5

13.3

12.5

11.1

512.6

100.0 9.5

80.2 45.1 22.6

8.4 5.9 2.6 0.6 0.4 0.2

3.5

10.3

631.2

100.0 8.9

81.3 43.0 22.9 10.9

7.7 3.3 0.6 0.4 0.1

3.9

9.7

666.5

100.0 8.8

81.1 43.3 22.4 10.8

7.6 3.2 0.6 0.5 0.1

3.9

10.1

694.3

100.0 8.6

81.7 43.3 22.9 10.8

7.4 3.4 0.6 0.6 0.1

4.0

9.6

Page 2 of 5

Trend Tables

Health, United States, 2018

Table 44. Personal health care expenditures, by source of funds and type of expenditure: United States, selected years 1960?2017

Excel version (with more data years and standard errors when available): . [Data are compiled from various sources by the Centers for Medicare & Medicaid Services]

Type of personal health care expenditure and source of funds

Dental services expenditures

All sources of funds Out-of-pocket payments Health insurance Private health insurance Medicare Medicaid Federal State and local CHIP2 Federal State and local Other health insurance programs3 Other third-party payers and programs4

Home health care expenditures7

All sources of funds Out-of-pocket payments Health insurance Private health insurance Medicare Medicaid Federal State and local CHIP2 Federal State and local Other health insurance programs3 Other third-party payers and programs4

1960

2.0

100.0 96.0 3.2 1.9 ... ... ... ... ... ... ...

1970

4.7

100.0 90.0 9.5 4.5 ... 3.4 1.8 1.6 ... ... ...

1980

13.3

100.0 65.8 33.4 28.4 ... 3.8 2.1 1.7 ... ... ...

1990

2000

2005

2010

Amount in billions (dollars)

31.6

62.1

87.2 105.9

100.0 48.3 51.2 47.9 ... 2.4 1.3 1.0

Percent distribution

100.0 100.0

44.2

43.5

55.3

56.1

50.3

49.1

0.1

0.1

3.9

5.2

2.2

3.0

1.7

2.2

...

0.4

0.5

...

0.3

0.4

...

0.1

0.2

100.0 41.2 58.3 47.6 0.2 7.9 5.5 2.5

1.0 0.7 0.3

2015

118.9

100.0 41.4 58.2 45.2 0.4 9.6 6.4 3.3 1.4 1.0 0.4

2016

125.1

100.0 41.3 58.3 45.3 0.4 9.7 6.4 3.3 1.4 1.3 0.1

2017

129.1

100.0 41.1 58.6 45.1 0.7 9.7 6.3 3.4 1.6 1.5 0.1

1.3

1.6

1.2

0.9

0.6

1.1

1.5

1.6

1.5

1.5

0.8

0.1

100.0 12.5 5.6 2.5 ... ... ... ... ... ... ...

0.4

0.2

100.0 9.4

37.9 3.0

26.7 6.7 3.3 3.4 ... ... ...

0.8

2.4

100.0 15.2 53.7 14.7 26.8 11.7 6.2 5.4 ... ... ...

0.6

0.6

0.4

0.5

Amount in billions (dollars)

12.5

32.3

49.3

71.6

Percent distribution

100.0 100.0 100.0

17.8

19.2

13.1

66.2

71.8

81.1

22.8

24.0

13.5

26.0

26.5

36.9

17.1

20.9

30.2

9.2

11.3

16.3

8.0

9.6

13.9

...

0.0

0.0

...

0.0

0.0

...

0.0

0.0

100.0 8.4

88.5 7.4

44.3 36.2 23.9 12.3

0.0 0.0 0.0

0.4

89.2

100.0 9.2

87.9 10.9 40.0 36.3 20.8 15.5

0.1 0.0 0.0

0.4

93.1

100.0 9.2

87.9 11.1 39.8 36.3 21.0 15.3

0.1 0.1 0.0

0.4

97.0

100.0 9.3

88.0 11.1 40.0 36.1 20.7 15.4

0.1 0.1 0.0

3.1

1.4

0.5

0.3

0.3

0.5

0.5

0.7

0.7

0.7

81.9

52.7

31.1

16.0

9.0

5.8

3.1

2.8

2.8

2.7

Page 3 of 5

Trend Tables

Health, United States, 2018

Table 44. Personal health care expenditures, by source of funds and type of expenditure: United States, selected years 1960?2017

Excel version (with more data years and standard errors when available): . [Data are compiled from various sources by the Centers for Medicare & Medicaid Services]

Type of personal health care expenditure and source of funds

Nursing care facilities and continuing care retirement communities expenditures8

All sources of funds Out-of-pocket payments Health insurance Private health insurance Medicare Medicaid Federal State and local CHIP2 Federal State and local Other health insurance programs3 Other third-party payers and programs4

Prescription drug expenditures

All sources of funds Out-of-pocket payments Health insurance Private health insurance Medicare Medicaid Federal State and local CHIP2 Federal State and local Other health insurance programs3 Other third-party payers and programs4

1960

1970

1980

1990

2000

2005

2010

Amount in billions (dollars)

2015

2016

2017

0.8

100.0 74.4 ... ... ... ... ... ... ... ... ...

...

25.6

2.7

100.0 96.0 1.5 1.3 ... ... ... ... ... ... ...

0.1

2.5

4.0

100.0 49.2 28.5 0.2 3.5 23.3 12.5 10.8 ... ... ...

1.5

22.3

5.5

100.0 82.4 16.5 8.8 ... 7.6 4.1 3.5 ... ... ...

0.1

1.1

15.3

100.0 40.5 51.9 1.3 2.0 46.2 26.1 20.1 ... ... ...

2.4

7.6

12.0

100.0 71.3 26.9 15.0 ... 11.7 6.8 4.9 ... ... ...

0.2

1.8

44.7

85.0 111.4

100.0 40.2 49.0 6.2 3.8 36.7 20.7 16.1

Percent distribution

100.0 100.0

31.9

29.2

61.2

64.4

8.8

6.4

12.7

18.4

37.5

37.1

21.8

21.0

15.7

16.1

...

0.0

0.0

...

0.0

0.0

...

0.0

0.0

140.5

100.0 26.7 66.5 7.6 23.0 33.0 22.3 10.6 0.0 0.0 0.0

2.2

2.2

2.5

2.9

10.8

6.9

6.4

6.8

Amount in billions (dollars) 40.3 121.0 205.2 253.1

100.0 56.8 40.2 27.0 0.5 12.6 7.2 5.4

Percent distribution

100.0 100.0

27.8

25.0

70.3

73.1

50.5

49.8

1.7

1.9

16.3

17.8

9.3

10.2

7.0

7.6

...

0.2

0.5

...

0.2

0.4

...

0.1

0.1

100.0 17.9 80.8 45.9 23.3 8.1 5.4 2.6

0.6 0.4 0.2

0.2

1.5

3.1

3.0

3.0

1.9

1.9

1.3

158.1

100.0 26.2 66.7 8.9 23.5 31.2 18.0 13.3 0.0 0.0 0.0

3.2

7.0

324.5

100.0 14.0 85.4 44.0 28.5 9.4 6.2 3.2 0.5 0.4 0.1

3.0

0.6

163.0

100.0 27.0 65.9 9.4 22.8 30.6 17.6 13.0 0.0 0.0 0.0

3.1

7.1

332.0

100.0 14.1 85.4 43.5 29.1 9.6 6.4 3.3 0.5 0.5 0.0

2.6

0.5

166.3

100.0 26.7 66.1 10.0 22.7 30.2 17.4 12.8 0.0 0.0 0.0

3.2

7.3

333.4

100.0 14.0 85.5 42.0 30.3 9.9 6.4 3.5 0.6 0.6 0.0

2.7

0.5

Page 4 of 5

Trend Tables

Health, United States, 2018

Table 44. Personal health care expenditures, by source of funds and type of expenditure: United States, selected years 1960?2017

Excel version (with more data years and standard errors when available): . [Data are compiled from various sources by the Centers for Medicare & Medicaid Services]

Type of personal health care expenditure and source of funds

All other personal health care expenditures9

All sources of funds Out-of-pocket payments Health insurance Private health insurance Medicare Medicaid Federal State and local CHIP2 Federal State and local Other health insurance programs3

Other third-party payers and programs4

1960

1970

1980

1990

2000

2005

2010

Amount in billions (dollars)

2015

2016

2017

3.2

100.0 84.6 4.1 3.1 ... ... ... ... ... ... ...

7.1

100.0 74.2 9.1 4.6 1.0 3.0 1.6 1.4 ... ... ...

25.7

100.0 56.9 25.7 7.8 2.8 14.8 8.1 6.7 ... ... ...

77.3 157.3 221.0

100.0 49.7 33.7 13.0 5.5 15.0 8.5 6.4

Percent distribution

100.0 100.0

37.6

33.6

45.0

50.2

13.7

14.4

8.1

9.7

22.8

25.5

13.0

14.5

9.8

11.0

...

0.2

0.3

...

0.1

0.2

...

0.1

0.1

290.2

100.0 31.3 52.7 14.3 10.3 27.5 18.5 8.9 0.3 0.3 0.1

361.3

100.0 30.1 54.9 14.4 10.1 29.7 17.3 12.4 0.5 0.4 0.1

379.4

100.0 30.1 55.3 14.5 9.8 30.3 17.7 12.6 0.5 0.5 0.0

398.2

100.0 29.7 55.8 14.6 10.0 30.5 17.6 12.8 0.5 0.5 0.0

1.1

0.5

0.3

0.2

0.2

0.2

0.3

0.3

0.3

0.3

11.2

16.7

17.4

16.6

17.4

16.3

16.0

15.0

14.7

14.5

... Category not applicable.

0.0 Quantity more than zero but less than 0.05. 1Includes all expenditures other than expenses for government administration, net cost of health insurance, public health activities, research, and structures and equipment. 2The Children's Health Insurance Program (CHIP) including Medicaid CHIP expansions. See Appendix II, Children's Health Insurance Program. 3Includes Department of Defense and Department of Veterans Affairs. 4Includes worksite health care, other private revenues, Indian Health Service, workers' compensation, general assistance, maternal and child health, vocational rehabilitation, other federal

programs, Substance Abuse and Mental Health Services Administration, other state and local programs, and school health. 5The personal health care deflator is calculated as a chain-weighted price index using the Producer Price Indexes for hospitals, offices of physicians, medical and diagnostic laboratories, home health care services, and nursing care facilities, and Consumer Price Indices specific to each of the remaining personal health care components. For more information on the detailed price series recommended for deflating each category of spending, see "National Health Expenditure Accounts: Methodology Paper, 2017" and "NHE Deflator Methodology Paper" (available from:

). 6Includes expenditures for hospital-based nursing home and home health agency care. 7Includes expenditures for care in freestanding facilities only. Additional services of this type are provided in hospital-based facilities and are considered hospital care. 8Includes expenditures for care in freestanding nursing homes. Expenditures for care in hospital-based nursing homes are included with hospital care. 9Includes expenditures for other professional services, other nondurable medical products, durable medical equipment, and other health, residential, and personal care, not shown separately. See Appendix II, Health expenditures, national.

NOTES: Percentages may not add to totals because of rounding. Census resident population is used to calculate per capita. The Medicare and Medicaid programs began coverage in 1965. The Children's Health Insurance Program began coverage in 1997. For more information on national health expenditure sources and methods, see "National Health Expenditure Accounts: Methodology Paper, 2017." Available from: . See Appendix I, National Health Expenditure Accounts (NHEA). See Appendix II, Children's Health Insurance Program; Medicaid; Medicare. Data have been revised and differ from previous editions of Health, United States .

SOURCE: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group, National Health Expenditure Accounts, National health expenditures. Available from: . Accessed on January 2, 2019; Martin AB, Hartman M, Washington B, Catlin A, The National Health Expenditure Accounts Team. National health care spending in 2017: Growth slows to post?Great Recession rates; share of GDP stabilizes. Health Aff (Millwood) 38(1):96?106. 2019. See Appendix I, National Health Expenditure Accounts (NHEA).

Page 5 of 5

Trend Tables

Health, United States, 2018

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