|
Table 1 Expenditures for Health Services and Supplies, by Type of
Payer: United States, Calendar Years 1987-2007
(amounts in billions)
|
Type of
Sponsor
|
1987
|
1988
|
1989
|
1990
|
1991
|
1992
|
1993
|
1994
|
1995
|
1996
|
1997
|
1998
|
1999
|
2000
|
2001
|
2002
|
2003
|
2004
|
2005
|
2006
|
2007
|
|
Health
Services and Supplies
|
$477.8
|
$534.7
|
$596.0
|
$666.8
|
$731.5
|
$793.7
|
$853.1
|
$900.2
|
$952.5
|
$1,002.5
|
$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
|
|
Business, Households and Other Private Revenues
|
333.4
|
377.0
|
417.1
|
457.0
|
489.8
|
520.0
|
545.3
|
568.1
|
602.4
|
631.5
|
667.6
|
718.3
|
766.7
|
821.1
|
868.6
|
927.6
|
993.5
|
1050.6
|
1114.9
|
1183.2
|
1252.3
|
|
Private
Business
|
122.1
|
137.8
|
157.4
|
177.3
|
190.5
|
205.3
|
218.8
|
230.7
|
243.4
|
259.2
|
265.9
|
286.2
|
313.4
|
342.3
|
368.1
|
390.4
|
418.1
|
443.5
|
472.2
|
490.4
|
518.0
|
|
Employer
Contribution to Private Health Insurance Premiums
|
84.2
|
96.3
|
112.3
|
128.6
|
137.0
|
147.9
|
158.3
|
165.7
|
175.8
|
188.7
|
191.4
|
207.3
|
229.1
|
250.9
|
271.7
|
293.4
|
319.2
|
338.5
|
362.1
|
375.4
|
398.4
|
|
Employer
Contribution to Medicare Hospital Insurance Trust Fund
|
24.6
|
26.2
|
28.0
|
29.4
|
32.7
|
34.4
|
35.8
|
40.5
|
43.1
|
45.8
|
49.5
|
53.8
|
57.6
|
62.3
|
63.3
|
63.0
|
64.6
|
68.6
|
72.7
|
77.4
|
81.6
|
|
Workers
compensation and temporary disability insurance and Industrial
inplant health services
|
13.3
|
15.3
|
17.1
|
19.3
|
20.8
|
23.1
|
24.7
|
24.5
|
24.5
|
24.8
|
25.0
|
25.0
|
26.7
|
29.1
|
33.0
|
34.0
|
34.3
|
36.4
|
37.4
|
37.6
|
38.0
|
|
Household
|
188.9
|
213.0
|
232.5
|
250.9
|
268.0
|
281.0
|
290.6
|
299.9
|
317.5
|
327.7
|
353.0
|
379.8
|
398.8
|
425.1
|
447.3
|
482.3
|
515.3
|
546.1
|
577.9
|
623.4
|
660.3
|
|
Employee
Contribution to Private Health Insurance Premiums and Individual
Policy Premiums
|
43.9
|
53.7
|
62.0
|
69.0
|
77.8
|
83.7
|
89.9
|
92.0
|
99.0
|
101.5
|
112.3
|
119.8
|
123.7
|
133.6
|
146.8
|
167.0
|
182.7
|
195.2
|
205.2
|
224.5
|
238.6
|
|
Employee and
Self-Employment Contributions and Voluntary Premiums Paid to
Medicare Hospital Insurance Trust Fund
1
|
29.5
|
31.5
|
33.7
|
35.6
|
39.8
|
41.9
|
43.7
|
50.7
|
56.0
|
59.3
|
63.0
|
69.2
|
75.1
|
82.6
|
82.9
|
84.3
|
86.3
|
91.4
|
96.7
|
107.2
|
113.0
|
|
Premiums
Paid by Individuals to Medicare Supplementary Medical Insurance
Trust Fund
|
6.2
|
8.7
|
11.2
|
10.1
|
10.3
|
12.1
|
11.9
|
14.4
|
16.4
|
15.1
|
15.5
|
15.5
|
16.3
|
16.3
|
18.1
|
19.8
|
21.7
|
24.6
|
29.0
|
36.7
|
40.2
|
|
Out-of-pocket Health Spending
|
109.2
|
119.1
|
125.5
|
136.2
|
140.1
|
143.3
|
145.1
|
142.8
|
146.1
|
151.8
|
162.1
|
175.2
|
183.7
|
192.6
|
199.5
|
211.2
|
224.6
|
234.9
|
247.0
|
255.0
|
268.6
|
|
Other
Private Revenues
|
22.4
|
26.2
|
27.3
|
28.8
|
31.3
|
33.7
|
36.0
|
37.5
|
41.5
|
44.6
|
48.7
|
52.4
|
54.5
|
53.8
|
53.2
|
54.8
|
60.1
|
61.0
|
64.8
|
69.4
|
74.1
|
|
Governments
|
144.4
|
157.7
|
178.9
|
209.8
|
241.7
|
273.7
|
307.8
|
332.1
|
350.1
|
371.0
|
386.3
|
392.5
|
413.0
|
443.3
|
507.4
|
570.7
|
629.6
|
682.5
|
735.5
|
792.9
|
845.8
|
|
Federal
government
|
73.9
|
79.8
|
92.1
|
110.7
|
130.9
|
154.3
|
176.3
|
185.9
|
197.3
|
213.2
|
220.0
|
214.5
|
221.2
|
235.8
|
277.3
|
317.1
|
353.7
|
387.0
|
412.6
|
454.3
|
485.9
|
|
Employer
Contribution to Private Health Insurance Premiums
|
4.9
|
6.4
|
8.1
|
9.9
|
9.8
|
10.7
|
11.5
|
11.9
|
11.4
|
11.3
|
11.4
|
11.4
|
13.2
|
14.3
|
15.8
|
17.7
|
19.7
|
21.6
|
23.1
|
24.3
|
25.5
|
|
Employer
Contribution to Medicare Hospital Insurance Trust Fund
|
1.7
|
1.8
|
1.9
|
2.0
|
2.2
|
2.2
|
2.3
|
2.4
|
2.3
|
2.4
|
2.4
|
2.5
|
2.5
|
2.7
|
2.7
|
2.9
|
3.1
|
3.3
|
3.3
|
3.4
|
3.6
|
|
Adjusted
Medicare
2
|
16.9
|
16.1
|
21.0
|
27.1
|
29.6
|
38.9
|
49.0
|
51.6
|
57.6
|
66.8
|
69.9
|
57.8
|
50.2
|
48.9
|
67.6
|
81.1
|
92.6
|
107.5
|
119.7
|
156.4
|
169.0
|
|
Health
Program Expenditures (Excluding Medicare)
|
50.4
|
55.4
|
61.1
|
71.7
|
89.3
|
102.5
|
113.5
|
120.1
|
126.0
|
132.7
|
136.2
|
142.8
|
155.3
|
170.0
|
191.1
|
215.4
|
238.2
|
254.6
|
266.4
|
270.2
|
287.8
|
|
Medicaid
3
|
28.1
|
31.4
|
35.8
|
43.2
|
57.6
|
69.0
|
78.1
|
83.0
|
88.1
|
94.1
|
97.3
|
101.7
|
110.3
|
119.7
|
134.6
|
149.9
|
163.8
|
175.1
|
182.8
|
180.5
|
192.2
|
|
Other
Programs
4
|
22.3
|
24.0
|
25.3
|
28.5
|
31.7
|
33.5
|
35.4
|
37.1
|
37.9
|
38.6
|
38.9
|
41.2
|
45.0
|
50.3
|
56.5
|
65.5
|
74.4
|
79.5
|
83.6
|
89.7
|
95.6
|
|
State and
local government
|
70.5
|
77.9
|
86.7
|
99.0
|
110.8
|
119.4
|
131.5
|
146.2
|
152.8
|
157.8
|
166.3
|
178.1
|
191.8
|
207.5
|
230.1
|
253.6
|
276.0
|
295.5
|
322.9
|
338.6
|
359.9
|
|
Employer
Contribution to Private Health Insurance Premiums
|
16.0
|
19.1
|
22.2
|
26.2
|
29.9
|
32.4
|
35.8
|
38.4
|
38.8
|
41.0
|
43.9
|
46.1
|
50.7
|
55.9
|
63.3
|
73.1
|
82.1
|
90.6
|
99.5
|
103.3
|
108.5
|
|
Employer
Contribution to Medicare Hospital Insurance Trust Fund
|
3.1
|
3.4
|
3.8
|
4.1
|
4.5
|
4.8
|
5.0
|
5.3
|
5.6
|
5.9
|
6.2
|
6.6
|
7.0
|
7.5
|
8.0
|
8.4
|
8.7
|
9.1
|
9.4
|
9.9
|
10.5
|
|
Health
Expenditures by Program
|
51.4
|
55.4
|
60.8
|
68.8
|
76.5
|
82.3
|
90.8
|
102.4
|
108.4
|
110.8
|
116.2
|
125.4
|
134.1
|
144.1
|
158.8
|
172.2
|
185.2
|
195.9
|
214.0
|
225.5
|
240.9
|
|
Medicaid
3
|
22.8
|
24.4
|
27.1
|
31.6
|
37.2
|
41.0
|
46.5
|
54.3
|
60.1
|
61.6
|
64.9
|
71.1
|
77.4
|
85.1
|
94.3
|
103.6
|
112.2
|
122.1
|
137.2
|
138.5
|
147.6
|
|
Other
Programs
5
|
28.6
|
31.1
|
33.7
|
37.2
|
39.3
|
41.3
|
44.2
|
48.1
|
48.3
|
49.3
|
51.3
|
54.3
|
56.6
|
59.0
|
64.4
|
68.6
|
73.1
|
73.8
|
76.8
|
86.9
|
93.2
|
1 Includes one-half of
self-employment contribution to Medicare Hospital Insurance Trust Fund
and taxation of Social Security benefits.
2
Excludes Medicaid buy-in premiums for Medicare. Includes RDS payments to
private and state and local plans.
3
Includes Medicaid buy-in premiums for Medicare.
4
Includes maternal and child health, vocational rehabilitation, Substance
Abuse and Mental Health Services Administration, Indian Health Service,
Office of Economic Opportunity (1965-74), Federal workers' compensation,
and other miscellaneous general hospital and medical programs, public
health activities, Department of Defense, Department of Veterans
Affairs, and State Children's Health Program (SCHIP)
5
Includes other public and general assistance, maternal and child health,
vocational rehabilitation, public health activities, hospital subsidies,
and state phase-down payments.
SOURCE: Centers for
Medicare and Medicaid Services, Office of the Actuary: Data from the
National Health Statistics Group
|
|