Download US Health Care Spending: California Health Care Almanac Quick

US Health Care Spending
|
A supplement to California HealthCare Foundation’s Health Care Costs 101, 2014 edition available at www.chcf.org.
C a l i f o r n i a H e a l t h C a r e A l m a n a c Q U I C K REFEREN C E G U I D E US Health Spending
20122014P
Reference Points, 2012
Total Health Spending (in trillions). . $2.8
$3.1
Health Care as Share of GDP . . . . 17.2% 18.3%
Per Capita Spending . . . . . . . . . $8,915 $9,697
Growth in Total Spending. . . . . . 3.7%
6.1%
Growth in Per Capita Spending . . 3.0%
5.2%
Federal Revenues
as Share of GDP . . . . . . . . . . . . 15.1%
GDP Growth . . . . . . . . . . . . . . 4.6%
CPI Growth . . . . . . . . . . . . . . 2.1%
Medical CPI Growth. . . . . . . . . 3.7%
Annual Spending per Enrollee,
Public and Private Insurance
Personal Health Spending
by Age and Gender, 2010
20122014P
Medicare . . . . . . . . . . . . . . . . $11,519 $12,051
Medicaid. . . . . . . . . . . . . . . . $7,535 $7,565
Employer-Based Insurance. . . . . $5,128 $5,664
Note: Projections (P) include the impact of the Affordable Care Act.
sponsors, 2012
State and Local
Government
18%
Household
28%
U
TOTA L S PEN DIN G
Other
Private
7%
per Capita
0 to 18. . . . . . . . . . . . . . . . . $3,628
19 to 44 . . . . . . . . . . . . . . . . $4,422
45 to 64 . . . . . . . . . . . . . . . . $8,370
65 to 84 . . . . . . . . . . . . . . . .$15,857
85 and older. . . . . . . . . . . . . $34,783
All Ages. . . . . . . . . . . . . . . . $7,097
Private
Business
21%
Investment
3%
6%
Other
Payers
8%
U
TOTAL SP ENDI NG
$2.8 trillion
Out-of-Pocket
12%
0 to 18. . . . . . . . . . . . . . . . . . 19 to 44 . . . . . . . . . . . . . . . . . 45 to 64 . . . . . . . . . . . . . . . . . 65 to 84 . . . . . . . . . . . . . . . . . 85 and older. . . . . . . . . . . . . .
13%
22%
31%
25%
9%
Females . . . . . . . . . . . . . . . . . 56%
Males. . . . . . . . . . . . . . . . . . . 44%
Note: Personal health spending excludes net cost of
health insurance, government administration, public
health activities, and investment.
Source: Centers for Medicare & Medicaid Services (CMS), National Health Expenditures, 2014 release (historical) and 2013 release (projections).
4%
Public Health Insurance
39%
Medicare
20%
Other Public
Health Insurance
Medicaid
15%
Spending Categories, 2012
Investment
Share of Total
Notes: Health spending refers to National Health Expenditures except when noted. Growth refers to percentage growth from prior year.
Sponsors are the entities that are ultimately responsible for financing the health care bill. In past editions, this publication referred to these as
contributors. CPI is consumer price index; GDP is gross domestic product. Pie segments may not sum to 100% due to rounding.
©2014 California HealthCare Foundation
Public Health Activities
Private Health
Insurance
33%
Females . . . . . . . . . . . . . . . . $7,860
Males. . . . . . . . . . . . . . . . . . $6,313
$2.8 trillion
Federal
Government
26%
payment Sources, 2012
Public Health Activities
6%
Hospital Care
32%
Government Administration (1%)
3%
Other
15%
Net Cost of Health Insurance
6%
Personal Health Care
85%
5%
Other Health Care
3%
Home Health Care
5%
Nursing Care Facilities
3%
Other Medical Products
Rx Drugs
9%
Physician and
Clinical Services
20%
4%
3%
Other Professional Services
Dental Services
Growth Rates
by sponsor 2002–122012
reference points 2002–122012
Private Business . . . . . . . . . . . . . 3.7%
4.7%
Total Health Spending. . . . . . . . . 5.5%
3.7%
Household . . . . . . . . . . . . . . . . . 4.8%
4.3%
Total Health Spending per Capita. . 4.6%
3.0%
Other Private. . . . . . . . . . . . . . . 5.3%
6.0%
GDP. . . . . . . . . . . . . . . . . . . . . 4.0%
4.6%
Federal Government . . . . . . . . . . 7.7% – 0.6%
CPI . . . . . . . . . . . . . . . . . . . . . . 2.5%
2.1%
State and Local Government. . . . . 5.9%
Medical CPI. . . . . . . . . . . . . . . . 3.8%
3.7%
by Payer 7.8%
2002–122012
Private Health Insurance. . . . . . . . 5.0%
3.2%
Out-of-Pocket . . . . . . . . . . . . . . . 4.0%
3.8%
Medicare . . . . . . . . . . . . . . . . . . 8.0%
4.8%
Medicaid. . . . . . . . . . . . . . . . . . 5.4%
3.3%
Other Public Health Insurance. . . . 8.2%
3.1%
Other Payers. . . . . . . . . . . . . . . . 4.4%
6.8%
Public Health Activity. . . . . . . . . . 3.7%
2.3%
Investment . . . . . . . . . . . . . . . . 4.6%
1.4%
largest Spending Categories, United States, 1992 to 2012
Hospital Care
Physician and Clinical Services
CPI
20%
18%
Average Annual Growth, 1992–2012
Hospital Care
5.6%
Physician and Clinical Services 5.6%
Prescription Drugs
9.0%
CPI
2.5%
16%
14%
by Spending Category
Rx Drugs
2002–122012
Hospital Care. . . . . . . . . . . . . . . 6.1%
4.9%
12%
Physician and Clinical Services. . . . 5.2%
4.6%
Dental Services . . . . . . . . . . . . . . 4.2%
3.0%
10%
Other Professional Services. . . . . . 5.7%
4.5%
Nursing Care Facililties. . . . . . . . . 4.8%
1.6%
Home Health Care . . . . . . . . . . . . 7.8%
5.1%
Other Health Care. . . . . . . . . . . . 5.9%
4.5%
Prescription Drugs. . . . . . . . . . . . 5.2%
0.4%
Other Medical Products . . . . . . . . 4.6%
3.4%
Net Cost of Health Insurance. . . . . 6.2%
4.2%
Government Administration . . . . . 4.3%
2.7%
Public Health Activities. . . . . . . . . 3.7%
2.3%
Investment . . . . . . . . . . . . . . . . 4.6%
1.4%
8%
6%
4.9%
4.6%
4%
2.1%
0.4%
2%
0%
–2%
California HealthCare
Foundation
1992
2002
2012
Notes: Health spending refers to National Health Expenditures. Growth refers to percentage growth from prior year, unless noted as a range of years, where it’s presented as an average annual figure. Sponsors are the entities
that are ultimately responsible for financing the health care bill. In past editions, this publication referred to these as contributors. CPI is consumer price index; GDP is gross domestic product.
1438 Webster Street
Suite 400
Oakland, CA 94612
Source: Centers for Medicare and Medicaid Services (CMS), National Health Expenditures, 2014 release.
510.238.1040
©2014 California HealthCare Foundation
www.chcf.org