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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