Table 123Expenditures for health services and supplies and percent distribution, by type of payer: United States, selected calendar years 1987-2000
[Data are compiled from various sources by the Centers for Medicare & Medicaid Services] Click here for spreadsheet version

Type of payer 1987 1993 1994 1995 1996 1997 1998 1999 2000
Amount in billions
Total1$477.8$856.3$904.8$957.7$1,005.7$1,053.9$1,111.5$1,175.0$1,255.5
Private331.5548.8573.0607.3633.4666.3716.4754.8806.3
 Private business123.3223.7237.8251.2265.5270.2288.1307.6334.5
  Employer contribution to private health insurance premiums85.3163.9172.6183.4194.9197.0210.5224.3246.2
  Private employer contribution to Medicare hospital insurance trust fund224.635.840.543.145.849.653.657.461.4
  Workers compensation and temporary disability insurance11.721.121.621.421.420.020.222.022.7
  Industrial inplant health services1.72.83.13.33.43.63.84.04.2
 Household185.8288.9297.5314.4323.2347.7376.5393.9418.8
  Employee contribution to private health insurance premiums and individual policy premiums41.386.488.695.696.8107.0116.1120.0126.4
  Employee and self-employment contributions and voluntary premiums paid to Medicare hospital insurance trust fund229.443.750.655.959.262.968.874.881.5
  Premiums paid by individuals to Medicare supplementary medical insurance trust fund6.211.914.416.415.115.417.014.816.3
  Out-of-pocket health spending108.9146.9143.9146.5152.1162.3174.5184.4194.5
 Other private revenues22.436.237.741.744.748.551.853.353.0
Public146.2307.5331.8350.4372.3387.6395.1420.2449.3
 Federal Government75.1175.5184.9196.6213.0218.9214.9223.7237.1
  Employer contributions to private health insurance premiums4.911.511.911.311.311.411.413.214.3
  Medicaid328.178.183.188.194.297.1101.9110.8120.8
  Other442.185.890.097.2107.4110.4101.699.6102.0
 State and local government71.1132.0146.9153.8159.3168.7180.3196.5212.1
  Employer contributions to private health insurance premiums16.436.339.039.841.844.145.252.056.9
  Medicaid322.845.853.759.261.566.473.480.186.1
  Other532.049.954.254.756.058.261.664.569.1
Percent distribution
Total100.0100.0100.0100.0100.0100.0100.0100.0100.0
Private69.464.163.363.463.063.264.564.264.2
 Private business25.826.126.326.226.425.625.926.226.6
  Employer contribution to private health insurance premiums17.919.119.119.219.418.718.919.119.6
  Private employer contribution to Medicare hospital insurance trust fund25.24.24.54.54.64.74.84.94.9
  Workers compensation and temporary disability insurance2.42.52.42.22.11.91.81.91.8
  Industrial inplant health services0.40.30.30.30.30.30.30.30.3
 Household38.933.732.932.832.133.033.933.533.4
  Employee contribution to private health insurance premiums and individual policy premiums8.710.19.810.09.610.210.410.210.1
  Employee and self-employment contributions and voluntary premiums paid to Medicare hospital insurance trust fund26.15.15.65.85.96.06.26.46.5
  Premiums paid by individuals to Medicare supplementary medical insurance trust fund1.31.41.61.71.51.51.51.31.3
  Out-of-pocket health spending22.817.215.915.315.115.415.715.715.5
Other private revenues4.74.24.24.44.44.64.74.54.2
Percent distribution
Public30.635.936.736.637.036.835.535.835.8
 Federal Government15.720.520.420.521.220.819.319.018.9
  Employer contributions to private health insurance premiums1.01.31.31.21.11.11.01.11.1
  Medicaid35.99.19.29.29.49.29.29.49.6
  Other48.810.09.910.110.710.59.18.58.1
 State and local government14.915.416.216.115.816.016.216.716.9
  Employer contributions to private health insurance premiums3.44.24.34.24.24.24.14.44.5
  Medicaid34.85.35.96.26.16.36.66.86.9
  Other56.75.86.05.75.65.55.55.55.5
1

Excludes research and construction.

2

Includes one-half of self-employment contribution to Medicare hospital insurance trust fund.

3

Includes Medicaid buy-in premiums for Medicare.

4

Includes expenditures for Medicare with adjustments for contributions by employers and individuals and premiums paid to the Medicare insurance trust fund and maternal and child health, vocational rehabilitation, Substance Abuse and Mental Health Services Administration, Indian Health Service, Federal workers’ compensation, and other miscellaneous general hospital and medical programs, public health activities, Department of Defense, and Department of Veterans Affairs.

5

Includes other public and general assistance, maternal and child health, vocational rehabilitation, public health activities, hospital subsidies, and employer contributions to Medicare hospital insurance trust fund.

NOTES: This table disaggregates health expenditures according to four classes of payers: businesses, households (individuals), Federal Government, and State and local governments with a small amount of revenue coming from non-patient revenue sources such as philanthropy. Where businesses or households pay dedicated funds into government health programs (for example, Medicare) or employers and employees share in the cost of health premiums, these costs are assigned to businesses or households accordingly. This results in a lower share of expenditures being assigned to the Federal Government than for tabulations of expenditures by source of funds. Estimates of national health expenditure by source of funds aim to track government-sponsored health programs over time and do not delineate the role of business employers in paying for health care. Figures may not sum to totals due to rounding.

SOURCE: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group. The Burden of Health Care Costs: Business, Households, and Government, 2000. Health Care Financing Review vol 23, no 2. Washington. Winter 2001.

From: Trend Tables

Cover of Health, United States, 2004
Health, United States, 2004: With Chartbook on Trends in the Health of Americans.
National Center for Health Statistics (US) .
Hyattsville (MD): National Center for Health Statistics (US); 2004 Sep.

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