Between 20, average growth in per capita personal health care spending was highest in New York at 6.1 percent per year and lowest in Wisconsin at 3.0 percent per year (compared with average growth of 4.3 percent nationally).In contrast, the Rocky Mountain and Southwest regions had the lowest levels of total personal health care spending per capita ($8,497 and $8,587, respectively) with average spending 17 and 16 percent lower than the national average, respectively. In 2020, the New England and Mideast regions had the highest levels of total per capita personal health care spending ($12,728 and $12,577, respectively), or 25 and 23 percent higher than the national average. Health care spending by region continued to exhibit considerable variation.Per capita spending in New York state was 37 percent higher than the national average ($10,191) while spending in Utah was about 26 percent lower. In 2020, per capita personal health care spending ranged from $7,522 in Utah to $14,007 in New York.For older adults, spending for males was 2 percent more than for females.įor further detail see health expenditures by age in downloads below. However, for working age adults per person spending for females was 20 percent more than for males. In 2020, per person spending for male children (0-18) was 10 percent more than females.Per person spending for females ($10,887) was 14 percent more than males ($9,554) in 2020.Older Adults (aged 65 and older) were the smallest population group, about 17 percent of the population, and accounted for approximately 37 percent of all spending in 2020.The working-age group comprised the majority of spending and population in 2014, 53 percent and over 60 percent respectively.In 2020, children accounted for approximately 23 percent of the population and about 10 percent of all PHC spending.Per person personal health care spending for the 65 and older population was $22,356 in 2020, over 5 times higher than spending per child ($4,217) and almost 2.5 times the spending per working-age person ($9,154).The Inflation Reduction Act is projected to result in lower OOP spending on prescription drugs for 2024 and beyond as Medicare beneficiaries incur savings associated with several provisions from the legislation including the $2,000 annual OOP spending cap and lower gross prices resulting from negotiations with manufacturers.įor further detail see NHE projections 2022-2031 in downloads below.By 2031 the insured share of the population is projected to be 90.5%. Medicaid enrollment is projected to decline from its 2022 peak of 90.4M to 81.1M by 2025 as states disenroll beneficiaries no longer eligible for coverage.The insured share of the population is projected to have been 92.3 percent in 2022 (an historic high) related to high Medicaid enrollment and gains in Marketplace enrollment and remain at that rate through 2023.Over 2022-2031 average growth in NHE (5.4 percent) is projected to outpace that of average GDP growth (4.6 percent) resulting in an increase in the health spending share of GDP from 18.3 percent in 2021 to 19.6 percent in 2031.The private business share of health spending accounted for 17 percent of total health care spending, state and local governments accounted for 15 percent, and other private revenues accounted for 7 percent.įor further detail see NHE Tables in downloads below. The largest shares of total health spending were sponsored by the federal government (34 percent) and the households (27 percent).Prescription drug spending increased 7.8% to $378.0 billion in 2021, faster than the 3.7% growth in 2020.Physician and clinical services expenditures grew 5.6% to $864.6 billion in 2021, slower growth than the 6.6% in 2020.Hospital expenditures grew 4.4% to $1,323.9 billion in 2021, slower than the 6.2% growth in 2020.Other Third Party Payers and Programs and Public Health Activity spending declined 20.7% in 2021 to $596.6 billion, or 14 percent of total NHE.Out of pocket spending grew 10.4% to $433.2 billion in 2021, or 10 percent of total NHE.Private health insurance spending grew 5.8% to $1,211.4 billion in 2021, or 28 percent of total NHE.Medicaid spending grew 9.2% to $734.0 billion in 2021, or 17 percent of total NHE.Medicare spending grew 8.4% to $900.8 billion in 2021, or 21 percent of total NHE.NHE grew 2.7% to $4.3 trillion in 2021, or $12,914 per person, and accounted for 18.3% of Gross Domestic Product (GDP).
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