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