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.However, for the working age and elderly groups, per person spending for females was 26 and 7 percent more than for males.įor further detail see health expenditures by age in downloads below. In 2014, per person spending for male children (0-18) was 9 percent more than females.Per person spending for females ($8,811) was 21 percent more than males ($7,272) in 2014.The elderly were the smallest population group, nearly 15 percent of the population, and accounted for approximately 34 percent of all spending in 2014.The working-age group comprised the majority of spending and population in 2014, almost 54 percent and over 61 percent respectively.In 2014, children accounted for approximately 24 percent of the population and about 11 percent of all PHC spending.Per person personal health care spending for the 65 and older population was $19,098 in 2014, over 5 times higher than spending per child ($3,749) and almost 3 times the spending per working-age person ($7,153).For 2025-2030, factors that typically drive changes in health spending and enrollment, such as economic, demographic, and health-specific factors, are again expected to primarily influence trends in the health sector.įor further detail see NHE projections 2021-2030 in downloads below.The percentage of the population with health insurance is expected to peak in 2022 at 91.1% (mainly due to Medicaid enrollment) before falling back towards pre-pandemic levels as the public health emergency is assumed to end.By 2024, the government (federal and state & local) share of health spending is expected to fall to 46 percent as COVID-19 supplemental funding is expected to wane, down from an all-time high of 51 percent in 2020. Following the declines observed in 2020, health care utilization is expected to rebound starting in 2021 and normalize through 2024.NHE growth in 2021 is projected to have slowed to 4.2 percent (down from 9.7 percent growth in 2020) as federal COVID-19 supplemental funding declined substantially. Near-term NHE patterns are significantly influenced by the COVID-19 pandemic.On average over 2021-30, National Health Expenditures (NHE) and Gross Domestic Product (GDP) are both projected to grow 5.1 percent per year as a result, the projected NHE share of GDP in 2030 (19.6 percent) is similar to 2020 (19.7 percent).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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