kff - national health expenditures1970 1980 1990 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009...

Table 1

National Health Expenditures; Aggregate and Per Capita Amounts, Annual Percent Change and Percent Distribution: Selected Calendar Years 1960-2012

Item 1960 1970 1980 1990 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

Amount in Billions

National Health Expenditures $27.4 $74.9 $255.8 $724.3 $1,377.2 $1,493.4 $1,638.0 $1,778.0 $1,905.7 $2,035.4 $2,166.7 $2,302.9 $2,411.7 $2,504.2 $2,599.0 $2,692.8 $2,793.4

Health Consumption Expenditures 24.8 67.1 235.7 675.6 1,289.6 1,402.1 1,535.9 1,668.0 1,788.3 1,908.9 2,035.6 2,158.7 2,257.3 2,358.0 2,449.6 2,534.9 2,633.4

Personal Health Care 23.4 63.1 217.2 616.8 1,165.4 1,265.3 1,371.9 1,482.1 1,592.3 1,701.0 1,809.2 1,921.0 2,017.1 2,117.4 2,192.9 2,271.2 2,360.4

Government Administration and Net Cost of Health Insurance 1.1 2.6 12.0 38.8 81.2 90.0 111.9 131.8 140.9 150.8 165.5 171.8 168.6 166.5 181.4 190.4 197.9

Government Public Health Activities 0.4 1.4 6.4 20.0 43.0 46.8 52.0 54.1 55.1 57.2 60.9 65.9 71.5 74.1 75.3 73.3 75.0

Investment 2.6 7.8 20.1 48.7 87.5 91.3 102.0 110.0 117.4 126.4 131.1 144.2 154.4 146.2 149.4 157.8 160.0

Millions

U.S. Population1

186 210 230 254 282 285 288 290 293 295 298 301 304 307 309 311 313

Amount in Billions

Gross Domestic Product2

$543 $1,076 $2,863 $5,980 $10,290 $10,625 $10,980 $11,512 $12,277 $13,095 $13,858 $14,480 $14,720 $14,418 $14,958 $15,534 $16,245

Per Capita Amount

National Health Expenditures $147 $356 $1,110 $2,855 $4,878 $5,238 $5,693 $6,128 $6,508 $6,889 $7,264 $7,649 $7,936 $8,170 $8,411 $8,658 $8,915

Health Consumption Expenditures 133 319 1,023 2,663 4,568 4,918 5,338 5,749 6,107 6,461 6,824 7,170 7,428 7,693 7,928 8,150 8,404

Personal Health Care 125 300 943 2,431 4,128 4,438 4,768 5,108 5,438 5,757 6,065 6,380 6,637 6,908 7,097 7,303 7,533

Government Administration and Net Cost of Health Insurance 6 12 52 153 288 316 389 454 481 510 555 571 555 543 587 612 632

Government Public Health Activities 2 6 28 79 152 164 181 186 188 194 204 219 235 242 244 236 239

Investment 14 37 87 192 310 320 355 379 401 428 440 479 508 477 483 507 511

Average Annual Percent Change from Previous Year Shown

National Health Expenditures 10.6% 13.1% 11.0% 6.6% 8.4% 9.7% 8.6% 7.2% 6.8% 6.5% 6.3% 4.7% 3.8% 3.8% 3.6% 3.7%

Health Consumption Expenditures 10.5 13.4 11.1 6.7 8.7 9.5 8.6 7.2 6.7 6.6 6.1 4.6 4.5 3.9 3.5 3.9

Personal Health Care 10.4 13.2 11.0 6.6 8.6 8.4 8.0 7.4 6.8 6.4 6.2 5.0 5.0 3.6 3.6 3.9

Government Administration and Net Cost of Health Insurance 9.4 16.4 12.4 7.7 10.8 24.4 17.7 7.0 7.0 9.8 3.8 -1.9 -1.3 9.0 5.0 4.0

Government Public Health Activities 13.8 16.9 12.0 8.0 8.7 11.2 4.0 1.9 3.8 6.4 8.3 8.5 3.6 1.6 -2.6 2.3

Investment 11.7 10.0 9.2 6.0 4.3 11.8 7.8 6.7 7.7 3.7 9.9 7.1 -5.3 2.2 5.7 1.4

U.S. Population1

1.2 0.9 1.0 1.1 1.0 0.9 0.9 0.9 0.9 1.0 0.9 0.9 0.9 0.8 0.7 0.7

Gross Domestic Product2

7.1 10.3 7.6 5.6 3.3 3.3 4.8 6.6 6.7 5.8 4.5 1.7 -2.1 3.7 3.8 4.6

Percent Distribution

National Health Expenditures 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0%

Health Consumption Expenditures 90.6 89.6 92.1 93.3 93.6 93.9 93.8 93.8 93.8 93.8 93.9 93.7 93.6 94.2 94.3 94.1 94.3

Personal Health Care 85.4 84.3 84.9 85.2 84.6 84.7 83.8 83.4 83.6 83.6 83.5 83.4 83.6 84.6 84.4 84.3 84.5

Government Administration and Net Cost of Health Insurance 3.9 3.5 4.7 5.4 5.9 6.0 6.8 7.4 7.4 7.4 7.6 7.5 7.0 6.6 7.0 7.1 7.1


Investment 9.4 10.4 7.9 6.7 6.4 6.1 6.2 6.2 6.2 6.2 6.1 6.3 6.4 5.8 5.7 5.9 5.7

Percent

National Health Expenditures as a Percent of Gross Domestic Product 5.0% 7.0% 8.9% 12.1% 13.4% 14.1% 14.9% 15.4% 15.5% 15.5% 15.6% 15.9% 16.4% 17.4% 17.4% 17.3% 17.2%

1Census resident-based population less armed forces overseas and population of outlying areas. Source: U.S. Bureau of the Census.

2U.S. Department of Commerce, Bureau of Economic Analysis.

NOTE: Numbers and percents may not add to totals because of rounding. Dollar amounts shown are in current dollars.

SOURCE: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group; U.S. Department of Commerce, Bureau of Economic Analysis; and U.S. Bureau of the Census.

Table 2

National Health Expenditures; Aggregate and Per Capita Amounts, Annual Percent Change and Percent Distribution, by Type of Expenditure: Selected Calendar Years 1960-2012

Type of Expenditure 1960 1970 1980 1990 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

Amount in Billions



Personal Health Care 23.4 63.1 217.2 616.8 1,165.4 1,265.3 1,371.9 1,482.1 1,592.3 1,701.0 1,809.2 1,921.0 2,017.1 2,117.4 2,192.9 2,271.2 2,360.4

Hospital Care 9.0 27.2 100.5 250.4 415.5 449.4 486.5 526.2 566.0 609.4 651.9 692.5 729.0 776.8 812.6 840.8 882.3

Professional Services 8.0 19.8 64.6 208.1 390.2 424.1 458.2 491.0 525.6 556.9 585.2 618.6 652.8 672.4 694.2 720.9 752.3

Physician and Clinical Services 5.6 14.3 47.7 158.9 290.9 315.7 340.9 368.0 393.3 417.2 438.8 461.8 486.5 503.2 519.0 540.1 565.0

Other Professional Services 0.4 0.7 3.5 17.4 37.0 40.6 43.7 46.7 50.3 52.7 55.0 59.5 64.0 66.8 69.8 73.1 76.4

Dental Services 2.0 4.7 13.4 31.7 62.3 67.8 73.7 76.3 82.1 87.0 91.4 97.3 102.4 102.5 105.4 107.7 110.9

Other Health, Residential, and Personal Care1

0.5 1.3 8.5 24.3 64.5 70.6 77.6 83.6 90.6 96.5 101.7 107.7 113.5 122.5 128.1 132.3 138.2

Home Health Care2

0.1 0.2 2.4 12.6 32.4 34.4 36.6 39.8 43.8 48.7 52.6 57.8 62.3 67.2 71.2 74.0 77.8

Nursing Care Facilities and Continuing Care Retirement Communities2, 3

0.8 4.0 15.3 44.9 85.1 90.8 94.5 100.3 105.8 112.5 117.3 126.4 132.6 138.5 143.0 149.2 151.5

Retail Outlet Sales of Medical Products 5.0 10.6 25.9 76.5 177.6 196.1 218.6 241.2 260.5 277.0 300.5 318.0 326.9 339.9 343.9 354.0 358.3

Prescription Drugs 2.7 5.5 12.0 40.3 120.9 138.7 158.2 177.0 193.0 205.3 224.5 235.9 242.6 254.5 255.7 262.2 263.3

Durable Medical Equipment 0.7 1.7 4.1 13.8 25.2 25.1 27.1 28.0 29.5 30.9 32.3 34.3 34.9 35.0 37.0 39.1 41.3

Other Non-Durable Medical Products 1.6 3.3 9.8 22.4 31.6 32.2 33.3 36.2 38.1 40.8 43.7 47.8 49.5 50.3 51.2 52.8 53.7

Government Administration4

0.1 0.7 2.8 7.2 17.1 19.1 22.1 24.5 26.4 28.3 28.8 29.3 29.4 29.8 30.5 32.8 33.6

Net Cost of Health Insurance5

1.0 1.9 9.3 31.6 64.1 70.9 89.9 107.3 114.6 122.5 136.7 142.6 139.2 136.7 150.9 157.6 164.3


Investment 2.6 7.8 20.1 48.7 87.5 91.3 102.0 110.0 117.4 126.4 131.1 144.2 154.4 146.2 149.4 157.8 160.0

Research6

0.7 2.0 5.4 12.7 25.5 28.5 32.0 34.9 38.5 40.3 41.5 42.4 44.0 45.4 49.1 49.7 48.1

Structures and Equipment 1.9 5.8 14.7 36.0 62.1 62.8 70.0 75.1 78.9 86.1 89.7 101.7 110.4 100.9 100.3 108.2 111.9

Per Capita Amount

National Health Expenditures $147 $356 $1,110 $2,855 $4,878 $5,238 $5,693 $6,128 $6,508 $6,889 $7,264 $7,649 $7,936 $8,170 $8,411 $8,658 $8,915

Health Consumption Expenditures 133 319 1,023 2,663 4,568 4,918 5,338 5,749 6,107 6,461 6,824 7,170 7,428 7,693 7,928 8,150 8,404

Personal Health Care 125 300 943 2,431 4,128 4,438 4,768 5,108 5,438 5,757 6,065 6,380 6,637 6,908 7,097 7,303 7,533

Hospital Care 48 129 436 987 1,472 1,576 1,691 1,813 1,933 2,062 2,185 2,300 2,399 2,534 2,630 2,703 2,816

Professional Services 43 94 280 820 1,382 1,488 1,593 1,692 1,795 1,885 1,962 2,055 2,148 2,194 2,247 2,318 2,401

Physician and Clinical Services 30 68 207 626 1,030 1,107 1,185 1,268 1,343 1,412 1,471 1,534 1,601 1,642 1,680 1,737 1,803

Other Professional Services 2 3 15 69 131 142 152 161 172 178 184 198 211 218 226 235 244

Dental Services 11 22 58 125 221 238 256 263 280 295 307 323 337 334 341 346 354


2 6 37 96 229 247 270 288 309 327 341 358 374 400 415 425 441

Home Health Care2

0 1 10 50 115 121 127 137 150 165 176 192 205 219 230 238 248


4 19 66 177 302 318 328 346 361 381 393 420 436 452 463 480 484

Retail Outlet Sales of Medical Products 27 50 112 302 629 688 760 831 890 937 1,008 1,056 1,076 1,109 1,113 1,138 1,143

Prescription Drugs 14 26 52 159 428 486 550 610 659 695 753 784 798 830 827 843 840

Durable Medical Equipment 4 8 18 54 89 88 94 97 101 104 108 114 115 114 120 126 132

Other Non-Durable Medical Products 9 16 43 88 112 113 116 125 130 138 147 159 163 164 166 170 172


0 4 12 28 61 67 77 84 90 96 96 97 97 97 99 105 107


5 9 40 125 227 249 312 370 391 415 458 473 458 446 488 507 524

Government Public Health Activities 2 6 28 79 152 164 181 186 188 194 204 219 235 242 244 236 239

Investment 14 37 87 192 310 320 355 379 401 428 440 479 508 477 483 507 511

Research6

4 9 24 50 90 100 111 120 132 136 139 141 145 148 159 160 154

Structures and Equipment 10 28 64 142 220 220 243 259 269 291 301 338 363 329 325 348 357

Table 2 - Continued

National Health Expenditures; Aggregate and Per Capita Amounts, Annual Percent Change and Percent Distribution, by Type of Expenditure: Selected Calendar Years 1960-2012

Type of Expenditure 1960 1970 1980 1990 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012





Hospital Care 11.7 14.0 9.6 5.2 8.1 8.3 8.2 7.6 7.7 7.0 6.2 5.3 6.6 4.6 3.5 4.9

Professional Services 9.5 12.6 12.4 6.5 8.7 8.0 7.2 7.0 6.0 5.1 5.7 5.5 3.0 3.2 3.8 4.4

Physician and Clinical Services 9.8 12.8 12.8 6.2 8.5 8.0 8.0 6.9 6.1 5.2 5.2 5.3 3.4 3.1 4.1 4.6

Other Professional Services 6.3 17.0 17.5 7.8 9.7 7.5 7.0 7.6 4.8 4.3 8.2 7.6 4.4 4.6 4.6 4.5

Dental Services 9.0 11.0 9.0 7.0 8.9 8.6 3.5 7.6 6.0 5.1 6.4 5.2 0.1 2.8 2.2 3.0


11.4 20.4 11.1 10.2 9.3 9.9 7.8 8.3 6.5 5.3 5.9 5.4 7.9 4.6 3.3 4.5

Home Health Care2

14.5 26.9 18.1 9.9 6.2 6.4 8.7 10.1 11.2 8.0 9.9 7.8 8.0 5.8 4.1 5.1

Nursing Care Facilities and Continuing Care Retirement Communities2, 3 17.4 14.2 11.4 6.6 6.7 4.1 6.2 5.4 6.3 4.3 7.8 4.9 4.5 3.2 4.3 1.6

Retail Outlet Sales of Medical Products 7.7 9.4 11.4 8.8 10.4 11.5 10.4 8.0 6.3 8.5 5.8 2.8 4.0 1.2 3.0 1.2

Prescription Drugs 7.5 8.2 12.8 11.6 14.7 14.0 11.9 9.0 6.4 9.3 5.1 2.8 4.9 0.4 2.5 0.4

Durable Medical Equipment 9.0 8.8 13.0 6.2 -0.1 7.9 3.4 5.1 4.8 4.7 6.2 1.6 0.4 5.6 5.6 5.6

Other Non-Durable Medical Products 7.4 11.4 8.6 3.5 2.2 3.2 8.7 5.2 7.1 7.2 9.2 3.6 1.7 1.8 3.0 1.8


30.0 14.1 10.0 9.1 11.8 15.5 11.0 7.6 7.4 1.6 1.8 0.5 1.3 2.4 7.3 2.7


6.4 17.3 13.1 7.3 10.5 26.8 19.4 6.8 6.9 11.6 4.3 -2.4 -1.8 10.4 4.5 4.2

Government Public Health Activities 13.8 16.9 12.0 8.0 8.7 11.2 4.0 1.9 3.8 6.4 8.3 8.5 3.6 1.6 -2.6 2.3

Investment 11.7 10.0 9.2 6.0 4.3 11.8 7.8 6.7 7.7 3.7 9.9 7.1 -5.3 2.2 5.7 1.4

Research6

10.9 10.8 8.9 7.2 12.0 12.3 8.9 10.5 4.7 2.9 2.3 3.8 3.0 8.1 1.2 -3.1

Structures and Equipment 12.0 9.7 9.4 5.6 1.1 11.6 7.3 5.0 9.1 4.1 13.5 8.5 -8.6 -0.5 7.8 3.4


National Health Expenditures 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0%

Health Consumption Expenditures 90.6 89.6 92.1 93.3 93.6 93.9 93.8 93.8 93.8 93.8 93.9 93.7 93.6 94.2 94.3 94.1 94.3


Hospital Care 32.8 36.3 39.3 34.6 30.2 30.1 29.7 29.6 29.7 29.9 30.1 30.1 30.2 31.0 31.3 31.2 31.6

Professional Services 29.3 26.4 25.3 28.7 28.3 28.4 28.0 27.6 27.6 27.4 27.0 26.9 27.1 26.9 26.7 26.8 26.9



Dental Services 7.3 6.3 5.2 4.4 4.5 4.5 4.5 4.3 4.3 4.3 4.2 4.2 4.2 4.1 4.1 4.0 4.0


1.6 1.8 3.3 3.4 4.7 4.7 4.7 4.7 4.8 4.7 4.7 4.7 4.7 4.9 4.9 4.9 4.9

Home Health Care2

0.2 0.3 0.9 1.7 2.4 2.3 2.2 2.2 2.3 2.4 2.4 2.5 2.6 2.7 2.7 2.7 2.8


3.0 5.4 6.0 6.2 6.2 6.1 5.8 5.6 5.5 5.5 5.4 5.5 5.5 5.5 5.5 5.5 5.4

Retail Outlet Sales of Medical Products 18.4 14.1 10.1 10.6 12.9 13.1 13.3 13.6 13.7 13.6 13.9 13.8 13.6 13.6 13.2 13.1 12.8



Other Non-Durable Medical Products 5.9 4.4 3.8 3.1 2.3 2.2 2.0 2.0 2.0 2.0 2.0 2.1 2.1 2.0 2.0 2.0 1.9


0.2 1.0 1.1 1.0 1.2 1.3 1.3 1.4 1.4 1.4 1.3 1.3 1.2 1.2 1.2 1.2 1.2


3.7 2.5 3.6 4.4 4.7 4.7 5.5 6.0 6.0 6.0 6.3 6.2 5.8 5.5 5.8 5.9 5.9


Investment 9.4 10.4 7.9 6.7 6.4 6.1 6.2 6.2 6.2 6.2 6.1 6.3 6.4 5.8 5.7 5.9 5.7

Research6

2.5 2.6 2.1 1.8 1.8 1.9 2.0 2.0 2.0 2.0 1.9 1.8 1.8 1.8 1.9 1.8 1.7

Structures and Equipment 6.8 7.8 5.7 5.0 4.5 4.2 4.3 4.2 4.1 4.2 4.1 4.4 4.6 4.0 3.9 4.0 4.0

1 Includes expenditures for residential care facilities (NAICS 623210 and 623220), ambulance providers (NAICS 621910), medical care delivered in non-traditional settings (such as community centers, senior citizens centers, schools, and military field stations), and

expenditures for Home and Community Based Waiver programs under Medicaid.

2 Includes freestanding facilities only. Additional services of this type provided in hospital-based facilities are counted as hospital care.

3 Includes care provided in nursing care facilities (NAICS 6231), continuing care retirement communities (623311), state and local government nursing facilities, and nursing facilities operated by the Department of Veterans Affairs (DVA).

4 Includes all administrative costs (federal and state and local employees' salaries, contracted employees including fiscal intermediaries, rent and building costs, computer systems and programs, other materials and supplies, and other miscellaneous expenses)

associated with insuring individuals enrolled in the following health insurance programs: Medicare, Medicaid, Children's Health Insurance Program, Department of Defense, Department of Veterans Affairs, Indian Health Service, workers' compensation, maternal and

child health, vocational rehabilitation, Substance Abuse and Mental Health Services Administration, and other federal programs.

5 Net cost of health insurance is calculated as the difference between CY incurred premiums earned and benefits paid for private health insurance. This includes administrative costs, and in some cases, additions to reserves, rate credits and dividends, premium taxes,

and plan profits or losses. Also included in this category is the difference between premiums earned and benefits paid for the private health insurance companies that insure the enrollees of the following programs: Medicare, Medicaid, Children's Health Insurance

Program, and workers' compensation (health portion only).

6 Research and development expenditures of drug companies and other manufacturers and providers of medical equipment and supplies are excluded from "research expenditures" but are included in the expenditure class in which the product falls.

NOTE: Numbers may not add to totals due to rounding. Dollar amounts shown are in current dollars.

SOURCE: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group.

Table 3

National Health Expenditures; Levels and Annual Percent Change, by Source of Funds: Selected Calendar Years 1960-2012

Item 1960 1970 1980 1990 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

Amount in Billions



Out of pocket 13.1 25.0 58.4 138.6 201.7 209.0 221.9 238.2 251.7 267.3 277.3 293.6 300.7 300.7 305.6 316.1 328.2

Health Insurance 7.5 31.7 142.2 439.5 920.4 1,015.2 1,122.3 1,222.8 1,322.4 1,416.7 1,520.8 1,611.8 1,703.2 1,798.5 1,873.9 1,943.4 2,014.4

Private Health Insurance 5.8 15.4 69.0 234.2 459.2 502.5 561.4 615.7 660.0 703.2 740.2 777.7 807.8 833.1 859.6 888.8 917.0

Medicare - 7.7 37.4 110.2 224.8 247.7 265.4 282.7 311.2 339.8 403.7 432.8 467.9 499.9 520.2 546.2 572.5

Medicaid - 5.3 26.0 73.7 200.5 224.2 248.2 269.1 290.9 309.5 306.9 326.2 344.9 375.4 398.1 407.7 421.2

Federal - 2.8 14.5 42.6 116.9 132.3 145.3 160.9 172.4 177.6 174.1 185.8 203.5 248.1 267.5 248.3 237.9

State and Local - 2.4 11.5 31.1 83.6 91.9 102.9 108.2 118.5 131.9 132.8 140.4 141.4 127.3 130.7 159.4 183.3

Other Health Insurance Programs1

1.7 3.3 9.7 21.4 35.8 40.8 47.3 55.2 60.3 64.1 70.0 75.1 82.6 90.2 96.0 100.7 103.8

Other Third Party Payers and Programs and Public Health Activity2

4.3 10.4 35.1 97.5 167.5 177.9 191.7 207.0 214.3 225.0 237.5 253.3 253.4 258.8 270.2 275.4 290.8

Investment 2.6 7.8 20.1 48.7 87.5 91.3 102.0 110.0 117.4 126.4 131.1 144.2 154.4 146.2 149.4 157.8 160.0




Out of pocket 6.7 8.8 9.0 3.8 3.6 6.2 7.4 5.6 6.2 3.8 5.9 2.4 -0.0 1.6 3.5 3.8

Health Insurance 15.6 16.2 11.9 7.7 10.3 10.6 8.9 8.1 7.1 7.3 6.0 5.7 5.6 4.2 3.7 3.7

Private Health Insurance 10.3 16.2 13.0 7.0 9.4 11.7 9.7 7.2 6.6 5.3 5.1 3.9 3.1 3.2 3.4 3.2

Medicare - 17.2 11.4 7.4 10.2 7.1 6.5 10.1 9.2 18.8 7.2 8.1 6.8 4.1 5.0 4.8

Medicaid - 17.3 11.0 10.5 11.8 10.7 8.4 8.1 6.4 -0.9 6.3 5.8 8.8 6.1 2.4 3.3

Federal - 17.7 11.4 10.6 13.1 9.9 10.7 7.2 3.0 -2.0 6.7 9.6 21.9 7.8 -7.2 -4.2

State and Local - 16.7 10.4 10.4 10.0 11.9 5.2 9.5 11.3 0.7 5.7 0.7 -10.0 2.7 22.0 15.0

Other Health Insurance Programs1

7.0 11.4 8.2 5.3 13.7 16.1 16.7 9.3 6.3 9.1 7.4 9.9 9.2 6.4 4.9 3.1

Other Third Party Payers and Programs and Public Health Activity2

9.3 13.0 10.7 5.6 6.2 7.8 8.0 3.5 5.0 5.5 6.7 0.0 2.1 4.4 1.9 5.6

Investment 11.7 10.0 9.2 6.0 4.3 11.8 7.8 6.7 7.7 3.7 9.9 7.1 -5.3 2.2 5.7 1.4

1 Includes Children's Health Insurance Program (Titles XIX and XXI), Department of Defense, and Department of Veterans Affairs.

2 Includes worksite health care, other private revenues, Indian Health Service, workers' compensation, general assistance, maternal and child health, vocational rehabilitation, other federal programs, Substance Abuse and Mental Health Services Administration, other state

and local programs, and school health.

NOTE: Numbers may not add to totals because of rounding. Dollar amounts shown are in current dollars. "-" Not applicable. Medicare and Medicaid became effective July 1966.


Table 4

National Health Expenditures by Source of Funds and Type of Expenditures: Calendar Years 2006-2012

Health Insurance

Year and Type of Expenditure Total Out of Pocket

Total Health

Insurance

Private Health

Insurance Medicare Medicaid

Other Health

Insurance

Programs1

Other Third Party

Payers2

Public Health

Activity Investment

2006 Amount in Billions

National Health Expenditures $2,166.7 $277.3 $1,520.8 $740.2 $403.7 $306.9 $70.0 $176.6 $60.9 $131.1

Health Consumption Expenditures 2,035.6 277.3 1,520.8 740.2 403.7 306.9 70.0 176.6 60.9 -

Personal Health Care 1,809.2 277.3 1,371.0 639.0 382.3 283.4 66.3 160.9 - -

Hospital Care 651.9 20.9 568.0 237.0 184.7 110.1 36.2 63.0 - -

Professional Services 585.2 99.5 435.1 277.9 101.7 39.5 16.0 50.6 - -

Physician and Clinical Services 438.8 44.6 349.2 211.9 91.3 31.5 14.4 45.0 - -

Other Professional Services 55.0 14.7 34.9 20.8 10.2 3.7 0.2 5.3 - -

Dental Services 91.4 40.2 50.9 45.1 0.1 4.3 1.4 0.4 - -


101.7 5.9 63.4 4.5 3.7 52.5 2.7 32.3 - -

Home Health Care4

52.6 5.9 44.2 5.6 21.1 17.2 0.3 2.5 - -


117.3 34.8 74.7 8.3 22.4 41.3 2.8 7.8 - -

Retail Outlet Sales of Medical Products 300.5 110.3 185.6 105.8 48.8 22.8 8.2 4.7 - -

Prescription Drugs 224.5 51.4 169.0 102.1 39.6 19.1 8.2 4.1 - -

Durable Medical Equipment 32.3 17.5 14.3 3.7 6.9 3.6 0.1 0.5 - -

Other Non-Durable Medical Products 43.7 41.4 2.3 - 2.3 - - 0.0 - -


28.8 - 25.8 - 6.7 16.0 3.1 3.0 - -


136.7 124.0 101.2 14.7 7.5 0.6 12.8 - -

Government Public Health Activities 60.9 - - - - - - - 60.9 -

Investment 131.1 - - - - - - - - 131.1

Research8

41.5 - - - - - - - - 41.5

Structures and Equipment 89.7 - - - - - - - - 89.7





Hospital Care 692.5 22.4 601.4 249.9 193.2 119.4 38.9 68.7 - -




Dental Services 97.3 43.0 54.0 47.6 0.2 4.6 1.7 0.4 - -


107.7 6.0 67.1 4.8 3.9 56.5 1.9 34.6 - -

Home Health Care4

57.8 5.5 49.9 5.1 24.3 20.1 0.4 2.5 - -


126.4 37.7 79.2 9.0 24.8 42.1 3.2 9.5 - -






29.3 - 26.9 - 6.7 16.8 3.4 2.3 - -


142.6 130.2 104.6 17.4 7.6 0.6 12.3 - -


Investment 144.2 - - - - - - - - 144.2

Research8

42.4 - - - - - - - - 42.4


Table 4 - Continued


Health Insurance


Total Health

Insurance

Private Health


Other Health

Insurance

Programs1

Other Third Party

Payers2

Public Health

Activity Investment





Hospital Care 729.0 23.3 640.1 265.1 206.3 125.2 43.5 65.5 - -




Dental Services 102.4 45.5 56.5 49.1 0.2 5.5 1.8 0.4 - -


113.5 6.3 70.4 5.3 4.2 58.9 2.0 36.9 - -

Home Health Care4

62.3 5.4 54.5 4.8 27.1 22.2 0.5 2.3 - -


132.6 39.2 84.7 9.6 27.6 43.8 3.6 8.7 - -






29.4 - 27.9 - 6.9 17.6 3.4 1.5 - -


139.2 129.8 101.8 18.1 9.1 0.8 9.3 - -


Investment 154.4 - - - - - - - - 154.4

Research8

44.0 - - - - - - - - 44.0






Hospital Care 776.8 25.0 680.9 280.8 216.0 137.0 47.1 70.9 - -




Dental Services 102.5 43.1 58.9 49.9 0.3 6.8 1.9 0.5 - -


122.5 6.7 77.2 5.7 4.6 64.3 2.6 38.6 - -

Home Health Care4

67.2 4.9 60.2 4.5 30.3 24.7 0.6 2.1 - -


138.5 39.9 89.4 10.4 30.1 45.0 3.9 9.2 - -






29.8 - 28.9 - 7.0 18.2 3.8 0.9 - -


136.7 129.8 97.0 21.6 10.4 0.8 6.9 - -


Investment 146.2 - - - - - - - - 146.2

Research8

45.4 - - - - - - - - 45.4


Table 4 - Continued


Health Insurance


Total Health

Insurance

Private Health


Other Health

Insurance

Programs1

Other Third Party

Payers2

Public Health

Activity Investment





Hospital Care 812.6 26.1 709.4 290.1 221.5 147.7 50.2 77.0 - -




Dental Services 105.4 43.6 61.2 51.3 0.2 7.4 2.3 0.5 - -


128.1 7.0 81.5 6.2 4.8 67.5 3.1 39.6 - -

Home Health Care4

71.2 5.1 64.0 4.6 31.8 26.7 0.8 2.1 - -


143.0 40.3 92.4 10.9 32.0 45.5 4.0 10.3 - -






30.5 - 29.7 - 7.3 18.1 4.3 0.8 - -


150.9 144.3 106.4 23.4 13.4 1.0 6.6 - -


Investment 149.4 - - - - - - - - 149.4

Research8

49.1 - - - - - - - - 49.1






Hospital Care 840.8 27.5 734.7 303.2 229.5 150.2 51.8 78.6 - -




Dental Services 107.7 45.0 62.2 52.1 0.3 7.3 2.5 0.5 - -


132.3 7.1 84.6 6.5 5.0 69.3 3.8 40.6 - -

Home Health Care4

74.0 5.6 66.2 5.0 32.4 27.9 0.9 2.2 - -


149.2 41.6 97.4 11.6 35.2 46.3 4.3 10.2 - -






32.8 - 31.5 - 8.2 18.9 4.4 1.2 - -


157.6 149.6 109.9 24.5 14.2 1.0 8.0 - -


Investment 157.8 - - - - - - - - 157.8

Research8

49.7 - - - - - - - - 49.7


Table 4 - Continued


Health Insurance


Total Health

Insurance

Private Health


Other Health

Insurance

Programs1

Other Third Party

Payers2

Public Health

Activity Investment





Hospital Care 882.3 29.8 770.1 320.9 239.8 156.4 53.0 82.4 - -




Dental Services 110.9 46.8 63.6 53.4 0.4 7.3 2.6 0.5 - -


138.2 7.5 89.0 6.9 5.1 72.9 4.1 41.7 - -

Home Health Care4

77.8 6.0 69.3 5.6 33.8 28.9 1.0 2.4 - -


151.5 43.3 97.2 12.0 34.4 46.3 4.4 11.1 - -






33.6 - 31.9 - 8.6 19.1 4.2 1.8 - -


164.3 152.6 109.9 25.9 15.8 1.0 11.7 - -


Investment 160.0 - - - - - - - - 160.0

Research8

48.1 - - - - - - - - 48.1



2 Includes worksite health care, other private revenues, Indian Health Service, workers' compensation, general assistance, maternal and child health, vocational rehabilitation, other federal programs, Substance

Abuse and Mental Health Services Administration, other state and local programs, and school health.

3 Includes expenditures for residential care facilities (NAICS 623210 and 623220), ambulance providers (NAICS 621910), medical care delivered in non-traditional settings (such as community centers, senior

citizens centers, schools, and military field stations), and expenditures for Home and Community Waiver programs under Medicaid.

4 Includes freestanding facilities only. Additional services of this type provided in hospital-based facilities are counted as hospital care.

5 Includes care provided in nursing care facilities (NAICS 6231), continuing care retirement communities (623311), state and local government nursing facilities, and nursing facilities operated by the Department of

Veterans Affairs (DVA).

6 Includes all administrative costs (federal and state and local employees' salaries, contracted employees including fiscal intermediaries, rent and building costs, computer systems and programs, other materials

and supplies, and other miscellaneous expenses) associated with insuring individuals enrolled in the following programs: Medicare, Medicaid, Children's Health Insurance Program, Department of Defense,

Department of Veterans Affairs, Indian Health Service, workers' compensation, maternal and child health, vocational rehabilitation, Substance Abuse and Mental Health Services Administration, and other federal

programs.

7 Net cost of health insurance is calculated as the difference between CY incurred premiums earned and benefits paid for private health insurance. This includes administrative costs, and in some cases, additions

to reserves, rate credits and dividends, premium taxes, and plan profits or losses. Also included in this category is the difference between premiums earned and benefits paid for the private health insurance

companies that insure the enrollees of the following programs: Medicare, Medicaid, Children's Health Insurance Program, and workers' compensation (health portion only).

8 Research and development expenditures of drug companies and other manufacturers and providers of medical equipment and supplies are excluded from "research expenditures" but are included in the

expenditure class in which the product falls.

Note: Numbers may not add to totals because of rounding. The figure 0.0 denotes amounts less than $50 million. Dashes (--) indicate "not applicable". Dollar amounts shown are in current dollars.


Table 5

National Health Expenditures by Type of Sponsor:

Calendar Years 1987-2012

Type of Sponsor 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

Billions of Dollars

National Health Expenditures $519.1 $581.7 $647.5 $724.3 $791.5 $857.9 $921.5 $972.7 $1,027.4 $1,081.8 $1,142.6 $1,208.9 $1,286.5 $1,377.2 $1,493.4 $1,638.0 $1,778.0 $1,905.7 $2,035.4 $2,166.7 $2,302.9 $2,411.7 $2,504.2 $2,599.0 $2,692.8 $2,793.4

Business, Households and Other Private 354.1 402.0 444.4 488.2 521.5 553.5 582.3 607.2 642.3 675.6 716.0 775.3 830.0 888.1 936.1 1010.8 1089.6 1156.7 1231.6 1295.0 1373.0 1414.4 1413.9 1443.0 1495.3 1564.7

Private Business1

122.3 138.9 158.8 178.3 192.0 207.7 220.3 231.1 243.6 260.3 268.5 289.0 315.4 346.1 371.8 400.4 433.4 458.2 486.4 500.6 522.6 528.1 528.6 530.7 552.8 578.6

Household2

189.9 214.0 233.1 253.0 268.8 279.3 291.0 301.5 319.0 329.9 354.7 383.8 406.0 434.1 457.0 494.3 530.4 566.4 603.0 641.1 678.0 712.6 717.0 736.9 759.7 792.4

Other Private Revenues3

41.9 49.1 52.4 56.9 60.7 66.5 71.0 74.6 79.7 85.4 92.8 102.5 108.5 107.9 107.3 116.1 125.8 132.1 142.2 153.3 172.4 173.7 168.3 175.4 182.8 193.7

Government 165.0 179.7 203.1 236.1 270.0 304.4 339.2 365.5 385.1 406.2 426.6 433.6 456.5 489.0 557.3 627.2 688.4 749.0 803.8 871.8 929.9 997.3 1090.3 1156.0 1197.4 1228.7

Federal4

86.1 92.4 105.5 125.3 146.7 172.0 193.6 205.0 217.2 231.8 240.3 236.5 245.5 261.4 306.6 348.0 389.5 425.8 452.6 498.5 530.3 584.9 683.8 734.0 736.1 731.6

State and local5

78.9 87.4 97.6 110.8 123.3 132.4 145.6 160.5 167.9 174.4 186.3 197.1 211.0 227.6 250.6 279.2 299.0 323.2 351.1 373.3 399.6 412.4 406.5 422.0 461.3 497.2

Annual Percent Change

National Health Expenditures 12.1% 11.3% 11.9% 9.3% 8.4% 7.4% 5.6% 5.6% 5.3% 5.6% 5.8% 6.4% 7.1% 8.4% 9.7% 8.6% 7.2% 6.8% 6.5% 6.3% 4.7% 3.8% 3.8% 3.6% 3.7%

Business, Households and Other Private 13.5 10.5 9.9 6.8 6.1 5.2 4.3 5.8 5.2 6.0 8.3 7.0 7.0 5.4 8.0 7.8 6.2 6.5 5.1 6.0 3.0 0.0 2.1 3.6 4.6

Private Business1

13.5 14.4 12.2 7.7 8.2 6.1 4.9 5.4 6.8 3.1 7.7 9.1 9.7 7.4 7.7 8.2 5.7 6.2 2.9 4.4 1.1 0.1 0.4 4.2 4.7

Household2

12.7 8.9 8.5 6.2 3.9 4.2 3.6 5.8 3.4 7.5 8.2 5.8 6.9 5.3 8.2 7.3 6.8 6.5 6.3 5.8 5.1 0.6 2.8 3.1 4.3


17.1 6.8 8.6 6.6 9.5 6.8 5.1 6.8 7.2 8.7 10.4 5.9 -0.6 -0.5 8.2 8.3 5.0 7.7 7.8 12.5 0.8 -3.1 4.2 4.2 6.0

Government 8.9 13.0 16.3 14.4 12.7 11.4 7.8 5.4 5.5 5.0 1.6 5.3 7.1 14.0 12.5 9.8 8.8 7.3 8.5 6.7 7.2 9.3 6.0 3.6 2.6

Federal4

7.3 14.2 18.8 17.0 17.2 12.6 5.9 6.0 6.7 3.7 -1.6 3.8 6.5 17.3 13.5 11.9 9.3 6.3 10.1 6.4 10.3 16.9 7.3 0.3 -0.6

State and local5

10.7 11.7 13.5 11.3 7.4 9.9 10.2 4.6 3.9 6.8 5.8 7.1 7.9 10.1 11.4 7.1 8.1 8.6 6.3 7.0 3.2 -1.4 3.8 9.3 7.8


National Health Expenditures 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0%

Business, Households and Other Private 68.2 69.1 68.6 67.4 65.9 64.5 63.2 62.4 62.5 62.5 62.7 64.1 64.5 64.5 62.7 61.7 61.3 60.7 60.5 59.8 59.6 58.6 56.5 55.5 55.5 56.0

Private Business1

23.6 23.9 24.5 24.6 24.3 24.2 23.9 23.8 23.7 24.1 23.5 23.9 24.5 25.1 24.9 24.4 24.4 24.0 23.9 23.1 22.7 21.9 21.1 20.4 20.5 20.7

Household2

36.6 36.8 36.0 34.9 34.0 32.6 31.6 31.0 31.1 30.5 31.0 31.7 31.6 31.5 30.6 30.2 29.8 29.7 29.6 29.6 29.4 29.5 28.6 28.4 28.2 28.4


8.1 8.4 8.1 7.9 7.7 7.7 7.7 7.7 7.8 7.9 8.1 8.5 8.4 7.8 7.2 7.1 7.1 6.9 7.0 7.1 7.5 7.2 6.7 6.8 6.8 6.9

Government 31.8 30.9 31.4 32.6 34.1 35.5 36.8 37.6 37.5 37.5 37.3 35.9 35.5 35.5 37.3 38.3 38.7 39.3 39.5 40.2 40.4 41.4 43.5 44.5 44.5 44.0

Federal4

16.6 15.9 16.3 17.3 18.5 20.0 21.0 21.1 21.1 21.4 21.0 19.6 19.1 19.0 20.5 21.2 21.9 22.3 22.2 23.0 23.0 24.3 27.3 28.2 27.3 26.2

State and local5

15.2 15.0 15.1 15.3 15.6 15.4 15.8 16.5 16.3 16.1 16.3 16.3 16.4 16.5 16.8 17.0 16.8 17.0 17.3 17.2 17.4 17.1 16.2 16.2 17.1 17.8

1Private business includes employer contributions to private health insurance premiums, employer Medicare Hospital Insurance (HI) payroll taxes, one-half of self- employment contributions to Medicare HI Trust Fund, workers' compensation, temporary disability insurance, and worksite health care. Excludes

Medicare Retiree Drug Subsidy (RDS) payments to private plans beginning in 2006, small business tax credits beginning in 2010, and Early Retirement Reinsurance Program payments (ERRP), (2010 -2011).

2Household includes employee contributions to employer-sponsored health insurance, individually purchased health insurance, employee and self-employment payroll taxes and premiums paid to the Medicare HI and Supplementary Medical Insurance (SMI) Trust Funds, premiums paid for the Preexisting Condition

Insurance Program (PCIP) beginning in 2010, and out-of-pocket health spending.

3Other private revenues includes health-related philanthropic support, nonoperating revenue, investment income, and privately funded structures and equipment.

4Federal government includes employer contributions to private health insurance premiums, employer Medicare HI payroll taxes, trust fund interest income, federal general revenue contributions to Medicare less the net change in the trust fund balance and payments for the Retiree Drug Subsidy, federal

Medicaid expenditures, the federal portion of Medicaid buy-ins for the Medicare premiums of people eligible for both Medicaid and Medicare (dual eligibles), and the following federal programs: maternal and child health; vocational rehabilitation; Substance Abuse and Mental Health Services Administration;

Indian Health Service; federal workers’ compensation; other federal programs; public health activities; Department of Defense; Department of Veterans Affairs; Children's Health Insurance Program (CHIP); and investment (research, structures and equipment). Also includes the subsidy for COBRA coverage,

(2009 - 2011), small business tax credits, (2010 - 2011), and ERRP payments, (2010 - 2011). Excludes premiums paid to Medicare HI and SMI Trust Funds, Part D state phase-down payments beginning in 2006, trust fund revenues from the income taxation of Social Security benefits, and premiums paid for

the PCIP beginning in 2010.

5State and local government includes employer contributions to private health insurance premiums, employer Medicare HI payroll taxes, state and local Medicaid expenditures, the state and local portion of Medicaid buy-ins for dual eligibles, and the following state and local programs: maternal and child health; public and

general assistance; CHIP, Titles XIX and XXI; vocational rehabilitation; other state and local programs; public health activities; and investment (research, structures and equipment). Also includes Part D state phase-down payments to Medicare beginning in 2006.

NOTES Numbers might not add to totals because of rounding. Percent distributions are calculated from unrounded data.

SOURCE Centers for Medicare and Medicaid Services, Office of the Actuary, National Health Statistics Group.

Table 6

Personal Health Care Expenditures1; Levels, Percent Change and Percent Distribution,

by Source of Funds: Selected Calendar Years 1970-2012

Health Insurance2

Year Total Out of Pocket Health Insurance2

Private Health


Other Health

Insurance

Programs3

Other Third Party

Payers4

Amount in Billions

1970 $63.1 $25.0 $29.6 $14.0 $7.3 $5.0 $3.3 $8.5

1980 217.2 58.4 131.9 61.4 36.3 24.7 9.6 26.9

1990 616.8 138.6 403.2 205.1 107.3 69.7 21.2 74.9

2000 1165.4 201.7 844.9 406.7 216.3 186.9 34.9 118.7

2001 1265.3 209.0 932.3 445.3 239.1 208.4 39.5 124.0

2002 1371.9 221.9 1020.1 488.1 256.6 230.1 45.4 129.9

2003 1482.1 238.2 1103.5 527.2 274.0 249.4 52.9 140.4

2004 1592.3 251.7 1194.9 566.4 300.1 270.9 57.5 145.7

2005 1701.0 267.3 1281.3 606.5 326.3 287.7 60.8 152.4

2006 1809.2 277.3 1371.0 639.0 382.3 283.4 66.3 160.9

2007 1921.0 293.6 1454.6 673.0 408.8 301.7 71.1 172.7

2008 2017.1 300.7 1545.4 706.0 442.9 318.2 78.4 171.0

2009 2117.4 300.7 1639.8 736.1 471.3 346.8 85.6 176.9

2010 2192.9 305.6 1699.9 753.2 489.4 366.6 90.6 187.5

2011 2271.2 316.1 1762.3 778.9 513.5 374.6 95.3 192.9

2012 2360.4 328.2 1829.9 807.0 538.0 386.3 98.5 202.4


19705

10.4% 6.7% 16.2% 11.0% - - 6.9% 8.7%

1980 13.2 8.8 16.1 15.9 17.4 17.2 11.4 12.2

1990 11.0 9.0 11.8 12.8 11.5 10.9 8.2 10.8

2000 6.6 3.8 7.7 7.1 7.3 10.4 5.1 4.7

2001 8.6 3.6 10.3 9.5 10.5 11.5 13.0 4.4

2002 8.4 6.2 9.4 9.6 7.3 10.4 15.1 4.8

2003 8.0 7.4 8.2 8.0 6.8 8.4 16.5 8.0

2004 7.4 5.6 8.3 7.4 9.5 8.6 8.8 3.8

2005 6.8 6.2 7.2 7.1 8.7 6.2 5.6 4.6

2006 6.4 3.8 7.0 5.4 17.2 -1.5 9.0 5.6

2007 6.2 5.9 6.1 5.3 6.9 6.5 7.3 7.3

2008 5.0 2.4 6.2 4.9 8.3 5.5 10.3 -1.0

2009 5.0 0.0 6.1 4.3 6.4 9.0 9.2 3.5

2010 3.6 1.6 3.7 2.3 3.8 5.7 5.9 6.0

2011 3.6 3.5 3.7 3.4 4.9 2.2 5.1 2.9

2012 3.9 3.8 3.8 3.6 4.8 3.1 3.4 4.9


1970 100.0% 39.6% 46.9% 22.2% 11.5% 8.0% 5.2% 13.5%

1980 100.0 26.9 60.7 28.3 16.7 11.4 4.4 12.4

1990 100.0 22.5 65.4 33.2 17.4 11.3 3.4 12.1

2000 100.0 17.3 72.5 34.9 18.6 16.0 3.0 10.2

2001 100.0 16.5 73.7 35.2 18.9 16.5 3.1 9.8

2002 100.0 16.2 74.4 35.6 18.7 16.8 3.3 9.5

2003 100.0 16.1 74.5 35.6 18.5 16.8 3.6 9.5

2004 100.0 15.8 75.0 35.6 18.8 17.0 3.6 9.1

2005 100.0 15.7 75.3 35.7 19.2 16.9 3.6 9.0

2006 100.0 15.3 75.8 35.3 21.1 15.7 3.7 8.9

2007 100.0 15.3 75.7 35.0 21.3 15.7 3.7 9.0

2008 100.0 14.9 76.6 35.0 22.0 15.8 3.9 8.5

2009 100.0 14.2 77.4 34.8 22.3 16.4 4.0 8.4

2010 100.0 13.9 77.5 34.3 22.3 16.7 4.1 8.6

2011 100.0 13.9 77.6 34.3 22.6 16.5 4.2 8.5

2012 100.0 13.9 77.5 34.2 22.8 16.4 4.2 8.6

1 Personal health care goods and services comprise of all of the medical goods and services that are rendered to treat or prevent a specific disease or condition in

a specific person. These include hospital, professional services, other health, residential, and personal care, home health, nursing care facilities and continuing

care retirement communities, prescription drugs, durable medical equipment, and other non-durable medical equipment.2 Includes Private Health Insurance, Medicare, Medicaid, Children's Health Insurance Program (Titles XIX and XXI), Department of Defense, and Department of

Veterans Affairs.


4 Includes worksite health care, other private revenues, Indian Health Service, workers’ compensation, general assistance, maternal and child health, vocational

rehabilitation, other federal programs, Substance Abuse and Mental Health Services Administration, other state and local programs, and school health.

5 Average annual growth from 1960-1970.

NOTE: Numbers and percents may not add to totals due to rounding. Dollar amounts shown are in current dollars. "-" Not applicable; Medicare and Medicaid

became effective July 1966.


Table 7

Hospital Care Expenditures; Levels, Percent Change and Percent Distribution,


Health Insurance1


Private Health


Other Health

Insurance

Programs2

Other Third Party

Payers3

Amount in Billions

1970 $27.2 $2.5 $19.4 $8.8 $5.4 $2.6 $2.6 $5.3

1980 100.5 5.4 80.1 36.9 26.3 9.2 7.7 15.1

1990 250.4 11.2 206.8 96.9 67.4 26.7 15.8 32.5

2000 415.5 13.5 358.0 141.6 123.4 71.2 21.9 44.0

2001 449.4 13.8 390.5 154.0 135.0 77.7 23.8 45.0

2002 486.5 15.2 424.4 170.0 143.5 84.9 26.1 46.8

2003 526.2 16.9 457.0 185.6 150.9 90.7 29.8 52.2

2004 566.0 18.2 493.5 201.0 162.8 97.7 32.0 54.4

2005 609.4 19.5 532.6 217.5 176.4 104.8 33.8 57.3

2006 651.9 20.9 568.0 237.0 184.7 110.1 36.2 63.0

2007 692.5 22.4 601.4 249.9 193.2 119.4 38.9 68.7

2008 729.0 23.3 640.1 265.1 206.3 125.2 43.5 65.5

2009 776.8 25.0 680.9 280.8 216.0 137.0 47.1 70.9

2010 812.6 26.1 709.4 290.1 221.5 147.7 50.2 77.0

2011 840.8 27.5 734.7 303.2 229.5 150.2 51.8 78.6

2012 882.3 29.8 770.1 320.9 239.8 156.4 53.0 82.4


19704

11.7% 2.8% 15.6% 10.7% - - 6.6% 7.5%

1980 14.0 8.2 15.2 15.4 17.2 13.3 11.6 11.0

1990 9.6 7.6 10.0 10.1 9.9 11.2 7.5 8.0

2000 5.2 1.9 5.6 3.9 6.2 10.3 3.3 3.1

2001 8.1 2.6 9.1 8.8 9.5 9.1 8.9 2.2

2002 8.3 10.0 8.7 10.4 6.3 9.2 9.3 4.1

2003 8.2 11.1 7.7 9.2 5.2 6.9 14.4 11.5

2004 7.6 7.4 8.0 8.3 7.8 7.7 7.4 4.1

2005 7.7 7.6 7.9 8.2 8.4 7.3 5.5 5.4

2006 7.0 6.9 6.7 9.0 4.7 5.1 7.0 10.0

2007 6.2 7.2 5.9 5.5 4.6 8.4 7.5 9.0

2008 5.3 4.3 6.4 6.1 6.8 4.9 11.7 -4.6

2009 6.6 7.2 6.4 5.9 4.7 9.4 8.5 8.2

2010 4.6 4.3 4.2 3.3 2.5 7.8 6.5 8.7

2011 3.5 5.3 3.6 4.5 3.6 1.7 3.1 2.0

2012 4.9 8.4 4.8 5.8 4.5 4.1 2.4 4.9


1970 100.0% 9.0% 71.4% 32.5% 19.7% 9.7% 9.5% 19.5%

1980 100.0 5.4 79.6 36.7 26.1 9.2 7.7 15.0

1990 100.0 4.5 82.6 38.7 26.9 10.6 6.3 13.0

2000 100.0 3.2 86.2 34.1 29.7 17.1 5.3 10.6

2001 100.0 3.1 86.9 34.3 30.1 17.3 5.3 10.0

2002 100.0 3.1 87.2 34.9 29.5 17.4 5.4 9.6

2003 100.0 3.2 86.9 35.3 28.7 17.2 5.7 9.9

2004 100.0 3.2 87.2 35.5 28.8 17.3 5.7 9.6

2005 100.0 3.2 87.4 35.7 29.0 17.2 5.5 9.4

2006 100.0 3.2 87.1 36.3 28.3 16.9 5.5 9.7

2007 100.0 3.2 86.8 36.1 27.9 17.2 5.6 9.9

2008 100.0 3.2 87.8 36.4 28.3 17.2 6.0 9.0

2009 100.0 3.2 87.7 36.1 27.8 17.6 6.1 9.1

2010 100.0 3.2 87.3 35.7 27.3 18.2 6.2 9.5

2011 100.0 3.3 87.4 36.1 27.3 17.9 6.2 9.3

2012 100.0 3.4 87.3 36.4 27.2 17.7 6.0 9.3

1 Includes Private Health Insurance, Medicare, Medicaid, Children's Health Insurance Program (Titles XIX and XXI), Department of Defense, and Department of

Veterans Affairs.








Table 8

Physician and Clinical Services Expenditures; Levels, Percent Change and Percent Distribution,


Health Insurance1


Private Health


Other Health

Insurance

Programs2

Other Third Party

Payers3

Amount in Billions

1970 $14.3 $6.5 $7.0 $4.2 $1.6 $0.6 $0.5 $0.9

1980 47.7 14.2 28.5 16.6 8.3 2.4 1.1 5.0

1990 158.9 30.1 107.8 67.0 30.5 7.0 3.3 21.1

2000 290.9 32.5 222.7 138.0 58.7 19.2 6.8 35.7

2001 315.7 33.9 243.7 150.6 63.7 21.4 8.0 38.2

2002 340.9 35.4 265.4 163.7 68.0 23.9 9.8 40.1

2003 368.0 37.6 287.7 178.0 73.5 25.1 11.1 42.7

2004 393.3 39.7 310.1 189.7 80.5 27.7 12.2 43.4

2005 417.2 42.7 330.2 202.4 85.6 29.8 12.5 44.3

2006 438.8 44.6 349.2 211.9 91.3 31.5 14.4 45.0

2007 461.8 46.8 368.0 222.4 96.0 33.2 16.5 46.9

2008 486.5 48.7 390.9 233.0 103.8 35.6 18.5 46.9

2009 503.2 47.9 409.9 238.1 111.5 39.9 20.3 45.4

2010 519.0 50.9 420.5 241.6 115.1 42.6 21.2 47.5

2011 540.1 52.3 438.1 249.4 121.6 44.5 22.6 49.8

2012 565.0 54.9 455.9 258.3 128.1 45.6 23.9 54.2


19704

9.8% 6.7% 14.3% 10.2% - - 7.2% 7.9%

1980 12.8 8.2 15.1 14.7 17.6 14.1 8.9 18.9

1990 12.8 7.8 14.2 15.0 13.9 11.2 11.2 15.5

2000 6.2 0.8 7.5 7.5 6.8 10.6 7.4 5.4

2001 8.5 4.3 9.4 9.1 8.5 11.1 18.6 7.0

2002 8.0 4.5 8.9 8.7 6.8 11.8 21.9 5.1

2003 8.0 6.3 8.4 8.8 8.1 4.9 13.9 6.4

2004 6.9 5.7 7.8 6.6 9.5 10.6 9.3 1.7

2005 6.1 7.3 6.5 6.7 6.2 7.5 2.6 2.1

2006 5.2 4.6 5.8 4.7 6.7 5.8 15.9 1.4

2007 5.2 5.0 5.4 4.9 5.0 5.4 13.9 4.3

2008 5.3 3.9 6.2 4.8 8.2 7.1 12.3 0.0

2009 3.4 -1.5 4.8 2.2 7.4 12.2 9.9 -3.2

2010 3.1 6.3 2.6 1.5 3.3 6.6 4.2 4.7

2011 4.1 2.6 4.2 3.2 5.6 4.4 6.9 4.8

2012 4.6 5.0 4.1 3.6 5.4 2.6 5.6 8.8


1970 100.0% 45.1% 48.8% 29.4% 11.5% 4.5% 3.4% 6.1%

1980 100.0 29.8 59.8 34.8 17.4 5.1 2.4 10.4

1990 100.0 18.9 67.8 42.2 19.2 4.4 2.1 13.3

2000 100.0 11.2 76.6 47.4 20.2 6.6 2.3 12.3

2001 100.0 10.7 77.2 47.7 20.2 6.8 2.5 12.1

2002 100.0 10.4 77.9 48.0 20.0 7.0 2.9 11.8

2003 100.0 10.2 78.2 48.4 20.0 6.8 3.0 11.6

2004 100.0 10.1 78.9 48.2 20.5 7.1 3.1 11.0

2005 100.0 10.2 79.2 48.5 20.5 7.1 3.0 10.6

2006 100.0 10.2 79.6 48.3 20.8 7.2 3.3 10.2

2007 100.0 10.1 79.7 48.2 20.8 7.2 3.6 10.2

2008 100.0 10.0 80.4 47.9 21.3 7.3 3.8 9.6

2009 100.0 9.5 81.5 47.3 22.2 7.9 4.0 9.0

2010 100.0 9.8 81.0 46.6 22.2 8.2 4.1 9.2

2011 100.0 9.7 81.1 46.2 22.5 8.2 4.2 9.2

2012 100.0 9.7 80.7 45.7 22.7 8.1 4.2 9.6


Veterans Affairs.








Table 9

Physician Services1 Expenditures; Levels, Percent Change, and

Percent Distribution, by Source of Funds: Calendar Years 1998-2012

Health Insurance2

Year Total Out of Pocket

Health

Insurance2

Private Health


Other Health

Insurance

Programs3

Other Third Party

Payers4

Amount In Billions

1998 $205.8 $25.0 $162.2 $105.1 $46.3 $8.8 $2.0 $18.6

1999 217.8 25.8 172.0 110.4 49.6 9.1 2.9 20.1

2000 236.0 27.9 187.1 119.4 54.2 9.9 3.6 21.0

2001 258.9 29.4 206.6 132.1 58.8 11.4 4.3 22.9

2002 280.7 31.2 225.6 145.4 62.1 12.6 5.4 23.9

2003 304.1 33.1 244.6 157.8 67.4 13.0 6.4 26.4

2004 325.3 34.9 263.1 167.7 74.2 14.4 6.7 27.2

2005 344.7 37.4 279.3 178.4 78.9 15.3 6.7 27.9

2006 361.6 39.1 295.6 187.8 84.2 16.1 7.5 26.9

2007 379.1 40.9 310.1 196.0 88.6 17.1 8.4 28.1

2008 398.2 42.4 328.6 204.2 96.2 18.3 9.9 27.2

2009 409.0 42.0 342.0 207.2 103.6 20.1 11.0 25.1

2010 421.1 44.8 349.6 209.3 107.2 21.7 11.5 26.7

2011 435.8 45.9 362.4 215.6 113.4 21.7 11.8 27.5

2012 453.2 47.8 375.8 222.4 119.3 22.2 12.0 29.6


1999 5.8% 3.3% 6.0% 5.0% 7.2% 3.2% 43.0% 7.6%

2000 8.3 8.2 8.8 8.2 9.2 8.7 26.6 4.6

2001 9.7 5.2 10.4 10.7 8.5 15.0 18.2 9.2

2002 8.4 6.2 9.2 10.1 5.7 11.0 25.6 4.2

2003 8.3 5.9 8.4 8.5 8.5 3.0 18.2 10.5

2004 7.0 5.7 7.5 6.3 10.0 10.9 6.2 3.2

2005 6.0 7.1 6.2 6.4 6.4 6.0 -1.0 2.5

2006 4.9 4.5 5.8 5.3 6.7 4.9 11.7 -3.5

2007 4.8 4.7 4.9 4.3 5.2 6.6 12.2 4.2

2008 5.1 3.7 6.0 4.2 8.6 6.8 18.1 -3.2

2009 2.7 -1.0 4.1 1.5 7.6 10.1 11.5 -7.8

2010 2.9 6.7 2.2 1.0 3.4 7.6 4.4 6.5

2011 3.5 2.4 3.7 3.0 5.8 0.2 2.4 3.0

2012 4.0 4.1 3.7 3.1 5.2 2.1 1.9 7.9


1998 100.0% 12.1% 78.8% 51.0% 22.5% 4.3% 1.0% 9.1%

1999 100.0 11.9 78.9 50.7 22.8 4.2 1.3 9.2

2000 100.0 11.8 79.3 50.6 23.0 4.2 1.5 8.9

2001 100.0 11.4 79.8 51.0 22.7 4.4 1.7 8.9

2002 100.0 11.1 80.4 51.8 22.1 4.5 1.9 8.5

2003 100.0 10.9 80.4 51.9 22.2 4.3 2.1 8.7

2004 100.0 10.7 80.9 51.6 22.8 4.4 2.1 8.4

2005 100.0 10.9 81.0 51.8 22.9 4.4 1.9 8.1

2006 100.0 10.8 81.7 51.9 23.3 4.4 2.1 7.5

2007 100.0 10.8 81.8 51.7 23.4 4.5 2.2 7.4

2008 100.0 10.7 82.5 51.3 24.2 4.6 2.5 6.8

2009 100.0 10.3 83.6 50.7 25.3 4.9 2.7 6.1

2010 100.0 10.6 83.0 49.7 25.4 5.1 2.7 6.3

2011 100.0 10.5 83.2 49.5 26.0 5.0 2.7 6.3

2012 100.0 10.5 82.9 49.1 26.3 4.9 2.6 6.51

Includes services provided in physicians’ offices (including those of Doctors of Medicine (M.D.) and Doctors of Osteopathy

(D.O.)) and those provided by independently-billing hospital-based physicians and independently-billing laboratories.

2 Includes Private Health Insurance, Medicare, Medicaid, Children's Health Insurance Program (Titles XIX and XXI), Department

of Defense, and Department of Veterans Affairs.

3 Includes Children's Health Insurance Program (Titles XIX and XXI), Department of Defense, and Department of Veterans

Affairs.4

Includes worksite health care, other private revenues, Indian Health Service, workers’ compensation, general assistance,

maternal and child health, vocational rehabilitation, other federal programs, Substance Abuse and Mental Health Services

Administration, other state and local programs, and school health.

NOTE: Numbers and percents may not add to totals due to rounding. Dollar amounts shown are in current dollars. Prior to

1998, separate data for Physicians and Clinic spending is not available.


Table 10

Clinical Services1 Expenditures; Levels, Percent Change, and

Percent Distribution, by Source of Funds: Calendar Years 1998-2012

Health Insurance2


Health

Insurance2

Private Health


Other Health

Insurance

Programs3

Other Third Party

Payers4

Amount in Billions

1998 $52.8 $5.0 $32.3 $17.7 $3.9 $7.9 $2.7 $15.5

1999 54.0 5.0 33.4 18.0 4.2 8.4 2.9 15.6

2000 54.9 4.6 35.6 18.6 4.5 9.3 3.1 14.7

2001 56.8 4.5 37.1 18.4 4.9 10.0 3.7 15.2

2002 60.2 4.2 39.8 18.2 5.9 11.3 4.4 16.2

2003 63.9 4.5 43.1 20.2 6.1 12.0 4.8 16.3

2004 68.0 4.8 47.1 22.0 6.4 13.3 5.4 16.2

2005 72.5 5.2 50.9 23.9 6.7 14.5 5.8 16.4

2006 77.2 5.5 53.7 24.1 7.1 15.5 7.0 18.0

2007 82.7 5.9 58.0 26.4 7.4 16.1 8.1 18.8

2008 88.2 6.2 62.3 28.8 7.6 17.3 8.6 19.7

2009 94.1 5.9 67.9 30.9 7.9 19.8 9.3 20.3

2010 97.9 6.1 70.9 32.4 7.9 20.9 9.7 20.9

2011 104.3 6.4 75.7 33.9 8.2 22.8 10.9 22.3

2012 111.8 7.1 80.1 36.0 8.8 23.5 11.9 24.6


1999 2.3% 0.1% 3.5% 1.5% 6.6% 6.2% 4.0% 0.6%

2000 1.5 -9.4 6.6 3.7 8.0 11.2 9.9 -6.0

2001 3.6 -1.5 4.1 -1.1 9.0 7.1 19.1 3.8

2002 5.9 -7.1 7.3 -1.0 19.7 12.8 17.6 6.3

2003 6.2 8.7 8.3 10.8 3.4 6.9 8.6 0.4

2004 6.4 5.8 9.1 9.0 4.2 10.3 13.3 -0.6

2005 6.6 9.0 8.1 8.8 4.9 9.1 7.0 1.5

2006 6.5 5.3 5.5 0.6 7.1 6.7 20.7 9.9

2007 7.1 7.3 8.0 9.7 3.0 4.1 15.8 4.5

2008 6.7 5.3 7.5 9.1 2.6 7.5 6.4 4.7

2009 6.7 -5.4 9.0 7.3 4.2 14.3 8.1 3.2

2010 4.0 3.7 4.5 4.8 0.9 5.7 4.0 2.5

2011 6.6 4.2 6.6 4.5 3.0 8.7 12.2 7.1

2012 7.1 11.7 5.9 6.3 7.3 3.1 9.5 10.0


1998 100.0% 9.5% 61.1% 33.5% 7.4% 15.0% 5.2% 29.4%

1999 100.0 9.3 61.8 33.2 7.8 15.5 5.3 28.9

2000 100.0 8.3 65.0 34.0 8.3 17.0 5.7 26.7

2001 100.0 7.9 65.3 32.4 8.7 17.6 6.6 26.8

2002 100.0 6.9 66.2 30.3 9.8 18.7 7.3 26.9

2003 100.0 7.1 67.5 31.6 9.6 18.9 7.5 25.4

2004 100.0 7.0 69.2 32.4 9.4 19.5 7.9 23.8

2005 100.0 7.2 70.2 33.0 9.2 20.0 8.0 22.6

2006 100.0 7.1 69.5 31.2 9.3 20.0 9.0 23.3

2007 100.0 7.1 70.1 31.9 8.9 19.5 9.8 22.8

2008 100.0 7.1 70.6 32.7 8.6 19.6 9.7 22.3

2009 100.0 6.3 72.1 32.8 8.4 21.0 9.9 21.6

2010 100.0 6.2 72.5 33.1 8.1 21.4 9.9 21.3

2011 100.0 6.1 72.5 32.4 7.8 21.8 10.4 21.4

2012 100.0 6.4 71.7 32.2 7.9 21.0 10.6 22.0

1 Includes services provided in outpatient care centers.

2 Includes Private Health Insurance, Medicare, Medicaid, Children's Health Insurance Program (Titles XIX and XXI), Department

of Defense, and Department of Veterans Affairs.

3 Includes Children's Health Insurance Program (Titles XIX and XXI), Department of Defense, and Department of Veterans

Affairs.

4 Includes worksite health care, other private revenues, Indian Health Service, workers’ compensation, general assistance,

maternal and child health, vocational rehabilitation, other federal programs, Substance Abuse and Mental Health Services

Administration, other state and local programs, and school health.

NOTE: Numbers and percents may not add to totals due to rounding. Dollar amounts shown are in current dollars. Prior to

1998, separate data for Physicians and Clinic spending is not available.


Table 11

Other Professional Services Expenditures; Levels, Annual Percent Change and Percent Distribution, by

Source of Funds: Selected Calendar Years 1970-2012

Health Insurance1


Health

Insurance1

Private Health


Other Health

Insurance

Programs2

Other Third Party

Payers3

Amount in Billions

1970 $0.7 $0.3 $0.1 $0.0 $0.0 $0.0 - $0.3

1980 3.5 1.7 1.2 0.9 0.2 0.2 - 0.6

1990 17.4 6.2 8.4 6.8 1.1 0.4 - 2.8

2000 37.0 11.3 21.3 14.3 5.4 1.6 0.1 4.5

2001 40.6 11.9 24.1 15.6 6.5 1.9 0.1 4.6

2002 43.7 12.5 26.3 17.0 6.7 2.4 0.1 4.8

2003 46.7 13.2 28.8 18.5 7.5 2.7 0.1 4.7

2004 50.3 13.9 31.4 19.7 8.3 3.3 0.1 5.0

2005 52.7 14.1 33.4 20.1 9.4 3.7 0.1 5.2

2006 55.0 14.7 34.9 20.8 10.2 3.7 0.2 5.3

2007 59.5 16.1 37.6 22.8 11.0 3.7 0.2 5.8

2008 64.0 17.2 40.7 24.2 12.4 3.9 0.2 6.1

2009 66.8 17.5 43.2 24.6 13.8 4.6 0.2 6.1

2010 69.8 18.3 45.1 25.6 14.5 4.8 0.2 6.4

2011 73.1 18.8 47.7 27.0 15.7 4.7 0.2 6.6

2012 76.4 19.4 50.1 28.2 16.9 4.7 0.2 6.9


19704

6.3% -0.5% 28.2% 17.7% - - - 21.6%

1980 17.0 18.0 28.2 35.0 25.0 16.4 - 6.6

1990 17.5 13.8 21.4 23.1 21.1 9.4 - 17.2

2000 7.8 6.2 9.7 7.6 16.9 13.4 - 4.8

2001 9.7 5.9 13.1 9.8 19.5 20.7 34.5 3.1

2002 7.5 5.0 9.3 8.7 4.4 29.5 62.6 4.5

2003 7.0 5.1 9.5 8.9 10.7 11.6 -6.0 -1.9

2004 7.6 5.4 8.8 6.4 11.0 19.6 -6.1 6.3

2005 4.8 1.6 6.4 1.9 14.0 13.9 14.7 3.4

2006 4.3 4.2 4.6 3.8 8.1 -1.0 42.1 3.1

2007 8.2 9.4 7.7 9.3 7.3 0.5 -11.2 8.5

2008 7.6 7.0 8.2 6.3 13.0 5.1 6.3 5.1

2009 4.4 1.4 6.1 1.4 11.2 19.4 6.7 1.1

2010 4.6 4.7 4.6 4.3 5.6 3.4 -3.9 4.1

2011 4.6 2.7 5.6 5.5 8.0 -1.8 23.1 3.4

2012 4.5 3.2 5.1 4.4 7.9 0.1 8.3 4.0


1970 100.0% 44.7% 13.8% 5.9% 2.5% 5.5% - 41.5%

1980 100.0 48.8 34.7 24.7 4.8 5.2 - 16.5

1990 100.0 35.6 48.3 39.3 6.5 2.6 - 16.0

2000 100.0 30.5 57.5 38.5 14.6 4.2 0.1 12.0

2001 100.0 29.4 59.3 38.5 15.9 4.7 0.2 11.3

2002 100.0 28.7 60.3 39.0 15.4 5.6 0.3 11.0

2003 100.0 28.2 61.7 39.6 16.0 5.8 0.2 10.1

2004 100.0 27.7 62.4 39.2 16.5 6.5 0.2 10.0

2005 100.0 26.8 63.4 38.1 17.9 7.1 0.2 9.8

2006 100.0 26.8 63.5 37.9 18.6 6.7 0.3 9.7

2007 100.0 27.1 63.2 38.3 18.4 6.2 0.3 9.7

2008 100.0 26.9 63.6 37.9 19.4 6.1 0.3 9.5

2009 100.0 26.1 64.6 36.8 20.6 7.0 0.3 9.2

2010 100.0 26.2 64.6 36.7 20.8 6.9 0.2 9.2

2011 100.0 25.7 65.2 37.0 21.5 6.5 0.3 9.1

2012 100.0 25.4 65.6 37.0 22.2 6.2 0.3 9.0

1 Includes Private Health Insurance, Medicare, Medicaid, Children's Health Insurance Program (Titles XIX and XXI), Department of Defense, and

Department of Veterans Affairs.


3 Includes worksite health care, other private revenues, Indian Health Service, workers’ compensation, general assistance, maternal and child

health, vocational rehabilitation, other federal programs, Substance Abuse and Mental Health Services Administration, other state and local

programs, and school health.


NOTE: Numbers and percents may not add to totals due to rounding. Dollar amounts shown are in current dollars. "-" Not applicable; Medicare

and Medicaid became effective July 1966.


Table 12

Dental Services Expenditures; Levels, Annual Percent Change and Percent Distribution,


Health Insurance 1


Health

Insurance1

Private Health


Other Health

Insurance

Programs2

Other Third Party

Payers3

Amount in Billions

1970 $4.7 $4.2 $0.4 $0.2 - $0.2 $0.1 $0.0

1980 13.4 8.8 4.5 3.8 - 0.5 0.2 0.1

1990 31.7 15.3 16.3 15.3 0.0 0.8 0.3 0.2

2000 62.3 27.7 34.3 31.3 0.1 2.3 0.6 0.3

2001 67.8 29.3 38.2 34.3 0.1 3.0 0.7 0.3

2002 73.7 32.3 41.1 36.6 0.1 3.5 1.0 0.3

2003 76.3 33.8 42.2 37.4 0.1 3.7 1.0 0.3

2004 82.1 36.1 45.7 40.5 0.1 3.9 1.2 0.3

2005 87.0 38.3 48.4 42.9 0.1 4.1 1.3 0.3

2006 91.4 40.2 50.9 45.1 0.1 4.3 1.4 0.4

2007 97.3 43.0 54.0 47.6 0.2 4.6 1.7 0.4

2008 102.4 45.5 56.5 49.1 0.2 5.5 1.8 0.4

2009 102.5 43.1 58.9 49.9 0.3 6.8 1.9 0.5

2010 105.4 43.6 61.2 51.3 0.2 7.4 2.3 0.5

2011 107.7 45.0 62.2 52.1 0.3 7.3 2.5 0.5

2012 110.9 46.8 63.6 53.4 0.4 7.3 2.6 0.5


19704

9.0% 8.3% 21.5% 18.7% - - 11.3% 2.5%

1980 11.0 7.6 25.8 33.5 - 12.0 7.7 18.6

1990 9.0 5.6 13.8 14.9 - 4.2 5.5 4.8

2000 7.0 6.1 7.7 7.4 44.0 11.8 8.1 6.8

2001 8.9 6.1 11.3 9.8 5.8 29.1 25.7 -3.8

2002 8.6 10.1 7.6 6.5 -8.3 16.1 28.7 -5.5

2003 3.5 4.5 2.9 2.3 -11.1 8.0 6.9 -10.6

2004 7.6 6.9 8.1 8.3 1.3 4.7 13.5 10.0

2005 6.0 6.2 6.0 5.9 21.3 5.7 8.5 5.3

2006 5.1 4.9 5.2 5.2 20.0 3.1 11.5 7.0

2007 6.4 6.9 6.1 5.5 59.2 6.5 18.9 9.3

2008 5.2 5.8 4.7 3.1 34.7 19.8 5.4 9.6

2009 0.1 -5.3 4.3 1.8 34.0 23.7 10.5 15.5

2010 2.8 1.3 3.8 2.7 -18.4 9.1 17.8 12.6

2011 2.2 3.1 1.6 1.6 21.7 -1.5 7.9 -8.1

2012 3.0 3.9 2.4 2.4 25.2 0.4 5.0 7.0


1970 100.0% 90.0% 9.5% 4.5% - 3.4% 1.6% 0.4%

1980 100.0 65.8 33.3 28.4 - 3.7 1.2 0.8

1990 100.0 48.1 51.3 48.1 0.0 2.4 0.9 0.6

2000 100.0 44.4 55.0 50.2 0.1 3.7 0.9 0.6

2001 100.0 43.2 56.3 50.6 0.1 4.4 1.1 0.5

2002 100.0 43.8 55.7 49.6 0.1 4.7 1.3 0.4

2003 100.0 44.3 55.4 49.0 0.1 4.9 1.3 0.4

2004 100.0 44.0 55.7 49.4 0.1 4.8 1.4 0.4

2005 100.0 44.0 55.6 49.3 0.1 4.8 1.4 0.4

2006 100.0 44.0 55.7 49.3 0.1 4.7 1.5 0.4

2007 100.0 44.2 55.5 48.9 0.2 4.7 1.7 0.4

2008 100.0 44.4 55.2 47.9 0.2 5.3 1.7 0.4

2009 100.0 42.0 57.5 48.7 0.3 6.6 1.9 0.5

2010 100.0 41.4 58.1 48.7 0.2 7.0 2.2 0.5

2011 100.0 41.8 57.7 48.4 0.3 6.7 2.3 0.5

2012 100.0 42.2 57.4 48.1 0.3 6.6 2.3 0.5




3 Includes worksite health care, other private revenues, Indian Health Service, workers’ compensation, general assistance, maternal and child

health, vocational rehabilitation, other federal programs, Substance Abuse and Mental Health Services Administration, other state and local

programs, and school health.


NOTE: Numbers and percents may not add to totals due to rounding. Dollar amounts shown are in current dollars. "-" Not applicable; Medicare

and Medicaid became effective July 1966.


Table 13

Other Health, Residential, and Personal Care Services Expenditures; Levels, Percent Change and Percent

Distribution, by Source of Funds: Selected Calendar Years 1970-2012

Health Insurance1


Health

Insurance1

Private Health


Other Health

Insurance

Programs2

Other Third Party

Payers3

Amount in Billions

1970 $1.3 $0.2 $0.3 $0.1 $0.0 $0.1 $0.1 $0.9

1980 8.5 0.4 4.2 0.3 0.1 3.5 0.2 3.9

1990 24.3 1.3 13.0 1.0 0.8 10.6 0.7 10.0

2000 64.5 3.8 38.1 2.5 1.8 32.4 1.5 22.7

2001 70.6 4.1 42.2 2.6 2.0 35.9 1.6 24.3

2002 77.6 4.5 47.2 3.0 2.4 40.0 1.8 25.8

2003 83.6 5.0 51.2 3.3 2.7 43.0 2.1 27.4

2004 90.6 5.5 56.0 4.0 3.0 46.5 2.5 29.1

2005 96.5 5.9 59.8 4.3 3.5 49.4 2.6 30.8

2006 101.7 5.9 63.4 4.5 3.7 52.5 2.7 32.3

2007 107.7 6.0 67.1 4.8 3.9 56.5 1.9 34.6

2008 113.5 6.3 70.4 5.3 4.2 58.9 2.0 36.9

2009 122.5 6.7 77.2 5.7 4.6 64.3 2.6 38.6

2010 128.1 7.0 81.5 6.2 4.8 67.5 3.1 39.6

2011 132.3 7.1 84.6 6.5 5.0 69.3 3.8 40.6

2012 138.2 7.5 89.0 6.9 5.1 72.9 4.1 41.7


19704

11.4% 9.0% 16.4% 14.7% - - 3.7% 10.7%

1980 20.4 9.3 30.8 16.2 22.2 38.6 11.9 16.2

1990 11.1 12.3 12.1 13.2 19.2 11.6 13.0 9.7

2000 10.2 11.2 11.3 9.1 8.9 11.9 8.0 8.6

2001 9.3 8.7 10.7 6.5 14.6 10.8 11.1 7.2

2002 9.9 10.2 12.0 15.0 15.8 11.5 13.4 6.3

2003 7.8 11.8 8.3 11.0 13.1 7.5 15.6 6.3

2004 8.3 10.0 9.4 18.4 13.5 8.1 16.6 6.1

2005 6.5 7.4 6.9 7.9 15.4 6.3 4.4 5.8

2006 5.3 -0.2 6.1 4.7 5.8 6.3 5.7 4.9

2007 5.9 2.1 5.7 6.7 5.9 7.5 -30.3 7.0

2008 5.4 4.4 4.9 10.2 7.5 4.3 5.6 6.7

2009 7.9 6.5 9.7 8.8 8.3 9.2 28.0 4.7

2010 4.6 3.9 5.6 8.3 4.5 4.9 17.9 2.7

2011 3.3 2.2 3.8 5.0 4.0 2.7 24.7 2.4

2012 4.5 5.7 5.1 5.2 2.6 5.1 8.7 2.9


1970 100.0% 12.5% 21.4% 5.0% 1.3% 10.1% 4.9% 66.1%

1980 100.0 4.8 48.9 3.5 1.5 41.5 2.3 46.3

1990 100.0 5.3 53.6 4.2 3.1 43.4 2.8 41.0

2000 100.0 5.8 59.0 3.8 2.8 50.2 2.3 35.1

2001 100.0 5.8 59.8 3.7 2.9 50.8 2.3 34.5

2002 100.0 5.8 60.9 3.9 3.1 51.6 2.4 33.3

2003 100.0 6.0 61.2 4.0 3.2 51.4 2.6 32.8

2004 100.0 6.1 61.8 4.4 3.4 51.3 2.7 32.1

2005 100.0 6.1 61.9 4.4 3.6 51.2 2.7 31.9

2006 100.0 5.8 62.4 4.4 3.6 51.6 2.7 31.8

2007 100.0 5.6 62.3 4.4 3.6 52.4 1.8 32.1

2008 100.0 5.6 62.0 4.6 3.7 51.8 1.8 32.5

2009 100.0 5.5 63.0 4.7 3.7 52.5 2.1 31.5

2010 100.0 5.4 63.6 4.8 3.7 52.7 2.4 30.9

2011 100.0 5.4 63.9 4.9 3.8 52.4 2.9 30.7

2012 100.0 5.5 64.4 5.0 3.7 52.7 3.0 30.2




3 Includes worksite health care, other private revenues, Indian Health Service, workers’ compensation, general assistance, maternal and child health,

vocational rehabilitation, other federal programs, Substance Abuse and Mental Health Services Administration, other state and local programs, and

school health.


NOTE: Numbers and percents may not add to totals due to rounding. Dollar amounts shown are in current dollars. "-" Not applicable; Medicare and

Medicaid became effective July 1966.


Table 14

Home Health Care Services Expenditures; Levels, Percent Change and Percent Distribution,


Health Insurance1


Private Health


Other Health

Insurance

Programs2

Other Third Party

Payers3

Amount in Billions

1970 $0.2 $0.0 $0.1 $0.0 $0.1 $0.0 $0.0 $0.1

1980 2.4 0.4 1.3 0.3 0.6 0.3 0.0 0.7

1990 12.6 2.2 8.3 2.9 3.3 2.1 0.0 2.0

2000 32.4 6.4 23.2 7.7 8.5 6.8 0.1 2.9

2001 34.4 6.5 25.1 6.7 9.9 8.3 0.1 2.9

2002 36.6 6.1 27.7 6.5 11.3 9.8 0.1 2.8

2003 39.8 5.9 31.2 6.3 13.2 11.5 0.2 2.7

2004 43.8 5.9 35.3 5.9 15.5 13.6 0.2 2.7

2005 48.7 6.3 39.7 6.1 18.2 15.1 0.3 2.7

2006 52.6 5.9 44.2 5.6 21.1 17.2 0.3 2.5

2007 57.8 5.5 49.9 5.1 24.3 20.1 0.4 2.5

2008 62.3 5.4 54.5 4.8 27.1 22.2 0.5 2.3

2009 67.2 4.9 60.2 4.5 30.3 24.7 0.6 2.1

2010 71.2 5.1 64.0 4.6 31.8 26.7 0.8 2.1

2011 74.0 5.6 66.2 5.0 32.4 27.9 0.9 2.2

2012 77.8 6.0 69.3 5.6 33.8 28.9 1.0 2.4


19704

14.5% 11.3% 38.7% 16.8% - - 5.9% 9.6%

1980 26.9 33.2 31.4 48.5 27.0 34.1 14.6 20.4

1990 18.1 20.0 20.6 23.5 17.7 22.7 10.0 10.5

2000 9.9 11.0 10.8 10.4 10.1 12.2 13.4 3.8

2001 6.2 1.9 8.2 -12.7 15.8 22.3 9.2 -0.8

2002 6.4 -5.3 10.7 -4.0 14.5 18.2 9.8 -4.7

2003 8.7 -4.0 12.6 -2.6 16.7 17.7 29.4 -3.0

2004 10.1 -0.4 12.9 -6.0 17.4 18.2 5.1 0.4

2005 11.2 6.7 12.6 3.6 17.2 10.9 44.0 2.1

2006 8.0 -5.5 11.2 -8.2 15.7 13.8 6.0 -8.3

2007 9.9 -7.7 12.9 -9.6 15.2 17.1 32.2 -2.0

2008 7.8 -0.4 9.4 -5.4 11.6 10.1 27.7 -5.4

2009 8.0 -9.4 10.4 -6.5 12.0 11.6 32.5 -8.7

2010 5.8 3.3 6.2 2.8 4.8 7.9 36.5 -1.0

2011 4.1 10.3 3.5 7.5 1.8 4.6 12.7 5.6

2012 5.1 7.5 4.7 12.1 4.3 3.7 7.3 9.8


1970 100.0% 9.4% 37.9% 3.0% 26.7% 6.7% 1.4% 52.7%

1980 100.0 15.2 53.7 14.7 26.8 11.7 0.5 31.1

1990 100.0 17.9 66.2 22.9 26.0 17.1 0.3 16.0

2000 100.0 19.6 71.4 23.8 26.4 20.9 0.3 9.0

2001 100.0 18.8 72.8 19.6 28.8 24.1 0.4 8.4

2002 100.0 16.7 75.7 17.7 31.0 26.7 0.4 7.5

2003 100.0 14.8 78.5 15.9 33.3 28.9 0.4 6.7

2004 100.0 13.4 80.5 13.5 35.5 31.1 0.4 6.1

2005 100.0 12.8 81.5 12.6 37.4 31.0 0.5 5.6

2006 100.0 11.2 84.0 10.7 40.0 32.7 0.5 4.8

2007 100.0 9.5 86.3 8.8 42.0 34.8 0.6 4.3

2008 100.0 8.7 87.5 7.7 43.5 35.6 0.7 3.7

2009 100.0 7.3 89.5 6.7 45.1 36.8 0.9 3.2

2010 100.0 7.2 89.9 6.5 44.7 37.5 1.2 3.0

2011 100.0 7.6 89.4 6.7 43.7 37.7 1.3 3.0

2012 100.0 7.8 89.1 7.2 43.4 37.2 1.3 3.1


Veterans Affairs.








Table 15

Nursing Care Facilities and Continuing Care Retirement Communities Expenditures; Levels, Percent Change and

Percent Distribution, by Source of Funds: Selected Calendar Years 1970-2012

Health Insurance1


Private Health


Other Health

Insurance

Programs2

Other Third Party

Payers3

Amount in Billions

1970 $4.0 $2.0 $1.2 $0.0 $0.1 $0.9 $0.1 $0.9

1980 15.3 6.2 7.9 0.2 0.3 7.1 0.4 1.1

1990 44.9 18.1 21.9 2.8 1.7 16.4 1.0 4.9

2000 85.1 27.2 52.0 7.5 10.8 31.9 1.9 5.9

2001 90.8 27.6 57.7 7.7 13.3 34.5 2.1 5.5

2002 94.5 27.9 60.9 8.2 15.0 35.5 2.2 5.7

2003 100.3 30.5 63.6 7.5 15.8 37.8 2.5 6.2

2004 105.8 31.8 67.4 6.9 18.3 39.6 2.7 6.6

2005 112.5 33.4 71.8 7.3 20.5 41.1 2.8 7.3

2006 117.3 34.8 74.7 8.3 22.4 41.3 2.8 7.8

2007 126.4 37.7 79.2 9.0 24.8 42.1 3.2 9.5

2008 132.6 39.2 84.7 9.6 27.6 43.8 3.6 8.7

2009 138.5 39.9 89.4 10.4 30.1 45.0 3.9 9.2

2010 143.0 40.3 92.4 10.9 32.0 45.5 4.0 10.3

2011 149.2 41.6 97.4 11.6 35.2 46.3 4.3 10.2

2012 151.5 43.3 97.2 12.0 34.4 46.3 4.4 11.1


19704

17.4% 12.7% - - - - - 15.8%

1980 14.2 12.0 21.3 35.5 7.9 22.3 20.0 2.5

1990 11.4 11.3 10.7 30.6 18.7 8.8 10.6 15.7

2000 6.6 4.2 9.0 10.3 20.3 6.8 6.6 1.9

2001 6.7 1.5 10.8 3.5 23.2 8.4 8.9 -6.4

2002 4.1 1.2 5.6 5.7 12.7 2.8 6.8 2.7

2003 6.2 9.2 4.4 -8.3 5.0 6.4 15.7 10.3

2004 5.4 4.2 6.0 -8.4 15.8 4.9 5.0 5.1

2005 6.3 4.9 6.5 6.6 12.5 3.8 4.3 11.9

2006 4.3 4.3 4.1 12.9 8.9 0.4 1.4 5.7

2007 7.8 8.4 5.9 9.0 11.1 1.9 14.9 22.5

2008 4.9 3.9 6.9 6.7 11.3 4.1 11.1 -8.6

2009 4.5 1.9 5.6 8.1 8.7 2.8 8.4 6.2

2010 3.2 0.9 3.4 5.0 6.5 1.0 3.5 11.2

2011 4.3 3.2 5.4 5.9 9.9 1.9 6.4 -0.2

2012 1.6 4.1 -0.2 3.9 -2.2 0.0 2.0 8.5


1970 100.0% 49.5% 28.5% 0.2% 3.5% 23.3% 1.5% 21.9%

1980 100.0 40.7 51.9 1.3 2.0 46.2 2.4 7.4

1990 100.0 40.3 48.8 6.2 3.8 36.6 2.2 10.9

2000 100.0 31.9 61.1 8.8 12.7 37.4 2.2 6.9

2001 100.0 30.4 63.5 8.5 14.7 38.0 2.3 6.1

2002 100.0 29.6 64.4 8.7 15.9 37.6 2.3 6.0

2003 100.0 30.4 63.4 7.5 15.7 37.6 2.5 6.2

2004 100.0 30.1 63.7 6.5 17.3 37.5 2.5 6.2

2005 100.0 29.7 63.8 6.5 18.3 36.6 2.5 6.5

2006 100.0 29.7 63.7 7.1 19.1 35.2 2.4 6.6

2007 100.0 29.9 62.6 7.1 19.7 33.3 2.6 7.5

2008 100.0 29.6 63.9 7.3 20.9 33.0 2.7 6.6

2009 100.0 28.8 64.5 7.5 21.7 32.5 2.8 6.7

2010 100.0 28.2 64.6 7.6 22.4 31.8 2.8 7.2

2011 100.0 27.9 65.3 7.8 23.6 31.0 2.9 6.9

2012 100.0 28.6 64.1 7.9 22.7 30.6 2.9 7.3


Veterans Affairs.








Table 16

Retail Prescription Drugs Expenditures; Levels, Percent Change and Percent Distribution,


Health Insurance1


Private Health


Other Health

Insurance

Programs2

Other Third Party

Payers3

Amount in Billions

1970 $5.5 $4.5 $0.9 $0.5 $0.0 $0.4 $0.0 $0.1

1980 12.0 8.6 3.2 1.8 0.0 1.4 0.0 0.2

1990 40.3 22.9 16.2 10.9 0.2 5.1 0.1 1.2

2000 120.9 33.9 84.7 60.7 2.1 19.8 2.1 2.3

2001 138.7 36.6 99.3 70.6 2.4 23.3 2.9 2.7

2002 158.2 40.9 114.1 79.9 2.5 27.4 4.3 3.1

2003 177.0 45.6 127.8 87.2 2.5 32.1 5.9 3.6

2004 193.0 48.3 141.0 95.2 3.4 35.7 6.7 3.7

2005 205.3 51.5 149.9 102.2 3.9 36.4 7.4 3.9

2006 224.5 51.4 169.0 102.1 39.6 19.1 8.2 4.1

2007 235.9 52.1 180.1 107.4 46.0 18.4 8.3 3.8

2008 242.6 49.8 189.1 110.9 50.6 19.2 8.4 3.7

2009 254.5 49.5 201.5 118.0 54.5 20.2 8.8 3.6

2010 255.7 46.0 206.2 118.5 58.9 20.0 8.8 3.4

2011 262.2 46.9 211.5 119.5 63.3 19.8 9.0 3.7

2012 263.3 46.8 214.0 117.0 68.2 19.6 9.1 2.5


19704

7.5% 5.8% 37.0% 30.0% - - 4.7% -1.3%

1980 8.2 6.6 13.6 14.1 - 12.9 14.2 13.8

1990 12.8 10.3 17.5 19.6 - 13.7 14.8 18.8

2000 11.6 4.0 18.0 18.8 27.4 14.6 36.5 6.6

2001 14.7 7.9 17.3 16.4 16.8 18.0 38.9 19.2

2002 14.0 11.8 14.9 13.2 1.0 17.7 44.6 14.7

2003 11.9 11.5 12.0 9.2 -0.1 17.1 38.9 15.6

2004 9.0 5.8 10.3 9.1 36.5 11.2 13.4 2.8

2005 6.4 6.6 6.4 7.4 16.6 1.7 10.8 5.0

2006 9.3 -0.3 12.7 -0.1 908.4 -47.3 9.9 5.5

2007 5.1 1.3 6.5 5.3 15.9 -4.0 2.0 -6.9

2008 2.8 -4.3 5.0 3.2 10.2 4.4 0.5 -4.6

2009 4.9 -0.8 6.6 6.4 7.7 5.2 5.6 -2.7

2010 0.4 -7.0 2.3 0.5 8.1 -0.9 -0.7 -3.6

2011 2.5 2.0 2.6 0.8 7.3 -1.2 3.0 8.3

2012 0.4 -0.2 1.2 -2.1 7.9 -0.7 1.0 -34.0


1970 100.0% 82.4% 16.5% 8.8% 0.0% 7.6% 0.1% 1.1%

1980 100.0 71.3 26.9 15.0 0.0 11.7 0.2 1.8

1990 100.0 56.8 40.2 27.0 0.5 12.6 0.2 3.0

2000 100.0 28.1 70.0 50.2 1.7 16.3 1.8 1.9

2001 100.0 26.4 71.6 50.9 1.8 16.8 2.1 2.0

2002 100.0 25.9 72.1 50.5 1.6 17.4 2.7 2.0

2003 100.0 25.8 72.2 49.3 1.4 18.2 3.3 2.0

2004 100.0 25.0 73.0 49.3 1.7 18.5 3.5 1.9

2005 100.0 25.1 73.0 49.8 1.9 17.7 3.6 1.9

2006 100.0 22.9 75.3 45.5 17.7 8.5 3.6 1.8

2007 100.0 22.1 76.3 45.5 19.5 7.8 3.5 1.6

2008 100.0 20.5 78.0 45.7 20.9 7.9 3.4 1.5

2009 100.0 19.4 79.2 46.4 21.4 7.9 3.5 1.4

2010 100.0 18.0 80.7 46.4 23.1 7.8 3.4 1.3

2011 100.0 17.9 80.7 45.6 24.1 7.5 3.4 1.4

2012 100.0 17.8 81.3 44.4 25.9 7.5 3.5 0.9


Veterans Affairs.








Table 17

Durable Medical Equipment Expenditures; Levels, Annual Percent Change and Percent Distribution,


Health Insurance1


Private Health


Other Health

Insurance

Programs2

Other Third Party

Payers3

Amount in Billions

1970 $1.7 $1.5 $0.2 $0.1 $0.0 $0.0 - $0.0

1980 4.1 3.0 1.0 0.6 0.3 0.1 - 0.1

1990 13.8 9.5 3.9 1.5 1.8 0.6 - 0.4

2000 25.2 15.4 9.2 3.3 4.1 1.8 0.0 0.5

2001 25.1 14.5 10.1 3.1 4.5 2.5 0.0 0.5

2002 27.1 15.3 11.3 3.3 5.3 2.7 0.1 0.5

2003 28.0 15.4 12.1 3.3 6.0 2.7 0.1 0.5

2004 29.5 16.3 12.6 3.5 6.2 2.8 0.1 0.5

2005 30.9 16.9 13.4 3.6 6.4 3.2 0.1 0.5

2006 32.3 17.5 14.3 3.7 6.9 3.6 0.1 0.5

2007 34.3 18.8 14.9 4.0 7.0 3.8 0.1 0.6

2008 34.9 18.5 15.8 3.9 7.9 4.0 0.1 0.6

2009 35.0 18.6 15.8 3.9 7.5 4.3 0.1 0.6

2010 37.0 19.9 16.5 4.2 7.6 4.6 0.1 0.6

2011 39.1 21.6 16.9 4.5 7.7 4.6 0.1 0.6

2012 41.3 23.1 17.6 4.7 8.2 4.6 0.1 0.6


19704

9.0% 8.2% 17.4% 12.9% - - - 12.2%

1980 8.8 7.0 17.5 15.6 27.6 10.0 - 8.2

1990 13.0 12.3 14.8 10.4 18.6 20.5 - 13.3

2000 6.2 5.0 9.0 7.9 8.5 12.2 - 3.2

2001 -0.1 -5.8 9.4 -5.6 10.2 34.4 3.0 1.1

2002 7.9 5.1 12.2 5.7 17.7 9.2 65.3 4.4

2003 3.4 0.6 7.2 0.8 14.2 1.8 -12.4 2.2

2004 5.1 5.8 4.3 6.5 3.5 3.7 -9.3 1.5

2005 4.8 4.1 6.0 4.2 3.3 14.0 13.5 0.2

2006 4.7 3.4 6.6 1.8 7.0 11.3 -6.0 0.2

2007 6.2 7.6 4.6 7.8 1.9 5.8 41.1 3.4

2008 1.6 -1.9 6.1 -3.0 12.5 4.2 -2.3 0.4

2009 0.4 0.9 -0.1 1.7 -5.1 8.2 -10.5 -2.8

2010 5.6 6.5 4.5 6.7 1.8 7.1 15.1 3.7

2011 5.6 8.6 2.2 7.0 0.5 0.5 18.6 3.6

2011 5.6 7.0 4.0 4.0 6.9 -1.1 13.9 -0.6


1970 100.0% 86.0% 11.2% 7.6% 1.6% 2.0% - 2.8%

1980 100.0 73.1 24.3 14.0 8.0 2.2 - 2.6

1990 100.0 69.0 28.4 11.1 13.1 4.2 - 2.7

2000 100.0 61.4 36.6 13.0 16.2 7.3 0.2 2.0

2001 100.0 57.9 40.1 12.3 17.8 9.8 0.2 2.0

2002 100.0 56.4 41.7 12.0 19.4 9.9 0.3 1.9

2003 100.0 54.9 43.2 11.7 21.5 9.8 0.2 1.9

2004 100.0 55.2 42.9 11.9 21.2 9.7 0.2 1.9

2005 100.0 54.8 43.4 11.8 20.8 10.5 0.2 1.8

2006 100.0 54.1 44.2 11.5 21.3 11.2 0.2 1.7

2007 100.0 54.9 43.5 11.7 20.4 11.1 0.3 1.7

2008 100.0 53.0 45.4 11.1 22.6 11.4 0.2 1.6

2009 100.0 53.2 45.2 11.3 21.4 12.3 0.2 1.6

2010 100.0 53.7 44.8 11.4 20.6 12.5 0.2 1.6

2011 100.0 55.2 43.3 11.5 19.6 11.9 0.3 1.5

2012 100.0 55.9 42.6 11.4 19.9 11.1 0.3 1.4


Veterans Affairs.








Table 18

Other Non-Durable Medical Products Expenditures; Levels, Percent Change and Percent Distribution,


Health Insurance1


Private Health


Other Health

Insurance

Programs2

Other Third Party

Payers3

Amount in Billions

1970 $3.3 $3.3 $0.0 - $0.0 - - -

1980 9.8 9.7 0.1 - 0.1 - - -

1990 22.4 21.9 0.6 - 0.6 - - -

2000 31.6 30.1 1.4 - 1.4 - - -

2001 32.2 30.7 1.6 - 1.6 - - 0.0

2002 33.3 31.6 1.7 - 1.7 - - 0.0

2003 36.2 34.3 1.9 - 1.9 - - 0.0

2004 38.1 36.1 2.0 - 2.0 - - 0.0

2005 40.8 38.7 2.1 - 2.1 - - 0.0

2006 43.7 41.4 2.3 - 2.3 - - 0.0

2007 47.8 45.2 2.5 - 2.5 - - 0.0

2008 49.5 46.8 2.7 - 2.7 - - 0.0

2009 50.3 47.5 2.8 - 2.8 - - 0.0

2010 51.2 48.4 2.9 - 2.9 - - 0.0

2011 52.8 49.8 3.0 - 3.0 - - 0.0

2012 53.7 50.6 3.1 - 3.1 - - 0.0


19704

7.4% 7.4% - - - - - -

1980 11.4 11.3 27.6 - 27.6 - - -

1990 8.6 8.5 19.0 - 19.0 - - -

2000 3.5 3.2 9.9 - 9.9 - - -

2001 2.2 1.8 10.3 - 10.3 - - -

2002 3.2 3.1 6.2 - 6.2 - - -83.3

2003 8.7 8.6 10.9 - 10.9 - - 116.8

2004 5.2 5.0 8.8 - 8.8 - - 55.6

2005 7.1 7.2 5.8 - 5.8 - - 52.5

2006 7.2 7.2 7.3 - 7.3 - - 130.8

2007 9.2 9.1 10.6 - 10.6 - - 7.7

2008 3.6 3.4 7.0 - 7.0 - - 5.0

2009 1.7 1.7 2.9 - 2.9 - - -3.9

2010 1.8 1.7 3.4 - 3.4 - - 74.3

2011 3.0 3.0 3.4 - 3.4 - - 310.6

2012 1.8 1.6 3.8 - 3.8 - - -16.4


1970 100.0% 99.7% 0.3% - 0.3% - - -

1980 100.0 99.0 1.0 - 1.0 - - -

1990 100.0 97.5 2.5 - 2.5 - - -

2000 100.0 95.5 4.5 - 4.5 - - -

2001 100.0 95.1 4.9 - 4.9 - - 0.0

2002 100.0 95.0 5.0 - 5.0 - - 0.0

2003 100.0 94.9 5.1 - 5.1 - - 0.0

2004 100.0 94.7 5.3 - 5.3 - - 0.0

2005 100.0 94.8 5.2 - 5.2 - - 0.0

2006 100.0 94.7 5.3 - 5.3 - - 0.0

2007 100.0 94.7 5.3 - 5.3 - - 0.0

2008 100.0 94.5 5.5 - 5.5 - - 0.0

2009 100.0 94.4 5.6 - 5.6 - - 0.0

2010 100.0 94.4 5.6 - 5.6 - - 0.0

2011 100.0 94.3 5.7 - 5.7 - - 0.0

2012 100.0 94.2 5.8 - 5.8 - - 0.0


Veterans Affairs.





NOTE: Numbers and percents may not add to totals due to rounding. Dollar amounts shown are in current dollars. "-" Not applicable; Medicare and Medicaid became

effective July 1966.


Table 19

National Health Expenditures by Type of Expenditure and Program: Calendar Year 2012 National Health Expenditures

Health Consumption Expenditures Investment

Personal Health Care

Professional Services Retail Outlet Sales of Medical Products

Administration and Net Cost

of Private Health Insurance

Physician, Clinics and

Other Professionals Other Medical Products

Government

Administration

Structures &

Equipment

Levels in Millions

Total National

Health

Expenditures

Hospital

Care

Physician

and

Clinical

Services

Other

Professional

Services

Dental

Services

Other

Health,

Residential,

and

Personal

Care

Home

Health

Care

Nursing Care

Facilities and

Continuing

Care

Retirement

Communities

Prescription

Drugs

Durable

Medical

Equipment

Other Non-

durable

Medical

Products State Federal

Net Cost

of Private

Health

Insurance

Public

Health

Activities Research Structures Equipment

Total National Health Expenditures $2,793,394 $882,269 $564,996 $76,380 $110,937 $138,237 $77,781 $151,548 $263,287 $41,255 $53,741 $8,896 $24,746 $164,294 $74,991 $48,136 $50,315 $61,584

Out of pocket 328,156 29,761 54,855 19,371 46,776 7,544 6,032 43,279 46,834 23,069 50,635 — — — — — — —

Health Insurance 2,014,409 770,087 455,946 50,122 63,623 88,958 69,312 97,160 214,002 17,594 3,105 8,690 23,175 152,635 — — — —

Private Health Insurance 916,959 320,889 258,345 28,237 53,370 6,855 5,582 12,033 117,027 4,688 — — — 109,934 — — — —

Medicare 572,484 239,785 128,081 16,944 368 5,104 33,776 34,421 68,241 8,197 3,105 — 8,568 25,893 — — — —

Medicaid (Title XIX) 421,199 156,375 45,624 4,719 7,290 72,858 28,940 46,324 19,620 4,591 — 8,396 10,673 15,789 — — — —

Federal 237,854 88,707 27,099 2,461 3,919 41,285 15,512 26,431 10,692 2,614 — — 10,673 8,461 — — — —

State and Local 183,345 67,668 18,525 2,258 3,371 31,573 13,427 19,893 8,928 1,977 — 8,396 — 7,328 — — — —

Total CHIP (Title XIX and Title XXI) 12,624 3,425 3,166 223 1,305 906 25 7 1,459 118 — 295 675 1,020 — — — —

Federal 8,793 2,355 2,193 156 910 645 18 5 1,045 86 — — 675 704 — — — —

State and Local 3,832 1,070 973 67 394 261 7 2 414 32 — 295 — 316 — — — —

Department of Defense 40,522 16,948 14,163 — 1,215 — — — 4,969 — — — 3,227 — — — — —

Department of Veterans' Affairs 50,620 32,666 6,567 — 75 3,235 989 4,374 2,684 — — — 31 — — — — —

Other Third Party Payers and Programs 215,803 82,421 54,195 6,887 537 41,735 2,437 11,109 2,452 593 1 205 1,571 11,659 — — — —

Worksite Health Care 5,115 — — — — 5,115 — — — — — — — — — — — —

Other Private Revenues 103,778 44,013 33,587 4,704 108 12,885 1,019 7,461 — — — — — — — — — —

Indian Health Services 3,813 1,982 1,060 — 212 412 — — 29 10 — — 109 — — — — —

Workers' Compensation 42,025 13,499 13,939 1,513 — — — — 882 414 — 52 106 11,619 — — — —

General Assistance 6,423 2,738 808 34 187 468 270 523 1,369 25 0 — — — — — — —

Maternal/Child Health 2,351 203 133 596 24 1,158 — — 55 39 — 140 3 — — — — —

Federal 566 53 62 194 10 200 — — 29 14 — — 3 — — — — —

State and Local 1,785 150 71 403 13 958 — — 25 25 — 140 — — — — — —

Vocational Rehabilitation 531 131 251 — — — — — — 89 — 13 46 — — — — —

Federal 412 102 195 — — — — — — 69 — — 46 — — — — —

State and Local 120 30 56 — — — — — — 20 — 13 — — — — — —

Other Federal Programs 10,229 1,727 3,403 31 7 3,652 22 — 112 12 1 — 1,224 40 — — — —

SAMHSA 3,448 143 947 — — 2,274 — — — — — — 83 — — — — —

Other State and Local Programs 33,692 17,985 66 9 — 11,372 1,127 3,124 6 3 — — — — — — — —

School Hlth 4,399 — — — — 4,399 — — — — — — — — — — — —

Public Health Activity 74,991 — — — — — — — — — — — — — 74,991 — — —

Federal 10,844 — — — — — — — — — — — — — 10,844 — — —

State and Local 64,147 — — — — — — — — — — — — — 64,147 — — —

Investment 160,035 — — — — — — — — — — — — — — 48,136 50,315 61,584

Research 48,136 — — — — — — — — — — — — — — 48,136 — —

Private 4,512 — — — — — — — — — — — — — — 4,512 — —

Federal 37,143 — — — — — — — — — — — — — — 37,143 — —

State and Local 6,482 — — — — — — — — — — — — — — 6,482 — —

Structures & Equipment 111,899 — — — — — — — — — — — — — — — 50,315 61,584

Private 85,408 — — — — — — — — — — — — — — — 41,046 44,362

Federal 11,165 — — — — — — — — — — — — — — — 2,507 8,658

State and Local 15,326 — — — — — — — — — — — — — — — 6,762 8,564


Table 20

Private Health Insurance Premiums, Benefits and Net Cost; Levels, Annual Percent Change and Percent Distribution, Selected Calendar Years 1960-2012

Item 1960 1970 1980 1990 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

Private Health Insurance Premiums Amount in Billions

Health Consumption Expenditures $5.8 $15.4 $69.0 $234.2 $459.2 $502.5 $561.4 $615.7 $660.0 $703.2 $740.2 $777.7 $807.8 $833.1 $859.6 $888.8 $917.0

Private Health Insurance Benefits


Hospital 3.2 8.8 36.9 96.9 141.6 154.0 170.0 185.6 201.0 217.5 237.0 249.9 265.1 280.8 290.1 303.2 320.9


Dental Services 0.0 0.2 3.8 15.3 31.3 34.3 36.6 37.4 40.5 42.9 45.1 47.6 49.1 49.9 51.3 52.1 53.4


Other Health, Residential, and Personal Care 0.0 0.1 0.3 1.0 2.5 2.6 3.0 3.3 4.0 4.3 4.5 4.8 5.3 5.7 6.2 6.5 6.9

Home Health Care 0.0 0.0 0.3 2.9 7.7 6.7 6.5 6.3 5.9 6.1 5.6 5.1 4.8 4.5 4.6 5.0 5.6

Nursing Care Facilities and Continuing Care Retirement Communities 0.0 0.0 0.2 2.8 7.5 7.7 8.2 7.5 6.9 7.3 8.3 9.0 9.6 10.4 10.9 11.6 12.0


Other Non-durable Medical Products -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --


Net Cost of Private Health Insurance 0.8 1.4 7.7 29.1 52.5 57.2 73.3 88.6 93.6 96.7 101.2 104.6 101.8 97.0 106.4 109.9 109.9

Private Health Insurance Premiums Average Annual Percent Change from Previous Year Shown

Health Consumption Expenditures 10.3% 16.2% 13.0% 7.0% 9.4% 11.7% 9.7% 7.2% 6.6% 5.3% 5.1% 3.9% 3.1% 3.2% 3.4% 3.2%



Hospital 10.7 15.4 10.1 3.9 8.8 10.4 9.2 8.3 8.2 9.0 5.5 6.1 5.9 3.3 4.5 5.8

Physician and Clinical Services 10.2 14.7 15.0 7.5 9.1 8.7 8.8 6.6 6.7 4.7 4.9 4.8 2.2 1.5 3.2 3.6

Dental Services 18.7 33.5 14.9 7.4 9.8 6.5 2.3 8.3 5.9 5.2 5.5 3.1 1.8 2.7 1.6 2.4

Other Professional Services 17.7 35.0 23.1 7.6 9.8 8.7 8.9 6.4 1.9 3.8 9.3 6.3 1.4 4.3 5.5 4.4

Other Health, Residential, and Personal Care 14.7 16.2 13.2 9.1 6.5 15.0 11.0 18.4 7.9 4.7 6.7 10.2 8.8 8.3 5.0 5.2

Home Health Care 16.8 48.5 23.5 10.4 -12.7 -4.0 -2.6 -6.0 3.6 -8.2 -9.6 -5.4 -6.5 2.8 7.5 12.1

Nursing Care Facilities and Continuing Care Retirement Communities 0.0 35.5 30.6 10.3 3.5 5.7 -8.3 -8.4 6.6 12.9 9.0 6.7 8.1 5.0 5.9 3.9

Prescription Drugs 30.0 14.1 19.6 18.8 16.4 13.2 9.2 9.1 7.4 -0.1 5.3 3.2 6.4 0.5 0.8 -2.1

Other Non-durable Medical Products -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --

Durable Medical Equipment 12.9 15.6 10.4 7.9 -5.6 5.7 0.8 6.5 4.2 1.8 7.8 -3.0 1.7 6.7 7.0 4.0

Net Cost of Private Health Insurance 5.4 18.3 14.3 6.1 8.9 28.3 20.7 5.7 3.4 4.6 3.4 -2.7 -4.7 9.7 3.2 0.1

Private Health Insurance Premiums Percent Distribution

Health Consumption Expenditures 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0%



Hospital 55.4 57.3 53.4 41.4 30.8 30.6 30.3 30.1 30.5 30.9 32.0 32.1 32.8 33.7 33.7 34.1 35.0


Dental Services 0.7 1.4 5.5 6.5 6.8 6.8 6.5 6.1 6.1 6.1 6.1 6.1 6.1 6.0 6.0 5.9 5.8


Other Health, Residential, and Personal Care 0.3 0.4 0.4 0.4 0.5 0.5 0.5 0.5 0.6 0.6 0.6 0.6 0.7 0.7 0.7 0.7 0.7

Home Health Care 0.0 0.0 0.5 1.2 1.7 1.3 1.2 1.0 0.9 0.9 0.8 0.7 0.6 0.5 0.5 0.6 0.6

Nursing Care Facilities and Continuing Care Retirement Communities 0.0 0.1 0.3 1.2 1.6 1.5 1.5 1.2 1.0 1.0 1.1 1.2 1.2 1.2 1.3 1.3 1.3


Other Non-durable Medical Products -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --


Net Cost of Private Health Insurance 14.7 9.3 11.1 12.4 11.4 11.4 13.1 14.4 14.2 13.8 13.7 13.5 12.6 11.6 12.4 12.4 12.0

NOTE: The figure 0 denotes amounts less than $50 million. Dashes (--) indicate not applicable. Numbers and percents may not add to totals due to rounding. Dollar amounts are shown in current dollars.


Table 21

Medicare and Private Health Insurance; Per Enrollee1 Expenditures and Annual Percent Change,


All Benefits Common Benefits 2

Personal Health Care Personal Health Care

Calendar Years Medicare Private Health Insurance Medicare Private Health Insurance

Per Enrollee Spending

1969 $341 $80 $325 $75

1970 361 92 350 87

1971 391 103 381 97

1972 423 115 412 108

1973 441 126 428 118

1974 537 147 520 137

1975 637 171 618 158

1976 747 208 723 190

1977 854 243 825 221

1978 964 273 932 246

1979 1,096 320 1,059 287

1980 1,300 369 1,258 330

1981 1,530 430 1,479 380

1982 1,768 485 1,705 428

1983 1,976 534 1,902 465

1984 2,166 584 2,081 503

1985 2,293 648 2,204 554

1986 2,405 681 2,314 580

1987 2,551 762 2,456 643

1988 2,675 885 2,568 746

1989 2,988 995 2,808 837

1990 3,202 1,144 3,009 961

1991 3,434 1,266 3,184 1,059

1992 3,798 1,374 3,465 1,141

1993 4,113 1,446 3,693 1,194

1994 4,518 1,497 3,974 1,214

1995 4,893 1,566 4,262 1,233

1996 5,194 1,629 4,457 1,253

1997 5,426 1,711 4,643 1,294

1998 5,331 1,816 4,659 1,356

1999 5,381 1,930 4,790 1,415

2000 5,582 2,055 4,943 1,501

2001 6,109 2,250 5,358 1,633

2002 6,481 2,462 5,648 1,785

2003 6,822 2,681 5,924 1,960

2004 7,358 2,898 6,321 2,118

2005 7,855 3,088 6,690 2,259

2006 9,026 3,244 6,921 2,403

2007 9,449 3,408 7,098 2,528

2008 9,978 3,604 7,443 2,687

2009 10,366 3,880 7,670 2,886

2010 10,505 4,044 7,700 3,015

2011 10,755 4,159 7,842 3,120

2012 10,829 4,292 7,910 3,255

Table 21 - Continued

Medicare and Private Health Insurance; Per Enrollee1 Expenditures and Annual Percent Change,


All Benefits Common Benefits 2

Personal Health Care Personal Health Care

Calendar Years Medicare Private Health Insurance Medicare Private Health Insurance


1970 6.0% 15.7% 7.7% 15.5%

1971 8.3 11.6 8.9 11.4

1972 8.0 11.6 8.1 11.3

1973 4.3 10.0 3.9 9.5

1974 21.8 16.6 21.5 16.1

1975 18.8 16.2 18.7 15.1

1976 17.2 21.9 17.0 20.5

1977 14.2 16.7 14.2 16.3

1978 13.0 12.3 13.0 11.0

1979 13.6 17.0 13.6 16.5

1980 18.7 15.5 18.8 15.2

1981 17.7 16.5 17.5 15.0

1982 15.6 12.9 15.3 12.8

1983 11.8 10.1 11.5 8.6

1984 9.6 9.3 9.4 8.2

1985 5.9 11.0 5.9 10.1

1986 4.9 5.1 5.0 4.8

1987 6.1 11.8 6.1 10.9

1988 4.9 16.2 4.5 16.0

1989 11.7 12.5 9.3 12.2

1990 7.2 15.0 7.2 14.8

1991 7.2 10.7 5.8 10.2

1992 10.6 8.5 8.8 7.7

1993 8.3 5.2 6.6 4.6

1994 9.9 3.6 7.6 1.7

1995 8.3 4.6 7.2 1.6

1996 6.2 4.0 4.6 1.6

1997 4.5 5.0 4.2 3.3

1998 -1.8 6.1 0.3 4.8

1999 0.9 6.3 2.8 4.4

2000 3.7 6.5 3.2 6.1

2001 9.4 9.5 8.4 8.8

2002 6.1 9.4 5.4 9.3

2003 5.3 8.9 4.9 9.8

2004 7.9 8.1 6.7 8.1

2005 6.8 6.6 5.8 6.7

2006 14.9 5.0 3.5 6.4

2007 4.7 5.1 2.6 5.2

2008 5.6 5.7 4.9 6.3

2009 3.9 7.7 3.0 7.4

2010 1.3 4.2 0.4 4.5

2011 2.4 2.9 1.8 3.5

2012 0.7 3.2 0.9 4.3

Average Annual Percent Change by Period

1969 - 2012 8.4% 9.7% 7.7% 9.2%

1969 - 1993 10.9 12.8 10.7 12.2

1993 - 1997 7.2 4.3 5.9 2.0

1997 - 1999 -0.4 6.2 1.6 4.6

1999 - 2002 6.4 8.5 5.6 8.0

2002 - 2007 7.8 6.7 4.7 7.2

2007 - 2012 2.8 4.7 2.2 5.2

1 Per enrollee includes primary policy holder plus dependents.

2 Common benefits refers to benefits commonly covered by Medicare and Private Health Insurance. These benefits are hospital services, physician and clinical

services, other professional services and durable medical products.


Table 22

Health Insurance Enrollment and Uninsured; Number of Enrollees and Annual Percent Change,

Calendar Years 1987- 2012

Private Health Insurance (PHI)

Individual

Total Individual Total Other PHI1

Medigap

Employer Sponsored


Children's Health

Insurance Program Other Public2

Uninsured

Enrollees in Millions

1987 177.8 23.4 13.7 9.6 149.0 31.7 20.0 — 10.4 27.3

1988 177.9 23.4 13.6 9.8 155.1 32.3 20.0 — 9.9 28.7

1989 180.4 23.4 13.8 9.6 158.2 32.9 20.8 — 9.8 30.5

1990 179.2 23.1 13.5 9.7 158.1 33.5 22.8 — 9.7 31.2

1991 178.5 23.2 13.7 9.5 158.6 34.2 25.9 — 9.7 32.2

1992 177.8 23.6 13.5 10.1 154.5 34.9 28.5 — 9.4 34.1

1993 178.6 23.3 13.2 10.1 156.1 35.6 30.5 — 9.5 35.0

1994 180.9 23.5 12.3 11.2 158.7 36.2 31.7 — 10.2 34.4

1995 183.8 22.0 12.3 9.7 163.0 36.8 32.3 — 9.0 34.9

1996 187.0 21.6 12.5 9.1 165.4 37.3 32.2 — 8.5 35.4

1997 188.5 20.3 11.9 8.4 168.1 37.6 31.8 — 8.4 36.7

1998 191.3 19.0 10.9 8.1 171.9 38.0 31.4 — 8.4 37.1

1999 193.5 18.1 10.1 8.0 178.2 38.3 32.2 1.7 8.1 35.2

2000 197.9 18.0 10.3 7.7 182.0 38.8 34.2 2.3 8.7 34.2

2001 198.0 19.8 11.2 8.6 180.2 39.1 36.8 3.2 9.3 35.7

2002 198.3 20.4 11.5 8.9 180.1 39.6 40.4 3.9 9.5 37.1

2003 196.6 20.9 11.8 9.1 177.7 40.2 43.0 4.2 9.7 39.0

2004 195.4 19.3 10.6 8.7 177.9 40.8 44.5 4.3 10.3 39.0

2005 196.4 20.1 11.1 8.9 178.2 41.5 45.8 4.4 10.8 40.3

2006 197.0 19.9 11.4 8.5 178.8 42.4 45.6 4.6 10.2 42.4

2007 197.5 19.4 11.2 8.2 179.3 43.3 45.6 4.9 10.7 41.1

2008 195.9 19.8 11.7 8.1 177.3 44.4 47.2 5.0 11.3 42.2

2009 189.7 20.4 13.0 7.4 170.8 45.5 50.6 5.3 12.1 45.9

2010 186.3 21.1 13.9 7.2 166.6 46.6 53.1 5.5 12.5 48.1

2011 187.3 20.5 13.4 7.1 168.2 47.7 54.8 5.7 13.2 45.6

2012 188.0 20.9 13.4 7.5 168.6 49.7 55.9 5.9 13.2 44.7


Health Insurance Enrollment and Uninsured; Number of Enrollees and Annual Percent Change,

Calendar Years 1987- 2012

Private Health Insurance (PHI)

Individual

Total Individual Total Other PHI1

Medigap

Employer Sponsored


Children's Health

Insurance Program Other Public2

Uninsured


1988 0.0% 0.1% -1.0% 1.6% 4.1% 1.8% 0.0% — -4.1% 4.9%

1989 1.4 0.1 1.7 -2.0 2.0 1.8 4.0 — -1.7 6.2

1990 -0.7 -1.2 -2.5 0.8 0.0 1.9 9.8 — -0.4 2.6

1991 -0.4 0.2 1.5 -1.5 0.3 2.0 13.8 — -0.4 3.1

1992 -0.4 1.9 -1.0 6.0 -2.6 2.0 9.7 — -2.6 5.8

1993 0.5 -1.5 -2.4 -0.3 1.1 2.0 7.2 — 0.5 2.7

1994 1.3 0.7 -7.2 11.2 1.7 1.7 3.7 — 7.8 -1.9

1995 1.6 -6.3 0.4 -13.7 2.7 1.6 2.1 — -12.2 1.5

1996 1.7 -1.7 1.5 -5.8 1.5 1.4 -0.5 — -5.2 1.7

1997 0.8 -5.9 -4.8 -7.4 1.6 1.0 -1.0 — -1.4 3.6

1998 1.5 -6.4 -8.4 -3.6 2.3 1.0 -1.4 — 0.4 1.0

1999 1.2 -4.8 -7.2 -1.5 3.6 0.8 2.5 — -3.4 -5.1

2000 2.3 -0.5 2.1 -3.8 2.1 1.2 6.2 35.5 7.1 -2.9

2001 0.0 10.0 8.6 11.7 -1.0 1.0 7.7 39.7 6.2 4.4

2002 0.2 2.9 2.9 3.0 -0.1 1.1 9.8 21.1 3.1 4.1

2003 -0.8 2.5 2.6 2.3 -1.3 1.5 6.4 8.7 1.5 4.9

2004 -0.6 -7.8 -10.8 -3.8 0.1 1.6 3.7 3.0 6.7 0.1

2005 0.5 4.2 5.6 2.6 0.2 1.8 2.9 1.6 4.4 3.3

2006 0.3 -0.8 2.5 -5.0 0.3 2.0 -0.6 4.0 -5.3 5.1

2007 0.2 -2.8 -2.3 -3.5 0.3 2.1 0.1 6.7 4.3 -3.1

2008 -0.8 2.4 5.0 -1.2 -1.1 2.6 3.5 3.6 6.4 2.7

2009 -3.2 2.9 10.5 -8.1 -3.7 2.4 7.3 5.9 6.8 8.9

2010 -1.8 3.3 7.2 -3.3 -2.4 2.5 4.9 3.0 3.2 4.7

2011 0.5 -2.6 -3.2 -1.4 0.9 2.5 3.2 2.6 5.3 -5.1

2012 0.4 1.9 0.1 5.4 0.2 4.1 1.9 4.0 0.0 -1.9

Notes: Due to overlaps of coverage the data are not additive.

— data not applicable

1 Other PHI includes insurance plans purchased on the private market that are not associated with an individual's employer or Medigap plan.

2 Other Public includes health insurance coverage provided by the Department of Veterans Affairs and the Department of Defense.

Source: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group.

Table 23

National Health Expenditures; Nominal Dollars, Real Dollars, Price Indexes, and Annual Percent Change: Selected Calendar Years 1980-2012

1980 1990 2000 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

Nominal Dollars (billions)

National Health Expenditures $256 $724 $1,377 $1,778 $1,906 $2,035 $2,167 $2,303 $2,412 $2,504 $2,599 $2,693 $2,793

Personal Health Care 217 617 1,165 1,482 1,592 1,701 1,809 1,921 2,017 2,117 2,193 2,271 2,360

Hospital Care 101 250 416 526 566 609 652 692 729 777 813 841 882

Physician and Clinical Services 48 159 291 368 393 417 439 462 486 503 519 540 565

Other Professional Services 3 17 37 47 50 53 55 59 64 67 70 73 76

Dental Services 13 32 62 76 82 87 91 97 102 102 105 108 111

Other Health, Residential, and Personal Care 9 24 65 84 91 97 102 108 114 122 128 132 138

Home Health Care 2 13 32 40 44 49 53 58 62 67 71 74 78

Nursing Home Facilities and Continuing Care

Retirement Communities 15 45 85 100 106 112 117 126 133 139 143 149 152

Prescription Drugs 12 40 121 177 193 205 224 236 243 255 256 262 263

Other Non-Durable Medical Products 10 22 32 36 38 41 44 48 49 50 51 53 54

Durable Medical Equipment 4 14 25 28 29 31 32 34 35 35 37 39 41

Government Administration 3 7 17 24 26 28 29 29 29 30 31 33 34

Net Cost of Health Insurance 9 32 64 107 115 122 137 143 139 137 151 158 164

Government Public Health Actitives 6 20 43 54 55 57 61 66 72 74 75 73 75

Research 5 13 25 35 39 40 41 42 44 45 49 50 48

Structures and Equipment 15 36 62 75 79 86 90 102 110 101 100 108 112

Real Dollars (2009 $, billions)

National Health Expenditures - - - $2,119 $2,196 $2,267 $2,339 $2,406 $2,469 $2,504 $2,531 $2,561 $2,612

Personal Health Care 762 1,095 1,539 1,775 1,842 1,908 1,971 2,025 2,073 2,117 2,135 2,166 2,211

Hospital Care 389 470 585 656 673 698 716 735 751 777 789 799 819

Physician and Clinical Services 124 225 344 415 435 452 472 477 498 503 507 521 539

Other Professional Services 12 30 48 55 58 59 60 63 65 67 68 71 73

Dental Services 66 79 93 101 104 104 104 105 105 102 103 102 103

Other Health, Residential, and Personal Care 29 47 85 100 105 109 112 115 116 122 124 124 127

Home Health Care 8 20 37 44 47 51 55 60 63 67 70 73 76


Retirement Communities 56 96 121 125 127 130 132 136 137 139 140 143 143

Prescription Drugs 66 88 168 211 222 228 241 250 251 255 245 241 238

Other Non-Durable Medical Products 25 30 34 39 41 44 46 49 51 50 51 54 54

Durable Medical Equipment 10 20 28 31 32 33 33 35 35 35 37 39 41

Government Administration - - - 29 30 31 31 31 30 30 30 31 32

Net Cost of Health Insurance - - - 122 127 125 134 134 141 137 140 136 142

Government Public Health Actitives - - - 67 66 65 67 70 72 74 74 69 69

Research - - - 44 47 47 46 46 45 45 48 47 45

Structures and Equipment - - - 83 85 90 91 101 109 101 104 111 115

Price Index

National Health Expenditures - - - 83.9 86.8 89.8 92.6 95.7 97.7 100.0 102.7 105.2 106.9

Personal Health Care 28.5 56.4 75.7 83.5 86.5 89.1 91.8 94.8 97.3 100.0 102.7 104.8 106.8

Hospital Care 25.8 53.3 71.0 80.2 84.1 87.3 91.1 94.2 97.1 100.0 103.0 105.2 107.8

Physician and Clinical Services 38.6 70.8 84.7 88.6 90.4 92.2 93.1 96.8 97.7 100.0 102.3 103.7 104.9

Other Professional Services 29.5 57.3 77.2 84.4 86.7 89.1 91.6 94.1 98.0 100.0 102.2 103.7 104.7

Dental Services 20.3 40.1 66.6 75.4 79.1 83.5 87.8 92.3 97.1 100.0 102.7 105.1 107.6

Other Health, Residential, and Personal Care 29.1 52.2 75.9 83.5 86.4 88.8 90.8 93.6 97.5 100.0 103.4 106.7 108.9

Home Health Care 31.3 63.9 86.8 91.4 93.6 94.6 95.2 96.9 98.5 100.0 101.2 101.2 101.9


Retirement Communities 27.3 46.7 70.1 79.9 83.3 86.4 88.9 93.1 96.8 100.0 102.0 104.5 106.1

Prescription Drugs 18.3 45.9 72.1 84.1 86.8 89.9 93.1 94.4 96.7 100.0 104.3 108.7 110.7

Other Non-Durable Medical Products 38.8 75.6 91.7 93.9 93.8 93.1 95.1 96.6 97.8 100.0 100.0 98.6 99.3

Durable Medical Equipment 40.5 70.0 89.8 91.7 93.1 94.5 96.6 98.1 99.0 100.0 99.9 100.5 101.6

Government Administration - - - 83.7 86.9 90.0 92.7 95.7 99.0 100.0 101.8 104.4 106.2

Net Cost of Health Insurance - - - 88.3 90.5 97.6 102.3 106.1 98.6 100.0 107.5 115.9 115.6

Government Public Health Actitives - - - 80.6 83.7 87.7 91.3 94.8 99.7 100.0 102.4 105.7 109.2

Research - - - 79.5 82.4 85.8 89.6 93.2 97.1 100.0 102.9 105.4 107.2

Structures and Equipment - - - 90.7 92.4 95.3 98.5 100.5 101.6 100.0 96.4 97.1 97.7


National Health Expenditures; Nominal Dollars, Real Dollars, Price Indexes, and Annual Percent Change: Selected Calendar Years 1980-2012

1980 1990 2000 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

Nominal Dollars, Average Annual Growth From Prior Year Shown

National Health Expenditures - 11.0% 6.6% 8.9% 7.2% 6.8% 6.5% 6.3% 4.7% 3.8% 3.8% 3.6% 3.7%

Personal Health Care - 11.0 6.6 8.3 7.4 6.8 6.4 6.2 5.0 5.0 3.6 3.6 3.9

Hospital Care - 9.6 5.2 8.2 7.6 7.7 7.0 6.2 5.3 6.6 4.6 3.5 4.9

Physician and Clinical Services - 12.8 6.2 8.2 6.9 6.1 5.2 5.2 5.3 3.4 3.1 4.1 4.6

Other Professional Services - 17.5 7.8 8.1 7.6 4.8 4.3 8.2 7.6 4.4 4.6 4.6 4.5

Dental Services - 9.0 7.0 7.0 7.6 6.0 5.1 6.4 5.2 0.1 2.8 2.2 3.0

Other Health, Residential, and Personal Care - 11.1 10.2 9.0 8.3 6.5 5.3 5.9 5.4 7.9 4.6 3.3 4.5

Home Health Care - 18.1 9.9 7.1 10.1 11.2 8.0 9.9 7.8 8.0 5.8 4.1 5.1


Retirement Communities - 11.4 6.6 5.6 5.4 6.3 4.3 7.8 4.9 4.5 3.2 4.3 1.6

Prescription Drugs - 12.8 11.6 13.6 9.0 6.4 9.3 5.1 2.8 4.9 0.4 2.5 0.4

Other Non-Durable Medical Products - 8.6 3.5 4.7 5.2 7.1 7.2 9.2 3.6 1.7 1.8 3.0 1.8

Durable Medical Equipment - 13.0 6.2 3.7 5.1 4.8 4.7 6.2 1.6 0.4 5.6 5.6 5.6

Government Administration - 10.0 9.1 12.8 7.6 7.4 1.6 1.8 0.5 1.3 2.4 7.3 2.7

Net Cost of Health Insurance - 13.1 7.3 18.7 6.8 6.9 11.6 4.3 -2.4 -1.8 10.4 4.5 4.2

Government Public Health Actitives - 12.0 8.0 7.9 1.9 3.8 6.4 8.3 8.5 3.6 1.6 -2.6 2.3

Research - 8.9 7.2 11.0 10.5 4.7 2.9 2.3 3.8 3.0 8.1 1.2 -3.1

Structures and Equipment - 9.4 5.6 6.6 5.0 9.1 4.1 13.5 8.5 -8.6 -0.5 7.8 3.4

Real Dollars (2009 $), Average Annual Growth From Prior Year Shown

National Health Expenditures - - - - 3.6% 3.3% 3.2% 2.9% 2.6% 1.4% 1.1% 1.2% 2.0%


Hospital Care - 1.9 2.2 3.9 2.5 3.7 2.5 2.7 2.2 3.5 1.6 1.3 2.4



Dental Services - 1.8 1.7 2.7 2.5 0.4 -0.1 1.2 0.0 -2.8 0.1 -0.2 0.7


Home Health Care - 10.0 6.6 5.2 7.5 10.0 7.3 7.9 6.0 6.4 4.6 4.1 4.3



Prescription Drugs - 2.9 6.7 7.9 5.5 2.8 5.6 3.6 0.3 1.5 -3.7 -1.6 -1.4

Other Non-Durable Medical Products - 1.6 1.5 3.8 5.4 7.8 5.0 7.4 2.4 -0.5 1.9 4.4 1.0

Durable Medical Equipment - 7.0 3.6 3.0 3.5 3.3 2.4 4.6 0.7 -0.7 5.7 5.0 4.5

Government Administration - - - - 3.8 3.6 -1.4 -1.3 -2.9 0.3 0.6 4.7 1.0

Net Cost of Health Insurance - - - - 4.1 -0.8 6.5 0.6 5.1 -3.2 2.7 -3.1 4.5

Government Public Health Actitives - - - - -1.9 -0.9 2.2 4.3 3.2 3.3 -0.8 -5.7 -1.0

Research - - - - 6.4 0.6 -1.5 -1.6 -0.4 0.1 5.1 -1.2 -4.7

Structures and Equipment - - - - 3.0 5.9 0.7 11.3 7.3 -7.2 3.2 7.1 2.8

Price Index, Average Annual Growth From Prior Year Shown

National Health Expenditures - - - - 3.4% 3.4% 3.2% 3.3% 2.0% 2.4% 2.7% 2.4% 1.7%


Hospital Care - 7.5 2.9 4.1 4.9 3.8 4.4 3.5 3.0 3.0 3.0 2.1 2.5



Dental Services - 7.0 5.2 4.2 4.9 5.6 5.2 5.1 5.2 3.0 2.7 2.3 2.3


Home Health Care - 7.4 3.1 1.7 2.4 1.1 0.6 1.8 1.7 1.5 1.2 0.0 0.7



Prescription Drugs - 9.6 4.6 5.3 3.3 3.5 3.5 1.4 2.5 3.4 4.3 4.2 1.9

Other Non-Durable Medical Products - 6.9 1.9 0.8 -0.2 -0.7 2.1 1.6 1.2 2.3 0.0 -1.3 0.7

Durable Medical Equipment - 5.6 2.5 0.7 1.5 1.5 2.2 1.6 0.9 1.1 -0.1 0.6 1.1

Government Administration - - - - 3.8 3.6 3.1 3.1 3.5 1.0 1.8 2.5 1.7

Net Cost of Health Insurance - - - - 2.5 7.8 4.9 3.7 -7.1 1.4 7.5 7.8 -0.3

Government Public Health Actitives - - - - 3.8 4.7 4.1 3.9 5.1 0.3 2.4 3.2 3.3

Research - - - - 3.8 4.1 4.4 4.0 4.2 2.9 2.9 2.4 1.7

Structures and Equipment - - - - 1.9 3.0 3.4 2.0 1.1 -1.6 -3.6 0.7 0.6

NOTE: The National Health Expenditures price index is available for 2003 through 2011 only. Chain-weighted price indexes are used to deflate National Health Expenditures, Personal Health Care, Other Health,

Residential, and Personal Care Services, Government Administration, Net Cost of Insurance, Government Public Health, Research, and Structures and Equipment. All other categories are deflated using fixed-

weighted price indexes. Because aggregate categories are deflated using chain-weighted price indexes, the sum of real spending for the deflated categories will not equal the published totals for Personal Health

Care and National Health Expenditures.


kff - national health expenditures1970 1980 1990 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009...

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