Table 18. Personal health care expenditures, by type of expenditure and selected sources of payment: Selected calendar years 1980-89.
| Source of payment | Total | Hospital care | Physician services | Dental services | Other professional services | Home health care | Drugs and other medical nondurables | Vision products and other medical durables | Nursing home care | Other personal care |
|---|---|---|---|---|---|---|---|---|---|---|
|
| ||||||||||
| Amount in billions | ||||||||||
| 1980 | ||||||||||
| Personal health care expenditures | $218.3 | $102.4 | $41.9 | $14.4 | $8.7 | $1.3 | $20.1 | $5.0 | $20.0 | $4.6 |
| Out-of-pocket payments | 58.4 | 5.3 | 11.3 | 9.4 | 3.8 | 0.1 | 16.0 | 3.9 | 8.7 | — |
| Third-party payments | 159.9 | 97.1 | 30.6 | 5.0 | 4.9 | 1.2 | 4.2 | 1.0 | 11.3 | 4.6 |
| Private health insurance | 65.3 | 37.5 | 18.0 | 4.4 | 2.2 | 0.1 | 2.5 | 0.4 | 0.2 | — |
| Other private | 7.6 | 5.0 | 0.0 | — | 0.9 | 0.1 | — | — | 0.6 | 0.9 |
| Government | 87.1 | 54.6 | 12.6 | 0.6 | 1.7 | 1.0 | 1.7 | 0.6 | 10.5 | 3.7 |
| Federal | 63.5 | 41.3 | 9.7 | 0.4 | 1.3 | 0.8 | 0.8 | 0.5 | 6.1 | 2.5 |
| Medicare | 36.4 | 26.4 | 7.9 | — | 0.6 | 0.7 | — | 0.4 | 0.4 | — |
| Medicaid | 13.7 | 5.3 | 1.2 | 0.3 | 0.3 | 0.2 | 0.8 | — | 5.4 | 0.3 |
| Other | 13.4 | 9.7 | 0.5 | 0.1 | 0.4 | — | 0.0 | 0.1 | 0.4 | 2.2 |
| State and local | 23.6 | 13.3 | 3.0 | 0.3 | 0.4 | 0.1 | 0.8 | 0.1 | 4.4 | 1.2 |
| Medicaid | 11.1 | 4.4 | 1.0 | 0.2 | 0.2 | 0.1 | 0.6 | — | 4.4 | 0.3 |
| Other | 12.5 | 8.9 | 2.0 | 0.1 | 0.2 | 0.0 | 0.2 | 0.1 | 0.0 | 0.9 |
| Total Medicaid | 24.8 | 9.7 | 2.1 | 0.5 | 0.5 | 0.3 | 1.4 | — | 9.7 | 0.6 |
| 1986 | ||||||||||
| Personal health care expenditures | 398.2 | 179.4 | 82.1 | 24.7 | 18.6 | 4.0 | 35.6 | 9.5 | 36.7 | 7.6 |
| Out-of-pocket payments | 97.4 | 8.6 | 16.3 | 14.2 | 6.6 | 0.4 | 26.3 | 6.9 | 18.0 | — |
| Third-party payments | 300.7 | 170.8 | 65.7 | 10.6 | 12.0 | 3.5 | 9.2 | 2.6 | 18.7 | 7.6 |
| Private health insurance | 125.2 | 63.8 | 38.3 | 9.9 | 6.1 | 0.3 | 5.5 | 0.8 | 0.4 | — |
| Other private | 13.5 | 8.6 | 0.0 | — | 2.2 | 0.4 | — | — | 0.7 | 1.6 |
| Government | 162.0 | 98.3 | 27.4 | 0.7 | 3.6 | 2.9 | 3.7 | 1.8 | 17.6 | 6.0 |
| Federal | 120.2 | 75.4 | 21.8 | 0.3 | 2.7 | 2.3 | 1.7 | 1.6 | 10.4 | 3.8 |
| Medicare | 75.1 | 50.9 | 18.8 | — | 1.7 | 1.8 | — | 1.4 | 0.6 | — |
| Medicaid | 24.0 | 9.2 | 1.8 | 0.3 | 0.6 | 0.6 | 1.7 | — | 9.0 | 0.8 |
| Other | 21.1 | 15.4 | 1.2 | 0.0 | 0.5 | — | 0.1 | 0.1 | 0.8 | 3.0 |
| State and local | 41.7 | 23.0 | 5.5 | 0.3 | 0.9 | 0.5 | 1.9 | 0.2 | 7.2 | 2.2 |
| Medicaid | 18.9 | 7.4 | 1.3 | 0.2 | 0.5 | 0.5 | 1.2 | — | 7.1 | 0.6 |
| Other | 22.8 | 15.6 | 4.2 | 0.1 | 0.4 | 0.0 | 0.7 | 0.2 | 0.0 | 1.6 |
| Total Medicaid | 42.9 | 16.5 | 3.2 | 0.5 | 1.0 | 1.1 | 2.9 | — | 16.2 | 1.4 |
| 1987 | ||||||||||
| Personal health care expenditures | 436.7 | 193.8 | 93.0 | 27.1 | 21.2 | 4.1 | 38.7 | 10.7 | 39.8 | 8.3 |
| Out-of-pocket payments | 104.7 | 8.7 | 17.8 | 15.4 | 7.0 | 0.5 | 28.5 | 7.7 | 19.1 | — |
| Third-party payments | 331.9 | 185.1 | 75.1 | 11.7 | 14.2 | 3.6 | 10.2 | 3.0 | 20.7 | 8.3 |
| Private health insurance | 139.4 | 69.5 | 43.8 | 11.0 | 7.5 | 0.3 | 6.0 | 0.9 | 0.4 | — |
| Other private | 14.7 | 9.4 | 0.0 | — | 2.4 | 0.3 | — | — | 0.8 | 1.7 |
| Government | 177.8 | 106.2 | 31.3 | 0.7 | 4.3 | 3.1 | 4.2 | 2.0 | 19.5 | 6.6 |
| Federal | 130.3 | 80.1 | 24.9 | 0.4 | 3.2 | 2.4 | 2.0 | 1.8 | 11.4 | 4.2 |
| Medicare | 81.2 | 53.7 | 21.6 | — | 1.9 | 1.7 | — | 1.7 | 0.6 | — |
| Medicaid | 26.4 | 10.1 | 2.0 | 0.3 | 0.7 | 0.7 | 1.9 | — | 9.8 | 1.0 |
| Other | 22.7 | 16.3 | 1.4 | 0.1 | 0.6 | — | 0.1 | 0.1 | 0.9 | 3.2 |
| State and local | 47.5 | 26.0 | 6.3 | 0.3 | 1.1 | 0.7 | 2.3 | 0.2 | 8.1 | 2.4 |
| Medicaid | 21.8 | 8.5 | 1.5 | 0.3 | 0.6 | 0.6 | 1.4 | — | 8.1 | 0.8 |
| Other | 25.7 | 17.6 | 4.8 | 0.1 | 0.5 | 0.0 | 0.9 | 0.2 | 0.0 | 1.7 |
| Total Medicaid | 48.2 | 18.5 | 3.5 | 0.6 | 1.3 | 1.3 | 3.3 | — | 17.9 | 1.7 |
| 1988 | ||||||||||
| Personal health care expenditures | $480.0 | $211.7 | $105.1 | $29.4 | $23.8 | 4.5 | $41.5 | $12.0 | $42.8 | $9.3 |
| Out-of-pocket payments | 115.5 | 11.3 | 20.1 | 16.3 | 7.6 | 0.5 | 30.4 | 8.7 | 20.6 | — |
| Third-party payments | 364.5 | 200.4 | 85.0 | 13.1 | 16.1 | 4.0 | 11.1 | 3.3 | 22.2 | 9.3 |
| Private health insurance | 155.9 | 76.2 | 50.1 | 12.4 | 8.9 | 0.3 | 6.5 | 1.0 | 0.5 | — |
| Other private | 16.0 | 10.3 | 0.0 | — | 2.6 | 0.3 | — | — | 0.8 | 1.9 |
| Government | 192.7 | 113.9 | 34.9 | 0.7 | 4.6 | 3.4 | 4.7 | 2.2 | 20.9 | 7.4 |
| Federal | 141.7 | 85.7 | 28.1 | 0.4 | 3.5 | 2.6 | 2.2 | 2.0 | 12.6 | 4.7 |
| Medicare | 88.5 | 57.5 | 24.2 | — | 2.1 | 1.8 | — | 1.8 | 1.0 | — |
| Medicaid | 29.4 | 11.2 | 2.2 | 0.3 | 0.8 | 0.8 | 2.1 | — | 10.7 | 1.3 |
| Other | 23.9 | 17.0 | 1.7 | 0.1 | 0.6 | — | 0.1 | 0.2 | 0.9 | 3.4 |
| State and local | 51.0 | 28.2 | 6.8 | 0.3 | 1.1 | 0.7 | 2.5 | 0.3 | 8.3 | 2.7 |
| Medicaid | 22.7 | 8.8 | 1.5 | 0.3 | 0.6 | 0.7 | 1.5 | — | 8.3 | 1.0 |
| Other | 28.3 | 19.3 | 5.3 | 0.1 | 0.5 | 0.0 | 0.9 | 0.3 | 0.0 | 1.8 |
| Total Medicaid | 52.1 | 20.0 | 3.7 | 0.6 | 1.4 | 1.5 | 3.6 | — | 19.0 | 2.2 |
| 1989 | ||||||||||
| Personal health care expenditures | 530.7 | 232.8 | 117.6 | 31.4 | 27.0 | 5.4 | 44.6 | 13.5 | 47.9 | 10.5 |
| Out-of-pocket payments | 124.8 | 12.7 | 22.4 | 17.2 | 8.5 | 0.6 | 32.3 | 9.8 | 21.3 | — |
| Third-party payments | 405.9 | 220.1 | 95.3 | 14.2 | 18.5 | 4.8 | 12.3 | 3.7 | 26.7 | 10.5 |
| Private health insurance | 172.9 | 84.2 | 56.1 | 13.4 | 10.2 | 0.4 | 7.0 | 1.2 | 0.5 | — |
| Other private | 17.6 | 11.4 | 0.0 | — | 2.9 | 0.3 | — | — | 0.9 | 2.1 |
| Government | 215.4 | 124.5 | 39.2 | 0.7 | 5.4 | 4.1 | 5.3 | 2.5 | 25.2 | 8.4 |
| Federal | 158.4 | 92.9 | 31.8 | 0.4 | 4.1 | 3.1 | 2.5 | 2.2 | 16.2 | 5.2 |
| Medicare | 99.8 | 62.1 | 27.5 | — | 2.5 | 2.1 | — | 2.1 | 3.6 | — |
| Medicaid | 33.7 | 12.9 | 2.6 | 0.4 | 1.0 | 1.0 | 2.4 | — | 11.7 | 1.8 |
| Other | 24.8 | 17.9 | 1.7 | 0.1 | 0.6 | — | 0.1 | 0.2 | 0.9 | 3.4 |
| State and local | 57.0 | 31.6 | 7.4 | 0.3 | 1.4 | 0.9 | 2.8 | 0.3 | 9.0 | 3.3 |
| Medicaid | 25.6 | 10.0 | 1.6 | 0.3 | 0.7 | 0.9 | 1.7 | — | 9.0 | 1.4 |
| Other | 31.4 | 21.6 | 5.8 | 0.1 | 0.6 | 0.0 | 1.1 | 0.3 | 0.1 | 1.9 |
| Total Medicaid | 59.3 | 22.9 | 4.2 | 0.6 | 1.7 | 1.9 | 4.1 | — | 20.6 | 3.2 |
NOTES: 0.0 denotes less than $50 million. Medicaid expenditures exclude Part B premium payments to Medicare by States under “buy-in” agreements to cover premiums for eligible Medicaid recipients. Numbers may not add to totals because of rounding.
SOURCE: Health Care Financing Administration, Office of the Actuary: Data from the Office of National Cost Estimates.