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. 1990 Winter;12(2):1–26.

Table 9. Personal health care expenditures under Medicare and Medicaid and sources of Medicare financing: Calendar years 1966-89.

Year Personal health care expenditures Population Medicare financing

Inpatient hospital deductible6 SMI monthly premium7 Annual maximum taxable earnings Contribution rate8,9


Medicare and Medicaid1 Medicare Medicaid Medicare2 Medicaid recipients5

Enrollees3 Users4

Amount in billions Number in millions Amount in dollars Percent
1966 $2.9 $1.6 $1.3 19.1 3.7 $40 $3.00 $6,600 0.35
1967 7.9 4.9 3.0 19.5 7.2 40 3.00 6,600 0.50
1968 9.3 5.9 3.4 19.8 7.9 40 4.00 7,800 0.60
1969 10.8 6.8 4.0 20.1 8.6 44 4.00 7,800 0.60
1970 12.3 7.2 5.1 20.5 52 5.30 7,800 0.60
1971 14.5 8.1 6.4 20.9 9.4 60 5.60 7,800 0.60
1972 16.8 8.8 8.0 21.3 10.0 17.6 68 5.80 9,000 0.60
1973 19.2 10.2 9.1 23.5 10.2 19.6 72 106.30 10,800 1.00
1974 23.4 12.8 10.6 24.2 11.8 21.5 84 6.70 13,200 0.90
1975 28.6 15.7 12.9 25.0 13.0 22.0 92 6.70 14,100 0.90
1976 33.4 18.9 14.5 25.7 14.1 22.8 104 7.20 15,300 0.90
1977 38.6 22.1 16.6 26.5 14.9 22.8 124 7.70 16,500 0.90
1978 44.3 25.8 18.5 27.2 15.9 22.0 144 8.20 17,700 1.00
1979 51.3 30.1 21.2 27.9 16.9 21.5 160 8.70 22,900 1.05
1980 61.2 36.4 24.8 28.5 18.0 21.6 180 9.60 25,900 1.05
1981 72.7 43.8 28.9 29.0 18.9 22.0 204 11.00 29,700 1.30
1982 81.9 51.4 30.6 29.5 18.8 21.6 260 12.20 32,400 1.30
1983 92.0 58.5 33.6 30.0 19.7 21.6 304 12.20 35,700 1.30
1984 100.4 64.4 36.0 30.5 20.7 21.6 356 14.60 37,800 1.30
1985 109.9 70.3 39.7 31.1 22.3 21.8 400 15.50 39,600 1.35
1986 118.0 75.1 42.9 31.7 23.1 22.5 492 15.50 42,000 1.45
1987 129.4 81.2 48.2 32.4 24.3 23.1 520 17.90 43,800 1.45
1988 140.5 88.5 52.1 33.0 25.1 22.9 540 24.80 45,000 1.45
1989 159.2 99.8 59.3 33.6 1125.7 24.1 560 27.90 48,000 1.45
1

Excludes “buy-in” premiums paid by Medicaid for SMI coverage of aged and disabled Medicaid recipients eligible for coverage.

2

Hospital insurance and/or supplementary medical insurance.

3

Enrollees as of July 1 of specified year.

4

Enrollees with some reimbursement under Medicare during calendar year. Data through 1973 reflect aged users only. Data for 1974 and later includes aged and disabled users.

5

Unduplicated count of Medicaid recipients during fiscal year.

6

As of January of specified year with the exception of 1966, for which July data are used.

7

As of July for 1966-83 and as of January for 1984-89.

8

Employer and employee (each) and self-employed people through 1983.

9

Effective in 1984, self-employed people pay double this rate, the equivalent of both the employer and the employee share.

10

Monthly premium for July and August 1973 was reduced to $5.80 and $6.10, respectively, by the Cost of Living Council.

11

Estimated.

NOTES: SMI is supplementary medical insurance. 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.