Table 19. Personal Health Care Expenditures, by Type of Expenditure and Source of Funds: Selected Years 1980-93.
| Year and Source of Funds | Total | Hospital Care | Physician Services | Dental Services | Other Professional Services | Home Health Care | Drugs and Other Medical Non-Durables | Vision Products and Other Medical Durables | Nursing Home Care | Other Personal Care |
|---|---|---|---|---|---|---|---|---|---|---|
|
| ||||||||||
| Amount in Billions | ||||||||||
| 1980 | ||||||||||
| Personal Health Care Expenditures | $220.1 | $102.7 | $45.2 | $13.3 | $6.4 | $1.9 | $21.6 | $4.5 | $20.5 | $4.0 |
| Out-of-Pocket Payments | 61.3 | 5.3 | 14.7 | 8.8 | 3.3 | 0.3 | 17.5 | 3.5 | 7.8 | — |
| Third-Party Payments | 158.8 | 97.4 | 30.6 | 4.5 | 3.1 | 1.5 | 4.1 | 1.0 | 12.6 | 4.0 |
| Private Health Insurance | 64.1 | 38.7 | 17.1 | 3.8 | 1.1 | 0.3 | 2.4 | 0.4 | 0.2 | — |
| Other Private | 7.7 | 5.0 | 0.4 | 0.0 | 0.5 | 0.3 | — | — | 0.6 | 0.9 |
| Government | 87.0 | 53.7 | 13.1 | 0.6 | 1.5 | 0.9 | 1.7 | 0.6 | 11.8 | 3.1 |
| Federal | 63.4 | 40.9 | 10.0 | 0.4 | 1.1 | 0.8 | 0.9 | 0.5 | 6.9 | 2.0 |
| Medicare | 36.4 | 26.3 | 8.0 | — | 0.6 | 0.7 | — | 0.4 | 0.4 | — |
| Medicaid | 13.7 | 4.6 | 1.4 | 0.3 | 0.1 | 0.2 | 0.8 | — | 6.1 | 0.2 |
| Other | 13.3 | 9.9 | 0.6 | 0.1 | 0.4 | 0.0 | 0.0 | 0.1 | 0.4 | 1.8 |
| State and Local | 23.6 | 12.8 | 3.1 | 0.3 | 0.4 | 0.1 | 0.8 | 0.1 | 4.9 | 1.1 |
| Medicaid | 11.1 | 3.9 | 1.1 | 0.2 | 0.1 | 0.1 | 0.6 | — | 4.8 | 0.2 |
| Other | 12.5 | 8.9 | 2.0 | 0.1 | 0.3 | 0.0 | 0.2 | 0.1 | 0.0 | 0.9 |
| Total Medicaid | 24.8 | 8.5 | 2.5 | 0.5 | 0.2 | 0.3 | 1.4 | — | 11.0 | 0.4 |
| 1990 | ||||||||||
| Personal Health Care Expenditures | 612.4 | 256.5 | 140.5 | 30.4 | 36.0 | 11.1 | 61.2 | 10.5 | 54.8 | 11.4 |
| Out-of-Pocket Payments | 138.3 | 9.8 | 25.3 | 15.3 | 14.9 | 2.7 | 41.2 | 6.8 | 22.3 | — |
| Third-Party Payments | 474.1 | 246.8 | 115.2 | 15.1 | 21.1 | 8.4 | 20.0 | 3.7 | 32.5 | 11.4 |
| Private Health Insurance | 206.7 | 95.7 | 67.1 | 14.1 | 12.0 | 1.7 | 13.6 | 0.9 | 1.7 | — |
| Other Private | 24.0 | 13.8 | 2.7 | 0.1 | 2.6 | 1.6 | — | — | 1.0 | 2.2 |
| Government | 243.5 | 137.3 | 45.5 | 0.9 | 6.5 | 5.2 | 6.5 | 2.8 | 29.8 | 9.1 |
| Federal | 178.1 | 103.4 | 36.3 | 0.5 | 4.3 | 4.1 | 3.1 | 2.6 | 18.2 | 5.6 |
| Medicare | 109.6 | 68.5 | 30.0 | — | 3.3 | 3.0 | — | 2.5 | 2.4 | — |
| Medicaid | 40.6 | 14.9 | 4.2 | 0.4 | 0.3 | 1.1 | 3.0 | — | 14.8 | 2.0 |
| Other | 28.0 | 20.0 | 2.2 | 0.1 | 0.7 | — | 0.1 | 0.2 | 1.0 | 3.6 |
| State and Local | 65.3 | 33.9 | 9.1 | 0.4 | 2.2 | 1.0 | 3.4 | 0.1 | 11.6 | 3.6 |
| Medicaid | 31.2 | 11.6 | 2.9 | 0.3 | 0.2 | 1.0 | 2.2 | — | 11.5 | 1.5 |
| Other | 34.1 | 22.3 | 6.2 | 0.1 | 2.0 | 0.0 | 1.2 | 0.1 | 0.1 | 2.1 |
| Total Medicaid | 71.7 | 26.5 | 7.1 | 0.7 | 0.5 | 2.1 | 5.1 | — | 26.3 | 3.5 |
| 1991 | ||||||||||
| Personal Health Care Expenditures | 670.8 | 282.3 | 150.3 | 31.7 | 40.4 | 13.2 | 67.1 | 11.3 | 60.8 | 13.8 |
| Out-of-Pocket Payments | 143.3 | 9.6 | 25.5 | 15.9 | 16.0 | 2.9 | 43.6 | 7.0 | 22.8 | — |
| Third-Party Payments | 527.5 | 272.7 | 124.8 | 15.8 | 24.4 | 10.2 | 23.5 | 4.3 | 38.0 | 13.8 |
| Private Health Insurance | 223.9 | 102.8 | 72.4 | 14.6 | 13.8 | 1.7 | 15.8 | 0.9 | 1.8 | — |
| Other Private | 26.1 | 15.1 | 2.6 | 0.1 | 2.9 | 1.7 | — | — | 1.1 | 2.4 |
| Government | 277.6 | 154.8 | 49.8 | 1.1 | 7.7 | 6.8 | 7.6 | 3.4 | 35.0 | 11.4 |
| Federal | 206.0 | 120.3 | 39.2 | 0.6 | 5.2 | 5.6 | 3.7 | 3.2 | 21.2 | 7.0 |
| Medicare | 120.5 | 74.9 | 31.4 | — | 4.1 | 4.3 | — | 3.0 | 2.9 | — |
| Medicaid | 54.5 | 23.4 | 5.3 | 0.5 | 0.3 | 1.3 | 3.5 | — | 17.2 | 2.9 |
| Other | 31.0 | 22.0 | 2.5 | 0.1 | 0.8 | — | 0.1 | 0.2 | 1.2 | 4.1 |
| State and Local | 71.6 | 34.5 | 10.6 | 0.5 | 2.5 | 1.2 | 3.9 | 0.1 | 13.8 | 4.4 |
| Medicaid | 35.4 | 11.1 | 3.8 | 0.4 | 0.3 | 1.2 | 2.7 | — | 13.8 | 2.2 |
| Other | 36.2 | 23.4 | 6.8 | 0.1 | 2.2 | 0.0 | 1.3 | 0.1 | 0.1 | 2.2 |
| Total Medicaid | 89.9 | 34.5 | 9.1 | 0.9 | 0.6 | 2.5 | 6.2 | — | 31.0 | 5.1 |
| 1992 | ||||||||||
| Personal Health Care Expenditures | $729.7 | $306.0 | $161.8 | $34.7 | $46.4 | $16.8 | $70.8 | $12.0 | $65.5 | $15.8 |
| Out-of-Pocket Payments | 150.6 | 9.0 | 26.1 | 17.4 | 18.8 | 3.7 | 45.4 | 7.3 | 22.9 | — |
| Third-Party Payments | 579.1 | 297.0 | 135.7 | 17.3 | 27.6 | 13.1 | 25.3 | 4.7 | 42.6 | 15.8 |
| Private Health Insurance | 242.1 | 109.1 | 79.6 | 15.9 | 15.5 | 2.2 | 17.1 | 0.9 | 1.8 | — |
| Other Private | 27.7 | 15.9 | 2.7 | 0.1 | 3.0 | 2.1 | — | — | 1.2 | 2.6 |
| Government | 309.3 | 172.0 | 53.4 | 1.3 | 9.1 | 8.8 | 8.2 | 3.8 | 39.5 | 13.2 |
| Federal | 234.0 | 137.3 | 41.5 | 0.8 | 6.3 | 7.4 | 4.1 | 3.6 | 24.8 | 8.1 |
| Medicare | 135.4 | 84.2 | 32.4 | — | 5.0 | 5.9 | — | 3.4 | 4.5 | — |
| Medicaid | 65.9 | 30.1 | 6.6 | 0.6 | 0.4 | 1.5 | 3.9 | — | 19.1 | 3.7 |
| Other | 32.6 | 23.0 | 2.5 | 0.1 | 0.8 | — | 0.2 | 0.2 | 1.3 | 4.5 |
| State and Local | 75.3 | 34.7 | 11.9 | 0.6 | 2.8 | 1.4 | 4.1 | 0.1 | 14.7 | 5.0 |
| Medicaid | 37.7 | 10.9 | 4.5 | 0.5 | 0.3 | 1.3 | 2.8 | — | 14.6 | 2.7 |
| Other | 37.6 | 23.7 | 7.4 | 0.1 | 2.4 | 0.1 | 1.3 | 0.1 | 0.1 | 2.4 |
| Total Medicaid | 103.6 | 41.0 | 11.2 | 1.1 | 0.8 | 2.8 | 6.7 | — | 33.7 | 6.3 |
| 1993 | ||||||||||
| Personal Health Care Expenditures | 782.5 | 326.6 | 171.2 | 37.4 | 51.2 | 20.8 | 75.0 | 12.6 | 69.6 | 18.2 |
| Out-of-Pocket Payments | 157.5 | 9.1 | 26.2 | 18.7 | 21.2 | 4.3 | 47.4 | 7.6 | 23.0 | — |
| Third-Party Payments | 625.0 | 317.4 | 145.0 | 18.7 | 30.0 | 16.4 | 27.6 | 5.1 | 46.7 | 18.2 |
| Private Health Insurance | 258.0 | 117.8 | 84.1 | 16.8 | 15.8 | 2.5 | 18.4 | 0.9 | 1.7 | — |
| Other Private | 30.0 | 16.8 | 2.7 | 0.2 | 3.6 | 2.5 | — | — | 1.3 | 2.8 |
| Government | 337.0 | 182.9 | 58.1 | 1.7 | 10.6 | 11.4 | 9.2 | 4.2 | 43.6 | 15.3 |
| Federal | 259.0 | 149.2 | 45.0 | 1.0 | 7.3 | 9.8 | 4.7 | 4.0 | 28.3 | 9.5 |
| Medicare | 151.1 | 92.7 | 34.8 | — | 5.6 | 8.1 | — | 3.7 | 6.1 | — |
| Medicaid | 73.2 | 32.1 | 7.6 | 0.9 | 0.8 | 1.8 | 4.5 | — | 20.8 | 4.8 |
| Other | 34.7 | 24.4 | 2.7 | 0.1 | 0.9 | — | 0.2 | 0.3 | 1.4 | 4.7 |
| State and Local | 78.1 | 33.7 | 13.1 | 0.8 | 3.3 | 1.5 | 4.4 | 0.2 | 15.3 | 5.8 |
| Medicaid | 39.6 | 10.3 | 4.9 | 0.7 | 0.6 | 1.5 | 3.1 | — | 15.2 | 3.3 |
| Other | 38.5 | 23.4 | 8.2 | 0.1 | 2.7 | 0.1 | 1.3 | 0.2 | 0.1 | 2.5 |
| Total Medicaid | 112.8 | 42.4 | 12.5 | 1.5 | 1.4 | 3.2 | 7.7 | — | 36.0 | 8.1 |
NOTES: 0.0 denotes amounts 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 Health Statistics.