Table 17. Personal Health Care Expenditures, by Type of Expenditure and Source of Funds: Selected Years 1980–94.
| 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 | $217.0 | $102.7 | $45.2 | $13.3 | $6.4 | $2.4 | $21.6 | $3.8 | $17.6 | $4.0 |
| Out-of-Pocket Payments | 60.3 | 5.3 | 14.6 | 8.8 | 3.3 | 0.5 | 17.5 | 2.7 | 7.4 | — |
| Third-Party Payments | 156.8 | 97.4 | 30.6 | 4.5 | 3.1 | 1.9 | 4.1 | 1.0 | 10.3 | 4.0 |
| Private Health Insurance | 62.0 | 36.4 | 17.1 | 3.8 | 1.1 | 0.4 | 2.4 | 0.4 | 0.2 | — |
| Other Private | 7.8 | 5.0 | 0.4 | 0.0 | 0.5 | 0.5 | — | — | 0.5 | 0.9 |
| Government | 87.0 | 55.9 | 13.1 | 0.6 | 1.5 | 1.0 | 1.7 | 0.6 | 9.5 | 3.1 |
| Federal | 63.4 | 42.2 | 10.0 | 0.4 | 1.1 | 0.8 | 0.9 | 0.5 | 5.6 | 2.0 |
| Medicare | 36.4 | 26.4 | 8.0 | — | 0.6 | 0.7 | — | 0.4 | 0.3 | — |
| Medicaid | 13.7 | 5.8 | 1.4 | 0.3 | 0.1 | 0.2 | 0.8 | — | 4.9 | 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 | 13.8 | 3.1 | 0.3 | 0.4 | 0.1 | 0.8 | 0.1 | 3.9 | 1.1 |
| Medicaid | 11.1 | 4.9 | 1.1 | 0.2 | 0.1 | 0.1 | 0.6 | — | 3.9 | 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 | 10.6 | 2.5 | 0.5 | 0.2 | 0.3 | 1.4 | — | 8.8 | 0.4 |
| 1990 | ||||||||||
| Personal Health Care Expenditures | 614.7 | 256.4 | 146.3 | 31.6 | 34.7 | 13.1 | 59.9 | 10.5 | 50.9 | 11.2 |
| Out-of-Pocket Payments | 148.4 | 10.3 | 35.4 | 15.4 | 14.2 | 3.6 | 40.4 | 6.7 | 22.2 | — |
| Third-Party Payments | 466.3 | 246.2 | 110.9 | 16.1 | 20.5 | 9.5 | 19.5 | 3.7 | 28.7 | 11.2 |
| Private Health Insurance | 201.8 | 94.0 | 63.3 | 15.1 | 11.4 | 2.3 | 13.0 | 0.9 | 1.9 | — |
| Other Private | 21.5 | 10.7 | 2.7 | 0.1 | 2.6 | 2.2 | — | — | 0.9 | 2.2 |
| Government | 243.0 | 141.5 | 45.0 | 0.9 | 6.5 | 5.1 | 6.5 | 2.8 | 25.9 | 9.0 |
| Federal | 178.1 | 106.6 | 35.9 | 0.5 | 4.3 | 4.1 | 3.1 | 2.6 | 15.7 | 5.4 |
| Medicare | 109.6 | 69.7 | 29.5 | — | 3.3 | 3.0 | — | 2.5 | 1.7 | — |
| Medicaid | 40.5 | 16.7 | 4.2 | 0.4 | 0.3 | 1.1 | 2.9 | — | 13.0 | 2.0 |
| Other | 28.0 | 20.1 | 2.2 | 0.1 | 0.7 | 0.0 | 0.1 | 0.2 | 1.0 | 3.5 |
| State and Local | 64.9 | 34.9 | 9.1 | 0.4 | 2.2 | 1.0 | 3.4 | 0.1 | 10.2 | 3.6 |
| Medicaid | 31.1 | 13.0 | 2.9 | 0.3 | 0.2 | 1.0 | 2.2 | — | 10.1 | 1.5 |
| Other | 33.7 | 21.9 | 6.2 | 0.1 | 2.0 | 0.0 | 1.2 | 0.1 | 0.1 | 2.1 |
| Total Medicaid | 71.7 | 29.7 | 7.1 | 0.7 | 0.5 | 2.1 | 5.1 | — | 23.1 | 3.5 |
| 1992 | ||||||||||
| Personal Health Care Expenditures | 739.8 | 305.3 | 174.7 | 37.0 | 42.1 | 19.6 | 71.3 | 11.9 | 62.3 | 15.6 |
| Out-of-Pocket Payments | 164.4 | 10.6 | 37.9 | 18.2 | 16.0 | 5.0 | 45.1 | 7.3 | 24.3 | — |
| Third-Party Payments | 575.4 | 294.7 | 136.7 | 18.8 | 26.1 | 14.6 | 26.2 | 4.7 | 38.0 | 15.6 |
| Private Health Insurance | 242.7 | 105.9 | 81.5 | 17.3 | 14.2 | 2.9 | 18.0 | 0.9 | 2.1 | — |
| Other Private | 24.3 | 12.0 | 2.5 | 0.1 | 2.9 | 2.9 | — | — | 1.2 | 2.6 |
| Government | 308.3 | 176.7 | 52.7 | 1.3 | 9.0 | 8.8 | 8.2 | 3.8 | 34.7 | 13.0 |
| Federal | 234.4 | 141.9 | 40.9 | 0.8 | 6.3 | 7.4 | 4.1 | 3.7 | 21.5 | 8.0 |
| Medicare | 135.9 | 86.5 | 31.7 | — | 5.0 | 5.9 | — | 3.4 | 3.2 | — |
| Medicaid | 65.9 | 32.1 | 6.6 | 0.6 | 0.4 | 1.5 | 3.9 | — | 17.1 | 3.7 |
| Other | 32.6 | 23.2 | 2.5 | 0.1 | 0.8 | 0.0 | 0.2 | 0.2 | 1.3 | 4.3 |
| State and Local | 73.9 | 34.9 | 11.8 | 0.6 | 2.8 | 1.4 | 4.1 | 0.1 | 13.2 | 5.0 |
| Medicaid | 36.6 | 11.3 | 4.5 | 0.5 | 0.3 | 1.3 | 2.8 | — | 13.1 | 2.7 |
| Other | 37.3 | 23.6 | 7.3 | 0.1 | 2.4 | 0.1 | 1.3 | 0.1 | 0.1 | 2.3 |
| Total Medicaid | 102.5 | 43.4 | 11.2 | 1.1 | 0.8 | 2.8 | 6.7 | — | 30.2 | 6.3 |
| 1993 | ||||||||||
| Personal Health Care Expenditures | $786.5 | $324.2 | $181.1 | $39.2 | $46.3 | $23.0 | $75.2 | $12.6 | $67.0 | $17.8 |
| Out-of-Pocket Payments | 169.4 | 10.0 | 37.0 | 19.1 | 18.1 | 5.6 | 46.9 | 7.5 | 25.2 | — |
| Third-Party Payments | 617.1 | 314.2 | 144.1 | 20.2 | 28.2 | 17.4 | 28.2 | 5.1 | 41.8 | 17.8 |
| Private Health Insurance | 256.4 | 113.0 | 85.3 | 18.3 | 14.7 | 3.1 | 19.1 | 0.9 | 2.1 | — |
| Other Private | 26.6 | 13.2 | 2.7 | 0.2 | 3.3 | 3.2 | — | — | 1.2 | 2.8 |
| Government | 334.1 | 188.0 | 56.0 | 1.7 | 10.3 | 11.1 | 9.2 | 4.2 | 38.5 | 15.0 |
| Federal | 256.8 | 152.2 | 44.0 | 1.0 | 7.4 | 9.6 | 4.7 | 4.1 | 24.7 | 9.2 |
| Medicare | 148.6 | 92.8 | 33.9 | — | 5.8 | 7.8 | — | 3.8 | 4.6 | — |
| Medicaid | 73.7 | 34.7 | 7.6 | 0.9 | 0.8 | 1.8 | 4.5 | — | 18.7 | 4.8 |
| Other | 34.5 | 24.7 | 2.6 | 0.1 | 0.8 | 0.0 | 0.2 | 0.3 | 1.4 | 4.4 |
| State and Local | 77.3 | 35.8 | 12.0 | 0.8 | 3.0 | 1.5 | 4.4 | 0.1 | 13.8 | 5.8 |
| Medicaid | 40.4 | 12.4 | 5.0 | 0.7 | 0.6 | 1.5 | 3.2 | — | 13.8 | 3.4 |
| Other | 36.9 | 23.4 | 7.0 | 0.1 | 2.4 | 0.1 | 1.3 | 0.1 | 0.1 | 2.5 |
| Total Medicaid | 114.1 | 47.1 | 12.6 | 1.5 | 1.4 | 3.2 | 7.7 | — | 32.4 | 8.1 |
| 1994 | ||||||||||
| Personal Health Care Expenditures | 831.7 | 338.5 | 189.4 | 42.2 | 49.6 | 26.2 | 78.6 | 13.1 | 72.3 | 21.8 |
| Out-of-Pocket Payments | 174.9 | 9.8 | 35.8 | 20.5 | 19.5 | 6.1 | 48.6 | 7.7 | 26.8 | — |
| Third-Party Payments | 656.8 | 328.7 | 153.5 | 21.7 | 30.2 | 20.1 | 30.0 | 5.4 | 45.4 | 21.8 |
| Private Health Insurance | 266.8 | 115.7 | 89.6 | 19.8 | 15.2 | 3.4 | 20.0 | 0.9 | 2.2 | — |
| Other Private | 28.2 | 13.4 | 3.0 | 0.2 | 3.7 | 3.5 | — | — | 1.4 | 3.0 |
| Government | 361.8 | 199.6 | 60.9 | 1.8 | 11.2 | 13.2 | 10.0 | 4.5 | 41.8 | 18.8 |
| Federal | 280.0 | 162.7 | 48.6 | 1.0 | 8.3 | 11.4 | 5.2 | 4.4 | 27.0 | 11.4 |
| Medicare | 166.1 | 101.6 | 38.1 | — | 6.8 | 9.5 | — | 4.1 | 5.9 | — |
| Medicaid | 78.4 | 36.1 | 8.0 | 0.9 | 0.7 | 1.9 | 4.9 | — | 19.5 | 6.4 |
| Other | 35.4 | 25.0 | 2.5 | 0.1 | 0.8 | 0.0 | 0.2 | 0.3 | 1.5 | 5.0 |
| State and Local | 81.8 | 36.8 | 12.3 | 0.8 | 2.9 | 1.7 | 4.8 | 0.1 | 14.9 | 7.4 |
| Medicaid | 44.5 | 13.3 | 5.4 | 0.7 | 0.5 | 1.6 | 3.5 | — | 14.8 | 4.7 |
| Other | 37.3 | 23.5 | 6.9 | 0.1 | 2.4 | 0.1 | 1.3 | 0.1 | 0.1 | 2.7 |
| Total Medicaid | 122.9 | 49.4 | 13.4 | 1.6 | 1.2 | 3.5 | 8.4 | — | 34.3 | 11.1 |
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.