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Health Expenditures

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Health Expenditures 2010-2021, On Nursing Care by Out of Pocket - Annual %
Between 2019 and 2021 individuals have reduced their out of pocket annual spend on nursing homes by $1.6B (3.5%)
  • Between 2019 and 2021 individuals have reduced their out of pocket annual spend on nursing homes by $1.6B (3.5%), are US citizens currently voting with their wallets against the nursing home industry or is this a short-term COVID reaction that will dissipate?
Health Expenditures 2010-2021, On Retail Prescription Drugs by All Sources - Annual %
US prescription drug expenditures averaged a 3.4% annual increase over 10yrs
  • Will this slower growth in drug spending continue or are we returning to the old days with the emergence of the newest wave of expensive new drugs?
Health Expenditures 2010-2021, On All Types by Out of Pocket - Annual %
US out of pocket expenses represented 11% of total spent in 2021
  • U.S. individual's out-of-pocket expenses as a % of total health consumption represented 11% of total spend in 2021, by comparison individuals paid for 40% of their dental care, and 24.5% for nursing/retirement homes, lastly they paid 2.6% of their hospital care.
  • Why do these %'s vary so wildly and do they suggest a very different relationship that individuals have with different parts of the healthcare landscape?
Health Expenditures 2010-2021, On All Types by Total CMS Programs (Medicaid, CHIP and Medicare) - U.S $ Billions
The Federal Government is currently spending $1.4 Trillion per year on health expenditures
  • Since 1990 the annual gov. spend on Medicare has increased by almost 14x Medicaid 11x, VA 8x, and yet our population has increased by less than 2x. Is the government getting a good return on its investment?
State and Local Goverment Healthcare Expenditures
Total State & local govt. spending on healthcare was down -1.9% or $11.6B in 2020
  • Total State & local govt. spending on healthcare was down -1.9% or $11.6B in 2020, by comparison, Federal Govt. spending ballooned approx. $200B in just one year, and still remains greatly elevated. It appears that state & local governments relied entirely on federal funding to underwrite their Covid response, & actually saved some healthcare money in the process.
  • Does total reliance on federal emergency funding during a national crisis represent a healthy sustainable system, or should state & city leaders be solving for future emergency funds as part of their annual budget process?
Individual Out-of-Pocket Hospital Expenditures - $ in Billions
In the last 10 years individual out-of-pocket hospital expenditures have grown at just 20% from $28B in 2011 to $34B in 2021
  • In the last 10 years individual out-of-pocket hospital expenditures have grown at just 20% from $28B in 2011 to $34B in 2021, while all other hospital expenditures, from commercial payors to Medicaid, Medicare, and DOD, and VA, have increased their hospital expenditures at 3x the rate, ranging from 60 to 70% total increases.
  • Have our politicians concerted efforts to protect individuals from large hospital expenditures worked? What were the new policies and market changes that brought about this positive outcome? Who has driven the effort to protect individuals?
Health Expenditures 2000-2021, On Physicians & Clinics, Hospitals by All Sources - U.S $ Billions
Outpatient expenditures totaled $864B in 2021, versus Hospital total expenditures which totaled $1.3 trillion for the same period
  • Physician and Clinical Services (outpatient) expenditures totaled $864B in 2021, versus Hospital total expenditures which totaled $1.3 trillion for the same period. The ratio of Hospital to Physician outpatient expenditures hasn't changed in 20yrs.
  • Will Hospital expenditures always exceed outpatient? Are the stories of hospital demise exaggerated?
Health Expenditures 2000-2021, On Home Health by Medicaid, Medicare, Private Health Insurance - U.S $ Billions
Over 70% of all home healthcare in the US is paid for by Medicaid or Medicare
  • Over 70% of all home healthcare in the US is paid for by Medicaid or Medicare - the government is over-represented in this category vs. the rest of healthcare where it funds 50% of total spending.
  • Will this heavy reliance on government funding decrease over time as home health becomes a more dynamic industry offering broader services?
Health Expenditures 2000-2021, On Dental by Out of Pocket, Private Health Insurance, Medicare, Medicaid - U.S $ Billions
80% of all dental care in the U.S. is covered by private health insurance and self-pay
  • 80% of all dental care in the U.S. is covered by private health insurance and self-pay (that's us), while Medicaid and Medicare pick up 12.3% of the tab, why is that? When you consider that the government typically pays for 50 cents of every other healthcare dollar?
  • Having said that, the government's contribution to dental care has doubled in the past 10 years, with the fastest growth in Medicare, where historically the government paid almost nothing. Why is dental care so different than any other type of health care? Appears the government had decided teeth aren't important.

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