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Table 109 (page 2 of 2). National health expenditures and percent distribution, by sponsor: United States,<br />
selected years 1987–2013<br />
Updated data when available, Excel, PDF, and more data years: http://www.cdc.gov/nchs/hus/contents2014.htm#109.<br />
[Data are compiled from various sources by the Centers for Medicare & Medicaid Services]<br />
Type of sponsor 1987 1990 1995 2000 2009 2010 2012 2013<br />
Percent distribution<br />
Governments .......................... 31.8 32.6 37.5 35.5 43.5 44.4 43.5 43.4<br />
Federal government .................... 16.6 17.3 21.2 19.0 27.2 28.2 26.0 25.9<br />
Employer contributions to private health<br />
insurance premiums ................. 0.9 1.4 1.1 1.0 1.1 1.1 1.1 1.1<br />
Employer contributions to Medicare<br />
hospital insurance trust fund ............<br />
Adjusted Medicare 6 ...................<br />
Health program expenditures (excluding<br />
Medicare) .........................<br />
Medicaid 7 ........................<br />
0.3<br />
3.4<br />
0.3<br />
3.8<br />
12.0<br />
5.4<br />
11.8<br />
6.0<br />
14.2<br />
8.6<br />
14.2<br />
8.7<br />
16.6<br />
10.2<br />
17.3<br />
10.6<br />
15.3<br />
8.9<br />
15.3<br />
9.2<br />
Other programs 8 ................... 6.5 5.9 5.7 5.5 6.4 6.7 6.3 6.2<br />
State and local government ............... 15.2 15.3 16.3 16.5 16.3 16.3 17.5 17.4<br />
Employer contributions to private health<br />
insurance premiums 9 ................. 3.1 3.6 3.8 4.1 5.1 5.5 5.4 5.3<br />
Employer contributions to Medicare<br />
hospital insurance trust fund ............ 0.6 0.6 0.5 0.5 0.5 0.4 0.4 0.4<br />
Health expenditures by program<br />
Medicaid 7 ........................ 4.4 4.3 5.9 6.2 5.2 5.2 6.6 6.7<br />
Other programs 10 ................... 7.1 6.7 6.1 5.7 5.5 5.2 5.1 5.0<br />
1 Excludes Medicare Retiree Drug Subsidy (RDS) payments to private plans beginning in 2006, small-business tax credits beginning in 2010 and Early Retirement<br />
Reinsurance Program (ERRP) payments for 2010–2011.<br />
2 Includes one-half of self-employment contribution to the Medicare Hospital Insurance (HI) Trust Fund.<br />
3 Excludes government-subsidized Consolidated Omnibus Budget Reconciliation Act (COBRA) payments in 2009–2011.<br />
4 Includes one-half of self-employment contribution to Medicare HI Trust Fund and trust fund revenues from the income taxation of Social Security benefits.<br />
5 Includes premiums paid for the Pre-Existing Condition Insurance Plan (PCIP) beginning in 2010.<br />
6 Federal government Medicare expenditures equal Trust Fund interest income and Federal general revenue contributions to Medicare less the net change in Trust Fund<br />
balances. Includes Medicare RDS paid to private and state and local government employer plans beginning in 2006. Excludes Part D state phase-down payments to<br />
Medicare beginning in 2006 and Medicare premium buy-in programs by Medicaid for people eligible for both Medicaid and Medicare (dual eligibles).<br />
7 Includes Medicare Premium buy-in programs by Medicaid for people eligible for both Medicaid and Medicare (dual eligibles).<br />
8 Includes maternal and child health, vocational rehabilitation, Substance Abuse and Mental Health Services Administration, Indian Health Service, federal workers’<br />
compensation, and other federal programs, public health activities, Department of Defense, Department of Veterans Affairs, Children’s Health Insurance Program<br />
(CHIP), and investment (research, structures and equipment). Also includes government-subsidized COBRA payments in 2009–2011, small business tax credits<br />
beginning in 2006, and ERRP payments in 2010–2011. Excludes premiums paid for the Pre-Existing Condition Insurance Plan (PCIP) premiums beginning in 2010.<br />
9 Excludes Medicare RDS payments to state and local government employer plans beginning in 2006 and ERRP payments in 2010–2011.<br />
10 Includes maternal and child health, vocational rehabilitation, general assistance, school health, CHIP, public health activities, other state and local programs,<br />
investment (research, structures and equipment). Also includes Part D state phase-down payments to Medicare beginning in 2006. See Appendix II, Health<br />
expenditures, national.<br />
NOTES: This table disaggregates health expenditures according to five classes of sponsors: businesses, households (individuals), federal government, and state and<br />
local governments, with a small amount of revenue coming from nonpatient revenue sources such as philanthropy. Where businesses or households pay dedicated<br />
funds into government health programs (for example, Medicare) or employers and employees share in the cost of health premiums, these costs are assigned to<br />
businesses or households accordingly. This results in a lower share of expenditures being assigned to the federal government than for tabulations of expenditures by<br />
source of funds. Estimates of national health expenditure by source of funds aim to track government-sponsored health programs over time and do not delineate the<br />
role of business employers in paying for health care. See Appendix I, National Health Expenditure Accounts (NHEA). Estimates may not sum to totals because of<br />
rounding. For more information on NHE sponsors, sources, and methods, see the National Health Expenditure Accounts Methodology Paper, 2013. Available from:<br />
http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/downloads/dsm-13.pdf. Data have been revised<br />
and differ from previous editions of Health, United States.<br />
SOURCE: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group. Businesses, Households, and Governments. National<br />
Health Expenditure Accounts, National health expenditures. Available from:<br />
http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/NationalHealthAccountsHistorical.html, accessed<br />
on December 12, 2014. See Appendix I, National Health Expenditure Accounts (NHEA).<br />
0.2<br />
5.6<br />
0.2<br />
3.6<br />
0.2<br />
9.4<br />
0.2<br />
9.6<br />
0.1<br />
9.4<br />
0.1<br />
9.4<br />
320 Trend Tables Health, United States, 2014