National Health Expenditure Data



In order to make them more accessible, I have posted here .pdf versions of the MS Excel Format Tables on the Center For Medicare & Medicaid Services page here, for the files in the .zip file labelled "NHE Tables". (Download date 8/12/2019.)


My purpose is to make them more accessible, particularly as there is disucussion of Single-Payer and Medicaid For All programs for U.S. Health Insurance, which involves doing a lot of moving around of funding from state governments and individuals and corporations to the the Federal government.

See the cover page for all National Health Expenditure Data at here, as well as the Brief Definition of Terms Document, and the More Detailed Definition of Terms Document. (In particular, see p. 6 of the latter document for a definition of the broad expenditure terms, as well as pp. 14 and 29-30 to figure out the difference between "payer" and "sponsor".

I'm still learning the categories myself, but it seems like "payer" is usually the intermediary, like the insurance company or Medicare or Medicaid that does the payment, or the individual if there is no intermediary (i.e. the out-of-pocket situation). The "sponsor" seems to be the entity actually paying the money, either to the intermediary that will pay much of the bills, or, if there is no intermediary (the out-of-pocked situation) the person who actually directly pays the providers.



Tables:

Table 1 National Health Expenditures; Aggregate and Per Capita Amount.

Table 2 National Health Expenditures, Aggregate and Per Capita Amounts, by Type of Expenditure.

Table 3 National Health Expenditures, by Source of Funds.

Table 4 National Health Expenditures by Source of Funds and Type of Expenditures.

Table 5 National Health Expenditures by Type of Sponsor.

Table 5-1 Private Business Sponsor Expenditure.

Table 5-2 Household Sponsor Expenditures.

Table 5-3 Federal Government Sponsor Expenditures..

Table 5-4 State and Local Government Sponsor Expenditures.

Table 5-5 Medicare Spending by Sponsor.

Table 5-6 Private Health Insurance by Sponsor.

Table 6 Personal Health Care Expenditures.

Table 7 Hospital Care Expenditures.

Table 8 Physician and Clinical Services Expenditures.

Table 9 Physician Services Expenditure.

Table 10 Clinical Services Expenditure.

Table 11 Other Professional Services Expenditures.

Table 12 Dental Services Expenditures.

Table 13 Other Health, Residential, and Personal Care Expenditures.

Table 14 Home Health Care Expenditures.

Table 15 Nursing Care Facilities and Continuing Care Retirement Communities Expenditures.

Table 16 Retail Prescription Drugs Expenditures.

Table 17 Durable Medical Equipment Expenditures.

Table 18 Other Non-Durable Medical Products Expenditures.

Table 19 National Health Expenditures by Type of Expenditure and Program.

Table 20 Private Health Insurance Benefits and Net Cost.

Table 21 Expenditures, Enrollment and Per Enrollee Estimates of Health Insurance.

Table 22 Health Insurance Enrollment and Uninsured..

Table 23 National Health Expenditures; Nominal Dollars Real Dollars Price Indexes and Annual Percent Change..

Table 24 Employer-Sponsored Private Health Insurance.


Related Links Relevant to Total U.S. HealthCare Expenditures

Current tax revenue sources here.

Summary Pi Charts on Expenditures here. You might find this a little coarse, and a need for you to go into Tables 5-1 to 5-4 for the details you want.


Health Affairs Blog Post detailing the Sanders Medicare-for-All Plan of Sept 13, 2017 (to the extent details were available), and with some links to the bill and such.


Mercatus Institute working paper indicating "This projected increase [from Sanders M 4 All, even using possibly conservative cost estimates from Sanders] in federal healthcare commitments would equal approximately 10.7 percent of GDP in 2022, rising to nearly 12.7 percent of GDP in 2031 and further thereafter. Doubling all currently projected federal individual and corporate income tax collections would be insufficient to finance the added federal costs of the plan. It is likely that the actual cost of M4A would be substantially greater than these estimates."

As I see it, the working paper is fundamentally correct about the financing shift (see pp. 4-5). Implementation of the Sanders Plan would require moving around 10%-11% of the GDP in health care financing sources, assuming the total cost of care estimates are correct. State and local government funding, as well as corporate employee-insurance funding, and funding by households, need to be moved from the current sources, or else rerouted through new taxes and payroll taxes through the Federal Government. The Federal Government pays for 95% of all health care expenditures under M 4 All in the analysis. (It may, of course, be possible to move such expenditure, with major changes in financing, either at once, or gradually.)

And we note, woe is us: If we had 10-12% of GDP going to health care like every other developed country, current Federal, State, and Local tax revenues would almost suffice to fund all of health care.


Other Healthcare-Related Pages of Mine:

Issue of U.S. Insured Coverage Statistics Over-Representing "Insured" by 3% or 4% because Medicaid and Expanded Medicaid coverage for people 55 and old is subject to estate recovery of all medical expenses paid out in many states; as well as other ACA problems: here, where the issue is issue 1.

Issue of Estate Recovery for MA Only, which still has it, and where there are obscure bills in the legislature to fix the issue: here.

Contact:

Norman Spier, normanaspier@gmail.com