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National Health Expenditure Data

National Health Expenditure Accounts are comprised of the following:

National Health Expenditures

  • Historical spending measures annual health spending in the U.S. by type of service delivered (hospital care, physician services, nursing home care, etc.) and source of funding for those services (private health insurance, Medicare, Medicaid, out-of-pocket spending, etc.).
  • Projections are based on the National Health Expenditures and are estimates of spending for health care in the U.S. over the next decade. Projections are presented by type of service delivered (hospital care, physician services, nursing home care, etc.) and by source of funding for those services (private health insurance, Medicare, Medicaid, out-of-pocket spending, etc.).

Age Estimates

  • Personal health care (PHC) estimates by type of service and source of funding are broken out in seven age groups: 0-18, 19-44, 45-54, 55-64, 65-74, 75-84, and 85 and over. These estimates can also be seen in three main age groups: Children (ages 0-18), Working-age Adults (ages 19-64), and Elderly (ages 65 and over). Includes a simulation of personal health care and Medicare per-enrollee spending using the age-mix of future selected years with all other factors held constant at 2004 levels.

State Health Expenditures

  • Personal health care (PHC) expenditures by State of Provider are estimates of health spending by the location of health care providers in the 50 States and in the District of Columbia. These estimates are presented by the type of establishment delivering care (hospitals, physicians, nursing homes, etc.) and by source of funding (Medicare and Medicaid).
  • Personal health care (PHC) expenditures by State of Residence are based on State of Provider estimates adjusted for the flow of residents between states in order to consume health care services. These estimates present health spending on behalf of residents in the 50 States and in the District of Columbia. Included are estimates of aggregate and per capita health spending by type of establishment delivering care (hospital, physicians, nursing home, etc.). Per enrollee spending for Medicare and Medicaid are also presented by type of establishment.

Sponsors:  Business, Household and Government Health Care Spending

  • Estimates of health care spending by sponsor: Businesses, Households and Governments.  These estimates provide context for discussion of who ultimately pays for health care, the underlying pressures and the burden that affect these sponsors and their decisions  to finance health care in the United States.  The estimates are derived from a subset of the National Health Expenditure Accounts.

NHEA Related Studies

  • Papers related to the National Health Expenditures Accounts
  • Overview of 2010 comprehensive revision plans