In 2021, California reported some 6.49 million Medicare beneficiaries and therefore was the U.S. state with the highest number of beneficiaries. Medicare is a U.S. publicly funded health insurance program that covers those that are aged 65 years and older and those that have certain disabilities. This statistic depicts the leading 10 U.S. states based on their number of Medicare beneficiaries in 2021.

In 2021, Medicare spent an average of more than 13,139 U.S. dollars per enrollee in New York, while the average for the United States was 11,080 U.S. dollars per enrollee. This statistic depicts the leading ten U.S. states based on Medicare spending per enrollee in 2021.

The United States has the highest expenditure on health care per capita globally. However, the U.S. has an unique way of paying for their health care where a majority of the expenditure falls upon private insurances. In FY 2024, around one ***** of all health expenditure is paid by private insurance. Public insurance programs Medicare and Medicaid accounted for ** and ** percent, respectively, of health expenditure during that same year. U.S. health care system Globally health spending has been increasing among most countries. However, the U.S. has the highest public and private per capita health expenditure among all countries globally, followed by Switzerland. As of 2020, annual health care costs per capita in the United States totaled to over ** thousand U.S. dollars, a significant amount considering the average U.S. personal income is around ** thousand dollars. Out of pocket costs in the U.S. Aside from overall high health care costs for U.S. residents, the total out-of-pocket costs for health care have been on the rise. In recent years, the average per capita out-of-pocket health care payments have exceeded *** thousand dollars. Physician services, dental services and prescription drugs account for the largest proportion of out-of-pocket expenditures for U.S. residents.

Total Medicaid spending surpassed 804 billion U.S. dollars in 2022. The state of California had the highest expenditure throughout the year, followed by New York and Texas.

Federal government helps poorer states Both the federal and state governments fund the Medicaid health care program, but at least 50 percent of the costs incurred by states are matched by the federal government. The exact percentage varies by state because the matching rate was designed so that poorer states receive a larger share of program costs from the federal government. The states of Wyoming, South Dakota, North Dakota, spent the least on Medicaid costs in 2021.

Funding share of states set to increase Under the Affordable Care Act, states have the choice to expand their Medicaid programs to cover nearly all low-income Americans under age 65. For states that implemented the expansion, the federal government paid 100 percent of the state costs for all newly eligible adults from 2014 to 2016. The new matching rate has slowly declined since and reached 90 percent in 2020, which means states have to pick up ten percent of the bill. Governors are concerned about the rise in costs, and state expenditure is projected to increase by 50 percent between 2020 and 2027.

This statistic shows personal health care expenditure by source of funds in the United States, comparing the years 1990 and 2018. In 1990, some 70 billion U.S. dollars of personal health care expenditure was funded by the Medicaid program.

Personal health care expenditure in the United States

Health care facilities in the U.S. are mostly considered part of the private sector. The United States' total health care expenditures were over 3.6 trillion U.S. dollars in 2018. Globally, the U.S. spent the most on health care per capita as well as, as a percentage of its GDP. It has been ranked as one of the least efficient health care systems in the world. Health care expenditure includes a variety of services and products such as hospital care, physician and clinical services, dental, home health care, and nursing care facilities.

Personal health care expenditure in the United States has skyrocketed from 1990 to 2018. Funds for health care are still primarily derived from private health insurance and governmental health plans. A slowing growth in out-of-pocket payments can indicate higher cost-sharing and increased enrollment in consumer-directed health plans. In 1990, private health insurance funded some 205 billion U.S. dollars of health care services and increased to over one trillion U.S. dollars by 2017. Health care expenditure through private insurance has grown to over 35 percent of total personal health costs. The percentage of U.S. citizens covered by Medicare has increased from the 1990s until today. Medicare is a national social insurance program through the U.S. federal government which guarantees health insurance for citizens over the age of 64. Medicare expenditure totaled 697 billion U.S. dollars in 2018.

Abstract (en): The purpose of this study was to investigate the effects on physician behavior of decreases in Medicare payment rates for surgical procedures. The study examined the volume of services provided, billed charges, and the selection of diagnostic or therapeutic alternative procedures, or clinically unrelated procedures, for Medicare and privately-insured patients. Also studied were the proportion of physician income derived from Medicare and the profitability of procedures as they related to the volume of services provided. This data collection comprises observations for 21 surgical procedure groups in the specialty areas of general surgery, gastroenterology, orthopedic surgery, ophthalmology, urology, gynecological surgery, thoracic surgery, and cardiology, from up to 187 hospitals and for up to 15 quarters. Efforts were made to include high volume and expensive procedures. Excluded were radiology, pathology, or other lab procedures, and procedures that had experienced erratic changes in volume due to changes in technology or changes in national standards. Also included in this collection are hospital characteristics and county-level data pertaining to number of hospital beds, per capita income, licensed practical nurse and registered nurse wages, doctors per 1000 population, and health maintenance organization enrollees per 1000 population. All United States hospitals. Convenience sample representing 3.7 percent of the universe. 1998-04-28 The codebook is now available as a PDF file. Funding insitution(s): Robert Wood Johnson Foundation (20038). (1) The SAS transport file (Part 2) was written using the SAS XPORT engine.

The rising preference for community and home care services has contributed significantly to industry growth and performance. Baby boomers entering the later phase of adulthood, increased life expectancy and the greater incidence of disabilities in individuals of advancing age have contributed to a higher demand for long-term care services such as adult day care and nonmedical home care services. Home aid has become the dominant sector in long-term care since it provides independence and comfort, and adult day care centers offer a place for community interaction. The growth in homecare services weathered the impact of the pandemic, and industry-wide revenue has been growing at a CAGR of 2.0% through 2025 to total $80.1 billion, when revenue will climb by an estimated 3.4%. The industry has faced challenges as a fragmented market. Out-of-market competition from residential care providers and the increased presence of franchises challenge industry pricing and high service offerings for many needing services. However, telemedicine and wearable technology have changed the scope and quality of services. They can abate the need for residential services by providing remote health monitoring, offering virtual consultations and ensuring continuous care, enabling seniors to receive support at home. Their adoption will depend on the costs of the technology and continued funding support by Medicaid and Medicare. The continued need and preference for nonmedical home aid services will be a significant future demand driver; however, with rising wages, industry revenue will be significantly impacted by the level of funding for older adults, children and individuals with disabilities. The changes to Medicaid, Medicare funding and, in particular, State Home and Community-Based Services waivers that help reduce costs of home services compared to residential facilities will impact future funding for services and industry revenue. A healthy economy will support the payment for services not covered by government programs, and forecasts for strong per capita disposable income growth will support out-of-pocket service payments. While government funding cutbacks and staff layoffs could hamper the sector's future growth and profitability, industry revenue is forecast to strengthen at a CAGR of 2.2% through 2030 to reach $89.4 billion, with profit remaining stable.

Health expenditure in the U.S. has been a hotly debated topic among political parties, especially on the verge of presidential elections. Health expenditures in the U.S. have been increasing over time and are projected to keep increasing. As of 2023, the U.S. spent a total of *** trillion U.S. dollars on healthcare. U.S. health expenditure in comparison The U.S has some of the highest expenditures for health care in the world. With a total health spending of roughly ** percent of the country’s GDP, the U.S. has far surpassed the country with the second highest health expenditure as a share of GDP, Germany. The United States, despite having a mixed method of healthcare financing and insurances, also has one of the highest shares of domestic governmental health expenditures. U.S. health care payers There are several different governmental and non-governmental agencies that are responsible for health care funding and payments in the United States. Currently, private insurance and Medicare are the two largest payers of U.S. health care. Direct health care costs are not the only things that these payers are responsible for. They may also be partly responsible for prescription drug costs. Again, private insurance and Medicare are the two largest payers of prescription drug costs in the U.S. Among all the payers of health care costs in the U.S., Medicare has experienced the highest level of health spending increases in recent years.