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NHE2012NATIONAL HEALTH EXPENDITURES BY TYPE OF SERVICE AND SOURCE .docx

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NHE2012NATIONAL HEALTH EXPENDITURES BY TYPE OF SERVICE AND SOURCE OF FUNDS: CALENDAR YEARS 1960 to 2012LEVELS in $Millions19601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012Total National Health Expenditures27359292293190734727385444195746254517805875566215748538324093141103365117157133585153011173979195528221658255784296739334699368986406512444608476891519116581697647465724277791524857909921491972686102743110818481142623120893412864631377167149335216379581778017190574620353772166731230292524116932504235259900026927812793394Out of pocket1305113422142991536116981182621864718587206282265725015263802872431716344673737240767449964816952473583966562972739789248682495977104034110161120828127313138643141689144215145301143458146356152194163789179387190427201725208997221878238223251679267254277346293647300708300669305551316128328156Health Insurance74648187893598271090011951156002103924302274903168836644425194791855848662137893892960106407122553142155167534190437212507237236259152274647300069338359387493439458492819543976594268638025682911724242761223795329848239920393101519311223181222758132236714166851520783161178017031891798526187386619434322014409Private Health Insurance57796419711378878982100001022310382117541328715424177572059322884259723046137295455385234760768690478160894012104893118884131190136025149210175906204997234230255603275578296285309497326771345802362458387934419622459233502520561424615741659957703218740217777652807811833074859624888765916959Medicare000000184249246218704576728443932510730134281633619694228912666830922373874476952351595596620771829768298308188965101137110182120617135996149965167670184393198750210376209420213173224829247686265381282697311162339801403728432833467867499903520158546246572484Medicaid (Title XIX)00000013043141354141745290669583149423110731344615188174641946522332260323030732011352663823340937453835033955080619527366193211108186122373134414144862152170160849169029183534200483224236248218269105290917309538306865326157344916375395398116407728421199Federal00000063215251835229828423810454749336277740991539896109191270514521169021784319587210962259425187278683099535077426075684768602769618105285945910999495498661107200116919132288145339160895172437177644174074185751203526248109267455248309237854State and Local000000672161617071877244728863766449047976037603675688547962711511134051416815679171371834320196224712408526876310543636439585454125336358917610716589670368763348356491948102878108210118480131895132792140406141390127286130662159419183345CHIP (Title XIX and Title XXI)000000000000000000000000000000000000003991723301241675485629671677566836691171021011106115521198812624Federal0000000000000000000000000000000000000027611992097291338324410498252545756631771267812806183768793State and Local000000000000000000000000000000000000001235249151253165318872185231326.

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NHE2012NATIONAL HEALTH EXPENDITURES BY TYPE OF SERVICE AND SOURCE OF FUNDS: CALENDAR YEARS 1960 to 2012LEVELS in $Millions196019611962196319641965196619671968196919701 97119721973197419751976197719781979198019811982198319 84198519861987198819891990199119921993199419951996199 71998199920002001200220032004200520062007200820092010 20112012Total National Health Expenditures273592922931907347273854441957462545178058 75566215748538324093141103365117157133585153011173979 19552822165825578429673933469936898640651244460847689 15191165816976474657242777915248579099214919726861027 43110818481142623120893412864631377167149335216379581 77801719057462035377216673123029252411693250423525990 0026927812793394Out of pocket13051134221429915361169811826218647185872062822 65725015263802872431716344673737240767449964816952473 58396656297273978924868249597710403411016112082812731 31386431416891442151453011434581463561521941637891793 87190427201725208997221878238223251679267254277346293 647300708300669305551316128328156Health Insurance746481878935982710900119511560021039243022749 03168836644425194791855848662137893892960106407122553 14215516753419043721250723723625915227464730006933835 93874934394584928195439765942686380256829117242427612 23795329848239920393101519311223181222758132236714166 851520783161178017031891798526187386619434322014409Pr ivate Health Insurance577964197113788789821000010223103821175413287 15424177572059322884259723046137295455385234760768690 47816089401210489311888413119013602514921017590620499 72342302556032755782962853094973267713458023624583879 34419622459233502520561424615741659957703218740217777 652807811833074859624888765916959Medicare000000184249
24621870457672844393251073013428163361969422891266683 09223738744769523515955966207718297682983081889651011 37110182120617135996149965167670184393198750210376209 42021317322482924768626538128269731116233980140372843 2833467867499903520158546246572484Medicaid (Title XIX)000000130431413541417452906695831494231107313446 15188174641946522332260323030732011352663823340937453 83503395508061952736619321110818612237313441414486215 21701608491690291835342004832242362482182691052909173 09538306865326157344916375395398116407728421199Federa l0000006321525183522982842381045474933627774099153989 61091912705145211690217843195872109622594251872786830 99535077426075684768602769618105285945910999495498661 10720011691913228814533916089517243717764417407418575 1203526248109267455248309237854State and Local000000672161617071877244728863766449047976037603 67568854796271151113405141681567917137183432019622471 24085268763105436364395854541253363589176107165896703 68763348356491948102878108210118480131895132792140406 141390127286130662159419183345CHIP (Title XIX and Title XXI)000000000000000000000000000000000000003991723301 24167548562967167756683669117102101110611552119881262 4Federal000000000000000000000000000000000000002761199 2097291338324410498252545756631771267812806183768793 State and Local000000000000000000000000000000000000001235249151 25316531887218523132610280130843293349236133832Depart ment of Defense7888368609258618311078132414451499158217661997 22352475259026952922306734573949458851585393584268647 63482028778927210446115361162112025118331204511953120 52122141267913753155021902722402252132675929746321733 403336653383533982940522Department of Veterans Affairs89793396110151058111911531268134414841719198322 91264629003381406641464859507357406261690573968070833 28775923696291013410939118521259413621146121484015567
15488163331750919082210832278226517279512980231861338 483835342396460634887750620Other Third Party Payers and Programs390643474723522756826359625260236871778990129 66610277113651302514609164401823820952242472868532958 36494390434161447025533165932367076709087749482842884 50939659768710131010529911059811733912156412445713110 01396721529281591731678041765911873901818521847161948 99202087215803Worksite Health Care6468748190991121321501742002212502853313774525346 21723829954104311571306139215201681185920242214232524 63258827072839295030843190329134833619374038934066424 24347448844964520464848605115Other Private Revenues310346384441509595689805101712181501168419522 07223872623374241465161618986141068512696140811561318 49820830229852693628262295543191834341368863872442837 46495510995614358243574465640358675641366625170469775 518644181255861469384895812103778Indian Health Services0000000000000001972553073754124485095065596457 21713757806798996121314441487150716541633174017541837 1982220121962333245824882591268628223175355735893813 Workers' Compensation61564470574280787099111001244137215321570 17152051238226693031350640264945560661896929728576618 93710083119571381615519175301895821100226072218921914 22050221402236423931261982972433402377503898241264413 98411263891435294351563800742025General Assistance10211010210311212218224029935941747758269182 71000113112811358154818992226243726492875318934223552 37424138503251875531503754515437541451674928387439404 81951385591590461956721692871467155707166696423Matern al/Child Health11617218020122024429132437743540945348246752556 56196657017758648799351081111112901391151015801604164 91821197820642151218922442359241825292686268126682661 262626432660279728372686258324732351Federal2744485060 80114142167190148191234204243276297311330339344339343
39834840739543345947647851856557859458758058258860360 9619636634635622598600594591591581566State and Local891271331501591641761822102442612632482642822903 22354371436520540593683763883996107811211128117113031 41314851558160216641777183019262077206220322027199220 222062219622432095199218921785Vocational Rehabilitation20222529334158881151311551801841902022102 10219220224223229233246257262270289300308318332343338 36036035236737838942144946346946846149849748951855855 2531Federal121415182027426686100121140144149158164163 17016817117017217218319520020722323223824625726425327 12712632762862933173423553593613553773733743984354324 12State and Local881011131516222931344040414446484952535357616262 62636668707275798589898991929610410710811010610612112 4115120122120120Other Federal Programs*33744759871575083165346348962192711029639801 08669582385494811161343133411841044106511081133119712 71133115561844205022652472255228413118339538554462529 5567660156272636364216721692473017740955010229SAMHS A000000000000000569537581689663825799636599607515533 64488469813721656168517141889206717831500202623952564 281230063093312532193153316632063309338534473448Other State and Local Programs**2221239825102772301233893090265629373217358 03671382742824906530352055636629370527369844691419547 96281019312436137121478215041159811622416099174261853 61767617648179861854718890187912040821821239552582727 09827683286412967430406320733282333692School Health12214014714315116818721524226329030832134637740 04335095596006637087537958479199861040109911851293136 31416155317011785189020372197233024832689288830323193 33633567389840884205427943054399Public Health Activity3714094565095726217338619691174135616761855212 32584296732133815458853756445753186219251984211212123 87135721526717775199962212724371267762959130993323733
48273745540729430474678952047541075512257195608686592 57151974096752877329374991Federal10210814020822621429 44014705645947918938549691043111011521154110812351216 11411232129813261340152917952030226226052912316436263 65537553926406345444876577580138892895791259482965298 2411916139931031410844State and Local269302316301347407439460499610762885962126916151 92421042663343442675210631674808019854498861104712043 13472157451773419522214592361325964273382861830901333 92361853817041013440354521546165480705138656274616956 2180612946297964147Investment2566286334933802440847655 02152695984710577838874976510244112331242513653139701 54111700920103230872640929261309963124132507359914016 84397748686520475689861180639266586167740721857942485 50487546912741020421100001174051264381311431441831544 25146227149397157841160035Research6948861068121913661 52116241775187719241953210923572502276733723707386444 38480554295705602565437608832090021002510836117381267 81381915091164721775818670178081964021506233692546528 51032016348633850840322414814243844044453694906649669 48136Structures & Equipment18721977242525823042324433973495410751815830 67657408774184669053994510105109741220414674173832038 42271823389229212350425967293323223836008382284180644 70846168471924993252545579176213562080627647002675137 788978611689663101745110381100858100331108172111899T otal CMS Programs (Medicaid, CHIP and Medicare)00000031468065975911220129621513817639201532 45012978234883403544613353254634197507784361948251044 40112766122212133420144045163089183842213827244183272 33830208432925535091937122637884839842942832447608951 90845580986092466569067189597681088229938864049298279 659621006307POPULATION1861891921951972002022042062 08210213215217218220222224226228230233235237239242244 24624825125425726026326626927127427728028228528829029 3295298301304307309311313Health Consumption
Expenditures247932636628414309253413637193412334651152 77159110670707436583376931211059241211601393581600091 80116204649235681273652308290339725375515413366444385 48312554153060348867559173947780101286031090876096157 01014108107043711295101200959128962114020791535916166 80171788341190893920355872158742225726823580072449603 25349402633359Out of pocket13051134221429915361169811826218647185872062822 65725015263802872431716344673737240767449964816952473 58396656297273978924868249597710403411016112082812731 31386431416891442151453011434581463561521941637891793 87190427201725208997221878238223251679267254277346293 647300708300669305551316128328156Health Insurance746481878935982710900119511560021039243022749 03168836644425194791855848662137893892960106407122553 14215516753419043721250723723625915227464730006933835 93874934394584928195439765942686380256829117242427612 23795329848239920393101519311223181222758132236714166 851520783161178017031891798526187386619434322014409Pr ivate Health Insurance577964197113788789821000010223103821175413287 15424177572059322884259723046137295455385234760768690 47816089401210489311888413119013602514921017590620499 72342302556032755782962853094973267713458023624583879 34419622459233502520561424615741659957703218740217777 652807811833074859624888765916959Medicare000000184249 24621870457672844393251073013428163361969422891266683 09223738744769523515955966207718297682983081889651011 37110182120617135996149965167670184393198750210376209 42021317322482924768626538128269731116233980140372843 2833467867499903520158546246572484Medicaid (Title XIX)000000130431413541417452906695831494231107313446 15188174641946522332260323030732011352663823340937453 83503395508061952736619321110818612237313441414486215 21701608491690291835342004832242362482182691052909173 09538306865326157344916375395398116407728421199Federa
l0000006321525183522982842381045474933627774099153989 61091912705145211690217843195872109622594251872786830 99535077426075684768602769618105285945910999495498661 10720011691913228814533916089517243717764417407418575 1203526248109267455248309237854State and Local000000672161617071877244728863766449047976037603 67568854796271151113405141681567917137183432019622471 24085268763105436364395854541253363589176107165896703 68763348356491948102878108210118480131895132792140406 141390127286130662159419183345CHIP (Title XIX and Title XXI)000000000000000000000000000000000000003991723301 24167548562967167756683669117102101110611552119881262 4Federal000000000000000000000000000000000000002761199 2097291338324410498252545756631771267812806183768793 State and Local000000000000000000000000000000000000001235249151 25316531887218523132610280130843293349236133832Depart ment of Defense7888368609258618311078132414451499158217661997 22352475259026952922306734573949458851585393584268647 63482028778927210446115361162112025118331204511953120 52122141267913753155021902722402252132675929746321733 403336653383533982940522Department of Veterans Affairs89793396110151058111911531268134414841719198322 91264629003381406641464859507357406261690573968070833 28775923696291013410939118521259413621146121484015567 15488163331750919082210832278226517279512980231861338 483835342396460634887750620Other Third Party Payers and Programs390643474723522756826359625260236871778990129 66610277113651302514609164401823820952242472868532958 36494390434161447025533165932367076709087749482842884 50939659768710131010529911059811733912156412445713110 01396721529281591731678041765911873901818521847161948 99202087215803Worksite Health Care6468748190991121321501742002212502853313774525346 21723829954104311571306139215201681185920242214232524
63258827072839295030843190329134833619374038934066424 24347448844964520464848605115Other Private Revenues310346384441509595689805101712181501168419522 07223872623374241465161618986141068512696140811561318 49820830229852693628262295543191834341368863872442837 46495510995614358243574465640358675641366625170469775 518644181255861469384895812103778Indian Health Services0000000000000001972553073754124485095065596457 21713757806798996121314441487150716541633174017541837 1982220121962333245824882591268628223175355735893813 Workers' Compensation61564470574280787099111001244137215321570 17152051238226693031350640264945560661896929728576618 93710083119571381615519175301895821100226072218921914 22050221402236423931261982972433402377503898241264413 98411263891435294351563800742025General Assistance10211010210311212218224029935941747758269182 71000113112811358154818992226243726492875318934223552 37424138503251875531503754515437541451674928387439404 81951385591590461956721692871467155707166696423Matern al/Child Health11617218020122024429132437743540945348246752556 56196657017758648799351081111112901391151015801604164 91821197820642151218922442359241825292686268126682661 262626432660279728372686258324732351Federal2744485060 80114142167190148191234204243276297311330339344339343 39834840739543345947647851856557859458758058258860360 9619636634635622598600594591591581566State and Local891271331501591641761822102442612632482642822903 22354371436520540593683763883996107811211128117113031 41314851558160216641777183019262077206220322027199220 222062219622432095199218921785Vocational Rehabilitation20222529334158881151311551801841902022102 10219220224223229233246257262270289300308318332343338 36036035236737838942144946346946846149849748951855855 2531Federal121415182027426686100121140144149158164163
17016817117017217218319520020722323223824625726425327 12712632762862933173423553593613553773733743984354324 12State and Local881011131516222931344040414446484952535357616262 62636668707275798589898991929610410710811010610612112 4115120122120120Other Federal Programs*33744759871575083165346348962192711029639801 08669582385494811161343133411841044106511081133119712 71133115561844205022652472255228413118339538554462529 5567660156272636364216721692473017740955010229SAMHS A000000000000000569537581689663825799636599607515533 64488469813721656168517141889206717831500202623952564 281230063093312532193153316632063309338534473448Other State and Local Programs**2221239825102772301233893090265629373217358 03671382742824906530352055636629370527369844691419547 96281019312436137121478215041159811622416099174261853 61767617648179861854718890187912040821821239552582727 09827683286412967430406320733282333692School Health12214014714315116818721524226329030832134637740 04335095596006637087537958479199861040109911851293136 31416155317011785189020372197233024832689288830323193 33633567389840884205427943054399Public Health Activity3714094565095726217338619691174135616761855212 32584296732133815458853756445753186219251984211212123 87135721526717775199962212724371267762959130993323733 48273745540729430474678952047541075512257195608686592 57151974096752877329374991Federal10210814020822621429 44014705645947918938549691043111011521154110812351216 11411232129813261340152917952030226226052912316436263 65537553926406345444876577580138892895791259482965298 2411916139931031410844State and Local269302316301347407439460499610762885962126916151 92421042663343442675210631674808019854498861104712043 13472157451773419522214592361325964273382861830901333 92361853817041013440354521546165480705138656274616956
2180612946297964147Total CMS Programs (Medicaid, CHIP and Medicare)00000031468065975911220129621513817639201532 45012978234883403544613353254634197507784361948251044 40112766122212133420144045163089183842213827244183272 33830208432925535091937122637884839842942832447608951 90845580986092466569067189597681088229938864049298279 659621006307Personal Health Care2335524797266732909132054347363844343518492195553 16309069473772028619798835113283129393146760164332187 23421720325204528335331198134207237693140952644853849 95145516296168166776517336477811718231428728579218479 74619102921810896991165389126532413719251482141159228 41700956180922919209782017148211743421929072271244236 0432Out of pocket13051134221429915361169811826218647185872062822 65725015263802872431716344673737240767449964816952473 58396656297273978924868249597710403411016112082812731 31386431416891442151453011434581463561521941637891793 87190427201725208997221878238223251679267254277346293 647300708300669305551316128328156Health Insurance660672517911877297441059213984193282221125615 29582339123871243733520126199172940844589637711207613 19421553981761881958942151432356222539112813913142123 55698403238455481504092546309587320630701670031705391 73671178206284492293233810201291103546119491212812791 370998145463115454281639822169985717622621829908Privat e Health Insurance493254956103684578398655879190031012811940139 97157551764319710233572763433005388044445652594613837 23908275591636100583111999119850135428157382179538205 09022608124431925822427086328798630470732259734728537 34654067424453404880825271815663516064696390246730297 05964736053753174778912807025Medicare0000001722473159 31673572768036885110182127481561018815221362566629900 36260434575106058116645996979574769809518640498277107
26611727313236814623516343017985819357320420420255920 60352163332391112565512740303001363263173823354087904 42908471349489430513483538023Medicaid (Title XIX)000000125230193385398450396411797390131059012839 14429165201840621134246972879530418334863618138761430 19477195217358651696938892110341711645312685613625014 45101513521583161712811869432084352300962494472708852 87720283383301715318159346831366627374593386341Federa l0000006051461175321952708364343604697599470488661931 71022011906136921593016811185271989121270237772637629 33933168403305440966021736807734181742868768965192721 10029610932212348813517714972916122016553316154917219 1188470231145248343229159218720State and Local000000647155816321788233127673612431645965790576 87203818692281100612865136081495916289174911924221344 22834254832936434512373964277449515545075763561701655 94709857762284948949199971810966512218712183412952412 9688115686118285145434167621CHIP (Title XIX and Title XXI)000000000000000000000000000000000000003491489253 034894561530561626460719478088695953697351005110634Fe deral000000000000000000000000000000000000002411036176 2244131913720428344854948540960706715679670307413Stat e and Local000000000000000000000000000000000000001084537681 04813701585187919752246239926252821293930213221Depart ment of Defense7868348589238598301077131914361489156917491976 22102449256326662890303534233912454651055320577467967 55281038667914410293114061145311853116391184211746118 19119391235713372149701817121223236292472527385295703 141633740348653637937295Department of Veterans Affairs88792295010041046110811411256133214681701196222 68261928673344402541084813502656906210685073368006827 18722918995851008810895118001253413544145321476515495 15420162641743619002209932266926359277482958731677337 193828742313460264884550590Other Third Party Payers and
Programs369841234463495853295882581256036380725984939 18197661074812356139201568517305197862268426864310183 44263716340105453325158056985644756861874935804818534 08956192364958019962310543811312111720911874212398912 99181403721456921524231608861727011710121769431874991 92854202367Worksite Health Care6468748190991121321501742002212502853313774525346 21723829954104311571306139215201681185920242214232524 63258827072839295030843190329134833619374038934066424 24347448844964520464848605115Other Private Revenues310346384441509595689805101712181501168419522 07223872623374241465161618986141068512696140811561318 49820830229852693628262295543191834341368863872442837 46495510995614358243574465640358675641366625170469775 518644181255861469384895812103778Indian Health Services0000000000000001902472973633994354954935446297 06699742789777970118114091450146916171590169617061783 1923213621292265239024202523261827543099346434933704 Workers' Compensation43546049552556560068175183092210521131125 31482176520382379268729813512392544005030557063177421 85289805114131343215199168461826118508171881672816711 17311184901995120884230442409125640259492632726151269 092852828007285072988430248General Assistance10211010210311212218224029935941747758269182 71000113112811358154818992226243726492875318934223552 37424138503251875531503754515437541451674928387439404 81951385591590461956721692871467155707166696423Matern al/Child Health10916116918820622927330435340738342445143649253 65806156547228048188721009104012091305141714831505154 61708185619362018205421052213227023732521251825042498 246524802497262426642523242523222208Federal2643474959 79113140164187145187229199239271292306325333338333337 39534640539243045647347551456257559058357657858460060 6615632630631618595597591588587578562State and
Local831171231391471501601631892202382372222372542652 89310329389466486535614694804912987102710321072119312 94136114281471152916351686177319151902187218681835186 21903202720731935183817441646Vocational Rehabilitation19212428313955841081231461691731781871921 93202201204201206209221232236242259270276285298306300 32532531532633534437340041241841541144544343646149549 0471Federal121315171926406381941141321351391461501491 57154156153154154165176180186200209213220230236225244 24523624625325928130531632032131733733233435438738436 5State and Local789111214162128293237383841434445474847515556565 65759616365687076808080818185929696979494108110103107 108106106Other Federal Programs*32743257769370976060643846359792310969579761 08469579382491310791309129111249961016105810841154123 31292151118002001220624132487275630493328378143845209 55795908616762566306660668267177736788198966SAMHSA0 00000000000000564529574681655815789628593603511530639 86868613501631165716711832201617481469198823492514274 429413037306431603094310531443244332133773364Other State and Local Programs**2211238524912755295632693028263529163195358 03671382742824906530352055636629370527369844691419547 96281019312436137121478215041159811622416099174261853 61767617648179861854718890187912040821821239552582727 09827683286412967430406320733282333692School Health12214014714315116818721524226329030832134637740 04335095596006637087537958479199861040109911851293136 31416155317011785189020372197233024832689288830323193 33633567389840884205427943054399Total CMS Programs (Medicaid, CHIP and Medicare)00000029757750931610719123151444716824191942 33382844933244386564407251034609577225281478916021007 80108556117788128671138577156928176959206194235785262 68829028631610833808335555636122437880540580645103549
12075287835771846204976729127183127697628277168657928 98126934998Total Hospital Expenditures898597771043211507125011354515298177982053 72336727168302243384637920441395123459402670237562186 16210051711748013364714474515436616457617562918954520 64552259682504392757682984773157493283663393133507993 63404374917393624415531449358486479526163566013609369 651921692476729000776808812562840754882269Out of pocket18551898195322092505268723061811216021562452245 82976359840054318453448645020519853926284722476398119 88048508901498191034411208119171235812173107051014710 30211070120141276613493138391521816901181561953420886 223832334125027260952746729761Health Insurance455350695509600665487129927912444143231663019 41022015244852737932220382504517851777589836797380059 93862107332117351126167133858141894152989166162184904 20677222963225094726737928031829228030281531243032038 13374483580163905464244334570414935035325575680236013 79640133680906709422734696770087Private Health Insurance320036694108454650835606559256156358748288339 87610906120441440017052202072342726965317073686742707 49391533845595358903626376854776429860679690410251410 61021074791074761076901099391143371209501290561415651 53970169995185571201005217490236965249922265118280782 290073303234320889Medicare000000125532254108481153595 92065377537938811502139021618718639216472627831521366 62409894541548644508225349556337621626740373322830689 15249987910828611454011939211814512110312337113504814 35311509291627721764491847301931692063132160212214822 29450239785Medicaid (Title XIX)000000726162417032031264733163738399042265014576 66602700877749214110621178212947139611462415963177731 97122226926663365454394049458536715680058871596306178 76691371202776978485290730976971048131101491193891252 38136960147653150225156375Federal00000035178688211201 42318822063206524042747356837083875434750186028642370
75757879318723970710975125051586124955316513461535592 36732378683776238079409664283147179509895555959696610 7063016686077428790654994869241888707State and Local000000375838821912122414341675192618222267219828 93313334274196503453605872638366937240806687379764108 01115901229014843180792006821003218682370825948283713 05183386235171380014374347134507825095146307481675780 767668CHIP (Title XIX and Title XXI)000000000000000000000000000000000000001494659321 38918132053261126622352265031363206316933323425Federa l0000000000000000000000000000000000000010332464595812 461411178318131601181121522217218222992355State and Local000000000000000000000000000000000000004714128743 256864182885075183998498998710331070Department of Defense5435595335425085196848699881020106711821325151 91708179718522000222025172819327536943887420049175441 58286034631070537815784781737855796376297617757974347 64180479036103771144712008128901369514225156171658117 07016948Department of Veterans Affairs81084286791895710041021111011651287150417211979 22882498288634523561415143284879529758046144663767707 03173467650809687499437999010744114361154111836114541 17711247513304143941520617382179721913420938225542610 428320304643138532666Other Third Party Payers and Programs257828102970329334483728371435424054458153065 75163856944791586659690103821161812991150661733419091 19755200812191525227275433047430720324593421935172361 98373433688537682399044252243411440224497346827522205 43545727963012687146552670874770467859182421Worksite Health Care0000000000000000000000000000000000000000000000000 0000Other Private Revenues110134157190224261314392510640881101511781152 13021424231324492949337650666065694272697322826390299 64111258105961032411069115321208512821141681555917944 19899210402164520279210112436125127268743159035820312
5136330412104160844013Indian Health Services0000000000000001251621932292412392792863203654 09403421447437535647767783786860849902902943101011101 1111185125312731331138014431647184918661982Workers' Compensation15216117318419821024025534848652556563474 38971048123813861566184220682325269229453241363740924 60552256096687076088244834077177431736875477896848688 03968510124107811094111201112251160512318123181267413 29413499General Assistance81888283911001421802112542963394144915897278 17926974109313011536170418331945210421402141217124873 17133673596310033083091306128362616164114811928187517 30181917301935215924142123224421292738Maternal/Child Health19292930303442455363596569677682899410011112412 71351391351511601691691701721892052052072011982041992 08218218215216215219226238243233225215203Federal59991 01419232630232936313843464851525353545747535052535453 58636262595654535454545656565655555555555453State and Local142020212020232227333636333538404346495871748182 88991111171171161191311421431451421421491461541641631 60161159164171183188178169160150Vocational Rehabilitation78101315192646647282949710310099929692918 99696939086848382839090837486827370728210712012312412 0116131118108118132134131Federal456891319344855647376 80787771757170687372706966656564647070665665635552556 180929495938999898290103105102State and Local334567712161718212122222222212121212424232120191 818192020171820191817172127292929272731292528292930Ot her Federal Programs*17822529534235137026319219922132242643042843 92833413593894184123983481461721771821952032212442762 99315303303337337377451637101211171156120912201281128 212771342133217141727SAMHSA000000000000000827476857 89183625451403843564381165126868686121129165186174182 185178172163162162162166159138143Other State and Local Programs**2030216522232451254027342686243326682845314
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000000Total CMS Programs (Medicaid, CHIP and Medicare)00000025587386113114150170195240260357352390 49552954669580980791110821183129015501708198523363468 39112827344639224303476154545860639165586996791178348 2528495842987868691Federal Administration Expenditures242936385787211303421470574625719849103511 72149914611846197521182457251726832950342534723558410 44585493253935704611867347052722380628778984211501122 51138811506016613177751823219442200102080221945237862 4746Out of pocket00000000000000000000000000000000000000000000000 000000Health Insurance121213131313159272387436559606699829101411401 43213931768189220352363240725852850332333753461399544 73479752495546593065336852701478668571961311252119661 35831475516299174621790519105196862043021285227552317 5Private Health Insurance000000000000000000000000000000000000000000000 00000000Medicare0000001201932873103974074745486807268 79754100210221127130812791416154919121867185822382474 24552812300228013057302332793228343136714676452250995 182628864946673668068736974730982248568Medicaid (Title XIX)000000266279991301611812302763514825686887888219 62101910361168128113721457160118242145225323172881320 23552345643374774544559016555718378767863831382909220 9608992798711041610673Federal000000266279991301611812 30276351482568688788821962101910361168128113721457160 11824214522532317288132023552345643374774544559016555 7183787678638313829092209608992798711041610673State and Local000000000000000000000000000000000000000000000000 00000CHIP (Title XIX and Title XXI)000000000000000000000000000000000000002210121426 9331360360407396473523534580633675Federal000000000000 00000000000000000000000000221012142693313603604073964 73523534580633675State and
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22225274356513531394650686557605859626265647083Other State and Local Programs**0000000000000000000000000000000000000000000 0000000000School Health00000000000000000000000000000000000000000000000 000000Total CMS Programs (Medicaid, CHIP and Medicare)00000014625536640952756865577895610771361132 21690181019482270229824522717319332393315383942984600 50655319568262596575673575658227921710791113461261313 418145111521415359163731700417435177601927319916Net Cost of Health Insurance Expenditures101310931205124313671598172317112022177918 85242233893715319734184891749288699532926310922130801 49041958920695177111591120908275613160131749343574312 84508946052490574877449660560456410070858898651072691 14563122475136720142551139170136659150867157635164294 Out of pocketHealth Insurance847924101110421143134514331382163013531435201 12959318526272842430667527910819476849244112961333318 43419401164501413418969260322987330382323533969340704 41446443694452046125522615945765434827459806710459911 0947123969130211129823129779144295149629152635Private Health Insurance847924101110421143134514321379162613471427200 22950317426142826428967347891817476649218112571325818 30019191161761378218523254592914029522312593806138633 38785410953986140649461575249157180733428856093605967 4910119310462310184797021106449109853109934Medicare00 00000000000000000004112659122194271323386460531627929 11821512189829433430346738204053373134854738699014720 173631808621581234192453925893Medicaid (Title XIX)000000134689910131517181920192228497588818112218 72733294677038891149137617152026254729683905522255465 768668674577597912110367134321420715789Federal0000001 22345567910101111910132437423836558513218526440050865 27679661165146016972245297932903354379842344339544870
36924187348461State and Local000000012234445678891112152538464345681021401442 04303380498609749861108712711660224322562414288832223 25736733331419154737328CHIP (Title XIX and Title XXI)000000000000000000000000000000000000002091178296 45047648852260062876981199510301020Federal00000000000 00000000000000000000000000013621212033103293393624124 34533563686712704State and Local000000000000000000000000000000000000007305792140 146149160188194236248309318316Department of Defense0000000000000000000000000000000000000000000000 0000000Department of Veterans Affairs00000000000000000000000000000000000000000000000 000000Other Third Party Payers and Programs167170194200225253291329392426450411430530570 57658574196013381579167817851571115612941261177719391 52917271367200534354384460546874254353437834644542371 2092029964115281275112340934768806572800611659Worksit e Health Care0000000000000000000000000000000000000000000000000 0000Other Private Revenues000000000000000000000000000000000000000000000 00000000Indian Health Services0000000000000000000000000000000000000000000000 0000000Workers' Compensation16717019420022525329132939242645041143053 05705765857419601338157916781785157111561294126117771 93915291727136720053435438446054687425435343783464454 23712092029964115281275112340934768806570799611619Ge neral Assistance00000000000000000000000000000000000000000000 000000000Maternal/Child Health00000000000000000000000000000000000000000000000 000000Federal0000000000000000000000000000000000000000 0000000000000State and Local000000000000000000000000000000000000000000000000
00000Vocational Rehabilitation00000000000000000000000000000000000000000 000000000000Federal0000000000000000000000000000000000 0000000000000000000State and Local000000000000000000000000000000000000000000000000 00000Other Federal Programs*00000000000000000000000000000000000000000000 0000002940SAMHSA00000000000000000000000000000000000 000000000000000000Other State and Local Programs**0000000000000000000000000000000000000000000 0000000000School Health00000000000000000000000000000000000000000000000 000000Total CMS Programs (Medicaid, CHIP and Medicare)00000013468991013151718192019263975134210275 35244557373386010941632207126613274465854766105696682 54940395071099414198227772558827976327593784639776427 02Public Health Activity3714094565095726217338619691174135616761855212 32584296732133815458853756445753186219251984211212123 87135721526717775199962212724371267762959130993323733 48273745540729430474678952047541075512257195608686592 57151974096752877329374991Federal Funds102108140208226214294401470564594791893854969104 31110115211541108123512161141123212981326134015291795 20302262260529123164362636553755392640634544487657758 01388928957912594829652982411916139931031410844State/L ocal Funds269302316301347407439460499610762885962126916151 92421042663343442675210631674808019854498861104712043 13472157451773419522214592361325964273382861830901333 92361853817041013440354521546165480705138656274616956 2180612946297964147Research69488610681219136615211624 17751877192419532109235725022767337237073864443848055 42957056025654376088320900210025108361173812678138191 50911647217758186701780819640215062336925465285103201 634863385084032241481424384404445369490664966948136Pr
ivate1391471531621701761861982082132152332272322522642 67220236254292312390456507539782800839882961109112081 29814321563167618702040214924202464255027382991334735 56378240054117416643234512Federal Gov't504680849983111212511335146615391555155616621893 20222245280931193267376040824616479049555331626968307 11479898618931499811085411902131251414914733135541503 71661618124196952243725569279053100132389331163340634 27935274388523914437143State and Local Gov't515866748494103111130156183213237248270298321377 44246952060268075683295111071236137915421737187419812 04921772374257827332850309633503608389742214516458648 08525057605978604762026482Total Structures and Equipment18721977242525823042324433973495410751815830 67657408774184669053994510105109741220414674173832038 42271823389229212350425967293323223836008382284180644 70846168471924993252545579176213562080627647002675137 788978611689663101745110381100858100331108172111899Pr ivate1345147918871961235625322623254629733892446950355 63458176156646370987424804190241071913073159051754717 51616576164541813321330232992643427709309293281834465 35273372163981144268481514798448440548635889062822684 0872172821838845078034774218267385408Federal Gov't119121126203229210237207290324352345407521496653 64355874565510231315122719262391256230333419330936293 74743954291493550375098586352435779606058525735582065 6257326389601564887758905195481153111165State and Local Gov't408377412418457502537742844965100913851367140318 14193722042123218825252932299532523245348237834017441 54693531058276124658669556666682168537491787079248244 85899343968510343113191147613074141731377413362139681 5326Structures1480154419181923234025532558252229863945 45235193568656495977651570716867697074328585999611567 12483121991122511105125081443814978170471680218341199 29208372092221635231532374625405253742611829258309473 30633613640735465425167546880461044732550315Private106
61163150915051886203520791945230631773731424247304716 48054831512649955092538662137580914710271991488498570 96681161412138138001341714586158621705216892174711858 21954121581215602208124271260592797130465352773980244 58439014381303857341046Federal Gov't727171859212010343586793129116971162182663343823 70439570528505595640698829799733832728743925853989115 61346101885277472387371165968174610149441763212725892 507State and Local Gov't341310338333363397377534622701700821840836105714 66167915381496167519331845189217081690173718372011202 52107241526573013314229323041300832253187297230403314 41144177443349904712572661476103584761636762Equipment 39243350765970269183897311221236130615731722209324892 53828743238400447726089738788171023511189116961239913 45914893172601896121426234652477925331262702829729392 34171367303670636646407684419045834499804892855203587 0653978542286084761584Private2793173784564704965446006 67715738793904110213511632197224292949363845065492675 87276760177277885846597151116212634142921634416957174 13183811974521229247272657026424263593059232831348513 794336895423814386639019392914410044362Federal Gov't475055118137901341642322572592162914243804353772 24363285584745699142117961922233525902510289629153667 35484010418441094707389747615208507850124947585150735 7085269547468147288742189428658State and Local Gov't676774859410516020822226430956452756775747152558 56928509991150136015371792204621802404266832033412346 73573381337343780384542664683495252045275522955085910 63296764734880267671751578058564* Other Federal Programs include OEO, Federal General and Medical, Federal General and Medical NEC, and High Risk Pools under ACA** Other State and Local Programs include State and Local Subsidies and TDI Healthcare Industry—An Economic System
The National Health Expenditure Accounts (NHEA) estimates health care spending over time, including everything from health care goods and services to public health activities, government administration to health care investment. For this assignment, we will focus on health spending by major sources of funds. Please see below for a summary: Medicare: Medicare spending, which represented 20 percent of national health spending in 2012, grew 4.8 percent to $572.5 billion, a slight slowdown from growth of 5.0 percent in 2011. A one-time payment reduction to skilled nursing facilities in 2012, after a large increase in payments in 2011 due to implementation of a new payment system contributed to the slower growth. Medicaid: Total Medicaid spending grew 3.3 percent in 2012 to $421.2 billion, an acceleration from 2.4-percent growth in 2011. The relatively low annual rates of growth in Medicaid spending in 2011 and 2012 can be explained in part by slower enrollment growth tied to improved economic conditions and efforts by states to control health care costs. Federal Medicaid expenditures decreased 4.2 percent in 2012, while state and local Medicaid expenditures grew 15.0 percent—a result of the expiration of enhanced federal aid to states in the middle of 2011. Private Health Insurance: Overall, premiums reached $917.0 billion in 2012, and increased 3.2 percent, near the 3.4 percent growth in 2011. The net cost ratio for private health insurance —the difference between premiums and benefits as a share of premiums —was 12.0 percent in 2012 compared with 12.4 percent in 2011. Private health insurance enrollment increased 0.4 percent to 188.0 million in 2012, but still 9.4 million lower than in 2007. Out-of-Pocket: Out-of-pocket spending grew 3.8 percent in 2012 to $328.2 billion, an acceleration from growth of 3.5 percent in 2011, reflecting higher cost-sharing and increased enrollment in consumer-directed health plans. Source: Centers for Medicare & Medicaid Services. (2014).
National Health Expenditure Data Highlights. Retrieved from https://www.cms.gov/Research-Statistics-Data-and- Systems/Statistics-Trends-and- Reports/NationalHealthExpendData/Downloads/highlights.pdf Download the National Health Expenditures [NHE] by type of service and source of funds, NHE2012.zip file. Summarize in a table the total NHE (in millions) for the following years: 1960, 1970, 1980, 1990, 2000, 2010. Present the data visually by creating a line graph or a bar diagram depicting changes in values. Comment on the changes in the categories of expenditure sources, i.e., out-of-pocket, health insurance, third party payers, etc. with respect to both year-to-year changes and across the entire period. Include specific interpretations of why such changes are apparent [social, political, economic, etc. factors] and what strategies may be necessary to curb healthcare expenditure in the coming years.; Support your responses with examples. Cite any sources in APA format.

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