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Health Accounts
The Health Accounts includes the National Health Expenditures--historical and projected, and the State Health Expenditures.
Estimates
National Health Accounts
Historical and Current Years
Type of Service and Source of Funds
National Health Expenditures measure spending for health care 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.). Expenditure estimates for 1960-2002 are currently available in data files or in published articles.
- Highlights
- Tables
- Pie Charts depicting "The Nation's Health Dollar: 2002 - Where It Came From/Where It Went"
- The article, "Health spending rebound continues in 2002," by Levit et al., is published in the January/February 2004 issue of Health Affairs, Volume 23 Number 1. (Project HOPE--The People-to-People Health Foundation, Inc.)
- Data files for downloading
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Projections
The National Health Expenditure Projections presented here are based on the 2002 version of the National Health Expenditures released in January 2004. The Projections are estimates of spending for health care in the U.S. for the years 2003-2013. The 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.).
- National Health Expenditure Projections 2003-2013 (Published February 2004)
- Highlights
- Tables
- Highlights and Tables in PDF format (719K bytes).
- Trends: Health Spending Projections for 2003-2013
- National Health Expenditure Projections 2002-2012 (Published February 2003)
- Highlights
- Tables
- Highlights and Tables in PDF format (107K bytes).
- Trends: Health Spending Projections for 2002-2012
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State Health Accounts
State of Provider: Type of Service and Source of Funds
Health Accounts by State of provider present estimates of health care spending for 1980-1998 by type of establishment delivering care (hospitals, physicians and clinics, nursing homes, etc.) and for medical products (prescription drugs, over-the-counter medicines, and sundries and for durable medical products such as eyeglasses and hearing aids) purchased in retail outlets. Source of funding estimates by state are also provided for Medicare and Medicaid. These estimates are useful in measuring health spending's role in a state's economy. These estimates should not be used to calculate estimates of spending per person in a state (see state of residence estimates).
- Trends in State Health Care Expenditures and Funding: 1980-1998. View online in HTML or PDF (222K bytes)
- Tables
State of Residence: Type of Service and Source of Funds
Health Accounts by State of residence present aggregate and per capita estimates of health care spending for 1991-1998 by type of establishment delivering care (hospitals, physicians and clinics, nursing homes, etc.) and for medical products (prescription drugs, over-the-counter medicines and sundries and durable medical products such as eyeglasses and hearing aids) purchased in retail outlets. Source of funding aggregate and per enrollee estimates by state are also provided for Medicare and Medicaid.
- Health Care Spending During 1991-1998: A Fifty-State Review
- Tables
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Business, Household and Government Health Care Spending, 1987-2000
Businesses, households and governments provide the underlying financing for health care. Estimates of these costs along with measures of burden that these costs impose are presented for 1987-2000.
- Read the article in the Health Care Financing Review (PDF, 131K bytes)
- Read about the Methodology
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Definitions, Sources, and Methods
- Quick Reference: National Health Expenditure category definitions
- National Health Accounts: Type of Service and Source of Funds -- View Online, or PDF (193K Bytes)
- National Health Accounts: Projections -- View Online, or PDF (112K Bytes)
- State Health Accounts: Provider
- State Health Accounts: Residence
- Business, Household and Government: Health Care Spending
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Data files for downloading
| File | Size | Contents |
|---|---|---|
| nhe02.zip | 35 KBytes | Historical National Health Expenditures by Type of Service and Source of Funds: Calendar Years 1960-2002. This file expands to nhe02.csv. |
| nhegdp02.zip | 8 KBytes | Historical National Health Expenditures Aggregate, per Capita, Percent Distribution, and Annual Percent Change by Source of Funds: Calendar Years 1960-2002. This file expands to nhegdp02.csv. |
| nhe65-13.zip | 31 KBytes | National Health Expenditures 1965-2013, History and Projections by Type of Service and Source of Funds: Calendar Years 1965-2013. This file expands to nhe65-13.csv |
| state98.zip | 79 KBytes | State health accounts by state of provider. This file expands to allpayer.csv, medicare.csv & medicaid.csv |
| state-estimates-residence.zip | 63 KBytes | State health accounts by state of residence. This file expands to medicaid-aggregate.csv, medicaid-enrollment.csv, medicaid-per-capita.csv, medicare-aggregate.csv, medicare-enrollment.csv, medicare-per-capita.csv, us-aggregate.csv, us-per-capita.csv, & us-population.csv |
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Links to Other Sites
- Trustees Reports: The annual reports of the Trustees of the Medicare Trust Funds contains the economic assumptions used in the Projections, as well as detailed information on projected Medicare expenditures.
- Bureau of Labor Statistics
- Bureau of the Census
- National Center for Health Statistics
- Department of Treasury
- White House Economic Statistics Briefing Room
- Employee Benefit Research Institute
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Comments and Questions
- All questions on Health Accounts should be emailed to: DNHS@cms.hhs.gov To expedite this process, please mention "Health Accounts" in your request.
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