Changes in Health Expenditure for the Elderly in the Later Stage of Life

FY	Total	Medical fees	Inpatient	Outpatient	Dental	Pharmacy dispensing	Hospital meals and living	Home-visit nursing	Medical care expenses, etc.	Health service facilities for the elderly
Actual amount (¥100 million)	FY1983	33,185	31,966	17,785	13,405	776	640	·	·	579	·
FY1984	36,098	34,645	19,725	14,025	895	689	·	·	764	·
FY1985	40,673	38,986	22,519	15,433	1,034	785	·	·	902	·
FY1986	44,377	42,445	24,343	16,924	1,178	902	·	·	1,030	·
FY1987	48,309	46,104	26,247	18,605	1,252	1,037	·	·	1,168	·
FY1988	51,593	49,138	27,798	19,975	1,365	1,133	·	·	1,296	26
FY1989	55,578	52,573	29,400	21,743	1,430	1,312	·	·	1,441	253
FY1990	59,269	55,669	30,724	23,315	1,630	1,457	·	·	1,523	619
FY1991	64,095	59,804	32,325	25,705	1,773	1,689	·	·	1,633	970
FY1992	69,372	64,307	35,009	27,249	2,049	1,992	·	5	1,626	1,442
FY1993	74,511	68,530	36,766	29,536	2,228	2,529	·	29	1,535	1,888
FY1994	81,596	72,501	38,235	31,790	2,476	3,133	1,855	86	1,439	2,582
FY1995	89,152	75,910	38,883	34,319	2,708	3,909	4,678	174	1,224	3,259
FY1996	97,232	82,181	42,314	36,789	3,078	4,620	4,816	323	1,094	4,198
FY1997	102,786	85,475	44,205	37,965	3,305	5,606	4,869	479	1,073	5,285
FY1998	108,932	88,881	46,787	38,584	3,511	6,900	4,967	657	1,101	6,426
FY1999	118,040	94,653	49,558	41,181	3,915	8,809	5,115	858	1,169	7,436
FY2000	111,997	94,640	48,568	41,871	4,200	10,569	4,612	235	1,271	670
FY2001	116,560	97,954	50,296	43,243	4,416	12,462	4,677	191	1,277	-2
FY2002	117,300	97,155	51,198	41,434	4,522	13,913	4,689	192	1,352	-1
FY2003	116,524	95,653	51,828	39,609	4,216	14,711	4,645	174	1,342	-1
FY2004	115,764	94,429	52,048	38,371	4,010	15,143	4,654	190	1,348	-0
FY2005	116,444	94,441	52,867	37,726	3,848	15,777	4,679	205	1,342	-0
FY2006	112,594	91,492	51,822	36,129	3,540	15,579	3,970	225	1,329	-0
FY2007	112,753	91,048	52,167	35,524	3,357	16,245	3,877	239	1,345	—
FY2008	114,146	91,558	53,009	35,029	3,520	17,035	3,850	264	1,439	-0
FY2009	120,108	95,672	55,594	36,381	3,698	18,717	3,914	289	1,517	·
FY2010	127,213	101,630	59,994	37,654	3,981	19,631	4,015	318	1,620	·
FY2011	132,991	105,409	62,170	38,980	4,260	21,489	4,029	341	1,725	·
FY2012	137,044	108,751	64,094	40,139	4,518	22,111	4,012	404	1,767	·

(Note) 1. Terms are defined as follows.

a. Medical fees: Expenses paid for medical care services received at insurance medical care facilities providing insured services, etc. (excluding insurance pharmacies, etc.). (Benefit in kind)

b. Pharmacy dispensing: Expenses paid for drugs supplied at insurance pharmacies, etc. (Benefit in kind)

c. Meal and living: Meal and living expenses during hospitalization.(Benefit in kind)

d. Home-visit nursing: Expenses paid for home-visit nursing care services received that are provided by the offices of

e. Medical treatment, etc.: Expenses paid for prosthetic devices supplied or treatment by judo therapists received in accordance with

Expenses paid for facility treatment at health service facilities for the elderly. (Benefit in kind) (Not applicable after March 2010)

g. Expenses include co-payment, standard co-payment for mail/living expenses, and basic fees of home-visit nursing.

2. The figures up to March 2008 are for those subjected to medical services that are provided in the Health and Medical Services Act for the Aged.

3. The figures for FY2008 include delayed requests for health expenditure for the elderly from April 2008 to February 2009.

4. The figures for FY2011 do not include the Great East Japan Earthquake related health expenditure, etc. ( $ ¥4.5 $ billion of the total of estimated payment requests and health expenditure of unknown insurers).

Source “Annual Report on Medical Care Service Programs for the Late-Stage Elderly”, Health Insurance Bureau, MHLW