Health, United States Spotlight

Health Care Expenditures & Payers September 2016

ABOUT HEALTH, UNITED STATES

Health, United States is the annual report on health, produced by the 

National Center for Health Statistics and submitted by the Secretary of 

the Dept. of Health and Human Services to the President and Congress. 

The report uses data from government sources as well as private 

and global sources to present an overview of national health trends. 

This infographic features indicators from the report’s Health Care 

Expenditures & Payers subject area.

For more information, visit the Health, United States website at:

http://www.cdc.gov/nchs/hus.htm.

Health care 

resources

Four Subject Areas

of Health, United States

 Health status

& determinants

Utilization 

of health 

resources

Health care 

expenditures

& payers

MEDICAID COVERAGE

ABOUT THE DATA

Source: NCHS/National 

Health Interview Survey 

(NHIS)

Respondents: 

Noninstitutionalized 

civilians.

Methodology: 

Coverage for adults was 

respondent-reported. 

Coverage for children was 

reported by a parent or a 

knowledgeable adult. 

Notes: 

Medicaid includes 

coverage by Medicaid, 

state-sponsored plans, 

or the Children’s Health 

Insurance Program.

Type of coverage 

represents coverage at 

the time of interview. 

•

•

2005 2015

Percent

60

50

40

30

20

10

0

Medicaid coverage among persons under age 65, 

by age: 2005–2015

Under 18 years

18–64 years

Under 65 years

39.9%

13.2%

20.6%

How has Medicaid coverage among persons under 65 changed from 2005 to 2015?

Increase Stable

Increase

Increase

Under 18 

Under 65

18–64

In 2015, approximately

21 OUT OF 100

people under age 65 had 

Medicaid coverage.

= 55.4 MILLION PEOPLE

 under 65 with Medicaid

Children under age 18 were 

3 TIMES MORE LIKELY

than adults aged 18–64 to 

have Medicaid coverage in 

2015. 

Under 18 39.9%

18–64 13.2%

UNDER 18 YEARS

CHANGE IN MEDICAID COVERAGE BETWEEN 2005 AND 2015

18–64 YEARS

2005 2005

27.2% 7.2%

2015 2015

39.9% 13.2%

46.7% 83.3%

UNDER 65 YEARS

2005

12.9%

2015

20.6%

59.7%
MEDICARE MANAGED CARE

ABOUT THE DATA

Source: Centers for 

Medicare & Medicaid 

Services (CMS)

Methodology: Data are 

derived from the CMS 

Enrollment Database. 

Enrollment data include 

all persons enrolled in 

the Medicare program as 

of July 1.

Note: State data are 

based on the residence 

of the Medicare 

beneficiary.

What is MEDICARE MANAGED CARE?

MEDICARE MANAGED CARE is optional. Enrollment reflects managed care availability in each state 

as well as the enrollee’s choice to enroll.

Medicare managed care plans contract with a 

network of providers to administer care to, and 

coordinate care for, managed care enrollees. Plan 

types include health maintenance organizations 

(HMOs) and preferred provider organizations (PPOs).

In 2014, 3 out of every 10 

Medicare enrollees were in

managed care.

The % of Medicare enrollees in

managed care was 2.3 times

greater in 2014 than in 2004.

2004 13.0%

2014 29.9%

Medicare enrollees in managed care, 

by state: 2014

Percent

0.9–16.0

16.1–24.7

24.8–32.9

33.0–51.8

Lowest % of Medicare enrollees in managed care

DE

7.9%

VT

7.3%

NH

7.2%

WY

3.9%

AK

0.9%

Highest % of Medicare enrollees in managed care

MN

51.8%

HI

46.4%

OR

43.2%

PA

39.6%

CA

39.3%

PRESCRIPTION (RX) DRUG SPENDING

ABOUT THE DATA

Source: Centers for 

Medicare & Medicaid 

Services (CMS)/National 

Health Expenditure 

Accounts (NHEA)

Notes: 

Medicaid includes 

the Children’s Health 

Insurance Program.

Other includes the 

Department of Defense, 

Department of Veteran 

Affairs, and third party 

payers and programs 

(e.g., worksite health 

care, school health).

•

•

PRESCRIPTION DRUG SPENDING has 

grown more rapidly in recent years.

Prescription drug spending: 

2004–2014

2004 2014

Amount, in billions

350

300

250

200

150

100

50

0

$297.7

$192.8

average annual growth 

from 2004–2014

4.4% 12.2%

growth from 

2013–2014

How have FUNDING SOURCES changed for Rx

drug spending between 2004 and 2014?

SOURCE 2004 2014

Out-of-pocket 25.0% 15.0%

Private 49.3% 42.8%

Other 4.9% 3.5%

Medicaid 19.1% 9.7%

Medicare 1.7% 29.0%

All sources 100.0% 100.0%

For additional information on Health, United States, see

http://www.cdc.gov/nchs/hus.htm.

For further information about NCHS and its programs, see 

http://www.cdc.gov/nchs.