Peterson-Kaiser Health System Tracker How do health expenditures vary across the population?

Peterson-Kaiser Health System Tracker

How do health expenditures vary across the population?


Discussions of health spending often focus on averages, but spending varies considerably across the populationContribution to total health expenditures by individuals, 2012

Source: Kaiser Family Foundation analysis of Medical Expenditure Panel Survey, Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services

Top 1% of health

spenders

Top 5% Top 10% Top 15% Top 20% Top 50% Lower 50%0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

23% of totalhealth spending

50%

66%

76%

82%

97%

3%


Family spending is also very concentrated, with half of all families accounting for nearly all health spending

Top 1% of health

spenders


10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

16% of totalhealth spending

39%

54%

65%

72%

94%

6%

Contribution to total health spending per family, 2012



Out-of-pocket spending on health services is almost as concentrated as overall health spendingOut-of-pocket spending on health services, 2012

Top 1% of OOP spenders


10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

21% of OOPspending

45%

61%

72%

80%

98%

2%



Most of the population reports being in good or better health

Reported health status, 2012

Excellent Very Good Good Fair Poor0%

5%

10%

15%

20%

25%

30%

35%32% 32%

25%

8%

3%



There is considerable concentration of spending, even among populations with relatively high average costs

Top 1% of spenders

in this group

Top 5% Top 10% Top 15% Top 20% Top 50% Lower 50%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

16% ofgroup

spending

39%

54%

65%

73%

95%

5%


Top 1% of spenders

in this group

Top 5% Top 10% Top 15% Top 20% Top 50% Lower 50%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

13% ofgroup

spending

34%

50%

60%

68%

91%

9%

Distribution of health spending among those Distribution of health spending among elderlyreporting fair or poor health, 2012 population (age 65+), 2012


People age 55 and over account for about half of total health spending

Share of Population Share of Spending0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

65 and over

31% (by 14%)55 to 64

21% (by 12%)

45 to 54

16% (by 14%)

35 to 44

9% (by 13%)

19 to 34

13% (by 22%)Under 19

11% of spending (by25% of population)

Share of total health spending by age group, 2012



While health spending increases throughout adulthood for both men and women, spending varies by ageAverage health spending by age and gender, 2012

Under 19* 19 to 34* 35 to 44* 45 to 54 55 to 64 65 and over$0

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

$7,000

$8,000

$9,000

$10,000

$2,1

35

$1,7

79

$2,2

08

$4,7

06

$7,3

67

$9,3

29

$1,5

29

$3,2

54

$3,6

08

$5,1

86

$7,1

85

$9,3

20

Males Females

*Indicates that, for the age range, the difference in estimates for males and females is statistically significant (p<.05)



Diagnosis with a serious or chronic health condition is associated with higher health spending

Asthma High Cholesterol

Diabetes Arthritis Emphysema Cancer High Blood Pressure

Stroke Heart Disease

$0

$2,000

$4,000

$6,000

$8,000

$10,000

$12,000

$14,000

$16,000

$6,1

10

$7,5

26

$11,

347

$10,

068

$13,

131

$12,

000

$8,1

14

$13,

827

$11,

050

$4,1

04

$3,9

84

$4,4

24

$3,3

36 $4

,894

$4,2

36

$3,5

41

$4,7

38

$4,0

79

Ever been diagnosed Never diagnosed


Per capita health spending based on diagnosis status, in U.S. Dollars, 2012


Whites have higher health spending in most age categories than people in other groups

Average health spending by age and race/ethnicity, 2012

Under 19 19 to 34 35 to 49 50 to 64 65 and over$0

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

$7,000

$8,000

$9,000

$10,000

$1,2

87

$2,7

75

$1,7

73

$4,3

31

$6,9

56

$1,5

32

$1,6

66

$3,0

20

$5,0

11

$6,7

48

$1,3

32 $2,1

12

$3,5

13

$5,7

69

$8,6

42

$2,1

73 $2,8

99 $3,5

17

$7,1

65

$9,7

43

Asian Hispanic Black White

*Indicates that, within the age range, the difference from the average of other racial/ethnic groups is statically significant (p<0.05)


* * * ** * ** * * * *


People with some insurance have much higher health spending than people who are uninsured all yearAverage health spending by age and insurance, 2012

Under 19* 19 to 34* 35 to 44* 45 to 54* 55 to 64*$0

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

$7,000

$8,000

$9,000

$1,886

$3,031$3,354

$5,599

$8,037

$987 $799$1,098

$1,544

$2,435

Had insurance Uninsured all year

* Indicates that, within the age range, the difference in estimates for the insured and uninsured is statistically significant (p<0.05)



People with public coverage tend to spend more on health, while the uninsured tend to have low spendingAverage health spending by age and insurance type, 2012

Under 19 19 to 34 35 to 44 45 to 54 55 to 64$0

$2,000

$4,000

$6,000

$8,000

$10,000

$12,000

$2,167$2,814

$3,109

$5,029

$7,576

$1,452

$4,231

$4,984

$9,311

$11,162

$987 $799$1,098

$1,544

$2,435

Any Private Public Only Uninsured All Year

* Indicates that, within the age range, the difference from the average of the other coverage categories is statistically significant (p<0.05)


* * * * * * * * * * * * *


A substantial share of the population spends $200 or less out-of-pocket on health care servicesAverage out-of-pocket spending in $US Dollars, 2012

$0 >0 to $200 >$200 to $500 >$500 to $1000 >$1000 to $2500 >$25000%

5%

10%

15%

20%

25%

30%

35%

26%

31%

16%

12% 11%

5%


Documents

Peterson-Kaiser Health System Tracker How do health expenditures vary across the population?