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Study Id12451 Medicare Statista Dossier
Study Id12451 Medicare Statista Dossier
TABLE OF CONTENTS
Medicare
Table of Contents
Overview
07 U.S. health care expenditure distribution by payer 2014-2018
08 Percentage of U.S. Americans covered by Medicare 1990-2017
09 Characteristics of the Medicare population 2017
10 Total Medicare income 1970-2017
11 Estimated Medicare revenue sources 2017
12 Total Medicare assets at year-end 1970-2017
Spending/costs
14 Spending distribution of Medicare and Medicaid in the U.S. 2016
15 Total Medicare spending 1970-2017
16 Medicare benefit payments by type of service 2007 vs 2017
17 Supplementary Medical Insurance Medicare benefit payments 2015-2017
18 Hospital Insurance Medicare benefit payments 2015-2017
19 Leading U.S. not-for-profit hospitals by Medicare patient charges 2016
20 Leading medical traditional therapy areas by Medicare PMPY spending 2016
Enrollment/beneficiaries
Table of Contents
Infrastructure
28 Medicare - number of hospital facilities in the U.S. 1967-2016
29 Medicare - total number of hospital beds in the U.S. 1967-2016
30 Medicare - number of skilled nursing facilities in the U.S. 1967-2016
31 Medicare - number of home health agencies in the U.S. 1967-2016
32 Medicare - number of psychiatric hospital facilities in the U.S. 1967-2016
Drugs
34 Prescription drugs spending in the U.S. by payer 2012-2016
35 Payer share of Medicare Part D retail prescriptions by therapy class 2018
36 Out of pocket costs of Medicare Part D retail prescription by drug therapy 2018
37 Share of branded drug costs in Medicare Part D gap in the U.S. 2016-2020
38 Share of generic drug costs in Medicare Part D gap in the U.S. 2016-2020
Table of Contents
Outlook
41 Health spending distribution in the United States by payer 2014-2026
42 U.S. Medicare outlays and forecast 2000-2028
43 U.S. Medicare outlays and forecast 2000-2028 as a percentage of the GDP
44 Annual growth in Medicare per capita spending and other measures 1990-2027
45 Medicare and Medicaid costs from individuals with Alzheimer's in the U.S. 2018-2050
OVERVIEW
Medicare
Distribution of U.S. health care expenditure from 2014 to 2018, by payer
U.S. health care expenditure distribution by payer 2014-2018
Chart Title
20.0%
data
18.0%
16.0%
14.0%
Percentage of population
12.0%
10.0%
8.0%
6.0%
4.0%
2.0%
0.0%
'90 '91 '92 '93 '94 '95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 '13 '14 '15 '16 '17
800
data
721
687.7
700
629.9
597.7
600
556.7
528 532.6
Total income in billion U.S. dollars
491.5 500.7
500 474.6
457.1
422.3
400
349.4
300
248.9
200 173
125.7
100 75.5
35.7
7.5 16.9
0
1970 1975 1980 1985 1990 1995 2000 2005 2006 2007 2008 2009 2010 2011 2012 2013** 2014** 2015 2016 2017
Part A 3% 8% - 1% 87% 1%
Part B 2% - - 27% - 71%
400
data
378.1
371.4
358.7
350.9
350 336.4
318.6
301.2
294.6
300
276.2 273.6 272.1
265.3
Total assets in billion U.S. dollars
258.6
250
214
200
143.4
150
110.2
100
50 31.9
19
11.3
2.7
0
1970 1975 1980 1985 1990 1995 2000 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Medicaid Medicare
0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 35.0% 40.0% 45.0%
34%
Hospital care
40%
13%
Physician and clinical services
22%
6%
Prescription drugs
14%
9%
Nursing care facilities
6%
6%
Home health care
6%
6%
Net cost of insurance
5%
1%
Other professional services
3%
4%
Government administration
2%
1%
Other medical products
1%
17%
Other health care
1%
Spending distribution
800
data
707.4
694.5
700
638.1
600.3
600 581.7
560.3 550.1
Total spending in billion U.S. dollars
521.2
498.3
500
455.1
434.8
400 380.5
336.9
300
219.3
200 180.1
109.7
100 71.4
35
7.1 14.8
0
1970 1975 1980 1985 1990 1995 2000 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
2007 2017
50.0%
47%
44%
45.0%
42%
41%
40.0%
35.0%
Percentage of total
30.0%
25.0%
20.0%
14%
15.0%
11%
10.0%
5.0%
0.0%
Part A* Part B* Part C
29%
Medicare Advantage 27%
26%
23%
Prescription drugs 24%
24%
17%
Physician 18%
20%
13%
Hospital 12%
12%
3%
Home health 3%
3%
2%
DME 2%
2%
1%
Lab 1%
2%
11%
Other 11%
11%
Percentage of total payment
49%
Inpatient hospital 51%
52%
32%
Managed care 30%
29%
10%
Skilled nursing facility 10%
11%
6%
Hospice 6%
6%
2%
Home Health Agency 2%
2%
New York Presbyterian Hospital/Weill Cornell Medical Center (New York, NY) 2.77
Diabetes 439.39
Pain/inflammation 218.76
Asthma 140.78
Anticoagulants 128.56
Age Disabled
60
49.5
50 47.8
46.8
45
43.5
41.9
40.4
40
Beneficiaries in millions
35.8
33.2
30 28.1
22.7
19.1
20
80.0%
data
76%
70.0%
Percentage of total Medicare beneficiaries
60.0%
50.0%
40.0%
30.0%
20.0%
10%
10.0% 8%
6%
0.0%
White Black Hispanic Other
Ethnicity
2015 2016
40.0%
35.0% 34%
33%
31% 31%
Percentage of total Medicare beneficiaries
30.0%
25.0% 24%
23%
20.0%
15.0%
11% 11%
10.0%
5.0%
0.0%
Under 100% 100-199% 200-399% 400% or over
Federal poverty level
Maine 23.6%
Vermont 21.7%
Alabama 20.3%
Arkansas 20.3%
Pennsylvania 20.2%
Florida 20.2%
Montana 20.1%
Kentucky 19.8%
California 5,814,275
Florida 4,163,699
Texas 3,757,335
Pennsylvania 2,581,572
Ohio 2,202,060
Illinois 2,108,645
Michigan 1,938,307
Georgia 1,573,277
2016 6,146
2015 6,140
2014 6,142
2013 6,164
2012 6,170
2011 6,172
2010 6,169
2009 6,172
2008 6,171
2007 6,163
2006 6,177
2005 6,180
2000 6,031
1995 6,376
1990 6,522
Number of facilities
2016 933,209
2015 931,951
2014 931,057
2013 934,874
2012 931,458
2011 925,951
2010 927,535
2009 926,388
2008 930,452
2007 933,998
2006 938,762
2005 947,305
2000 982,616
1995 1,056,454
1990 1,104,703
Number of beds
2016 15,274
2015 15,236
2014 15,179
2013 15,156
2012 15,143
2011 15,132
2010 15,084
2009 15,071
2008 15,032
2007 15,054
2006 15,028
2005 15,006
2000 14,841
1995 13,452
1990 9,008
Number of facilities
2016 11,956
2015 12,149
2014 12,268
2013 12,459
2012 12,253
2011 11,930
2010 10,914
2009 10,184
2008 9,407
2007 9,024
2006 8,618
2005 8,090
2000 7,099
1990 6,461
1980 3,012
Number of facilities
2016 570
2015 560
2014 551
2013 541
2012 527
2011 509
2010 511
2009 506
2008 491
2007 490
2006 482
2005 473
2004 470
2003 478
2002 487
Number of facilities
160
140
120
Spending in billion U.S. dollars
100
80
60
40
20
0
Private health insurance Out-of-pocket Other payers Medicare Medicaid Other public health insurance
0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 35.0% 40.0% 45.0%
Asthma 22.7%
Cholesterol 38.6%
Depression 23.6%
Diabetes 33.9%
Hypertension 36.8%
Osteoarthritis 23.2%
0 5 10 15 20 25 30
Diabetes 26.9
Asthma 23.27
Cholesterol 10.73
Osteoarthritis 8.64
Depression 8.32
ACS 8.09
Hypertension 6.96
AMI 6.12
Out of pocket costs per prescription in U.S. dollars
120.0%
100.0%
50% 50% 50% 50% 50%
80.0%
Distribution of drug costs
60.0%
0.0%
2016 2017 2018 2019 2020
120.0%
100.0%
42% 49% 56% 63% 75%
80.0%
Distribution of drug costs
60.0%
58%
51%
40.0% 44%
37%
25%
20.0%
0.0%
2016 2017 2018 2019 2020
2016 2017
9000000
8,362,287
8000000
7,040,910
7000000
5,911,311
Medicaid prescriptions per year
6000000
5,135,837
5000000
4,072,399 4,214,275
4000000
3000000
2000000
1000000
0
Ventolin HFA (brand) Montelukast Sodium (generic) Albuterol Sulfate (generic)
31.2%
33.7%
Private health insurance
33.4%
33%
24%
20.1%
Medicare
20.3%
20.5%
17.5%
16.9%
Medicaid
17%
16.4%
9.7%
10.6%
Out-of-pocket
10.6%
10.9%
3.8%
3.8%
Other public health insurance
3.8%
3.7%
Percentage of health spending
1600
data
1400
1200
Medicare outlays in billion U.S. dollars
1000
800
600
400
200
0
'00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 '13 '14 '15 '16 '17 '18* '19* '20* '21* '22* '23* '24* '25* '26* '27* '28*
6.0%
data
5.0%
4.0%
Percentage of the GDP
3.0%
2.0%
1.0%
0.0%
'00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 '13 '14 '15 '16 '17 '18* '19* '20* '21* '22* '23* '24* '25* '26* '27* '28*
10.0%
9%
9.0%
8.0%
7.3% 7.2% 7.3% 7.2%
Growth rate in per capita spending
7.0%
5.8% 5.9%
6.0%
3.0%
2.0% 1.5%
1.0%
0.0%
Medicare per capita spending Total Medicare spending PHI per capita spending**
800
data
750
700
609
600
Care costs in billion U.S. dollars
506
500
402
400
310
300
239
202
186
200
100
0
2018 2020 2025 2030 2035 2040 2045 2050
Published by CMS
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47 References
Percentage of people covered by Medicare in the United States from 1990 to 2017
Percentage of U.S. Americans covered by Medicare 1990-2017
Original source Health Insurance Coverage in the United States: 2017, page 4
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48 References
Characteristics of the Medicare population in 2017
Characteristics of the Medicare population 2017
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49 References
Total Medicare income from 1970 to 2017 (in billion U.S. dollars)*
Total Medicare income 1970-2017
Published by CMS
Back to statistic
50 References
Estimated sources of Medicare revenue in 2017*
Estimated Medicare revenue sources 2017
Conducted by CMS (2017 Annual Report of the Boards of Trustees of the Federal Hospital
Insurance and Federal Supplementary Medical Insurance Trust Funds)
Original source The Facts on Medicare Spending and Financing (June 2018), page 6
Back to statistic
51 References
Total Medicare assets at year-end from 1970 to 2017 (in billion U.S. dollars)
Total Medicare assets at year-end 1970-2017
Conducted by CMS
Published by CMS
Back to statistic
52 References
Spending distribution of Medicare and Medicaid in the United States in 2016*
Spending distribution of Medicare and Medicaid in the U.S. 2016
Published by CHCF
Original source California Health Care Almanac - Health Care Costs 101 (May 2018), page 29
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53 References
Total Medicare spending from 1970 to 2017 (in billion U.S. dollars)*
Total Medicare spending 1970-2017
Conducted by CMS
Published by CMS
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54 References
Medicare benefit payments by type of service in 2007 and 2017
Medicare benefit payments by type of service 2007 vs 2017
Original source The Facts on Medicare Spending and Financing (June 2018), page 2
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55 References
Distribution of Supplementary Medical Insurance (SMI) Medicare benefit payments from 2015
to 2017*
Supplementary Medical Insurance Medicare benefit payments 2015-2017
Published by CMS
Original source Medicare Trustees Report 2018, page 137 and 145
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56 References
Distribution of Hospital Insurance (HI) Medicare benefit payments from 2015 to 2017*
Hospital Insurance Medicare benefit payments 2015-2017
Published by CMS
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57 References
Top U.S. not-for-profit hospitals by Medicare patient charges as of 2016 (in billion U.S.
dollars)*
Leading U.S. not-for-profit hospitals by Medicare patient charges 2016
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58 References
Top 10 traditional therapy classes in the U.S. by Medicare per-member-per-year (PMPY) spending in
2016 (in U.S. dollars)*
Leading medical traditional therapy areas by Medicare PMPY spending 2016
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59 References
Enrollment in the Medicare program from 1966 to 2017, by type of beneficiary (in millions)
Medicare level of beneficiaries by type of beneficiary 1966-2017
Conducted by CMS
Published by CMS
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60 References
Distribution of Medicare beneficiaries in 2016, by ethnicity
Distribution of Medicare beneficiaries 2016, by ethnicity
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61 References
Distribution of Medicare beneficiaries in 2015 and 2016, by federal poverty level
Distribution of Medicare beneficiaries 2015 and 2016, by federal poverty level
Back to statistic
62 References
Top 10 U.S. states based on Medicare beneficiaries as a percentage of total population in
2016
Top U.S. states by Medicare beneficiaries as a percentage of total population 2016
Published by CMS
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63 References
Top 10 U.S. states based on number of Medicare beneficiaries in 2016
Top U.S. states by number of Medicare beneficiaries 2016
Published by CMS
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64 References
Number of Medicare hospital facilities in the U.S. from 1967 to 2016*
Medicare - number of hospital facilities in the U.S. 1967-2016
Published by CMS
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65 References
Total number of Medicare hospital beds in the U.S. from 1967 to 2016*
Medicare - total number of hospital beds in the U.S. 1967-2016
Conducted by CMS
Published by CMS
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66 References
Number of Medicare skilled nursing facilities in the U.S. from 1967 to 2016*
Medicare - number of skilled nursing facilities in the U.S. 1967-2016
Conducted by CMS
Published by CMS
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67 References
Number of Medicare home health agencies in the U.S. from 1967 to 2016*
Medicare - number of home health agencies in the U.S. 1967-2016
Conducted by CMS
Published by CMS
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68 References
Number of Medicare psychiatric hospital facilities in the U.S. from 1967 to 2016*
Medicare - number of psychiatric hospital facilities in the U.S. 1967-2016
Conducted by CMS
Published by CMS
Back to statistic
69 References
Prescription drugs spending in the United States from 2012 to 2016, by payer (in billion U.S.
dollars)
Prescription drugs spending in the U.S. by payer 2012-2016
Conducted by CMS
Published by CHCF
Original source California Health Care Almanac - Health Care Costs 101 (May 2018), page 27
Back to statistic
70 References
Medicare Part D payer share of retail prescriptions in 2018, by therapy area*
Payer share of Medicare Part D retail prescriptions by therapy class 2018
Published by Sanofi
Original source Managed Care Digest Series - Payer Digest 2018, page 42
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71 References
Out-of-pocket costs per Medicare Part D retail prescription by therapy area in 2018 (in U.S.
dollars)*
Out of pocket costs of Medicare Part D retail prescription by drug therapy 2018
Published by Sanofi
Original source Managed Care Digest Series - Payer Digest 2018, page 43
Back to statistic
72 References
Cost sharing for branded drugs in the Medicare Part D coverage gap from 2016 to 2020
Share of branded drug costs in Medicare Part D gap in the U.S. 2016-2020
Conducted by CMS
Published by Sanofi
Original source Managed Care Digest Series - Public Payer Digest 2016, page 18
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73 References
Cost sharing for generic drug costs in the Medicare Part D coverage gap from 2016 to 2020
Share of generic drug costs in Medicare Part D gap in the U.S. 2016-2020
Conducted by CMS
Published by Sanofi
Original source Managed Care Digest Series - Public Payer Digest 2015, page 18
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74 References
Number of common Medicaid respiratory agent prescriptions annually in 2016 and 2017, by
product*
Common Medicaid respiratory agent prescriptions by product 2016-2017
Published by Sanofi
Original source Managed Care Digest Series - Payer Digest 2017, page 57
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75 References
Health spending distribution in the United States 2014-2016 and projections for 2026, by
payer*
Health spending distribution in the United States by payer 2014-2026
Published by CHCF
Original source California Health Care Almanac - Health Care Costs 101 (May 2018), page 24
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76 References
Medicare outlays and forecast in the United States from 2000 to 2028 (in billion U.S. dollars)
U.S. Medicare outlays and forecast 2000-2028
Original source The Budget and Economic Outlook Fiscal Years 2018 to 2028
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77 References
Medicare outlays and forecast in the United States from 2000 to 2028 (as a percentage of the
GDP)
U.S. Medicare outlays and forecast 2000-2028 as a percentage of the GDP
Original source The Budget and Economic Outlook Fiscal Years 2018 to 2028, page 44
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78 References
Average annual growth rate in Medicare per capita spending and other measures in the U.S. between
1990s and 2027
Annual growth in Medicare per capita spending and other measures 1990-2027
Original source The Facts on Medicare Spending and Financing (June 2018), page 3
Back to statistic
79 References
Costs of care for individuals in the U.S. with Alzheimer's disease to Medicare and Medicaid from 2018 to
2050 (in billion U.S. dollars)
Medicare and Medicaid costs from individuals with Alzheimer's in the U.S. 2018-2050
Back to statistic
80 References