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MEPS Home Medical Expenditure Panel Survey
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Table 2. Total health servicesa: median and mean expenditures per person with expense and distribution of expenditures by source of payment, U.S., 1997


      Annual total expense per person with expense
|
|
|
|
  Percent distribution of total expenses by source of payment
Population characteristic Total population (in thousands) Percent with expense Median Mean |
|
|
|
Total expenses (in millions) Out of Pocket Private Insuranceb Medicare Medicaid Other public programsc Otherd
Total 271,279 84.1 $574 $2,424 | $553,241 19.4 41.0 23.1 7.6 3.3 5.6
          |              
Age in years         |              
Under 65 237,093 82.5 469 1,838 | 359,764 21.1 54.1 4.1 9.7 3.5 7.4
Under 6 23,791 88.0 242 858 | 17,969 14.2 54.4 1.1* 18.5 0.9 10.9*
6-17 48,127 81.7 273 963 | 37,864 29.0 54.3 0.4 11.7 1.0* 3.6
18-44 108,879 78.3 489 1,666 | 141,997 21.1 53.2 3.1 11.1 1.6 9.9
45-64 56,295 89.2 1,010 3,226 | 161,933 20.1 54.9 6.2 7.1 6.1 5.7
65 and over 34,185 95.2 2,001 5,947 | 193,477 16.3 16.6 58.4 3.5 3.0 2.3
          |              
Sex         |              
Male 132,605 79.5 467 2,319 | 244,338 18.6 39.4 24.4 5.7 5.9 6.0
Female 138,673 88.6 673 2,514 | 308,903 20.1 42.3 22.1 9.0 1.3 5.3
          |              
Race/ethnicity         |              
White and other 206,082 87.9 644 2,561 | 463,614 20.0 42.6 23.3 5.7 3.1 5.3
Black 34,086 73.8 378 1,929 | 48,516 15.3 32.2 24.6 17.3 3.5 7.1
Hispanic 31,111 70.8 339 1,866 | 41,112* 17.5 33.8 18.2 17.3 5.9* 7.2
          |              
Health insurance statuse,f         |
|
|
             
Under age 65:         |              
Any private 173,962 86.5 523 1,873 | 281,945 21.6 68.5 1.9 1.4 2.3* 4.2
Public only 29,828 83.3 402 2,234 | 55,490 10.6 2.7 16.8 56.0 6.0 7.9
Uninsured 33,304 61.1 258 1,098 | 22,328* 41.3 0.0 0.0 0.0 12.8 45.9
Age 65 and over:         |
|
             
Medicare only 8,550 91.9 1,905 5,370 | 42,191 20.2 0.0 67.1 0.0 5.5 7.2
Medicare and private 21,690 97.0 1,982 5,800 |
|
122,017 17.3 25.8 54.7 0.6 1.0 0.6
Medicare and other public 3,486 93.6 2,554 8,416 |
|
27,456 5.8 0.6* 64.9 22.3 4.1 2.3*
          |              
Poverty statusg         |
|
             
Poor 36,415 77.6 474 2,653 | 74,950 13.5 15.7 29.5 31.1 3.6 6.6
Near-poor 12,233 78.2 535 3,527 | 33,755 14.2 34.4 29.6 12.9 2.7 6.3*
Low income 38,723 78.7 486 2,439 | 74,337 18.9 26.4 35.0 7.7 5.9* 6.2
Middle income 89,981 84.9 536 2,425 | 185,130 18.5 45.3 23.1 3.7 3.7* 5.7
High income 93,926 89.0 670 2,214 | 185,069 23.9 54.0 14.5 0.9 2.0 4.7
          |              
Metropolitan statistical area (MSA)e         |
|
|
             
MSA 215,782 84.0 565 2,160 | 391,346 21.2 43.6 19.1 7.8 2.8 5.5
Non-MSA 52,621 85.1 581 2,620 | 117,279 19.0 35.8 29.5 7.8 1.8 6.1
          |              
Census Region         |
|
             
Northeast 52,394 84.8 593 2,364 | 105,038 19.2 42.0 22.3 9.8 2.2* 4.7
Midwest 63,090 87.6 586 2,368 | 130,915 18.7 43.1 21.0 6.0 4.0* 7.3
South 94,929 82.4 556 2,519 | 197,112 20.9 37.6 25.5 7.6 3.5 4.8
West 60,865 82.6 572 2,391 | 120,176 18.0 43.5 22.1 7.3 3.3 5.8
          |              
Perceived health statuse         |
|
             
Under 65 years         |
|
             
Excellent, very good , or good 217,904 81.8 426 1,423 |
|
253,483 23.9 57.3 1.7 7.3 1.8 8.0
Fair or Poor 18,876 91.7 1,743 5,617 | 97,197 15.6 42.5 10.7 16.9 7.8* 6.5
65 years and over         |
|
             
Excellent, very good , or good 24,864 94.4 1,514 3,968 |
|
93,169 19.6 18.4 53.5 3.2 2.3 3.0
Fair or Poor 8,890 97.3 4,904 11,210 | 97,009 13.4 15.3 62.3 3.8 3.6* 1.6

aInpatient hospital and physician services, ambulatory physician and nonphysician services, prescribed medicines, home health services, dental services, and various other medical equipment and services that were purchased or rented during the year are included. Over-the-counter medications, alternative care services, and telephone contacts are excluded.
bPrivate insurance includes CHAMPUS and CHAMPVA (Armed-Forces-related coverage).
cOther public programs include Department of Veterans Affairs (except CHAMPVA); other Federal sources (Indian Health Service, military treatment facilities, and other care provided by the Federal Government); other State and local sources (community and neighborhood clinics, State and local health departments, and State programs other than Medicaid); and other public (Medicaid payments reported for persons who were not enrolled in the Medicaid program at any time during the year).
dOther includes Worker's Compensation; other unclassified sources (e.g., automobile, homeowner's, liability, and other miscellaneous or unknown sources); and other private insurance (any type of private insurance payments reported for persons without private health insurance coverage during the year, as defined in MEPS).
eNumber of persons and amount of expenses do not add to overall total because data on this variable were not available for some sample persons.
fUninsured refers to persons uninsured during the entire year. Public and private health insurance categories refer to individuals with public or private insurance at any time during the period; individuals with both public and private insurance and those with CHAMPUS or CHAMPVA (Armed-Forces-related coverage) are classified as having insurance.
gPoor refers to incomes below the Federal poverty line; near poor, over the poverty line through 125 percent of the poverty line; low income, over 125 percent through 200 percent of the poverty line; middle income, over 200 percent to 400 percent of the poverty line; and high income, over 400 percent of the poverty line.
*Relative standard error equal to or greater than 30 percent.
 
Note: These estimates are for a target population of approximately 271.3 million persons who were in the civilian noninstitutionalized population for all or part of 1997. Percents may not add to 100 because of rounding.
 
Source: Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality: Medical Expenditure Panel Survey, 1997.
 

 

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