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 |
|
|
|
|
|
| |
|
|
|
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|
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 |
|
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| |
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|
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|
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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.
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bPrivate insurance
includes CHAMPUS and CHAMPVA (Armed-Forces-related coverage).
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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).
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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).
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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.
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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.
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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.
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*Relative
standard error equal to or greater than 30 percent.
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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.
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Source: Center
for Financing, Access, and Cost Trends, Agency for Healthcare
Research and Quality: Medical Expenditure Panel Survey, 1997.
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