STATISTICAL BRIEF #550:
Healthcare Expenditures for Heart Disease among Adults Aged 18 and Older in the U.S. Civilian Noninstitutionalized Population, 2020

Introduction

Findings

Adults who received any heart disease treatment by demographic and socioeconomic characteristics (figures 1 and 2)

Type of medical service for heart disease treatment (figure 3)

Heart disease treatment expenditures overall and by type of medical service (figure 4)

Percent distribution of heart disease treatment expenses by type of service (figure 5)

Percent distribution of heart disease treatment expenses by source of payment (figure 6)

Data Source

Definitions

Heart disease

Types of medical services

• Office-based visits: Includes expenses for visits to medical providers (i.e., physicians and nonphysicians) seen in office-based settings and clinics during the year. For 2020, this service category also includes telehealth visits (i.e., visits made to medical providers practicing in an office-based setting or clinic over the phone, through real-time video, or some other way).
• Hospital outpatient visits: Includes expenses for services provided by the facility and physicians who bill separately from the facility for visits to hospital outpatient departments during the year. For 2020, this service category also includes telehealth visits (i.e., visits made to medical providers practicing in a hospital outpatient department over the phone, through real-time video, or some other way).
• Emergency room visits: Includes payments for services covered under the basic facility charge and those for separately billed physician services during the year. However, these payments exclude expenses for emergency room services included in an inpatient hospital bill.
• Hospital inpatient stays: Includes room and board and all hospital diagnostic and laboratory expenses associated with the basic facility charge, payments for separately billed physician inpatient services, and some emergency room expenses incurred prior to inpatient stays.
• Prescribed medicines: Includes expenses for all prescribed medications initially purchased or refilled during the year.
• Home health services: Includes expenses for home health services provided by agencies and independent providers during the year.

• Out of pocket: Expenses paid by the user or other family member.
• Private insurance: Payments made by insurance plans covering hospital and medical care (excluding payments from Medicare, Medicaid, and other public sources). Payments from Medigap plans or TRICARE (Armed Forces-related coverage) are included.
• Medicare: Payments by this federally financed health insurance program for persons aged 65 and older, persons receiving Social Security disability payments, and persons with end-stage renal disease.
• Medicaid/Children's Health Insurance Program (CHIP): Payments by Medicaid and CHIP, which are means-tested government programs jointly financed by federal and state funds that provide healthcare to eligible people. Medicaid is designed to provide health coverage to families and individuals who cannot afford necessary medical care, while CHIP provides coverage to additional low-income children not eligible for Medicaid. Eligibility criteria for both programs vary significantly by state.
• Other sources: Includes payments from the U.S. Department of Veterans Affairs; other federal sources (Indian Health Service and other care provided by the federal government, except TRICARE); various state and local sources (community and neighborhood clinics, state and local health departments, and state programs other than Medicaid/CHIP); workers' compensation; and various unclassified sources (e.g., automobile, homeowner's, or other liability insurance, and other miscellaneous or unknown sources).

Expenditures for heart disease treatment

Age

Race/ethnicity

• Hispanic
• White, non-Hispanic with no other race reported
• Black, non-Hispanic with no other race reported
• Asian, non-Hispanic, with no other race reported

Income

• Poor (less than 125 percent of FPL)
• Low income (125 percent to less than 200 percent of FPL)
• Middle income (200 percent to less than 400 percent of FPL)
• High income (greater than or equal to 400 percent of FPL)

Census region

• Northeast: Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and Vermont
• Midwest: Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, and Wisconsin
• South: Alabama, Arkansas, Delaware, District of Columbia, Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia, and West Virginia
• West: Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, New Mexico, Oregon, Utah, Washington, and Wyoming

About MEPS

References

Suggested Citation