美国医疗费用分析报告-培训课件外文版2024.6

POLITICS

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SOCIETYHealthexpendituresintheU.S.CHAPTER

01GlobalcomparisonGlobalhealthspendingpercapitain2019andprojectionfor2050(inU.S.dollars)Estimatedglobalpercapitahealthspending2019&2050Healthspendingperperson(in2020U.S.dollars)Healthspendingperperson(in2020adjusteddollars)2,5002,0001,5001,0005002,0501,5151,4821,1290201920503Description:Totalhealthspendingperpersongloballyin2019averagedtosome1,129U.S.dollars(1,482projectionfor2050(inU.S.dollars).Readmoredollars),andisestimatedtoincreaseto1,515U.S.dollars(2.050dollars)by2050.Thisstatisticshowstheglobalhealthspendingpercapitain2019andNote(s):Worldwide;Datapast2019isforecastedSource(s):IHMEPercapitahealthexpenditureinselectedcountriesin2022(inU.S.dollars)Percapitahealthexpenditureinselectedcountries2022PercapitaexpenditureincurrentPPPsUnitedStatesSwitzerlandGermanyNorway12,555.38,049.18,010.97,898NetherlandsAustria7,357.67,275.4Belgium6,6006,596.56,516.66,437.76,436.1AustraliaFranceSwedenLuxembourgCanada6,3196,279.8Denmark4Description:In2022,theUnitedStateshadthehighestpercapitahealthexpenditureamongOECDcountries.Atthattime,percapitahealthexpenditureintheU.S.amountedto12,555U.S.dollars,significantlyhigherthaninSwitzerland,thecountrywiththesecondhighestpercapitahealthexpenditure.Germany,Norway,andtheNetherlandsarealsowithinthetopfivecountrieswiththehighestpercapitahealthexpenditure.TheUnitedStatesalsospentthehighestshareofit’sgrossdomestic[...]ReadmoreNote(s):Worldwide;2022Source(s):OECDHealthexpenditureasapercentageofgrossdomesticproduct(GDP)inselectedcountriesin2022HealthexpenditureasapercentageofGDPinselectcountries2022Percentageofgrossdomesticproduct6%

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10%0%2%4%12%14%16%18%UnitedStatesGermanyFrance16.6%12.7%11.9%JapanAustria11.5%11.4%11.3%11.3%11.2%11.2%11.2%UnitedKingdomSwitzerlandNewZealandNetherlandsCanadaBelgiumSwedenPortugal10.9%10.7%10.6%5Description:AmongOECDmembercountries,theUnitedStateshadthehighestpercentageofgrossdomesticproductspentonhealthcarein2022.TheU.S.spentnearly16percentofitsGDPonhealthcareservices.Germany,FranceandJapanfollowedtheU.S.withdistinctlysmallerpercentages.TheUnitedStateshadbothsignificantlyhigherprivateandpublicspendingonhealthcomparedwithotherdevelopedcountries.ReadmoreNote(s):Worldwide,OECD;2021Source(s):OECDCountrieswiththehighestshareofdomesticgovernmentalhealthexpenditurein2020*Countrieswithhighestgovernmenthealthexpenditureshare2020Percentageoftotalgovernmentalexpenditure10%

15%0%5%20%25%30%CostaRicaPalau25%23%UnitedStatesIran22%22%Japan21%Ireland20%Panama20%20%20%UruguayGermanyUnitedKingdomColombiaChile19%19%19%19%19%SwedenNewZealand6Description:Thisstatisticdescribesthecountrieswiththehighestshareofdomesticgovernmentalhealthexpenditurein2020.Inthisyear,CostaRicahadthehighestpercentage,spendingabout25percentofitstotalgovernmentalexpendituresonhealth-relatedissues.ReadmoreNote(s):Worldwide;2020;*Asapercentageofgeneralgovernmentexpenditure.ReadmoreSource(s):WHOCHAPTER

02OverviewU.S.U.S.nationalhealthexpenditurefrom1960to2022(inbillionU.S.dollars)U.S.nationalhealthexpenditure1960-20225,0004,464.64,289.14,156.34,5004,0003,5003,0002,5002,0001,5001,0005003,756.43,601.23,443.73,305.33,163.83,0022,8562,7832,6762,5892,4922,4022,3052,1642,0251,365718.8253.274.127.101960

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20228Description:HealthexpenditureintheU.S.hasbeenahotlydebatedtopicamongpoliticalparties,especiallyonthevergeofpresidentialelections.HealthexpendituresintheU.S.havebeenincreasingovertimeandareprojectedtokeepincreasing.Asof2022,theU.S.spentatotalof4.4trillionU.S.dollarsonhealthcare.ReadmoreNote(s):UnitedStates;1960to2022Source(s):CMSTotalpersonalhealthcareexpenditureintheUnitedStatesfrom1960to2022(inbillionU.S.dollars)U.S.totalpersonalhealthcareexpenditure1960-20224,0003,5003,0002,5003,704.83,561.53,375.33,171.23,017.12,901.32,793.72,672.92,526.22,404.62,346.22,253.92,180.52,105.52,007.21,921.51,806.51,693.82,0001,5001,0005001,157612214.362.423.101960

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20229Description:In2022,totalU.S.personalhealthcareexpenditurecametonearly3.7trillionU.S.dollars.ThisstatisticdepictsthetotalpersonalhealthcareexpenditureintheUnitedStatesfrom1960to2022.ReadmoreNote(s):UnitedStates;1960to2022Source(s):CMS;USDepartmentofHealthandHumanServicesNationalpercapitahealthexpenditureintheUnitedStatesfrom1960to2022(inU.S.dollars)U.S.nationalhealthexpenditurepercapita1960-202216,00014,00012,00010,0008,00013,43913,02112,62911,45611,04010,61110,2479,8799,4409,0488,8778,5998,3818,1367,9117,6677,2706,8726,0004,0002,00004,8442,8351,0993531461960

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202210Description:PercapitanationalhealthexpendituresintheUnitedStateshaveincreasedsignificantlysince1960.In2022,nationalhealthexpendituresamountedto13.4thousandU.S.dollarspercapita.Forcomparison,in1960,percapitalexpendituresforhealthstoodat146U.S.dollars.Accordingtorecentdata,theU.S.hassomeofthehighesthealthcarecostsintheworld.ꢀHealthcareexpendituresWithincreasedpercapitahealthexpenditures,U.S.healthcareexpendituresasapercentageof[...]

ReadmoreNote(s):UnitedStates;1960to2022Source(s):CMSU.S.nationalhealthexpenditureaspercentofGDPfrom1960to2022U.S.healthexpenditureaspercentofGDP1960-202225%19.7%20%15%10%5%18.3%17.7%

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202211Description:In2022,U.S.nationalhealthexpenditureasashareofitsgrossdomesticproduct(GDP)reached17.3percent,thiswasadecreaseonthepreviousyear.TheUnitedStateshasthehighesthealthspendingbasedonGDPshareamongdevelopedcountries.BothpublicandprivatehealthspendingintheU.S.ismuchhigherthanotherdevelopedcountries.WhytheU.S.payssomuchmoreWhileprivatehealthspendinginCanadastaysataroundthreepercentandinGermanyundertwo[...]

ReadmoreNote(s):UnitedStates;1960to2022Source(s):CMSAverageannualpercentchangeinU.S.nationalhealthexpenditurefrom1960to2022AverageannualchangeinU.S.nationalhealthexpenditure1960-202214%13.1%12%10%8%10.6%10%7%6.8%6.6%6%5.1%4.6%4.5%4.2%4.1%4%3.9%4%2%0%1960

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202212Description:For2022,totalnationalhealthexpenditureintheU.S.was4.1percenthighercomparedto2021.ThisstatisticshowstheaverageannualpercentageofchangeinnationalhealthexpenditureintheUnitedStatesfrom1960to2022.ReadmoreNote(s):UnitedStates;1960to2022Source(s):CMSCHAPTER

03CategoriesHealthspendingdistributionintheUnitedStatesfrom2013to2021,bycategory*HealthspendingdistributionintheUnitedStatesbycategory2013-2021PercentageofhealthspendingHospitalcareRxdrugsOtherhealthcareInvestmentPhysicianandclinicalservicesOthermedicalproductsNetcostofhealthinsuranceDentalServicesNursingcarefacilitiesGovernmentadministrationOtherprofessionalservicesHomehealthcarePublichealthactivities0%10%20%30%40%20%50%60%70%80%5%5%90%100%20132014201520162017201820192020202132%32%32%32%33%33%31%31%31%4%

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4%14Description:ThisstatisticrepresentsthehealthspendingdistributionintheUnitedStatesfrom2013to2021,sortedbycategory.In2021,some31percentofthehealthspendingintheUnitedStateswasreportedforhospitalcare.ThetotalU.S.healthspendinginthatyearamountedtoapproximately4.3trillionU.S.dollars.ReadmoreNote(s):UnitedStates;2013to2021;*Healthspendingreferstonationalhealthexpenditures.Categoriesmaynotsumto100%duetorounding.2013-2018valueswerequotedfrompreviouseditionsof"CaliforniaHealthCareAlmanac-Health[...]

ReadmoreSource(s):CHCF;CMSHealthspendinggrowthrateintheUnitedStatesin2021,bycategoryHealthspendinggrowthrateintheU.S.2021,sortedbycategoryGrowthrate-30%HospitalCarePhysicianandClinicalServicesDentalServices-20%-10%0%10%20%30%4.4%5.6%16.1%OtherProfessionalServicesNursingCareFacilities11%-7.9%HomeHealthCare0.2%OtherHealthCarePrescriptionDrugs6.1%7.8%DurablemedicalequipmentOthernondurablemedicalproductsNetCostofHealthInsuranceGovernmentAdministrationPublicHealthActivitiesInvestments21.8%14.1%-13.9%7%-21.3%6.8%NationalHealthExpenditures2.7%15Description:In2021,thenationalhealthexpendituresreportedanannualaveragegrowthof9.7percent.Thefederalgovernmentfundingtowardspublichealthactivitiesreportedadeclineof21.3percent,thelargestdeclineinannualgrowthrateacrossallhealthspendingcategories.ThisstatisticrepresentsthehealthspendinggrowthrateintheUnitedStatesin2021,sortedbycategory.ReadmoreNote(s):UnitedStates;2021Source(s):CHCF;CMSAnnualgrowthinselectedhealthspendingcategoriesintheUnitedStatesfrom2013to2021GrowthinhealthspendingcategoriesintheU.S.2013-2021HospitalcarePhysicianandclinicalservicesRxdrugsCPI14%12%10%8%12.2%9%7.8%6.4%5.4%6.3%5.6%6.2%5.7%5.6%4.7%5.4%6%4.7%4.6%4.6%4.6%4.5%4.1%4.4%4.3%4.2%4.1%3.8%4%3%2.5%1.5%2.5%2.4%2.1%0.4%1.8%1.6%2%1.3%20161.2%0.1%20150%201320142017201820192020202116Description:In2021,thegrowthinthehealthspendingcategoryofhospitalcareamountedto4.4percent.Thisstatisticrepresentsthegrowthinhospitalcare,physicianandclinicalservices,Rxdrugs,andCPIintheUnitedStatesinselectedyearsbetween2013and2021.ReadmoreNote(s):UnitedStates;2013to2021Source(s):CHCF;CMSHealthspendingdistributionintheUnitedStates2018and2021,bypayer*HealthspendingdistributionintheUnitedStatesbypayer2018-2021PercentageofhealthspendingMedicaid

Otherpublichealthinsurance40%Privatehealthinsurance10%

20%Medicare30%Out-of-pocket70%Otherthird-partypayers0%50%60%80%90%100%201820192020202134.1%20.6%16.4%3.8%10.3%8%31%21%16%4%11%9%27.6%20.1%16.2%3.8%9.5%12.4%28.5%21.2%17.3%4%10.2%9.5%17Description:In2021,healthspendingintheUnitedStatesreachedapproximately4.3trillionU.S.dollars,andprivateinsuranceaccountedforaround28.5percentofthatfigure.However,publichealthinsurance,whichincludestheMedicareandMedicaidprograms,combinedforashareofaround38.5percent.ReadmoreNote(s):UnitedStates;2018to2021Source(s):CHCF;CMSCHAPTER

04PayerDistributionofU.S.healthcareexpenditurefrom2015to2023,bypayerU.S.healthcareexpendituredistributionbypayer2015-2023PercentageofhealthcareexpenditurePrivateinsurance20%Medicare30%Medicaid40%Othergovernmentprograms50%

60%Out-of-pocket70%Otherprivate80%0%10%90%10.9%10%10%10%10%100%20152016201720182019202020212022202333.4%33%34%34%33%36%33%31%19.9%20%20%16.7%17%17%11.8%12%12%7.3%8%7%7%4%8%7%20%21%17%16%12%15%23%18%4%11%10%22%24%16%12%5%19%9%12%17%29%22%18%4%10%19Description:TheUnitedStateshasthehighestexpenditureonhealthcarepercapitaglobally.However,theU.S.hasanuniquewayofpayingfortheirhealthcarewhereamajorityoftheexpenditurefallsuponprivateinsurances.InFY2023,aroundonethirdofallhealthexpenditureispaidbyprivateinsurance.PublicinsuranceprogramsMedicareandMedicaidaccountedfor22and18percent,respectively,ofhealthexpenditureduringthatsameyear.

ReadmoreNote(s):UnitedStates;financialyears2015to2023Source(s):CMS;USDepartmentoftheTreasuryAnnualchangeinhealthspendinglevelsintheUnitedStatesin2021,bypayerChangeinhealthspendinglevelsintheUnitedStatesbypayer2021Changeinhealthspendinglevel-10%

-5%-25%Medicaid(Federal)*-20%-15%0%5%10%15%11.4%Out-of-pocketOtherpublichealthinsuranceMedicare10.4%9.6%8.4%PrivatehealthinsuranceMedicaid(State)*5.8%4.6%Otherpayers-20.4%20Description:Comparedtothepreviousyear,theannualfederalMedicaidspendingincreasedby11.4percentin2021.ThisstatisticdescribestheannualchangeinhealthspendinglevelsintheUnitedStatesin2021,sortedbypayer.

ReadmoreNote(s):UnitedStates;2021Source(s):CHCF;CMSHospitalcareservicesspendingintheUnitedStatesfrom2013to2021,bypayer(inbillionU.S.dollars)HospitalcarespendingintheUnitedStatesbypayer2013-2021PrivatehealthinsuranceOut-of-pocketOtherpayersMedicareMedicaidOtherpublichealthinsurance600500400300200100020132014201520162017201820192020202121/statistics/247694/us-hospital-care-spending-by-payerThisstatisticdescribesthespendingforhospitalcareservicesintheUnitedStatesfrom2013to2021,sortedbypayer.In2021,around448billionU.S.dollarsforhospitalcarewerespentbyprivatehealthinsurances,anincreasefromthepreviousyear.ReadmoreNote(s):UnitedStates;2013to2021Source(s):CHCF;CMSPrescriptiondrugsspendingintheUnitedStatesfrom2013to2021,bypayer(inbillionU.S.dollars)PrescriptiondrugsspendingintheU.S.bypayer2013-2021PrivatehealthinsuranceOut-of-pocketOtherpayersMedicareMedicaidOtherpublichealthinsurance18016014012010080604020020132014201520162017201820192020202122Description:ThisstatisticdescribesthespendingforprescriptiondrugsintheUnitedStatesfrom2013to2021,sortedbypayer.In2021,approximately151billionU.S.dollarswerepaidbyprivatehealthinsuranceforprescriptiondrugs.

ReadmoreNote(s):UnitedStates;2013to2021Source(s):CHCF;CMSDistributionoftotalpersonalhealthcareexpenditureintheU.S.in2000,2010,2020,and2022bysourceDistributionofU.S.totalpersonalhealthcareexpenditure2022,bysourceOut-of-pocketpaymentsMedicaidPrivatehealthinsuranceOtherhealthinsuranceprograms**MedicareOtherthird-partypayersandprograms***100%90%8.9%4.4%10.2%2.8%8.9%14.3%4.4%3.7%80%16.1%16.7%19.2%17.5%70%60%18.6%50%22.3%34.3%23.6%22.6%40%34.9%30%31.3%29.6%20%10%17.1%13.7%12.7%11.7%0%200020102020202223Description:ThisstatisticshowsthedistributionofthetotalpersonalhealthcareexpenditureintheUnitedStatesin2000,2010,2020,and2022bysource.In2000,17.1percentofsuchexpenditurewenttowardsout-of-pocketpayments.Thissharedroppedto12.7percentby2022.ReadmoreNote(s):UnitedStates;2000,2010,2020,and2022;**IncludesCHIP(TitlesXIXandXXI),DepartmentofDefense,andDepartmentofVeterans'Affairs.

**Includesworksitehealthcare,otherprivaterevenues,IndianHealthService,workers'[...]

ReadmoreSource(s):CMSCHAPTER

05Out-of-pocketTotalout-of-pockethealthcarepaymentsintheUnitedStatesfrom1960to2022(inbillionU.S.dollars)U.S.totalout-of-pockethealthcarepayments1960-2022500450400350471.4442.2402.3398.3385.7370364.6352.7340.4330.7323.2310.2300.1301.5296.7293.627830025020015010050264.5193.5133.755.324.212.801960

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202225Description:In2022,totalU.S.out-of-pockethealthcarepaymentsreachedsome471.4billionU.S.dollars.IntheU.S.especially,out-of-pocketpaymentsforprescribeddrugscanbeveryhigh.Thisstatisticdepictsthetotalout-of-pockethealthcarepaymentsintheUnitedStatesfrom1960to2022.ReadmoreNote(s):UnitedStates;1960to2022Source(s):CMSPercapitaout-of-pockethealthcarepaymentsintheUnitedStatesfrom1970to2022(inU.S.dollars)U.S.percapitaout-of-pockethealthcarepayments1970-20221,6001,4001,2001,00080060040020001970

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202226Description:In2022,U.S.out-of-pockethealthcarepaymentswasreportedtocometoanaverageof1,424.6U.S.dollarspercapita.IntheU.S.,especiallyout-of-pocketpaymentsforprescribeddrugscanbeveryhigh.Thisstatisticdepictsthepercapitaout-of-pockethealthcarepaymentsintheUnitedStatesfrom1970to2022.ReadmoreNote(s):UnitedStates;1970to2022Source(s):KaiserFamilyFoundation;PeterG.PetersonFoundationOut-of-pocketshareoftotalpersonalhealthcareexpendituresintheU.S.from2010to2022Out-of-pocketshareoftotalU.S.personalhealthcareexpenditures2010-202216%13.8%13.8%13.8%13.8%13.5%14%12%10%8%13.2%13.1%12.8%12.8%12.7%12.7%12.4%11.8%6%4%2%0%201020112012201320142015201620172018201920202021202227Description:In2022,U.S.out-of-pockethealthcarepaymentsmadeupsome12.7percentofnationalpersonalhealthcareexpenditures,aslightincreasefromthepreviousyear.Thisstatisticdepictsout-of-pocketpaymentsasashareoftotalU.S.personalhealthcareexpendituresfrom2010to2022.ReadmoreNote(s):UnitedStates;2010to2022Source(s):CMSAnnualchangeofout-of-pockethealthcarepaymentsintheU.S.from2010to2022U.S.out-of-pockethealthcarepaymentsannualchange2010-202212%10%8%11%6.6%6%4.3%4.2%4.2%3.6%4%3.4%20162.9%20112.9%20142.3%20131.6%20102%0%1.5%2017-1%-2%201220152018201920202021202228Description:In2022,U.S.out-of-pockethealthcarepaymentswere6.6percenthigherthaninthepreviousyear.Thisisthesecond-highestincreaseintheprovidedtimeinterval.Thisstatisticdepictstheannualpercentchangeofout-of-pockethealthcarepaymentsintheUnitedStatesfrom2011to2022.ReadmoreNote(s):UnitedStates;2010to2022Source(s):CMSHealthspendingdistributionofprivateinsuranceandout-of-pocketpaymentsintheUnitedStatesin2021Healthcostsdistributionofprivateinsuranceandout-of-pocketpaymentsU.S.2021PercentageofspendingOut-of-pocket15%Privateinsurance20%0%5%10%25%30%35%40%8%HospitalcarePhysicianandclinicalservicesOtherprofessionalservicesDentalservices37%15%27%7%3%3%15%5%10%Nursingcarefacilities1%1%1%Homehealthservices2%Otherhealthcare**12%13%Prescriptiondrugs0%Netcostofhealthinsurance*Othermedicalproducts***10%29%1%29Description:In2021,hospitalcareservicesmadeup37percentofprivateinsurancehealthspending.Thisstatisticillustratesthehealthspendingdistributionofprivateinsuranceandout-of-pocketpaymentsintheUnitedStatesin2021.ReadmoreNote(s):UnitedStates;