Out-of-Pocket Healthcare Expenditures in the United States

 
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Published Apr 17, 2017 | 51 Pages | Pub ID: KLI15319908

Out-of-Pocket Healthcare Expenditures in the United States

Out-of-pocket expenditures for healthcare products and services in the United States have risen in 2017 to the point that these represent a significant portion of consumers’ incomes. As these out-of-pocket healthcare costs have gone up, consumers in the best healthcare plans continue to receive excellent care, but those in less comprehensive plans often do not. Consumers’ out-of-pocket healthcare costs have risen from $250 per year in 1980 to over $1,400 in 2016. Out-of-Pocket Healthcare Expenditures in the United States examines the market for consumers’ out-of-pocket medical costs, including the following data:
  • Consumer Out-of-Pocket Healthcare Expenditures by Payment Type, 2016
  • Average Share Paid Out-of-Pocket by U.S. Residents with Healthcare Spending by Type of Service, 2016
  • Average Share Paid Out-of-Pocket by U.S. Residents with Healthcare Spending by Percentile of Total Health Spending and Type of Service, 2016
  • Consumer Out-of-Pocket Expenditures per Worker, 2011–2021
  • Consumer Out-of-Pocket Expenditures by Type, 2011–2021
  • Proportion of Consumer Out-of-Pocket Spending by Type of Healthcare Expenditure, 2011, 2016, 2021
  • Amount of Consumer Out-of-Pocket Expenditures That Are Financed, 2011–2021
  • Distribution of Out-of-Pocket Spending for the Average Person, 2016, 2021
  • Proportion of Consumer Out-of-Pocket Spending for Non-Elective Procedures That Is Financed (All Methods), 2016 – 2021
  • Size of High Risk Groups for High Out-of-Pocket Healthcare Expenditures, 2011–2021
Consumers in the United States utilize a variety of methods to pay for healthcare products and services. The report discusses the amount of spending by payment types, the following being the key payment methods utilized:
  • Cash or Check
  • Credit Cards
  • Loans and Lines Of Credit
  • Flexible Spending Accounts
  • Health Savings Accounts
Prescription medications represent the single largest out-of-pocket healthcare expenditure for the average person. The report notes drug cost coverage by payor type (public, private, cash) for 1965, 1986, 2000, 2005, 2010, and 2016. Further, the report discusses the contribution of office-based procedures, which include examinations and vaccinations, and hospital stays to the overall level of a person’s healthcare expenditures.

Out-of-Pocket Healthcare Expenditures in the United States concludes that, through 2021, out-of-pocket expenditures for healthcare products and services in the United States will continue to rise. In addition to demographic trends - such as lack of comprehensive healthcare insurance, disability, age, mental illness, obesity, drug and/or alcohol addiction and chronic medical conditions - which combined affect the majority of the U.S. population, two key factors are expected to support the growth of out-of-pocket consumer expenditures over the next five years: ongoing healthcare cost inflation and managed care cost shifting.

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      •   Consumer Out-of-Pocket Expenditures per Worker, 2016 and 2021 (in $)

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      •   Consumer Out-of-Pocket Healthcare Expenditures by Payment Type, 2016
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        •   Average Share Paid Out-of-Pocket by U.S. Residents with Healthcare Spending by Type of Service, 2016
        •   Average Share Paid Out-of-Pocket by U.S. Residents with Healthcare Spending by Percentile of Total Health Spending and Type of Service, 2016
        •   Distribution of Out-of-Pocket Healthcare Spending for the Average Person, 2016
        •   Distribution of Out-of-Pocket Spending for the Average Person, by Spending Level, 2016
        •   Drug Cost Coverage by Payor Type (Public, Private, Cash): 1965, 1986, 2000, 2005, 2010, 2016

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        •   Obesity in the United States, 1980 – 2021

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        •   National Overdose Deaths from Prescription Drugs, 2001 - 2014
        •   National Overdose Number of Deaths from Heroin, 2001 - 2014

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        •   Type of Insurance Coverage for Adults between the Ages of 18 and 65 with Chronic Conditions, 2016

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      •   Consumer Out-of-Pocket Expenditures per Worker, 2011–2021 (in $)

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        •   Consumer Out-of-Pocket Expenditures by Type, 2011–2021 ($ Billion)
        •   Proportion of Consumer Out-of-Pocket Spending by Type of Healthcare Expenditure, 2011, 2016, 2021

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        •   Consumer Out-of-Pocket Expenditures by Type, 2011–2021 ($ Billion)
        •   Proportion of Consumer Out-of-Pocket Spending by Payment Type, 2011, 2016, 2021

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        •   Amount of Consumer Out-of-Pocket Expenditures That Are Financed, 2011–2021 ($ Billion)

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        •   Distribution of Out-of-Pocket Spending for the Average Person, 2016, 2021
        •   Proportion of Consumer Out-of-Pocket Spending for Non-Elective Procedures That Is Financed (All Methods), 2016 – 2021

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        •   Size of High Risk Groups for High Out-of-Pocket Healthcare Expenditures, 2011–2021 (Millions of Persons)

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