State health expenditure accounts: building blocks for state health spending analysis

Abstract

The dynamics of financing health care among various levels of government and the private sector are rapidly changing; structural relationships among health care providers are also being altered. These changes are placing increased importance on State-level expenditure estimates that will be instrumental in measuring the differential impact of Federal policies and State-specific initiatives on individual States. This article presents personal health care expenditures (PHCE) for 1980-93. Statistics show wide variation in level and rate of growth of regional spending per person. These statistics also quantify differences in both the percent of health care costs in each State borne by Medicare and Medicaid and in the proportion of each State's economy devoted to the provision of health care.

Figure 1. Per Capita Personal Health Care Expenditures, by Region of Provider:¹ 1993

¹ United States per capita equals $3,020. SOURCE: Health Care Financing Administration, Office of the Actuary: Data from the Office of National Health Statistics.

Figure 2. HMO Enrollment as a Percent of Population, by Region: 1980-93