1. Peterson-Kaiser Health System Tracker How has U.S. spending on healthcare changed over time?

2. Peterson-Kaiser Health System Tracker Health services spending growth picked up slightly in 3rd Quarter 2014 Year over year growth in health services spending by quarter, 2010 - 2014 Source: Kaiser Family Foundation analysis of Quarterly Services Survey

3. Peterson-Kaiser Health System Tracker Source: Kaiser Family Foundation analysis of National Health Expenditure (NHE) data from Centers for Medicare and Medicaid Services, Office of the Actuary, National Health Statistics Group Total health expenditures have increased substantially over the past several decades Total national health expenditures, US $ Trillions, 1970-2013 In Constant 2013 Dollars

4. Peterson-Kaiser Health System Tracker Source: Kaiser Family Foundation analysis of National Health Expenditure (NHE) data from Centers for Medicare and Medicaid Services, Office of the Actuary, National Health Statistics Group On a per capita basis, health spending has grown substantially Total national health expenditures, US $ per capita, 1970-2013 In Constant 2013 Dollars

5. Peterson-Kaiser Health System Tracker Source: Kaiser Family Foundation analysis of National Health Expenditure (NHE) data from Centers for Medicare and Medicaid Services, Office of the Actuary, National Health Statistics Group Health spending growth has outpaced growth of the U.S. economy Total national health expenditures as a percent of Gross Domestic Product, 1970-2013

6. Peterson-Kaiser Health System Tracker Source: Kaiser Family Foundation analysis of 2013 OECD data: "OECD Health Data: Health expenditure and financing: Health expenditure indicators", OECD Health Statistics (database). doi: 10.1787/data-00349-en (Accessed on June 25, 2014). Health spending increases have slowed, and is now on pace with economic growth Average annual growth rate of GDP per capita and total national health spending per capita, 1970 - 2012

7. Peterson-Kaiser Health System Tracker Source: Kaiser Family Foundation analysis of National Health Expenditure (NHE) data from Centers for Medicare and Medicaid Services, Office of the Actuary, National Health Statistics Group Spending on hospitals, physicians, and prescriptions has grown at varying rates Average annual growth rate for select service types, 1970 - 2013

8. Peterson-Kaiser Health System Tracker Source: Kaiser Family Foundation analysis of National Health Expenditure (NHE) data from Centers for Medicare and Medicaid Services, Office of the Actuary, National Health Statistics Group Hospital and physician services represent half of total health spending Relative contributions to total national health expenditures, 2013 Home Health Care, 3%

9. Peterson-Kaiser Health System Tracker Source: Kaiser Family Foundation analysis of National Health Expenditure (NHE) data from Centers for Medicare and Medicaid Services, Office of the Actuary, National Health Statistics Group Out-of-pocket spending represents a smaller portion of total expenditures than it did in 1970 Total national health expenditures, 1970 and 2013

10. Peterson-Kaiser Health System Tracker Source: Kaiser Family Foundation analysis of National Health Expenditure (NHE) data from Centers for Medicare and Medicaid Services, Office of the Actuary, National Health Statistics Group Per capita out-of-pocket expenditures have grown since 1970 Per capita out-of-pocket expenditures, 1970-2013 In Constant 2013 Dollars

11. Peterson-Kaiser Health System Tracker Source: Kaiser Family Foundation analysis of Consumer Expenditure Survey On average, larger shares of household budgets are devoted to health expenses than 10 years ago Average portion of household budget devoted to health (nonelderly families), 2002-2012 Out-of-pocket costs: Insurance premiums: Total health expenses:

12. Peterson-Kaiser Health System Tracker Source: Kaiser Family Foundation analysis of Consumer Expenditure Survey A larger portion of household spending on health is on insurance premiums, and smaller portion on OOP costs Average household expenditures on health (nonelderly families with no Medicare beneficiaries), 2002 and 2012 $1,827$2,754

13. Peterson-Kaiser Health System Tracker Source: Kaiser Family Foundation analysis of National Health Expenditure (NHE) data from Centers for Medicare and Medicaid Services, Office of the Actuary, National Health Statistics Group Health insurance represents a growing share of total health expenditures, particularly public programs Total national health expenditures, 1970 and 2013

14. Peterson-Kaiser Health System Tracker Source: Kaiser Family Foundation analysis of National Health Expenditure (NHE) data from Centers for Medicare and Medicaid Services, Office of the Actuary, National Health Statistics Group Medicare and private insurance growth have been similar, but Medicare growth has slowed recently Average annual growth rate of spending per enrolled person in Private Insurance vs. Medicare, 1970 - 2013

15. Peterson-Kaiser Health System Tracker Public and private health spending have both grown substantially, but public spending has grown faster Total national health expenditures, US $Trillions, 1970-2013 Source: Kaiser Family Foundation analysis of National Health Expenditure (NHE) data from Centers for Medicare and Medicaid Services, Office of the Actuary, National Health Statistics Group

16. Peterson-Kaiser Health System Tracker Source: Kaiser Family Foundation analysis of National Health Expenditure (NHE) data from Centers for Medicare and Medicaid Services, Office of the Actuary, National Health Statistics Group Administrative costs have risen over time but have recently moderated Net cost of health insurance and administration, as a share of total health expenditures, 1970-2013

17. Peterson-Kaiser Health System Tracker Source: Kaiser Family Foundation analysis of National Health Expenditure (NHE) data from Centers for Medicare and Medicaid Services, Office of the Actuary, National Health Statistics Group Spending on public health has increased, particularly by state and local governments Local and federal expenditures on public health, US $Millions, 1970-2013 2013

18. Peterson-Kaiser Health System Tracker Source: Kaiser Family Foundation analysis of Bureau of Economic Analysis data Prices have historically driven health services spending growth, but it’s now a mix of price and use Annual change in price and quantity indexes of health services, index numbers 2009=100

19. Peterson-Kaiser Health System Tracker Source: Kaiser Family Foundation analysis of Bureau of Economic Analysis data Growth in the use of pharmaceuticals has outpaced price growth for 2 decades Annual change in price and quantity indexes of pharmaceutical and other medical products, index numbers 2009=100