Hartman Micah, Catlin Aaron, Lassman David, Cylus Jonathan, Heffler Stephen
National Health Statistics Group, Office of the Actuary, Centers for Medicare and Medicaid Services, Baltimore, Maryland, USA.
Health Aff (Millwood). 2008 Jan-Feb;27(1):w1-w12. doi: 10.1377/hlthaff.27.1.w1. Epub 2007 Nov 6.
This paper examines variations in health spending by children, working-age adults, and seniors for selected years between 1987 and 2004. Seniors spent far more per person than children or working-age adults, but the relative gap between the age groups has not changed much since 1987 except for those age eighty-five and older. Since the inception of the State Children's Health Insurance Program (SCHIP) in 1997, the proportion of children's health spending financed by public sources has increased, while the share paid for out of pocket has decreased. The future age-mix is expected to have a major impact on nursing home spending growth while minimally affecting overall Medicare spending growth.
本文研究了1987年至2004年特定年份儿童、劳动年龄成年人和老年人的医疗支出变化。老年人的人均支出远高于儿童或劳动年龄成年人,但自1987年以来,除了85岁及以上的人群外,各年龄组之间的相对差距变化不大。自1997年国家儿童健康保险计划(SCHIP)启动以来,公共资金资助的儿童医疗支出比例有所增加,而自付费用的比例则有所下降。预计未来的年龄结构将对疗养院支出增长产生重大影响,而对医疗保险总支出增长的影响最小。