Mitchell Emily M.
In 2017, spending on health care accounted for 17.9 percent of the United States GDP, yet the majority of this spending was concentrated in a relatively small percentage of the population. In fact, about 15 percent of the U.S. civilian noninstitutionalized population had no health care expenditures in 2017, and only 5 percent of the population accounted for over half of health care spending. This includes all sources of payments for medical care, including private insurance payments, Medicare, Medicaid, out-of-pocket spending, and other sources. In this Statistical Brief, data from the Agency for Healthcare Research and Quality’s (AHRQ) Medical Expenditure Panel Survey Household Component (MEPS-HC) are used to describe the overall concentration of health care expenses across the U.S. civilian noninstitutionalized population in 2017. In addition, different spending tiers are compared on selected dimensions including age, race/ethnicity, type of medical service, and aggregate spending distributions by source of payment. All differences discussed in the text are statistically significant at the 0.05 level.
2017年，医疗保健支出占美国国内生产总值的17.9%，然而，这笔支出的大部分集中在相对较小比例的人口身上。事实上，2017年约15%的美国非机构化平民人口没有医疗保健支出，只有5%的人口占医疗保健支出的一半以上。这包括医疗保健的所有支付来源，包括私人保险支付、医疗保险、医疗补助、自付费用和其他来源。在本统计简报中，医疗保健研究与质量局（AHRQ）的医疗支出小组调查家庭部分（MEPS-HC）的数据用于描述2017年美国非机构化平民人口医疗保健费用的总体集中情况。此外，还在年龄、种族/族裔、医疗服务类型和按支付来源划分的总支出分布等选定维度上对不同支出层级进行了比较。文中讨论的所有差异在0.05水平上具有统计学意义。
