2023年国家卫生支出:随着保险覆盖率和利用率的增加,增长速度更快
Anne B Martin1, Micah Hartman2, Benjamin Washington3
1Anne B. Martin (anne.martin@cms.hhs.gov), Centers for Medicare and Medicaid Services (CMS), Baltimore, Maryland.
Health affairs (Project Hope)
|December 18, 2024
概括
美国医疗保健支出在2023年升7.5%,达到4.9万亿美元,这是由私人保险和医疗保险入学人数增加所推动的. 保险人口达到92.5%,而医疗补助的增长在流行病后放缓.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
背景情况:
- 美国医疗保健支出在2023年达到4.9万亿美元,比2022年增加7.5%.
- 卫生部门在2023年占经济的17.6%,与2022年相似,但低于流行病峰值年.
- 政府支出份额转移,由于COVID-19资金减少,州/地方增加和联邦减少.
研究的目的:
- 分析2023年美国医疗保健支出和保险覆盖的趋势.
- 确定支出增长和付款人份额变化的关键驱动因素.
- 评估COVID-19公共卫生紧急情况结束对医疗保健利用和支出的影响.
主要方法:
- 对2023年国家卫生支出数据的分析.
- 对不同医疗保健支付机构 (私人保险,医疗保险,医疗补助) 的支出和入学趋势进行比较.
- 检查政府在医疗保健融资中的作用和支出贡献中的转移.
主要成果:
- 国家卫生支出在2023年增长了7.5%,从2022年的4.6%加速.
- 保险人口达到92.5%,私人医疗保险入学人数大幅增长.
- 私人保险和医疗保险支出加快,而医疗补助计划经历了紧急情况后的增长和招生放缓.
- 与2022年相比,卫生部门的经济份额保持在17.6%的稳定水平.
结论:
- 美国医疗保健支出继续增加,私人保险和医疗保险是增长的主要贡献者.
- 随着COVID-19公共卫生紧急情况的结束,医疗补助支出和入学率正常化.
- 政府资金优先事项的转变影响了联邦在医疗保健支出中的份额.
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