Spending distribution of Medicare and Medicaid 2021

In 2021, Medicare and Medicaid national health expenditures reached 900 billion U.S. dollars and 734 billion U.S. dollars, respectively. The largest expense category for both healthcare care programs was hospital care.Long-term care solutionsMedicaid’s second-largest expense category was other health care, which includes programs that provide alternatives to long-term institutional services. The use of home- and community-based services can substantially reduce expenditures for enrollees who would otherwise have to receive care in an institutional setting, such as a nursing home. In recent decades, there has been a significant shift in the distribution of Medicaid’s long-term care services expenditures.Medicaid’s federal-state partnershipMedicare is a health insurance program solely funded by the federal government, whereas Medicaid plays an important role in both federal and state budgets. The federal government establishes certain parameters for all states to follow, but states can decide who gets coverage and what gets covered in its version of Medicaid. In 2021, California was the state with the highest Medicaid expenditure.

2021年，美国医疗保险和医疗补助的国家卫生支出分别达到了9000亿美元和7340亿美元。对于两项医疗保障计划而言，最大的支出类别均为医院护理。在医疗补助的支出类别中，位居第二的是其他医疗保健，这包括提供替代长期机构服务的项目。利用家庭和社区服务能够显著减少那些原本需要在医疗机构如养老院接受护理的参保者的支出。在过去的几十年里，医疗补助长期护理服务支出的分布发生了显著转变。医疗补助的联邦-州合作机制中，医疗保险是一项仅由联邦政府资助的医疗保险项目，而医疗补助在联邦及州预算中扮演着重要的角色。联邦政府为所有州设定了某些参数，但各州可以决定在其版本的医疗补助中谁可以获得覆盖以及何种内容可以获得覆盖。在2021年，加利福尼亚州是医疗补助支出最高的州。