Health spending share by contributor U.S. 2013-2021

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In 2021, some 27 percent of health spending was contributed by households in the United States. This statistic represents the health spending distribution in the United States from 2013 to 2021, sorted by contributor. Contributors finance the nation’s health care bill by paying insurance premiums, out-of-pocket expenses, and payroll taxes, or by directing general tax revenues to health care.

Health spending distribution in the United States from 2013 to 2021, by contributor

Characteristic	Federal government	Household	Private business	State and local government	Other private
2013	26%	28%	21%	17%	8%
2015	29%	28%	20%	17%	7%
2017	28%	28%	20%	17%	7%
2019	29%	28%	19%	16%	7%
2020	36%	26%	17%	14%	7%
2021	34%	27%	17%	15%	7%

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Release date

February 2023

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Region

United States

Survey time period

2013 to 2021

Supplementary notes

Health spending refers to national health expenditures. Estimates of spending by contributor are organized according to the underlying entity (business, households, and government) financing the health care bill payer. CMS refers to contributors as “sponsors.” Segments may not sum to 100% due to rounding.
2013-2018 values were quoted from previous editions of "California Health Care Almanac - Health Care Costs 101".

Sponsor definitions
Federal government sponsors health care via general tax revenues, plus payroll tax and employer contributions to health insurance premiums for its workers.
Households sponsor health care through out-of-pocket costs, health insurance premiums, and payroll taxes.
Other private revenues include philanthropy, investment income, and private investment in research, structures, and equipment.
Private business sponsors health care through employer contributions to health insurance premiums and payroll taxes.
State and local government sponsors health care programs and pays payroll taxes and health insurance premiums for its workers

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