HEALTH CARE COSTS: A PRimER - The Henry J. Kaiser Family ...

Figure 11: Cumulative Percent Change in National Health
Expenditures, by Selected Sources of Funds, 2000-2010
Notes: This figure omits national health spending that belongs in the categories of Other Public Insurance Programs, Other Third Party Payers and
Programs, Public Health Activity, and Investment, which together represent about 20% of total national health spending in 2010. Medicare and
Medicaid were enacted in 1965; by January 1970, all states but two were participating in Medicaid.
Source: Kaiser Family Foundation calculations using NHE data from Centers for Medicare and Medicaid Services, Office of the Actuary, National Health
Statistics Group, at http://www.cms.hhs.gov/NationalHealthExpendData/ (see Historical; National Health Expenditures by type of service and source
of funds, CY 1960-2010; file nhe2010.zip).
Several figures in this primer show the cumulative percent change in private health
insurance or health insurance premiums (Figures 11, 15, and 20). These cumulative
increases may vary from figure to figure because different years are used, the data
sources differ, and what is being measured varies. Figure 11 uses the private health
insurance category of the HHS national health expenditure data, which includes both
private employer and individual health insurance premiums drawn from a number of
sources, the medical portion of accident insurance, and the net cost of private
insurance (including administrations costs, additions to reserves, rate credits and
dividends, premium taxes, and profits or losses). Figure 15 uses family of four
premium data from an annual employer survey of private and public employers
conducted by the Kaiser Family Foundation and the Health Research & Educational
Trust. Figure 20 uses family of four private sector premium data from the Medical
Expenditure Panel Survey conducted by the Agency for Healthcare Research and
Quality.
14 THE HENRY J. KAISER FAMILY FOUNDATION