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Out-of-Pocket Healthcare Expenditures in the United States

  • May 2015
  • -
  • Kalorama Information
  • -
  • 70 pages

This Kalorama Information report, Out-of-Pocket Spending n the United States, details the trend of consumers purchasing their healthcare with their own cash or credit cards and/or various financing programs. Included in this report's analysis is the following:

Total Spending By Consumers
Proportion That is Cash, Credit Card, HSA and Other Programs
Co-Pay Spending, 2009-2014 and Projected to 2019
Premium Spending, 2009-2014 and Projected to 2019
Direct Healthcare Purchases, 2009-2014 and Projected to 2019
Elective Spending
Non-Elective Spending

Table Of Contents

Out-of-Pocket Healthcare Expenditures in the United States
CHAPTER ONE: EXECUTIVE SUMMARY
Out-of-Pocket Spending
CHAPTER TWO: INTRODUCTION
Types of Expenditures
Insurance Co-Payments
Direct Payments
Premiums and Plan Fees
Payment Methods
Cash or Check
Credit Cards
Loans and Lines of Credit
Flexible Spending Accounts
Health Savings Accounts
Medical Financing
Amount Financed
Elective Procedures
Non-Elective Procedures and Prescription Drugs
Non-Elective Procedures and Prescription Drugs
Consumers Who Pay Out-of-pocket
The Uninsured and Underinsured
Medicaid Recipients
Persons with Chronic Conditions
Trends
Out-of-pocket Expenditure Growth Drivers
Out-of-pocket Expenditure Growth Constraints
CHAPTER THREE: MARKET ANALYSIS
Forecasts
Expenditures by Type
Payment Methods
Amount Financed
Types of Expenses Financed
Consumers Who Pay Out of Pocket


LIST OF EXHIBITS
CHAPTER ONE: EXECUTIVE SUMMARY
Figure 1-1
Out-of-Pocket Spending on Healthcare in the United States (billions)
CHAPTER TWO: INTRODUCTION
Figure 2-1
Premium Increases vs. Increases in Workers Earnings and Prices, 2000 €“ 2014
Figure 2-2
Consumer Out-of-pocket Health Care Expenditures, 2014(Co-pays, Direct Payments, Premiums)
Figure 2-3
Consumer Out-of-pocket Health Care Expenditures by Payment Type, 2014 (HSAs, Health Care Financing Programs, Loans or Lines of Credit, FSAs, Credit Cards, Cash or Check )
Table 2-1
Main Business Activities of Selected Medical Financing Companies, 2014 (Financing Elective Procedures, Financing Non-Elective Procedures, Non-Medical Consumer Credit)
Figure 2-4
Average Out-of-pocket Payment by U.S. Residents with Health Care Spending by Percentile of Total Health Spending, 2014 (Cosmetic Surgery, Cosmetic Dentistry, Eye Procedures,
Chiropractic Services, Hair Restoration, Fertility Treatments, Weight Loss , Other)
Figure 2-5
Methods of Financing Elective Procedures, 2014 (Loans or Lines of Credit, Cash or Check, Health Care Financing Programs, Credit Cards)
Figure 2-6
Average Share Paid Out-of-pocket by U.S. Residents with Health Care Spending by Type of Service, 2014 (Hospital, Outpatient, Office Based Visit, Prescription Drugs, Emergency
Room, Dental, Home Health, Vision, Other Health Care)
Figure 2-7
Average Share Paid Out-of-pocket by U.S. Residents with Health Care Spending by Percentile of Total Health Spending and Type of Service, 2014 (Hospital, Outpatient, Office Based Visit, Prescription Drugs, Emergency Room, Dental, Home Health, Vision, Other Health Care) 26
Figure 2-8
Distribution of Out-of-pocket Spending on Non-Elective Procedures for the Average Person, 2014 (Prescription Drugs, Emergency Room, Dental, Vision, Other Health Care, Hospital, Outpatient, Office Based Visit)
Figure 2-9
Distribution of Out-of-pocket Spending for the Average Person, by Spending Level, 2014(Hospital, Outpatient, Office Based Visit, Prescription Drugs, Emergency Room, Dental,Home Health, Vision, Other Health Care)
Figure 2-10
Drug Cost Coverage by Payor Type (Public, Private, Cash):1965, 1986, 2000, 2005, 2010, 2015
Table 2-2
Obesity in the United States, 1980 €“ 2019
Figure 2-11
Coverage of Adults under Age 65 with Chronic Conditions, 2014 (Privately Insured, Medicare orMedicaid, Uninsured, Other)
CHAPTER THREE: MARKET ANALYSIS €“ OUT-OF-POCKET SPENDING IN THE US, 2014€” 2019
Table 3-1
Selected Rx-to-OTC Switches in the United States, 1990 - 2014
Table 3-2
Consumer Out-of-pocket Expenditures per Worker, 2009€“2019
Table 3-3
Consumer Out-of-pocket Expenditures by Type, 2009€“2019
Figure 3-1
Proportion of Consumer Out-of-pocket Spending by Type of Health Care Expenditure, 2009, 2014, 2019 (Direct Payments, Co-pays, Premiums)
Table 3-4
Consumer Out-of-pocket Expenditures by Type, 2009€“2019
Figure 3-2
Proportion of Consumer Out-of-Pocket Spending by Payment Type, 2009, 2014, 2019 (Credit Cards, FSAs, Health Care Financing Programs, Cash or Check, Loans or Lines of Credit, HSAs)
Table 3-5
Amount of Consumer Out-of-Pocket Expenditures for Elective Procedures That Are Financed, 2009€“2019
Table 3-6
Amount of Consumer Out-of-Pocket Expenditures for Non-Elective Procedures That Are Financed, 2009€“2019
Figure 3-3
Proportio of Consumer Out of Pocket Spending for Elective Procedures (Cosmetic Surgery,
Consmetic Dentistry, Eye Procedures, Chiropractic Services, Hair Restoration, Fertility Treatment, Weight Loss Surgery)
Figure 3-4:
Distribution of Out-of-Pocket Spending on Non-Elective Procedures for the Average Person, 2014, 2019 (Hospital, Outpatient, Office Based Visit, Prescription Drugs, Emergency Room, Dental, Vision, Other Health Care)
Figure 3-5
Proportion of Consumer Out-of-Pocket Spending for Non-Elective Procedures That is Financed(All Methods), 2014 €“ 2019 (Hospital, Outpatient, Office Based Visit, Prescription Drugs,Emergency Room, Dental, Home Health, Vision)
Table 3-7
Size of High Risk Groups for High Out-of-Pocket Health Care Expenditures, 2009€“2019(Uninsured and Underinsured, Medicaid Recipients, The Disabled, Senior Citizens, The Mentally Ill, The Obese, Persons with Chronic Conditions)

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