Rate of growth of public payments outpaces growth of other sources of NHE funds.

Where it Came From

*Projected by CMS

Note: CMS defines each as follows: Out-of-pocket payments includes direct spending by consumers for all healthcare goods and services, including coinsurance, deductibles and any amounts not covered by insurance. Private health insurance equals premiums earned by private health insurers, including premiums paid to Blue Cross and Blue Shield, commercial insurance, HMOs, self-insured plans and property/casualty insurance coverage for healthcare. Public payments are payments made by federal, state and local governments. Other private funds are funds received through philanthropic support, as well as income from the operation of gift shops, cafeterias, parking lots and educational programs.

Source: Centers for Medicare and Medicaid Services (2007)