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Promotional Image for the KFF video Health Care Affordability at the Macro Level

Health Care Costs Keep Rising … Why and Who Pays?

The U.S. spends more on health care than other large, wealthy countries. Concerns about rising costs aren’t new, yet somehow we keep paying the bill. In this video, KFF’s Larry Levitt explains how we got here, who bears the consequences and why reining in spending systematically may be central to the next big health care debate. KFF’s Larry Levitt, Executive Vice President for Health Policy, explains how we got here, who bears the consequences and why reining in spending systematically may be central to the next big health care debate.

The MIDTERMS

KFF Health Tracking Poll: MAHA and the Midterms

Chemical food additive and pesticide concerns associated with the Make America Health Again (MAHA) movement are shared broadly across the public. But when it comes to voters, health care costs are a higher priority and bigger motivator, even among MAHA supporters, a new KFF Health Tracking Poll finds. When asked to identify their most important health priority for government to address, far more MAHA-supporting voters identify lowering the cost of health care (42%) than other issues more closely associated with the movement.

Health System Tracker

Among adults 18 - 64 with private insurance, mental health and substance use treatment accounted for 10% of all overnight stays at hospitals or other medical facilities in 2023.

Cost and Utilization of Inpatient Mental Health and Substance Use Treatment This analysis describes the most common diagnoses for inpatient treatment and total associated costs.

What Are the Recent Trends in Employer-Based Health Coverage? Employer-sponsored health insurance is the largest source of health coverage for people under 65, but its reach is uneven.

How Does U.S. Life Expectancy Compare to Other Countries? The life expectancy gap between the U.S. and peer countries decreased from 4.1 years in 2023 to 3.7 years in 2024 as U.S. mortality dropped.

How Does Health Spending in the U.S. Compare to Other Countries? While the U.S. still spends the most in total dollars, eight OECD nations had a higher percentage increase in per-person health spending in 2024.

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  • National Health Expenditures per Capita, 1990-2021

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    National Health Expenditures per Capita, 1990-2021 Download 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/ (Historical data from National Health Expenditures by type of service and source of funds, file nhe11.zip; Projected data from NHE Historical and projections 1965-2021, file nhe65-21.zip). 

  • National Health Expenditures per Capita

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    National Health Expenditures per Capita-HEALTHCOSTS Download 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 National Health Expenditures by type of service and source of funds; file nhe12.zip); Gross Domestic Product data from Bureau of Economic Analysis, at http://bea.gov/national/index.htm#gdp (file gdplev.xls). 

  • Net Cost of Private Health Insurance, Including Administrative Costs, per Person Covered, 1987-2011

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    Net-Cost-of-Private-Health-Insurance-Including-Administrative-Costs-per-Person-Covered-1987-2011-HEALTHCOSTS Download Source Kaiser Family Foundation calculations 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 Expenditures by type of service and source of funds, CY1960-2011, file nhe2011.zip, Total Admin. & Total Net Cost of Hlth Insurance Exp, Pvt Health Insurance); and private health insurance enrollment data from Centers for Medicare and Medicaid Services, Office of the Actuary, National Health Statistics Group,…

  • Per Capita Total Current Health Care Expenditures, U.S. and Selected Countries, 2010

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    Per Capita Total Current Health Care Expenditures, U.S. and Selected Countries, 2010 Download Source Organisation for Economic Co-operation and Development. “OECD Health Data: Health Expenditures and Financing”, OECD Health Statistics Data from internet subscription database. http://www.oecd-library.org, data accessed on 03/04/13.

  • Percent Annual Increase in National Health Expenditures (NHE) per Capita vs. Increase in Consumer Price Index (CPI), 1980-2011

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    Percent Annual Increase in National Health Expenditures (NHE) per Capita vs. Increase in Consumer Price Index (CPI), 1980-2011 Download 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; file nhe11.zip), and CPI data from Bureau of Labor Statistics at ftp://ftp.bls.gov/pub/special.requests/cpi/cpiai.txt (All Urban Consumers, All Items, 1982-1984=100,…

  • Percent Distribution of National Health Expenditures, by Source of Funds, 1960-2011

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    Percent Distribution of National Health Expenditures, by Source of Funds, 1960-2011 Download 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 1960-2011; file nhe2011.zip).