MAKING THE CASE – HOW TEAM-BASED APPROACHES …...• Audio for the webinar can be accessed in two...

MAKING THE CASE – HOW TEAM-BASED APPROACHES IMPROVE VALUE

AHA Team Training Monthly WebinarOctober 24, 2019

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UPCOMING TEAM TRAINING EVENTS

CoursesNew! TeamSTEPPS Master Training Course for Outpatient CareNov 6-7 | Durham, NCLearn more and register.

Registration for 2020 Master Training, Fundamentals and Specialty courses are now open! View our course schedule to learn more and register.

WebinarsRegister for the November webinar: Strategies for Staff Engagement - Leading the Low PerformerNov 19 | 12:00 – 1:00 PM ET (11 CT, 10 MT, 9 PT)

https://www.aha.org/center/performance-improvement/team-training/courses/specialty-courseshttps://www.aha.org/center/performance-improvement/team-training/courseshttps://www.onlineregistrationcenter.com/register/347-476-Nov19

UPCOMING TEAM TRAINING EVENTS

Learn more about our National Conference to be held June 3-5, 2020 in New Orleans. We’re looking for presenters and poster authors – You can view our Call for Proposals here.

https://www.aha.org/center/performance-improvement/team-training/national-conference/about-conferencehttps://www.aha.org/center/performance-improvement/team-training/national-conference/presenting-opportunities

CONTACT INFORMATION

Web: www.aha.org/teamtrainingEmail: [email protected]

Phone: 312-422-2609

http://www.aha.org/teamtrainingmailto:[email protected]

Making the Case – How Team-based Approaches Improve Value

Overview

National context and call for greater affordability

How hospitals are using team-based care to promote value (improving outcomes, enhancing patient experience and lowering costs)

Metrics that can be used to build the case for the investment in team-based care

Business Perspective

Source: Towers-Watson NBGH Annual Surveys (2014-2015).

Employers are seeing a prolonged respite from double-digitpremium increases, but these are still running at two times CPI.

Business Perspective

Source: Prepared for: Strategic Health Perspectives, Base: Employers who Provide Health Benefits (n=332), Q1700: In general, would you say that the inflation of your company’s health care costs is completely under control, somewhat under control, somewhat out of control, or totally out of control?

More employers describe company health care as “out of control” this year.

Inflation of Company’s Healthcare Costs

National Per Capital Expenditures Growing

Source: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group.

Per capita, spending continues to rise for federal sponsored healthprograms due to program and coverage expansions.

National Per Capita Expenditures for CMS Programs (Medicaid, CHIP and Medicare)

Chart1

2006

2007

2008

2009

2010

2011

2012

2013

2014

2015

Total CMS Programs (Medicaid, CHIP and Medicare)

2411.5134228188

2550.2425249169

2702.0065789474

2890.2254901961

3003.3106796116

3102.9099678457

3200.2356687898

3320.5506329114

3549.6509433962

3756.9937694704

NHE15

NATIONAL HEALTH EXPENDITURES BY TYPE OF SERVICE AND SOURCE OF FUNDS: CALENDAR YEARS 1960 to 2015TotalsPer CapitaPercentage Change

Expenditure Amount (Millions)19601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015200420052006200720082009201020112012201320142015200420052006200720082009201020112012201320142015

Total National Health Expenditures27,21429,13831,84234,59538,39441,85246,08151,56558,40265,92374,56382,72892,657102,809116,545133,283152,742173,850195,332221,528255,331296,155334,044367,809404,995442,900474,686516,520579,278644,770721,393788,062854,068916,581967,2211,021,6381,074,4141,135,5451,201,9721,278,3031,369,6971,486,7661,629,1951,768,1551,896,2982,024,2262,156,5162,295,6502,399,0612,494,6692,596,4052,687,9022,795,4032,877,5743,029,2553,205,556$ 6,472.01$ 6,861.78$ 7,236.63$ 7,626.74$ 7,891.65$ 8,152.51$ 8,402.61$ 8,642.77$ 8,902.56$ 9,106.25$ 9,525.96$ 9,986.166.0%5.5%5.4%3.5%3.3%3.1%2.9%3.0%2.3%4.6%4.8%

Out of pocket12,94913,35714,25515,31116,92818,20918,59418,53720,50022,60124,95326,31228,64631,62534,37337,26240,64744,85348,01652,31258,14665,35572,45078,61986,50095,640103,610109,652120,217126,651137,882140,815143,178144,098142,035144,817150,354161,432176,906187,681198,966206,272219,314235,648248,479263,806273,196289,916294,881293,130298,727308,519317,607325,130329,652338,150$ 848.05$ 894.26$ 916.77$ 963.18$ 970.00$ 957.94$ 966.75$ 992.02$ 1,011.49$ 1,028.89$ 1,036.64$ 1,053.435.4%2.5%5.1%0.7%-1.2%0.9%2.6%2.0%1.7%0.8%1.6%

Health Insurance7,4978,2368,9999,89210,97112,02315,67321,10924,37927,56531,76336,72742,61748,02755,95666,33079,06893,115106,582122,739142,333167,730190,651212,741237,405259,273274,699300,035338,282387,271439,113492,308543,122593,278636,747681,482722,128758,575792,527846,086919,4481,014,9211,122,0231,222,2811,320,6441,414,6021,517,8151,609,7161,696,1631,796,1141,875,1021,948,1662,019,6092,086,2832,228,2032,384,525$ 4,507.32$ 4,795.26$ 5,093.34$ 5,347.89$ 5,579.48$ 5,869.65$ 6,068.29$ 6,264.20$ 6,431.88$ 6,602.16$ 7,006.93$ 7,428.436.4%6.2%5.0%4.3%5.2%3.4%3.2%2.7%2.6%6.1%6.0%

Private Health Insurance5,8126,4687,1787,9529,05210,07210,29610,45211,83013,36315,49917,84020,69022,99426,08030,57837,42545,69252,52360,95569,22581,80494,227105,128119,053131,311136,077149,177175,829204,775233,885255,092274,725295,294308,219325,342343,691359,826385,185417,594458,493502,498561,495615,693658,832701,724737,559776,628803,020832,551863,064895,098925,133944,901999,9901,072,056$ 2,248.57$ 2,378.73$ 2,475.03$ 2,580.16$ 2,641.51$ 2,720.75$ 2,793.09$ 2,878.13$ 2,946.28$ 2,990.19$ 3,144.62$ 3,339.745.8%4.0%4.2%2.4%3.0%2.7%3.0%2.4%1.5%5.2%6.2%

Medicare- 0- 0- 0- 0- 0- 01,8424,9246,2187,0457,6728,4439,32510,73013,42816,33619,69422,89126,66830,92237,38744,76952,35159,55966,20771,82976,82983,08188,965101,137110,182120,617135,996149,965167,670184,393198,750210,376209,420213,173224,829247,686265,381282,668311,122339,762403,690432,751466,971498,872519,253546,273569,513590,383618,452646,243$ 1,061.85$ 1,151.74$ 1,354.66$ 1,437.71$ 1,536.09$ 1,630.30$ 1,680.43$ 1,756.50$ 1,813.74$ 1,868.30$ 1,944.82$ 2,013.228.5%17.6%6.1%6.8%6.1%3.1%4.5%3.3%3.0%4.1%3.5%

Medicaid (Title XIX)- 0- 0- 0- 0- 0- 01,3043,1413,5414,1745,2906,6958,3149,42311,07313,44615,18817,46419,46522,33226,03230,30732,01135,26638,23340,93745,38350,33955,08061,95273,66193,211108,186122,373134,414144,862152,170160,831168,988183,433200,322224,061248,014268,873290,664309,249306,576325,755344,229374,432397,230406,742422,732445,403497,154545,132$ 992.03$ 1,048.30$ 1,028.78$ 1,082.24$ 1,132.33$ 1,223.63$ 1,285.53$ 1,307.85$ 1,346.28$ 1,409.50$ 1,563.38$ 1,698.235.7%-1.9%5.2%4.6%8.1%5.1%1.7%2.9%4.7%10.9%8.6%

Federal- 0- 0- 0- 0- 0- 06321,5251,8352,2982,8423,8104,5474,9336,2777,4099,1539,89610,91912,70514,52116,90217,84319,58721,09622,59425,18727,86830,99535,07742,60756,84768,60276,96181,05285,94591,09994,95498,648107,143116,821132,186145,221160,753172,274177,463173,879185,487203,081247,328266,360247,125243,260256,926305,452344,033$ 587.97$ 601.57$ 583.49$ 616.24$ 668.03$ 808.26$ 862.01$ 794.61$ 774.71$ 813.06$ 960.54$ 1,071.752.3%-3.0%5.6%8.4%21.0%6.6%-7.8%-2.5%4.9%18.1%11.6%

State and Local- 0- 0- 0- 0- 0- 06721,6161,7071,8772,4472,8863,7664,4904,7976,0376,0367,5688,5479,62711,51113,40514,16815,67917,13718,34320,19622,47124,08526,87631,05436,36439,58545,41253,36358,91761,07165,87870,34076,29083,50191,876102,793108,120118,390131,785132,697140,268141,148127,104130,870159,617179,471188,477191,702201,099$ 404.06$ 446.73$ 445.29$ 466.01$ 464.30$ 415.37$ 423.53$ 513.24$ 571.56$ 596.45$ 602.84$ 626.4810.6%-0.3%4.7%-0.4%-10.5%2.0%21.2%11.4%4.4%1.1%3.9%

CHIP (Title XIX and Title XXI)- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 03991,7233,0124,1675,4856,2967,1677,5668,3669,11710,21011,10611,54011,99012,62913,50913,18314,620$ 24.46$ 25.65$ 28.07$ 30.29$ 33.59$ 36.29$ 37.35$ 38.55$ 40.22$ 42.75$ 41.46$ 45.554.9%9.5%7.9%10.9%8.1%2.9%3.2%4.3%6.3%-3.0%9.9%

Federal- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 02761,1992,0972,9133,8324,4104,9825,2545,7566,3167,1267,8128,0528,3778,7809,3629,19210,913$ 17.00$ 17.81$ 19.32$ 20.98$ 23.44$ 25.53$ 26.06$ 26.94$ 27.96$ 29.63$ 28.91$ 34.004.7%8.5%8.6%11.7%8.9%2.1%3.4%3.8%6.0%-2.4%17.6%

State and Local- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 01235249151,2531,6531,8872,1852,3132,6102,8013,0843,2933,4893,6133,8484,1463,9923,707$ 7.46$ 7.84$ 8.76$ 9.31$ 10.14$ 10.76$ 11.29$ 11.62$ 12.25$ 13.12$ 12.55$ 11.555.1%11.7%6.2%9.0%6.1%4.9%2.9%5.5%7.1%-4.3%-8.0%

Department of Defense7888368609258618311,0781,3241,4451,4991,5821,7661,9972,2352,4752,5902,6952,9223,0673,4573,9494,5885,1585,3935,8426,8647,6348,2028,7789,27210,44611,53611,62112,02511,83312,04511,95112,05312,20112,65513,70915,42618,86622,23424,90826,49829,76432,26634,04836,69138,29239,89339,84439,24741,49241,786$ 85.01$ 89.82$ 99.88$ 107.20$ 112.00$ 119.91$ 123.92$ 128.27$ 126.89$ 124.20$ 130.48$ 130.175.7%11.2%7.3%4.5%7.1%3.4%3.5%-1.1%-2.1%5.1%-0.2%

Department of Veterans Affairs8979339611,0151,0581,1191,1531,2681,3441,4841,7191,9832,2912,6462,9003,3814,0664,1464,8595,0735,7406,2616,9057,3968,0708,3328,7759,2369,62910,13410,93911,85212,59413,62114,61214,84015,56715,48816,33317,50919,08221,08322,78226,51727,95129,80231,86133,19837,68642,46345,72348,17049,75852,84057,93164,688$ 95.40$ 101.02$ 106.92$ 110.29$ 123.97$ 138.77$ 147.97$ 154.89$ 158.46$ 167.22$ 182.17$ 201.525.9%5.8%3.2%12.4%11.9%6.6%4.7%2.3%5.5%8.9%10.6%

Other Third Party Payers and Programs3,8894,3294,7035,2065,6596,3346,2265,9966,8427,7588,9749,62410,23211,31712,97014,54716,36418,16320,85924,14128,55032,80136,31638,84241,37246,71153,01759,02866,74670,55977,07882,42988,07193,57097,292100,872104,735110,273119,949123,041124,920131,406138,888152,274160,884168,933179,546191,760188,553192,405204,348207,599227,743235,181241,522247,224$ 549.09$ 572.65$ 602.50$ 637.08$ 620.24$ 628.77$ 661.32$ 667.52$ 725.30$ 744.24$ 759.50$ 770.174.3%5.2%5.7%-2.6%1.4%5.2%0.9%8.7%2.6%2.1%1.4%

Worksite Health Care6266717887971101281471711962172462813273734485306177198269531,0411,1561,3061,3931,5221,6851,8672,0352,2282,3432,4842,6102,7312,8632,9753,1123,2203,3233,5183,6553,7753,9254,1024,2824,3894,5444,5474,5734,7014,9105,1755,3665,6876,066$ 14.00$ 14.52$ 14.73$ 15.10$ 14.96$ 14.94$ 15.21$ 15.79$ 16.48$ 16.98$ 17.88$ 18.903.7%1.5%2.5%-0.9%-0.1%1.8%3.8%4.4%3.0%5.3%5.7%

Other Private Revenues2953303654214865706627769841,1811,4581,6361,8992,0142,3212,5483,6504,0505,0476,0658,46410,51812,51313,88415,39318,24320,54322,67026,57727,89929,17131,48333,87036,36538,13942,21945,83250,35857,64959,10157,24855,45756,54461,90466,27770,71579,56989,72085,69291,589100,361100,017116,048119,348123,157124,258$ 226.20$ 239.71$ 267.01$ 298.07$ 281.88$ 299.31$ 324.79$ 321.60$ 369.58$ 377.68$ 387.29$ 387.106.0%11.4%11.6%-5.4%6.2%8.5%-1.0%14.9%2.2%2.5%-0.0%

Indian Health Services- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 01972553073754124475135025566507217167638097979951,2031,4361,4771,4951,6521,6231,7251,6981,7511,9002,1082,1172,2942,4182,4392,5352,5692,7213,0873,4693,5203,6573,5793,7093,770$ 8.25$ 8.27$ 8.51$ 8.53$ 8.95$ 10.09$ 11.23$ 11.32$ 11.65$ 11.33$ 11.66$ 11.740.2%2.9%0.3%4.9%12.7%11.3%0.8%2.9%-2.8%3.0%0.7%

Workers' Compensation6156447057428078709911,1001,2441,3721,5321,5701,7152,0512,3822,6693,0313,5064,0264,9455,6066,1896,9297,2857,6618,93710,08311,95713,81615,51917,53018,95821,10022,60722,18921,91422,05022,14023,06224,18026,47630,48834,13638,59539,87941,53341,77141,32740,04935,97136,23339,10242,35444,21746,50649,416$ 136.11$ 140.79$ 140.17$ 137.30$ 131.74$ 117.55$ 117.26$ 125.73$ 134.89$ 139.93$ 146.25$ 153.943.4%-0.4%-2.0%-4.0%-10.8%-0.2%7.2%7.3%3.7%4.5%5.3%

General Assistance1021101021031121221822402993594174775826918271,0001,1311,2811,3581,5481,8992,2262,4372,6492,8753,1893,4223,5523,7424,1385,0325,1875,5315,0375,4515,4375,4145,1674,9283,8743,9404,8195,1385,5915,9046,1956,7216,9287,1467,1557,0716,6696,4236,6867,0626,834$ 20.15$ 21.00$ 22.55$ 23.02$ 23.51$ 23.38$ 22.88$ 21.44$ 20.46$ 21.16$ 22.21$ 21.294.2%7.4%2.1%2.1%-0.5%-2.1%-6.3%-4.6%3.4%5.0%-4.1%

Maternal/Child Health1161721802012202442913243774354094534824675255656196657017758648799351,0811,1111,2901,3911,5101,5801,6311,6931,9342,1462,2982,4432,5332,6442,8132,9003,0023,1583,2713,3933,4773,4693,4363,3343,7634,1473,9473,9123,6743,4183,5783,7073,704$ 11.84$ 11.65$ 11.19$ 12.50$ 13.64$ 12.90$ 12.66$ 11.81$ 10.89$ 11.32$ 11.66$ 11.54-1.6%-3.9%11.7%9.1%-5.4%-1.8%-6.7%-7.9%4.0%3.0%-1.0%

Federal274448506080114142167190148191234204243276297311330339344339343398348407395433459476478518565578594587580582588603609619636634635622598600594591591583562545569570$ 2.17$ 2.11$ 2.01$ 1.99$ 1.95$ 1.93$ 1.91$ 1.87$ 1.79$ 1.72$ 1.79$ 1.78-2.7%-4.8%-0.7%-2.0%-1.2%-1.0%-2.0%-4.5%-3.6%3.7%-0.8%

State and Local891271331501591641761822102442612632482642822903223543714365205405936837638839961,0781,1211,1551,2161,4161,5811,7201,8501,9462,0642,2312,3122,3992,5492,6522,7572,8432,8342,8152,7363,1633,5523,3563,3223,0912,8563,0343,1383,134$ 9.67$ 9.54$ 9.18$ 10.51$ 11.68$ 10.97$ 10.75$ 9.94$ 9.10$ 9.60$ 9.87$ 9.76-1.3%-3.8%14.5%11.2%-6.1%-2.0%-7.6%-8.5%5.6%2.8%-1.1%

Vocational Rehabilitation2022252933415888115131155180184190202210210219220224223229233246257262270289300308318332343338360360352367378389421449463469468461498497489518558552530523526534$ 1.60$ 1.56$ 1.67$ 1.65$ 1.61$ 1.69$ 1.81$ 1.77$ 1.69$ 1.66$ 1.65$ 1.66-2.2%6.9%-1.2%-2.6%5.2%6.7%-1.7%-4.9%-1.9%-0.1%0.6%

Federal121415182027426686100121140144149158164163170168171170172172183195200207223232238246257264253271271263276286293317342355359361355377373374398435432411405406412$ 1.23$ 1.20$ 1.27$ 1.24$ 1.23$ 1.30$ 1.41$ 1.39$ 1.31$ 1.28$ 1.28$ 1.28-2.3%5.1%-2.0%-0.7%5.7%8.2%-1.3%-5.8%-2.1%-0.4%0.5%

State and Local881011131516222931344040414446484952535357616262626366687072757985898989919296104107108110106106121124115120122120119118120122$ 0.36$ 0.36$ 0.41$ 0.41$ 0.38$ 0.39$ 0.39$ 0.39$ 0.38$ 0.37$ 0.38$ 0.38-0.7%13.0%1.5%-8.2%3.7%0.7%-2.3%-1.8%-1.5%1.1%0.7%

Other Federal Programs*3374475987157508316534634896219271,1029639801,0866958238549481,1161,3431,3341,1841,0441,0651,1081,1331,1971,2711,3311,5561,8442,0502,2652,4722,5522,8413,1183,3953,8554,4625,2955,6766,0156,2726,3636,4216,7216,9247,3017,7399,56011,57412,96212,15912,263$ 21.41$ 21.57$ 21.55$ 22.33$ 22.78$ 23.86$ 25.05$ 30.74$ 36.86$ 41.02$ 38.24$ 38.200.8%-0.1%3.6%2.0%4.8%5.0%22.7%19.9%11.3%-6.8%-0.1%

SAMHSA- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 05695375816896638257996365996075155336448846981,3721,6561,6851,7141,8892,0671,7831,5002,0262,3952,5642,8123,0063,0933,1253,2193,1533,1663,2063,3093,3853,4483,4203,2843,4953,473$ 10.67$ 10.91$ 10.58$ 10.52$ 10.55$ 10.81$ 10.95$ 11.09$ 10.89$ 10.39$ 10.99$ 10.822.3%-3.0%-0.6%0.3%2.5%1.3%1.2%-1.8%-4.6%5.8%-1.6%

Other State and Local Programs**2,2212,3992,5102,7733,0133,3923,0932,6612,9443,2263,5893,6823,8394,2964,9225,3215,2275,6626,3197,0747,3898,4549,1519,5469,60010,13312,41713,72114,80115,01815,88916,12616,01117,30418,42217,49017,33017,93518,49718,84118,75020,36321,75323,87925,77626,92827,58428,63129,54330,75432,62631,86530,82731,20430,97732,294$ 87.97$ 91.28$ 92.56$ 95.12$ 97.18$ 100.50$ 105.59$ 102.46$ 98.18$ 98.75$ 97.41$ 100.603.8%1.4%2.8%2.2%3.4%5.1%-3.0%-4.2%0.6%-1.4%3.3%

School Health1221401471431511681872152422632903083213463774004335095596006637087537958479199861,0401,0991,1851,2931,3631,4161,5531,7011,7851,8902,0372,1972,3302,4832,6892,8883,0323,1933,3633,5693,8954,0894,2014,2934,2824,3184,4354,5364,612$ 10.90$ 11.40$ 11.98$ 12.94$ 13.45$ 13.73$ 13.89$ 13.77$ 13.75$ 14.03$ 14.26$ 14.374.6%5.1%8.0%3.9%2.1%1.2%-0.9%-0.1%2.1%1.6%0.7%

Public Health Activity3714094565095726217338619691,1741,3561,6761,8552,1232,5842,9673,2133,8154,5885,3756,4457,5318,6219,2519,84211,21212,38713,57215,26717,77319,99722,12924,37426,77929,59431,00332,37734,83237,45740,73143,05046,79252,20154,23354,91557,16160,80365,86471,45874,05675,48774,15777,24277,94579,00580,926$ 187.42$ 193.77$ 204.04$ 218.82$ 235.06$ 242.01$ 244.29$ 238.45$ 245.99$ 246.66$ 248.44$ 252.113.4%5.3%7.2%7.4%3.0%0.9%-2.4%3.2%0.3%0.7%1.5%

Federal1021081402082262142944014705645947918938549691,0431,1101,1521,1541,1081,2351,2161,1411,2321,2981,3261,3401,5291,7952,0282,2632,6072,9153,1673,6303,6653,7593,9314,0654,5464,8795,7798,0178,9038,9389,0789,4249,5919,77111,87614,05610,60510,72310,21710,69611,289$ 30.51$ 30.77$ 31.62$ 31.86$ 32.14$ 38.81$ 45.49$ 34.10$ 34.15$ 32.33$ 33.64$ 35.170.9%2.8%0.8%0.9%20.7%17.2%-25.0%0.1%-5.3%4.0%4.6%

State and Local2693023163013474074394604996107628859621,2691,6151,9242,1042,6633,4344,2675,2106,3167,4808,0198,5449,88611,04712,04313,47215,74517,73419,52221,45923,61325,96427,33828,61830,90133,39236,18538,17041,01344,18445,32945,97748,08351,37856,27361,68762,18061,43163,55266,51967,72868,30969,637$ 156.92$ 162.99$ 172.41$ 186.95$ 202.92$ 203.20$ 198.81$ 204.35$ 211.84$ 214.33$ 214.81$ 216.943.9%5.8%8.4%8.5%0.1%-2.2%2.8%3.7%1.2%0.2%1.0%

Investment2,5082,8063,4273,6774,2644,6664,8555,0635,7136,8267,5168,3889,3079,71710,66112,17713,44913,90515,28516,96119,85722,73726,00628,35629,87730,06430,97434,23438,76542,51647,32350,38255,32258,85661,55263,46464,82070,43375,13380,76483,31587,37696,769103,719111,376119,725125,157138,395148,006138,964142,741149,461153,203153,035150,873154,732$ 380.12$ 405.85$ 419.99$ 459.78$ 486.86$ 454.13$ 461.94$ 480.58$ 487.91$ 484.29$ 474.44$ 482.036.8%3.5%9.5%5.9%-6.7%1.7%4.0%1.5%-0.7%-2.0%1.6%

Research6948861,0681,2191,3661,5211,6241,7751,8771,9241,9532,1092,3572,5022,7673,3723,7073,8644,4384,8055,4295,7056,0256,5437,6088,3209,00210,02510,83611,73812,67813,81915,09116,47217,75818,67017,80819,64021,51223,36525,47528,50432,01634,84438,57840,31941,16342,57644,27845,37249,21449,64848,42146,65245,86946,714$ 131.67$ 136.67$ 138.13$ 141.45$ 145.65$ 148.27$ 159.27$ 159.64$ 154.21$ 147.63$ 144.24$ 145.533.8%1.1%2.4%3.0%1.8%7.4%0.2%-3.4%-4.3%-2.3%0.9%

Structures & Equipment1,8141,9212,3602,4582,8983,1453,2303,2883,8364,9025,5636,2796,9507,2157,8958,8059,74210,04110,84712,15614,42817,03319,98221,81322,26921,74421,97224,20927,92930,77834,64536,56340,23142,38443,79444,79547,01250,79353,62257,39957,84058,87264,75368,87572,79879,40683,99495,818103,72893,59293,52799,813104,782106,383105,004108,018$ 248.46$ 269.17$ 281.86$ 318.33$ 341.21$ 305.86$ 302.68$ 320.94$ 333.70$ 336.66$ 330.20$ 336.508.3%4.7%12.9%7.2%-10.4%-1.0%6.0%4.0%0.9%-1.9%1.9%

Total CMS Programs (Medicaid, CHIP and Medicare)- 0- 0- 0- 0- 0- 03,1468,0659,75911,22012,96215,13817,63920,15324,50129,78234,88340,35446,13353,25463,41975,07784,36194,825104,440112,766122,212133,420144,045163,089183,842213,827244,183272,338302,084329,255350,919371,208378,807398,328428,164475,914518,880557,837608,953656,576718,631767,623821,410884,409928,023965,0051,004,8741,049,2941,128,7891,205,995$ 2,078.34$ 2,225.68$ 2,411.51$ 2,550.24$ 2,702.01$ 2,890.23$ 3,003.31$ 3,102.91$ 3,200.24$ 3,320.55$ 3,549.65$ 3,756.997.1%8.3%5.8%6.0%7.0%3.9%3.3%3.1%3.8%6.9%5.8%

POPULATION186189192195197200202204206208210213215217218220222224226228230233235237239242244246248251254257260263266268271274277279282285287290293295298301304306309311314316318321

Health Consumption Expenditures24,70626,33228,41430,91834,13037,18641,22746,50252,68959,09767,04674,33983,35093,092105,884121,106139,293159,946180,046204,567235,475273,418308,038339,453375,119412,836443,712482,287540,513602,254674,070737,681798,746857,725905,669958,1741,009,5941,065,1121,126,8391,197,5401,286,3831,399,3911,532,4261,664,4361,784,9221,904,5022,031,3592,157,2562,251,0552,355,7052,453,6642,538,4412,642,2012,724,5392,878,3823,050,825

Out of pocket12,94913,35714,25515,31116,92818,20918,59418,53720,50022,60124,95326,31228,64631,62534,37337,26240,64744,85348,01652,31258,14665,35572,45078,61986,50095,640103,610109,652120,217126,651137,882140,815143,178144,098142,035144,817150,354161,432176,906187,681198,966206,272219,314235,648248,479263,806273,196289,916294,881293,130298,727308,519317,607325,130329,652338,150

Health Insurance7,4978,2368,9999,89210,97112,02315,67321,10924,37927,56531,76336,72742,61748,02755,95666,33079,06893,115106,582122,739142,333167,730190,651212,741237,405259,273274,699300,035338,282387,271439,113492,308543,122593,278636,747681,482722,128758,575792,527846,086919,4481,014,9211,122,0231,222,2811,320,6441,414,6021,517,8151,609,7161,696,1631,796,1141,875,1021,948,1662,019,6092,086,2832,228,2032,384,525

Private Health Insurance5,8126,4687,1787,9529,05210,07210,29610,45211,83013,36315,49917,84020,69022,99426,08030,57837,42545,69252,52360,95569,22581,80494,227105,128119,053131,311136,077149,177175,829204,775233,885255,092274,725295,294308,219325,342343,691359,826385,185417,594458,493502,498561,495615,693658,832701,724737,559776,628803,020832,551863,064895,098925,133944,901999,9901,072,056

Medicare- 0- 0- 0- 0- 0- 01,8424,9246,2187,0457,6728,4439,32510,73013,42816,33619,69422,89126,66830,92237,38744,76952,35159,55966,20771,82976,82983,08188,965101,137110,182120,617135,996149,965167,670184,393198,750210,376209,420213,173224,829247,686265,381282,668311,122339,762403,690432,751466,971498,872519,253546,273569,513590,383618,452646,243

Medicaid (Title XIX)- 0- 0- 0- 0- 0- 01,3043,1413,5414,1745,2906,6958,3149,42311,07313,44615,18817,46419,46522,33226,03230,30732,01135,26638,23340,93745,38350,33955,08061,95273,66193,211108,186122,373134,414144,862152,170160,831168,988183,433200,322224,061248,014268,873290,664309,249306,576325,755344,229374,432397,230406,742422,732445,403497,154545,132

Federal- 0- 0- 0- 0- 0- 06321,5251,8352,2982,8423,8104,5474,9336,2777,4099,1539,89610,91912,70514,52116,90217,84319,58721,09622,59425,18727,86830,99535,07742,60756,84768,60276,96181,05285,94591,09994,95498,648107,143116,821132,186145,221160,753172,274177,463173,879185,487203,081247,328266,360247,125243,260256,926305,452344,033

State and Local- 0- 0- 0- 0- 0- 06721,6161,7071,8772,4472,8863,7664,4904,7976,0376,0367,5688,5479,62711,51113,40514,16815,67917,13718,34320,19622,47124,08526,87631,05436,36439,58545,41253,36358,91761,07165,87870,34076,29083,50191,876102,793108,120118,390131,785132,697140,268141,148127,104130,870159,617179,471188,477191,702201,099

CHIP (Title XIX and Title XXI)- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 03991,7233,0124,1675,4856,2967,1677,5668,3669,11710,21011,10611,54011,99012,62913,50913,18314,620

Federal- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 02761,1992,0972,9133,8324,4104,9825,2545,7566,3167,1267,8128,0528,3778,7809,3629,19210,913

State and Local- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 01235249151,2531,6531,8872,1852,3132,6102,8013,0843,2933,4893,6133,8484,1463,9923,707

Department of Defense7888368609258618311,0781,3241,4451,4991,5821,7661,9972,2352,4752,5902,6952,9223,0673,4573,9494,5885,1585,3935,8426,8647,6348,2028,7789,27210,44611,53611,62112,02511,83312,04511,95112,05312,20112,65513,70915,42618,86622,23424,90826,49829,76432,26634,04836,69138,29239,89339,84439,24741,49241,786

Department of Veterans Affairs8979339611,0151,0581,1191,1531,2681,3441,4841,7191,9832,2912,6462,9003,3814,0664,1464,8595,0735,7406,2616,9057,3968,0708,3328,7759,2369,62910,13410,93911,85212,59413,62114,61214,84015,56715,48816,33317,50919,08221,08322,78226,51727,95129,80231,86133,19837,68642,46345,72348,17049,75852,84057,93164,688

Other Third Party Payers and Programs3,8894,3294,7035,2065,6596,3346,2265,9966,8427,7588,9749,62410,23211,31712,97014,54716,36418,16320,85924,14128,55032,80136,31638,84241,37246,71153,01759,02866,74670,55977,07882,42988,07193,57097,292100,872104,735110,273119,949123,041124,920131,406138,888152,274160,884168,933179,546191,760188,553192,405204,348207,599227,743235,181241,522247,224

Worksite Health Care6266717887971101281471711962172462813273734485306177198269531,0411,1561,3061,3931,5221,6851,8672,0352,2282,3432,4842,6102,7312,8632,9753,1123,2203,3233,5183,6553,7753,9254,1024,2824,3894,5444,5474,5734,7014,9105,1755,3665,6876,066

Other Private Revenues2953303654214865706627769841,1811,4581,6361,8992,0142,3212,5483,6504,0505,0476,0658,46410,51812,51313,88415,39318,24320,54322,67026,57727,89929,17131,48333,87036,36538,13942,21945,83250,35857,64959,10157,24855,45756,54461,90466,27770,71579,56989,72085,69291,589100,361100,017116,048119,348123,157124,258

Indian Health Services- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 01972553073754124475135025566507217167638097979951,2031,4361,4771,4951,6521,6231,7251,6981,7511,9002,1082,1172,2942,4182,4392,5352,5692,7213,0873,4693,5203,6573,5793,7093,770

Workers' Compensation6156447057428078709911,1001,2441,3721,5321,5701,7152,0512,3822,6693,0313,5064,0264,9455,6066,1896,9297,2857,6618,93710,08311,95713,81615,51917,53018,95821,10022,60722,18921,91422,05022,14023,06224,18026,47630,48834,13638,59539,87941,53341,77141,32740,04935,97136,23339,10242,35444,21746,50649,416

General Assistance1021101021031121221822402993594174775826918271,0001,1311,2811,3581,5481,8992,2262,4372,6492,8753,1893,4223,5523,7424,1385,0325,1875,5315,0375,4515,4375,4145,1674,9283,8743,9404,8195,1385,5915,9046,1956,7216,9287,1467,1557,0716,6696,4236,6867,0626,834

Maternal/Child Health1161721802012202442913243774354094534824675255656196657017758648799351,0811,1111,2901,3911,5101,5801,6311,6931,9342,1462,2982,4432,5332,6442,8132,9003,0023,1583,2713,3933,4773,4693,4363,3343,7634,1473,9473,9123,6743,4183,5783,7073,704

Federal274448506080114142167190148191234204243276297311330339344339343398348407395433459476478518565578594587580582588603609619636634635622598600594591591583562545569570

State and Local891271331501591641761822102442612632482642822903223543714365205405936837638839961,0781,1211,1551,2161,4161,5811,7201,8501,9462,0642,2312,3122,3992,5492,6522,7572,8432,8342,8152,7363,1633,5523,3563,3223,0912,8563,0343,1383,134

Vocational Rehabilitation2022252933415888115131155180184190202210210219220224223229233246257262270289300308318332343338360360352367378389421449463469468461498497489518558552530523526534

Federal121415182027426686100121140144149158164163170168171170172172183195200207223232238246257264253271271263276286293317342355359361355377373374398435432411405406412

State and Local881011131516222931344040414446484952535357616262626366687072757985898989919296104107108110106106121124115120122120119118120122

Other Federal Programs*3374475987157508316534634896219271,1029639801,0866958238549481,1161,3431,3341,1841,0441,0651,1081,1331,1971,2711,3311,5561,8442,0502,2652,4722,5522,8413,1183,3953,8554,4625,2955,6766,0156,2726,3636,4216,7216,9247,3017,7399,56011,57412,96212,15912,263

SAMHSA- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 05695375816896638257996365996075155336448846981,3721,6561,6851,7141,8892,0671,7831,5002,0262,3952,5642,8123,0063,0933,1253,2193,1533,1663,2063,3093,3853,4483,4203,2843,4953,473

Other State and Local Programs**2,2212,3992,5102,7733,0133,3923,0932,6612,9443,2263,5893,6823,8394,2964,9225,3215,2275,6626,3197,0747,3898,4549,1519,5469,60010,13312,41713,72114,80115,01815,88916,12616,01117,30418,42217,49017,33017,93518,49718,84118,75020,36321,75323,87925,77626,92827,58428,63129,54330,75432,62631,86530,82731,20430,97732,294

School Health1221401471431511681872152422632903083213463774004335095596006637087537958479199861,0401,0991,1851,2931,3631,4161,5531,7011,7851,8902,0372,1972,3302,4832,6892,8883,0323,1933,3633,5693,8954,0894,2014,2934,2824,3184,4354,5364,612

Public Health Activity3714094565095726217338619691,1741,3561,6761,8552,1232,5842,9673,2133,8154,5885,3756,4457,5318,6219,2519,84211,21212,38713,57215,26717,77319,99722,12924,37426,77929,59431,00332,37734,83237,45740,73143,05046,79252,20154,23354,91557,16160,80365,86471,45874,05675,48774,15777,24277,94579,00580,926

Federal1021081402082262142944014705645947918938549691,0431,1101,1521,1541,1081,2351,2161,1411,2321,2981,3261,3401,5291,7952,0282,2632,6072,9153,1673,6303,6653,7593,9314,0654,5464,8795,7798,0178,9038,9389,0789,4249,5919,77111,87614,05610,60510,72310,21710,69611,289

State and Local2693023163013474074394604996107628859621,2691,6151,9242,1042,6633,4344,2675,2106,3167,4808,0198,5449,88611,04712,04313,47215,74517,73419,52221,45923,61325,96427,33828,61830,90133,39236,18538,17041,01344,18445,32945,97748,08351,37856,27361,68762,18061,43163,55266,51967,72868,30969,637

Total CMS Programs (Medicaid, CHIP and Medicare)- 0- 0- 0- 0- 0- 03,1468,0659,75911,22012,96215,13817,63920,15324,50129,78234,88340,35446,13353,25463,41975,07784,36194,825104,440112,766122,212133,420144,045163,089183,842213,827244,183272,338302,084329,255350,919371,208378,807398,328428,164475,914518,880557,837608,953656,576718,631767,623821,410884,409928,023965,0051,004,8741,049,2941,128,7891,205,995

Personal Health Care23,26324,75526,66529,07632,03934,72038,42643,50049,12855,51063,05969,43777,16286,15298,784113,217129,312146,674164,236187,128216,977251,789283,073311,677341,645376,376408,840447,696498,497550,414615,326675,896731,455778,684820,172869,578917,540969,5311,026,1031,086,2801,162,0351,261,9441,367,6281,477,6971,587,9941,696,2221,804,6721,918,8202,010,6902,114,2212,194,6252,272,5822,365,9482,435,6242,562,8242,717,230

Out of pocket12,94913,35714,25515,31116,92818,20918,59418,53720,50022,60124,95326,31228,64631,62534,37337,26240,64744,85348,01652,31258,14665,35572,45078,61986,50095,640103,610109,652120,217126,651137,882140,815143,178144,098142,035144,817150,354161,432176,906187,681198,966206,272219,314235,648248,479263,806273,196289,916294,881293,130298,727308,519317,607325,130329,652338,150

Health Insurance6,6347,2937,9678,8289,80610,65514,04619,38822,27725,68329,65033,98638,79543,82752,10962,09773,05584,59096,526112,238132,100155,573176,377196,099215,287235,725253,956281,361314,143355,504402,936455,028503,335545,446586,202629,442668,168703,031734,213780,209844,196932,2051,019,9821,103,2531,193,0891,279,2111,368,0811,452,1281,538,5971,636,6571,699,2951,766,1001,833,1181,891,0212,009,4462,151,242

Private Health Insurance4,9605,5376,1586,9017,9018,7178,8549,06310,19412,00814,06515,82817,72719,80423,45527,74033,12038,93644,60652,75661,54172,56582,94491,841100,727112,102119,895135,398157,314179,344204,788225,629243,563257,360269,745286,726302,846320,254344,824371,661406,087445,321488,146527,140565,066604,865636,230671,795700,983734,424754,768784,092812,489829,293875,154944,686

Medicare- 0- 0- 0- 0- 0- 01,7224,7315,9316,7357,2768,0368,85110,18212,74815,61018,81522,13625,66629,90036,26043,45751,06058,11664,59969,79574,76980,95186,40498,277107,266117,273132,368146,235163,430179,858193,573204,204202,559206,035216,333239,111256,551274,001300,096326,278382,297408,710442,014470,329488,535513,520535,105555,120580,583605,024

Medicaid (Title XIX)- 0- 0- 0- 0- 0- 01,2523,0193,3853,9845,0396,4117,9739,01310,59012,83914,42916,52018,40621,13424,69728,79530,41833,48636,18138,76143,01947,71952,17358,65169,69388,921103,417116,453126,856136,250144,510151,334158,293171,259186,920208,405230,060249,418270,729287,552283,306301,114317,858346,200365,756373,888388,450406,423446,703486,457

Federal- 0- 0- 0- 0- 0- 06051,4611,7532,1952,7083,6434,3604,6975,9947,0488,6619,31710,22011,90613,69215,93016,81118,52719,89121,27023,77726,37629,33933,16840,33054,40966,02173,68077,34181,74286,87689,65192,721100,296109,322123,488135,177149,729161,139165,454161,510171,852188,295230,601247,262228,186223,868234,663274,369306,153

State and Local- 0- 0- 0- 0- 0- 06471,5581,6321,7882,3312,7673,6124,3164,5965,7905,7687,2038,1869,22811,00612,86513,60814,95916,28917,49119,24221,34422,83425,48329,36434,51237,39642,77449,51554,50757,63561,68365,57270,96377,59884,91794,88399,689109,590122,098121,796129,263129,563115,599118,494145,702164,582171,760172,334180,304

CHIP (Title XIX and Title XXI)- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 03491,4892,5303,4894,5615,3056,1506,4497,1897,7668,6959,5339,70610,03810,70111,37610,83812,028

Federal- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 02411,0361,7622,4413,1913,7204,2754,4774,9445,3806,0706,7136,7767,0217,4457,8927,5628,979

State and Local- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 01084537681,0481,3701,5851,8751,9712,2452,3862,6252,8202,9303,0173,2563,4833,2763,049

Department of Defense7868348589238598301,0771,3191,4361,4891,5691,7491,9762,2102,4492,5632,6662,8903,0353,4233,9124,5465,1055,3205,7746,7967,5528,1038,6679,14410,29311,40611,45311,85311,63911,84211,74411,81911,92412,33013,32414,88717,99621,03123,30024,48127,38229,67131,42633,79134,84236,42436,64436,02238,27338,595

Department of Veterans Affairs8879229501,0041,0461,1081,1411,2561,3321,4681,7011,9622,2682,6192,8673,3444,0254,1084,8135,0265,6906,2106,8507,3368,0068,2718,7229,1899,58510,08810,89511,80012,53413,54414,53214,76515,49515,42016,26417,43619,00220,99322,66926,35927,74829,58731,67733,07037,62042,38045,68748,13849,72852,78757,89564,453


Worksite Health Care6266717887971101281471711962172462813273734485306177198269531,0411,1561,3061,3931,5221,6851,8672,0352,2282,3432,4842,6102,7312,8632,9753,1123,2203,3233,5183,6553,7753,9254,1024,2824,3894,5444,5474,5734,7014,9105,1755,3665,6876,066

Other Private Revenues2953303654214865706627769841,1811,4581,6361,8992,0142,3212,5483,6504,0505,0476,0658,46410,51812,51313,88415,39318,24320,54322,67026,57727,89929,17131,48333,87036,36538,13942,21945,83250,35857,64959,10157,24855,45756,54461,90466,27770,71579,56989,72085,69291,589100,361100,017116,048119,348123,157124,258

Indian Health Services- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 01902472973633994354984875406306996957427857699611,1631,3911,4291,4411,5931,5641,6631,6311,6771,8162,0172,0252,1972,3212,3412,4342,4682,6212,9733,3303,3773,5023,4253,5213,584

Workers' Compensation4354604955255656006817518309221,0521,1311,2531,4821,7652,0382,3792,6872,9813,5123,9254,4005,0305,5706,3177,4218,5289,80511,41313,43215,19916,84618,26118,50817,18816,72816,71117,31118,49019,95120,88423,04324,09325,64025,94926,32726,15126,90929,27328,60029,36530,68731,69031,66231,72132,428

General Assistance1021101021031121221822402993594174775826918271,0001,1311,2811,3581,5481,8992,2262,4372,6492,8753,1893,4223,5523,7424,1385,0325,1875,5315,0375,4515,4375,4145,1674,9283,8743,9404,8195,1385,5915,9046,1956,7216,9287,1467,1557,0716,6696,4236,6867,0626,834

Maternal/Child Health1091611691882062292733043534073834244514364925365806156547228048188721,0091,0401,2091,3051,4171,4831,5301,5881,8132,0132,1552,2922,3762,4812,6402,7232,8172,9643,0713,1853,2643,2583,2263,1313,5293,8943,7083,6743,4523,2103,3593,4823,479

Federal264347495979113140164187145187229199239271292306325333338333337395346405392430456473475514562575590583576578584600606615632630631618595597591588587580558541565567

State and Local831171231391471501601631892202382372222372542652893103293894664865356146948049129871,0271,0571,1141,2991,4521,5811,7021,7931,9052,0612,1382,2182,3592,4562,5532,6342,6272,6082,5372,9323,3033,1203,0872,8722,6522,8182,9172,912


Federal12131517192640638194114132135139146150149157154156153154154165176180186200209213220230236225244245236246253259281304316320321317337332334354387384365359360365

State and Local78911121416212829323738384143444547484751555656565759616365687076808080818185929696989494108110103107108106105105107109

Other Federal Programs*3274325776937097606064384635979231,0969579761,0846957938249131,0791,3091,2911,1249961,0161,0581,0841,1541,2331,2921,5111,8002,0012,2062,4132,4872,7563,0493,3283,7814,3845,2095,5795,9086,1676,2566,3066,6066,8267,1777,3668,83510,22610,3269,70010,418

SAMHSA- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 05645295746816558157896285936035115306398686861,3501,6311,6571,6711,8322,0161,7481,4691,9882,3492,5142,7442,9413,0373,0643,1603,0943,1053,1443,2443,3213,3773,3353,1993,4153,392


School Health1221401471431511681872152422632903083213463774004335095596006637087537958479199861,0401,0991,1851,2931,3631,4161,5531,7011,7851,8902,0372,1972,3302,4832,6892,8883,0323,1933,3633,5693,8954,0894,2014,2934,2824,3184,4354,5364,612

Total CMS Programs (Medicaid, CHIP and Medicare)- 0- 0- 0- 0- 0- 02,9757,7509,31610,71912,31514,44716,82419,19423,33828,44933,24438,65644,07251,03460,95772,25281,47891,602100,780108,556117,788128,671138,577156,928176,959206,194235,785262,688290,286316,108338,083355,538361,201378,783405,783451,004491,171528,724576,976620,278672,792717,591768,567826,062863,998897,446934,257972,9181,038,1241,103,508

Total Hospital Expenditures8,9859,77710,43211,50712,50113,54515,29817,79820,53723,36727,16830,22433,84637,92044,13951,23459,40267,02375,62186,162100,517117,480133,647144,745154,366164,575175,629189,545206,455225,968250,439275,768298,477315,749328,366339,313350,799363,404374,917393,624415,531449,358486,479525,905565,378608,553651,220691,973725,711779,689822,405852,020902,676937,877980,9661,036,110

Out of pocket1,8521,8951,9502,2062,5012,6842,3031,8092,1582,1532,4482,4532,9703,5913,9974,3084,5234,8535,0095,1875,3816,2717,2107,6248,0938,7698,4728,9749,77710,30011,16311,87012,30612,12010,65310,10110,25211,01811,96112,71213,44513,78915,31617,02218,31519,70221,08822,78323,61325,68027,82529,21131,82033,92933,07832,128

Health Insurance4,5595,0755,5156,0126,5547,1369,28512,45114,33016,63819,42222,02724,50027,39632,23938,27345,20651,80559,01368,00580,09693,909107,385117,395126,238133,956142,011153,117166,299185,040206,906229,771251,092267,528280,485292,427302,975312,599320,575337,658358,203390,730424,415456,745492,662531,574566,906599,908636,330681,770714,117741,505780,265808,555851,878909,099


Medicare- 0- 0- 0- 0- 0- 01,2553,2254,1084,8115,3595,9206,5377,5379,38811,50213,90216,18718,63921,64726,27831,52136,66240,98945,41548,64450,82253,49556,33762,16267,40373,32283,06891,52499,879108,286114,540119,392118,145121,103123,371135,048143,531150,885162,721176,395184,675193,081205,470214,435219,751228,379238,391246,233252,754256,998

Medicaid (Title XIX)- 0- 0- 0- 0- 0- 07261,6241,7032,0312,6473,3163,7383,9904,2265,0145,7666,6027,0087,7749,21411,06211,78212,94713,96114,62415,96317,77319,71222,26926,66336,54543,94049,45853,67156,80058,87159,59761,67466,77870,90677,32384,37690,22596,750103,754108,828117,188122,673133,437141,756143,861149,807155,712169,103185,135

Federal- 0- 0- 0- 0- 0- 03517868821,1201,4231,8822,0632,0652,4042,7473,5683,7083,8754,3475,0186,0286,4237,0757,5787,9318,7239,70710,97512,50515,86124,95531,65134,61535,59236,73237,86837,75338,02740,90142,66146,96550,71455,24759,08460,40762,18067,21472,58988,02995,21088,16386,91489,769104,957119,450

State and Local- 0- 0- 0- 0- 0- 03758388219121,2241,4341,6751,9261,8222,2672,1982,8933,1333,4274,1965,0345,3605,8726,3836,6937,2408,0668,7379,76410,80111,59012,29014,84318,07920,06821,00321,84323,64725,87728,24430,35833,66234,97837,66643,34846,64849,97550,08545,40746,54755,69962,89365,94364,14565,686

CHIP (Title XIX and Title XXI)- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 01494659321,3891,8132,0532,6062,6572,3502,6343,1363,2143,1693,3183,4153,4813,3703,714

Federal- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 01033246459581,2461,4111,7791,8091,6001,8002,1522,2232,1822,2892,3552,4002,3532,785

State and Local- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0471412874325686418278487508349849919861,0291,0601,0811,017929

Department of Defense5435595335425085196848699881,0201,0671,1821,3251,5191,7081,7971,8522,0002,2202,5172,8193,2753,6943,8874,2004,9175,4415,8286,0346,3107,0537,8157,8478,1737,8557,9637,6297,6167,5787,4347,6408,0468,99510,41811,44012,05112,92213,80014,31315,73016,64517,17816,81116,29616,13015,154

Department of Veterans Affairs8218538799309691,0181,0351,1251,1811,3041,5321,7522,0152,3282,5442,9473,5283,6434,2434,4314,9975,4365,9516,2906,8867,1007,4147,7808,1098,5959,2749,98310,58611,36112,12912,18112,52812,19412,60813,36114,28915,50716,46218,82919,56320,82822,57122,70725,94729,29131,66133,03234,27936,86940,71744,476


Worksite Health Care- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0

Other Private Revenues1101341571892242613143925096398801,0131,1761,1491,2991,4212,3072,4432,9423,3695,0546,0526,9297,2557,2998,2318,9919,59811,21010,55110,28311,02511,48312,03312,75814,10315,48417,85919,81120,95221,56920,20620,91024,23525,06426,78731,54836,05130,69736,64742,90143,55252,35556,40557,96455,799

Indian Health Services- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 01251621932292412372732733183644043994214454325276317507647658428288778548789451,0381,0461,1391,2061,2211,2741,2901,3631,5651,7621,7891,8661,8281,8751,910

Workers' Compensation1521611731841982102402553484865255656347438971,0481,2381,3861,5661,8422,0682,3252,6922,9453,2413,6374,0924,6055,2256,0966,8707,6088,2448,3407,7177,4317,3687,5477,8968,4868,8039,68510,21410,90011,12211,39911,60511,95713,23713,26213,88814,64115,42215,60715,76216,035

General Assistance81888283911001421802112542963394144915897278179269741,0931,3011,5361,7041,8331,9452,1042,1402,1412,1712,4873,1713,3673,5963,1003,3083,0913,0612,8362,6161,6411,4811,9281,8751,7301,8191,7301,9362,1602,3712,1242,2442,4332,5913,0333,2113,242

Maternal/Child Health192929303034424553635965696776828994100111124127135139135151160169169173176201222228235232233243238246256265274282283285283320355338336319304320323321

Federal599910141923263023293631384346485152535354574753505253545358636262595654535454545656565655555555555554525353

State and Local1420202120202322273336363335384043464958717481828899111117117119123143160166173173178188185193202211218226227229228265300283281265250268269268


Federal4568913193448556473768078777175717068737270696665656464707066566563555255618092949593899989829010410391888187

State and Local334567712161718212122222222212121212424232120191818192020171820191817172127292829272731292528292826252426

Other Federal Programs*1782252953423513702631921992213224264304284392833413593894184123983481461721771821952032212442762993153033033373373774516371,0121,1171,1561,2091,2201,2811,2821,2771,3421,3311,7192,3852,3121,5141,423

SAMHSA- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 082747685789183625451403843564381165126868686121129165186174182185178172163162162162167158145175166176175


School Health- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0

Total CMS Programs (Medicaid, CHIP and Medicare)- 0- 0- 0- 0- 0- 01,9814,8495,8116,8428,0069,23610,27511,52713,61416,51619,66822,78925,64729,42135,49242,58348,44453,93659,37663,26866,78571,26876,04984,43194,066109,867127,008140,982153,550165,086173,411178,989179,968188,346195,209213,760229,720243,163262,077282,806295,853312,903331,279351,086364,676375,558391,613405,426425,227445,847

Total Physician and Clinical Expenditures5,5515,8146,2617,0748,1098,5879,30910,44811,34412,71614,33115,91717,70619,55922,21525,30928,67233,11235,83341,19247,71755,61961,63568,64377,41390,856100,667112,800128,416142,937158,392175,750190,156201,417210,479220,303228,423239,143256,929270,034288,745313,323338,353365,102390,299414,050435,759458,562482,925498,724513,144536,395558,024569,542597,137634,919

Out of pocket3,3053,3953,5944,0274,6374,8794,8434,8315,1315,7756,4626,8837,3767,8058,4589,09210,10211,38711,64412,91314,22016,15917,36618,64220,72424,26826,98127,95329,45929,75329,91530,51730,02728,99927,27425,65426,23627,54529,40730,32232,00833,50235,16437,31739,03941,82743,49145,55446,94645,45648,55651,34551,73553,31854,03856,618

Health Insurance1,8371,9662,1742,5182,8923,0683,7914,9075,4846,2076,9918,0269,18310,39912,12613,97616,09018,85320,77924,19128,51633,52637,69542,48347,80455,75561,06570,11381,88794,140107,415122,118134,709145,663155,688165,764172,296180,126191,095202,459220,608241,934264,404286,356306,789326,416344,265362,074383,010401,241410,416430,272446,689457,821483,369514,733


Medicare- 0- 0- 0- 0- 0- 04431,2261,4571,5701,6431,8552,0272,2712,8543,4674,1004,9805,8726,8718,3159,83811,75713,86015,40117,01019,46022,51424,42627,70330,46032,02133,70035,32038,79842,26244,64947,66350,24053,82358,72963,72768,04173,53680,55185,58791,35695,963103,803112,008115,758122,204128,104132,064137,923144,310

Medicaid (Title XIX)- 0- 0- 0- 0- 0- 01413484295196498461,0931,3531,5391,7831,8221,8971,9912,1532,4322,8392,7933,0923,1903,5214,0284,4774,9135,6007,0269,11311,15212,68313,69514,78815,24116,30916,76617,47719,29421,43124,02225,18527,98630,07231,77833,52435,91240,16443,25845,18446,97252,01263,60069,697

Federal- 0- 0- 0- 0- 0- 0681692232863494815947068739761,0411,0751,1031,2151,3661,6031,5821,7611,7981,9772,2802,5402,8473,2724,1195,3056,6787,6588,0738,6288,9549,4899,81410,22911,37712,68014,19315,56017,14717,97718,91119,79322,15527,75330,14628,63228,62632,39044,01248,858

State and Local- 0- 0- 0- 0- 0- 0731802072333003654996476668077808228889371,0661,2351,2111,3311,3921,5441,7481,9372,0652,3272,9073,8084,4745,0255,6226,1606,2876,8206,9517,2487,9178,7519,8299,62610,83912,09512,86713,73113,75712,41113,11316,55318,34619,62219,58720,839

CHIP (Title XIX and Title XXI)- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0564947311,0011,1921,4351,6041,6532,5182,6382,7462,9733,0643,0463,2023,5343,1863,402

Federal- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0393385067028401,0151,1251,1581,7171,8231,9062,0702,1212,1172,2242,4592,2262,572

State and Local- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0171552252993514214794948018158409039439299791,076959830

Department of Defense2182482983523242843594084034204485025686056596817287987177979711,1311,2501,2641,3891,6621,8722,0192,3512,5302,8933,2013,1983,2293,3033,3573,5523,5823,6874,1024,6715,4006,6897,2837,8488,0529,19110,22211,39012,02312,31013,21113,80113,83015,15515,117

Department of Veterans Affairs2527272829303132343941485970801001291231481541731952242482682773183543763824194715105746426988108819881,0921,3071,5341,7572,1792,3862,5032,7003,3834,3055,3025,7796,3696,5677,2177,9249,938

Other Third Party Payers and Programs4094524935295796416757097307338781,0081,1471,3551,6312,2412,4802,8723,4094,0884,9815,9356,5747,5188,88410,83412,62014,73417,07019,04421,06223,11425,42026,75527,51728,88529,89131,47236,42637,25336,12937,88738,78541,42944,47145,80648,00450,93352,96952,02654,17354,77859,59958,40359,73163,567


Other Private Revenues737884931061281501561761992252553023594285146267861,0611,4341,8482,4873,0093,5944,5345,7816,8808,1449,40910,58611,30612,41113,78114,89516,17417,57418,82220,08924,34524,36622,46622,69522,97324,54027,36228,48730,89633,20234,28633,70935,54834,93038,95437,85138,73441,615

Indian Health Services- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 041566579991301491431441681911952142322272773343984094114574504844814955375915956456796807017097488419469609929681,0011,022

Workers' Compensation2522672883053283483934434243704544865306347478539851,1271,2221,4481,6121,8062,0322,2742,6523,2893,8534,5045,3466,3557,1758,0118,6898,8038,1837,9947,9808,2928,9669,65210,13211,19611,62112,36712,42512,54612,26512,56113,23212,60812,68913,16613,38013,14512,97013,345

General Assistance91099991924324151627999123152176202224245313354380422473524604665712610625576645656613633625638625464469504498607623638696790917993979984977871954803


Federal2344581318222620263227333740424546474646504353525760636268747374716867676969707272727068686765646462606161

State and Local23456677912121312131314151617212526282933414752545658687679838587949599106110114118117117114132149135132125116123124125


Federal5667710162226303845464652576466666767646574849095106114117115123131131136138137148151151152160168170171170178181188197210209205203211210

State and Local344455689911131313151618192021212124262829303234343537414446464748494849505152515057615859595859606262

Other Federal Programs*2939495452523114182953931191492041841551792422994195044695505155405585775955906607157828098588748989319791,0941,2561,5291,6731,8211,9131,9901,9822,1882,2882,3672,5333,3043,7284,0404,4595,172

SAMHSA- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 03553283514103884764543563303302742813554843737177407698299149827436446357858649429699851,0031,0029889839759909519121,0621,0131,0841,079

Other State and Local Programs**3441464761744117151613161516161818192321222324252424262730313032342625323436343130395253555658596161626466697073

School Health- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0

Total CMS Programs (Medicaid, CHIP and Medicare)- 0- 0- 0- 0- 0- 05841,5741,8862,0892,2922,7013,1203,6244,3935,2505,9226,8777,8639,02410,74712,67714,55016,95218,59120,53123,48826,99129,33933,30337,48641,13444,85248,00352,49357,05059,89063,97267,06271,79478,75486,15993,255100,156110,141117,312125,652132,125142,461155,145162,080170,434178,278187,610204,709217,409

Total Dental Services Expenditures1,9872,1032,2242,3712,6162,8182,9923,4463,7044,2164,7115,2265,5666,3797,1398,0239,04210,12911,03911,98413,32015,70616,97118,29019,85921,69423,16425,32227,39429,37731,59833,39737,13339,00641,55844,61546,94350,29253,60057,25562,06667,60173,44476,00581,74986,69191,14697,029101,939102,307105,032107,106108,771110,141112,832117,522

Out of pocket1,9072,0182,1352,2752,5162,7042,8273,1503,3223,7894,2414,6714,9335,6056,1296,5326,9637,5847,9188,2378,76410,01910,49610,96711,54512,22712,65813,11813,84514,48515,25515,73617,11717,44818,27619,29420,06222,05923,67725,02227,40729,06731,95733,34735,60937,77539,64042,32644,68142,56143,40144,78845,41545,65346,02946,875

Health Insurance6464667171811462843624034495306047399651,4332,0092,4593,0263,6474,4435,5456,3277,1708,1539,28010,31712,01513,36414,70016,16317,46019,79221,32023,02625,05626,59127,92129,61631,92734,31238,20141,17142,37245,82648,58751,15554,32056,83559,25861,09461,81062,83164,00566,33470,200

Private Health Insurance383738414355681041131802122482923785509391,4861,9092,5023,0703,7814,7925,6706,5057,5268,5739,55111,19912,51113,81315,13416,19718,27119,29520,93122,87524,32925,53627,02529,18931,24134,28336,42837,24640,33342,67244,87147,27648,62949,38650,17350,60851,30252,01753,12354,692

Medicare- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0111122161734405474899978818679707186103164221296242294368478408454

Medicaid (Title XIX)- 0- 0- 0- 0- 0- 0431382011681621791832282953643904243924405035814855014565105545916176387569451,1961,6751,7411,8071,8721,9742,1292,1802,4003,0903,7094,0354,2644,5724,7825,2116,2277,6388,4018,4598,5818,8179,92911,509

Federal- 0- 0- 0- 0- 0- 0216710493871011001201662002332412172472753172642732492773043243453594255296849509609941,0421,1011,1891,2261,3601,7432,0872,3802,5022,6242,7382,9973,7425,1795,7895,2044,9865,1096,1857,607

State and Local- 0- 0- 0- 0- 0- 0227198757577831091281641581841751922272642212282072332502672722793314175127247828138308749409541,0401,3471,6221,6551,7621,9482,0442,2142,4852,4592,6123,2553,5953,7083,7443,902

CHIP (Title XIX and Title XXI)- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0321462333284523914014634886617027641,0391,1391,3191,5031,4601,632

Federal- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0221031652343242832883313484715025447267969211,0341,0131,226

State and Local- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 010446894128108113132141190200220313343398469448406

Department of Defense25262729272634414446506078807677778187971111271421461571832002132252392632922943053033093053093213233464034916147337508439459901,0971,1671,2301,1861,0911,2931,722

Department of Veterans Affairs111111123926435152445356444540494530181312111010881014121112121211101112131726446862657773807599121191

Other Third Party Payers and Programs16212325303219122023212429354558708694101113142148153161187188189185192180201224238256264290312307307346333317285314329351382422488536509525483468447


Other Private Revenues- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0471115192227273943445173818680846165687480821201301341421731417043495661647178787893777359

Indian Health Services- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 01114161921222525273235333437344054666769787682828799112110120129133143146157174189192200198203210

Workers' Compensation- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0

General Assistance1111111389111316192324283737374760626462605547465258606470797665706146414510086100105113134154198233197182157158147


Federal1111112456568689910101111111111911101111111011121212121112121212131312121212121211111110101010

State and Local12221112333333444455777789101111111112141415161718192021222323232322262926252321222222

Vocational Rehabilitation- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0

Federal- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0

State and Local- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0

Other Federal Programs*71011131413733312233- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0820192- 0

SAMHSA- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0

Other State and Local Programs**688913167122- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0

School Health- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0

Total CMS Programs (Medicaid, CHIP and Medicare)- 0- 0- 0- 0- 0- 0431382011681621791832282953643904243924405035814855014565115555926186407589611,2131,7091,7811,8611,9462,0632,2602,4042,7143,5044,2404,4964,7365,1215,3736,0367,1508,6989,6829,89210,26810,79811,79713,595

Total Other Professional Services Expenditures3924094294514865335726086446787267938931,0221,1631,3371,5642,0582,4032,8473,4784,2734,9175,6517,3288,1139,28411,32913,72214,49917,27818,55920,86022,95623,97426,67128,85731,27533,42434,61436,64740,26643,33846,52350,21152,79555,26460,05564,54067,15269,84972,74876,42978,79682,82687,715

Out of pocket3413433513613833953893753643483242873103934406437431,0211,2001,3941,6992,0172,2432,4703,1833,3013,5964,2745,1325,1996,1366,2876,8677,2997,2917,7978,0909,0989,76510,44610,93411,63712,35513,06313,83414,19014,82016,19017,21617,35217,98218,63719,43019,84520,65121,772

Health Insurance81216202530497584861001281612232864185136908019721,2071,5591,8632,2412,9863,3894,0165,0656,2706,7308,3399,19710,56111,98912,85214,79316,45817,58119,07619,58321,13623,88526,02728,53531,12633,17534,88337,77440,91643,41045,24147,39049,95251,99755,16558,688

Private Health Insurance8121620253034374042434965991302192884455506728591,1331,3911,6812,3662,6683,1504,0435,1155,4526,7617,2728,3289,2739,69410,84011,75112,43512,74113,37614,08915,52016,89618,51219,79720,37621,20323,14024,41824,59725,37726,51427,84328,16829,03830,196

Medicare- 0- 0- 0- 0- 0- 0310131518222734476374871061311672012593323834655686807949131,1321,3761,6391,8822,2992,9373,5003,8355,0044,7275,4066,4616,7437,4698,2889,44910,21210,95712,38313,76414,53715,67716,89318,21619,61921,230

Medicaid (Title XIX)- 0- 0- 0- 0- 0- 011283129405669901081361501581441691812252142282382562983423623664455495948348591,0161,2071,3111,3241,4381,5851,8292,2682,4422,9353,2293,2953,5243,9514,8745,1604,9944,9895,3596,2586,973

Federal- 0- 0- 0- 0- 0- 0614161621323747617586898095981211151231281381621872022042493043445024995796937487618319121,0441,2861,4561,7161,8341,8752,0242,3973,2933,5723,0982,9003,0893,9294,518

State and Local- 0- 0- 0- 0- 0- 061515131824314347616568647584104991051091181361541601621972452503323614375155635636076737869819851,2191,3951,4201,5001,5551,5811,5881,8962,0892,2702,3282,455

CHIP (Title XIX and Title XXI)- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 06425674120113106121173153163175168205227253250289

Federal- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0429405283787484118106115123119144159175185230

State and Local- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 021316223734323755474952496168786659

Department of Defense- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0

Department of Veterans Affairs- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0

Other Third Party Payers and Programs43546270781081341571952433013784224064372763083474024805726978119401,1581,4231,6721,9912,3192,5702,8043,0753,4313,6683,8314,0804,3094,5964,5834,5854,5774,7444,9564,9255,2515,4295,5616,0916,4086,3906,6266,7217,0476,9547,0107,255


Other Private Revenues11121314161922232630343845546477931171582142753714485366768621,0251,2141,4021,5781,6851,8502,0542,2202,4112,6192,8052,9942,9122,8162,7412,7492,8952,7753,0713,2903,4673,7983,9294,0254,2254,2884,5574,3894,4704,683

Indian Health Services- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0

Workers' Compensation131415161718202325293235384654627386991171341521772022462843303974825576557137908227697797998469129781,0221,1351,1811,2541,2591,2331,2021,2711,3851,3301,3821,4421,4921,4941,5091,563

General Assistance- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0112233445677710142126414539424851595446413654495756587982921096777664440729076

Maternal/Child Health1626293338466077921021021161261201271341371381391431561651771932242622933513913864224675365715896246557107197337627998188328368187929071,019950944903862904921924

Federal4789111627395053465970637077797980797981849494110112133149149157166188193194197197201201203203208212210211205196201203199199199196191197198

State and Local121921252830333743495657565757575859596477839399130152182218242238265300349378395427458508518531559591606623625613596706816751744704666713725726


Federal- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0

State and Local- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0

Other Federal Programs*113431928335082133187210184190- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0136888511- 0

SAMHSA- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0


School Health- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0

Total CMS Programs (Medicaid, CHIP and Medicare)- 0- 0- 0- 0- 0- 0143844445878961241551992242452503003484264735606217218661,0221,1561,2791,5771,9252,2332,7163,1583,9534,7075,1466,3346,2077,0478,3649,13110,02411,32912,79913,68014,63416,49718,81319,86520,87622,10923,82826,12728,492

Total Home Health Care Expenditures5761656975891081642382722201942202764236238961,1471,5561,8992,3782,9383,4824,2375,1295,6336,3686,6368,40610,21312,53415,13518,69022,74827,30732,27035,71636,88534,07232,75632,29434,27136,46440,17944,64149,34352,05257,47562,16567,29670,99573,83977,07679,96583,56688,803

Out of pocket7888911131421242119232947791191522292833634375136257698851,0951,1401,6411,9542,2362,5373,0043,6324,1375,1515,9556,3396,9866,7786,2016,3106,0035,9626,1386,4755,8065,6405,7295,5835,7396,3997,0967,4337,8568,804

Health Insurance333444155780948382961201973304986438241,0431,2771,7002,1252,6423,2303,5473,9344,1995,1626,4458,29910,44213,31616,52620,36024,03726,50727,31323,91522,61123,17825,07327,70431,46935,68740,01443,77049,34754,06259,50063,06365,14567,51769,89173,07377,268

Private Health Insurance1222222357779142548831211902553494455496968841,0461,3241,4052,0542,4762,8603,2703,8924,7215,3866,7067,7408,2178,8488,4067,7666,7716,5316,6596,5006,6395,5305,2635,0804,9255,0485,4725,9937,1128,1669,436

Medicare- 0- 0- 0- 0- 0- 09486775595261791281892723524345386388301,0741,3161,5541,5971,5701,5581,7252,1883,2634,6416,4468,30511,08412,96414,02513,8509,4228,1918,5469,90011,33813,23515,53618,20821,06024,26427,05230,28131,72132,20533,38833,68934,24635,131

Medicaid (Title XIX)- 0- 0- 0- 0- 0- 023591520222238861341621912402774124886157748861,0191,2131,3581,7542,1442,4952,9393,4563,8414,3134,6765,1695,5585,9136,7568,2819,70211,40413,47114,90716,90519,59021,64623,97925,93627,07927,73528,66130,19432,021

Federal- 0- 0- 0- 0- 0- 012357111212214879921061341482202593274074655426467359401,1471,3101,5851,8892,0512,3022,5342,7763,0003,2003,6514,4905,2566,4197,4688,0669,14510,60612,27615,64417,14315,89615,21415,79617,08618,337

State and Local- 0- 0- 0- 0- 0- 0122578101017385670851061291922282883664214775676238139971,1851,3541,5671,7912,0112,1422,3932,5582,7133,1053,7924,4464,9856,0026,8417,7608,9849,3708,3358,79311,18212,52012,86413,10813,684


Federal- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 03457109109111111131719232638

State and Local- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 012234444554578101211


Department of Veterans Affairs22222222333345678910111213151617182123252832353944485366778796105114122158168245262215268300339366375396429631

Other Third Party Payers and Programs4650535762747993137153116921011281802142793525035747398018449701,1301,2011,3401,2971,6031,8142,0002,1562,3702,5902,8093,0813,2553,2333,1703,3682,9152,8882,7572,7472,8162,8552,4772,4872,3742,2142,1932,2952,4632,6412,6372,732


Other Private Revenues3841444852626470104115856570891191271541932783153704094414925555866646348379149599981,0831,2001,2541,4311,5171,4801,5581,7381,3791,1771,0611,1611,1861,2931,1011,0701,0209539539841,0171,1391,1461,123



General Assistance- 0- 0- 0- 0- 0- 0- 0- 0- 011111333334345788919161620354245637280746855243232536791117156142184198206244260247295

Maternal/Child Health- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0

Federal- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0

State and Local- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0


Federal- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0

State and Local- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0

Other Federal Programs*- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 012561598- 0

SAMHSA- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0

Other State and Local Programs**88991012152232373026303858851221572222553653883974715676076666447498841,0211,1241,2451,3451,4931,5791,6571,6791,5431,5751,5121,6791,6641,5341,5631,4701,2591,2611,2121,0781,0421,0801,1411,1831,2371,314

School Health- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0

Total CMS Programs (Medicaid, CHIP and Medicare)- 0- 0- 0- 0- 0- 0115172847472831011662754065146257789151,2421,5621,9312,3282,4832,5892,7713,0833,9425,4077,1369,38511,76114,92517,27718,70119,01914,98114,10915,30818,18821,05024,65329,02033,12937,97843,86948,71354,27557,67659,30861,14962,38364,47767,201

Other Non-Durable Medical Products Expenditures1,6261,7641,9011,9442,0832,2112,3772,5272,6772,9673,3253,4703,6723,9834,4914,9495,4336,0837,1378,4509,80111,29612,58113,75514,97615,95517,06318,26519,37620,81922,44623,24723,21323,74224,31025,10026,00427,58128,57430,62431,56832,25033,29236,19938,08840,80543,73347,75249,47250,32851,24652,82553,73355,67256,91259,030

Out of pocket1,6261,7641,9011,9442,0832,2112,3752,5222,6712,9603,3163,4603,6593,9684,4704,9215,3996,0397,0788,3769,70311,16612,41313,53614,72215,66816,73417,88518,95820,34321,88922,50522,34822,78323,29023,89324,77726,24827,22429,29630,13430,66931,61434,33836,06338,66341,43645,21246,75447,53248,23249,68950,45052,94654,62056,778

Health Insurance- 0- 0- 0- 0- 0- 025679101315212834445974981301682192542873293804184765577428659591,0201,2071,2271,3331,3501,3271,4341,5811,6781,8612,0252,1422,2972,5402,7182,7963,0133,1353,2812,7242,2922,253

Private Health Insurance- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0

Medicare- 0- 0- 0- 0- 0- 025679101315212834445974981301682192542873293804184765577428659591,0201,2071,2271,3331,3501,3271,4341,5811,6781,8612,0252,1422,2972,5402,7182,7963,0133,1353,2812,7242,2922,253

Medicaid (Title XIX)- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0

Federal- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0

State and Local- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0

CHIP (Title XIX and Title XXI)- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0

Federal- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0

State and Local- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0



Other Third Party Payers and Programs- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0122- 0- 0


Other Private Revenues- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0



General Assistance- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0

Maternal/Child Health- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0

Federal- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0

State and Local- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0


Federal- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0

State and Local- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0

Other Federal Programs*- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0122- 0- 0

SAMHSA- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0

Other State and Local Programs**- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0

School Health- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0

Total CMS Programs (Medicaid, CHIP and Medicare)- 0- 0- 0- 0- 0- 025679101315212834445974981301682192542873293804184765577428659591,0201,2071,2271,3331,3501,3271,4341,5811,6781,8612,0252,1422,2972,5402,7182,7963,0133,1353,2812,7242,2922,253

Total Prescription Drug Expenditures2,6762,7183,0293,1593,3473,7153,9854,2274,7425,1495,4975,8776,3246,8177,4228,0528,7229,1969,89110,74412,04913,39815,02917,32319,61721,79524,29026,88830,64634,75740,29044,38146,97249,55153,01959,76668,08477,63688,496104,564121,028139,000157,915176,659192,827205,143224,078235,630241,424252,665252,982258,676259,089265,089297,872324,551

Out of pocket2,5702,5952,8893,0053,1383,4413,5943,7124,1204,3624,5314,7525,0355,3415,7246,0936,5196,8137,2007,5758,5928,98310,44011,44612,73113,85515,74416,69218,69420,58122,86723,55323,66123,83523,17623,20124,24125,70927,51930,48133,64836,35040,80745,46648,14451,32351,21352,15849,61549,06845,21645,24645,07143,60244,82345,540

Health Insurance39424647851332884455407039071,0611,2171,3961,6081,8562,0872,2612,5632,9913,2424,1704,3125,5566,5047,4437,9149,48211,11013,15916,21719,59522,05624,48128,53935,20242,43150,40859,25272,15085,09199,920113,998127,614141,006149,956168,863179,747188,210200,118204,402210,601211,449219,090251,028277,020

Private Health Insurance35384243821301822383173994845586437428559671,0971,2021,4331,7311,8102,5342,6103,6144,2445,0474,8365,9577,1268,86210,86013,21214,75516,23019,20924,48130,11436,21042,64752,07461,10871,15779,75487,00995,104102,109101,960106,859109,684116,095115,955116,948112,839113,523128,198139,765

Medicare- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 022144751021391852312933724967221,0111,2591,5611,9192,0962,4482,4732,4703,3723,93139,63845,95450,64454,54358,94663,29167,52974,05784,76994,122

Medicaid (Title XIX)- 0- 0- 0- 0- 0- 01032052193004174955636447398719691,0361,1071,2361,4081,6111,6691,9072,2192,3322,9863,3963,8144,0835,0776,0436,8837,7218,6279,70010,82412,22214,03116,64719,77123,37527,52032,23335,84436,53019,10918,33419,22620,34020,41220,95321,59122,43427,95531,764

Federal- 0- 0- 0- 0- 0- 050991141652242813083364194785765876137018159239521,0921,2631,3191,6911,9162,1832,3422,9193,4454,0294,5514,9745,5436,2386,9988,0039,52511,30113,39115,69719,23921,12120,96610,95310,56011,48113,59413,78912,51211,80112,35717,98921,051

State and Local- 0- 0- 0- 0- 0- 0531061061351932142553083213923944494935365936887178159561,0131,2951,4801,6311,7412,1582,5982,8543,1693,6534,1574,5865,2256,0297,1218,4699,98411,82212,99414,72315,5648,1567,7757,7446,7476,6238,4409,79010,0789,96610,713

CHIP (Title XIX and Title XXI)- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0471733014076039539301,0539779931,1621,3631,4071,4411,5241,4741,3871,494

Federal- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0331222132894276766617476896988289761,0041,0321,0651,0279901,090

State and Local- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0145189118176277268306288295334386403409459447398404

Department of Defense- 0- 0- 0- 0- 0- 0- 0- 012356569101111111113202227343843576584981141451792132593123384716671,0391,8212,7173,2793,6294,4274,7044,7334,9414,7204,8074,8464,8065,6956,601

Department of Veterans Affairs44443333333455791211121213131312111010101191010101228862234056288661,1481,4951,8272,2312,4782,7042,7532,9032,7622,8372,9633,1613,1192,7953,0243,275

Other Third Party Payers and Programs67819410712414010469828359657380901041151221281792152452773213824976337158421,0171,2061,2331,2561,2351,3041,3641,4121,5191,7251,9332,2882,7293,1113,5793,6783,8634,0023,7243,5993,4783,3632,8292,5692,3982,0211,992




Workers' Compensation991011111214151719212325303336404245515559677891106125144172208245271287290276290317357413500567662708756777790737758805797794793754750813820

General Assistance44344481527272931353943536063651091411671912212703664815426407799299249279049851,0271,0451,1071,2531,3651,6461,9832,3112,7262,8012,9743,1632,8582,6802,5702,4541,7991,3981,2401,0571,057


Federal111122356757878910111112121111131113131414151617181819192022232729313435353535353433323129283031

State and Local- 0- 01111112233223333344555679910101113141516171922242933363942434344505651484540424647


Federal- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0

State and Local- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0

Other Federal Programs*2836445353533820171511111- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0413031630639- 0

SAMHSA- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0


School Health- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0

Total CMS Programs (Medicaid, CHIP and Medicare)- 0- 0- 0- 0- 0- 01032052193004174955636447398719691,0361,1071,2361,4081,6111,6691,9072,2212,3533,0303,4713,9164,2225,2626,2747,1768,0939,12310,42211,83513,48115,63918,73922,16826,23030,59635,65640,14641,51459,72465,28171,03276,24680,76585,68590,64497,965114,111127,380

Total Durable Medical Equipment Expenditures7407659109011,0041,1051,2421,1281,3171,5121,7471,7992,0322,2472,5062,8012,9873,2053,4473,7814,0544,3304,5705,2506,1427,0568,0679,46611,07811,88713,76713,08113,49814,14015,31815,86017,43219,21821,35823,02225,16525,13527,13128,51230,37032,36434,40937,07337,67837,81339,92542,25943,67945,06246,62248,458

Out of pocket6867078438339281,0211,1309901,1491,2991,5031,5321,7211,8892,0622,2592,3902,5072,6292,7942,9643,0873,1593,5764,2364,9015,6266,6547,8348,1849,4948,5798,5438,6699,2669,08110,02911,11012,94813,98015,09414,06614,63814,93415,93516,81517,48718,93818,19518,05019,52421,28821,97823,01323,08423,322

Health Insurance404049505562851081301691972132542973744645166127248859841,1371,3001,5471,7581,9802,2362,5732,9663,3833,9064,1434,5905,1085,6886,4267,0367,7127,9758,5659,56210,55411,96613,05313,89715,01716,40317,57918,67318,95519,57520,11420,84021,16522,68124,287

Private Health Insurance4040495055627582911131331511862102523063343974595535685725666197087908731,0021,2261,3431,5231,3911,3571,4491,6441,7311,9702,2612,7663,1683,6203,5643,9114,2014,7135,2215,6946,4606,4946,8127,0717,3927,3127,5428,2578,987

Medicare- 0- 0- 0- 0- 0- 061621252835425171941151481982473264475737488659731,1061,2681,3801,5561,8012,0312,3442,5972,7693,1693,4113,8363,6443,7504,0654,4795,2736,0216,2316,4356,8867,0177,8927,4887,5017,5218,0637,7737,7567,852

Medicaid (Title XIX)- 0- 0- 0- 0- 0- 059183235272636516568666786901181601811852172563033604845837218891,0621,2761,5261,6551,6151,5601,6161,8352,4672,7092,7672,8963,2953,7614,0154,2024,5794,9165,0975,3455,7176,5457,314

Federal- 0- 0- 0- 0- 0- 0361118201515212836353637475167901021041231461732022773334285346357628989789499109561,0801,4541,5961,7341,7631,9472,1942,3532,5373,1113,4623,2473,2213,4524,2264,851

State and Local- 0- 0- 0- 0- 0- 023714141211152228333029394052717981951101301582072502943554275146296776666506607541,0131,1131,0341,1331,3481,5661,6621,6651,4681,4541,8502,1242,2652,3192,462


Federal- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0321293251464248456263566476879691104

State and Local- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 011013122118151817242220242833373330



Other Third Party Payers and Programs15171819202227313744485457617177808693102105106111127148175205239279320367360365363364354368396435476509515527526538532519557810808826858861884857849




MAKING THE CASE – HOW TEAM-BASED APPROACHES …...• Audio for the webinar can be accessed in two...

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Transcript of MAKING THE CASE – HOW TEAM-BASED APPROACHES …...• Audio for the webinar can be accessed in two...