| Characteristic | Federal government | Household | Private business | State and local government | Other private |
|---|---|---|---|---|---|
| 2013 | 26% | 28% | 21% | 17% | 8% |
| 2015 | 29% | 28% | 20% | 17% | 7% |
| 2017 | 28% | 28% | 20% | 17% | 7% |
| 2019 | 29% | 28% | 19% | 16% | 7% |
| 2020 | 36% | 26% | 17% | 14% | 7% |
| 2021 | 34% | 27% | 17% | 15% | 7% |
| 2022 | 33% | 28% | 18% | 15% | 6% |
| 2023 | 32% | 27% | 18% | 16% | 7% |
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March 2025
United States
2013 to 2023
Health spending refers to national health expenditures. Estimates of spending by contributor are organized according to the underlying entity (business, households, and government) financing the health care bill payer. CMS refers to contributors as 鈥渟ponsors.鈥 Segments may not sum to 100% due to rounding.
2013-2018 values were quoted from previous editions of "California Health Care Almanac - Health Care Costs 101".
Sponsor definitions
Federal government sponsors health care via general tax revenues, plus payroll tax and employer contributions to health insurance premiums for its workers.
Households sponsor health care through out-of-pocket costs, health insurance premiums, and payroll taxes.
Other private revenues include philanthropy, investment income, and private investment in research, structures, and equipment.
Private business sponsors health care through employer contributions to health insurance premiums and payroll taxes.
State and local government sponsors health care programs and pays payroll taxes and health insurance premiums for its workers
