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Spending for home health in the United States from 2013 to 2023, by payer (in billion U.S. dollars)

Characteristic	Private health insurance	Out-of-pocket	Other payers	Medicare	Medicaid	Other public health insurance
2013	6.3	6.4	2.4	34.4	29.1	1.1
2014	8.3	7.4	2.7	34.7	29.6	0.5
2015	9.4	8.8	2.7	35.1	32	0.7
2016	9.6	8.1	2.6	37.4	34	0.7
2017	10.8	9	2.7	38.8	35	0.7
2018	12.2	10.2	2.8	40.3	35.9	0.8
2019	16.6	12.5	3.3	44	36.6	0.9
2020	15.7	12.6	13	41.6	40.2	0.6
2021	15.9	12.9	6.2	46.6	42.8	0.8
2022	18.6	15.4	3.5	47.5	46.9	1
2023	21.5	17.7	4	51.8	51.2	1.6

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Sources

Release date

December 2025

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Region

United States

Survey time period

2013 to 2023

Supplementary notes

Data compiled from multiple reports of the same source.

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In 2023, 51.8 billion U.S. dollars were paid by Medicare for home health in the United States. Medicare continues to be the largest payor for home health in the U.S., although the gap between Medicaid and Medicare is closing. Meanwhile the share paid by private health insurance is increasing.

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