Accounting for the burden and redistribution of health care costs: Who uses care and who pays for it

Health Serv Res. 2020 Apr;55(2):224-231. doi: 10.1111/1475-6773.13258. Epub 2020 Jan 27.

Abstract

Objective: To measure the burden of financing health care costs and quantify redistribution among population groups.

Data sources: A synthetic population using data combined from multiple sources, including the Survey of Income and Program Participation (SIPP), Medical Expenditure Panel Survey (MEPS), Kaiser Family Foundation (KFF)/Health Research Educational Trust (HRET) Employer Health Benefits Survey, American Community Survey (ACS), and National Health Expenditure Accounts (NHEA).

Study design: We estimate two dollar amounts for each individual in the synthetic population: (a) payments to finance health care services, which includes all payments by a household and their employers to finance health care, including premiums, out-of-pocket payments, federal and state taxes, and other payments; and (b) the dollar value of health care services received, which equals the amount paid to providers for those services.

Data extraction methods: We linked the nationally representative survey data using statistical matching. We allocated health care expenditures from the NHEA to individuals and households based on expenditures reported in the MEPS.

Principal findings: We show that higher-income households pay the most to finance health care in dollar amounts, but the burden of payments as a share of income is greater among lower-income households.

Conclusions: Accounting for all sources of payments provides a clear picture of the burden of financing health care costs, and how that burden is spread under our current financing system.

Keywords: health care costs; health care financing; health economics; redistribution.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Cost of Illness*
  • Delivery of Health Care / economics*
  • Delivery of Health Care / statistics & numerical data
  • Female
  • Financing, Personal / economics*
  • Financing, Personal / statistics & numerical data*
  • Health Care Costs / statistics & numerical data*
  • Health Expenditures / statistics & numerical data*
  • Healthcare Financing*
  • Humans
  • Male
  • Middle Aged
  • Patient Acceptance of Health Care / statistics & numerical data*
  • Socioeconomic Factors