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What Medicaid Pays For

Medicaid benefit spending by service category, $ billions, latest fiscal year

Managed care and premium assistance leads at $496B
Current·Data to 2024

Plays the chart through its history. Pauses are where a new leader takes first place.

MACPAC, MACStats data book (from CMS-64 state expenditure reports), federal fiscal years. Each edition revises earlier years; the newest edition is used where they overlap. Managed care is the capitation payments states make to health plans, which then pay hospitals, doctors and others, so the other categories cover fee-for-service spending only.

Where Medicaid’s money goes, from payments to managed-care plans to hospitals, long-term care and prescription drugs.

What this chart reads·11 series

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Sources·11 sources

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US Medicaid Fee-for-Service Hospital Spending · USD bn. Source: Medicaid and CHIP Payment and Access Commission (MACPAC), MACStats: Medicaid and CHIP Data Book, Exhibit 17 (Total Medicaid Benefit Spending by State and Category; Table 7 in editions before 2015) (https://www.macpac.gov/macstats/; earlier editions at https://www.macpac.gov/publication/macstats-archive/), from MACPAC's analysis of states' CMS-64 Financial Management Report expenditure data. Licence (https://www.macpac.gov/disclaimer/): "Because MACPAC is an agency of the federal government, the information on this site is in the public domain and may be freely copied and distributed. We would appreciate attribution when you cite our information." Read monthly (src/lib/macpac/medicaid.ts).

US Medicaid Fee-for-Service Physician Spending · USD bn. Source: Medicaid and CHIP Payment and Access Commission (MACPAC), MACStats: Medicaid and CHIP Data Book, Exhibit 17 (Total Medicaid Benefit Spending by State and Category; Table 7 in editions before 2015) (https://www.macpac.gov/macstats/; earlier editions at https://www.macpac.gov/publication/macstats-archive/), from MACPAC's analysis of states' CMS-64 Financial Management Report expenditure data. Licence (https://www.macpac.gov/disclaimer/): "Because MACPAC is an agency of the federal government, the information on this site is in the public domain and may be freely copied and distributed. We would appreciate attribution when you cite our information." Read monthly (src/lib/macpac/medicaid.ts).

US Medicaid Fee-for-Service Dental Spending · USD bn. Source: Medicaid and CHIP Payment and Access Commission (MACPAC), MACStats: Medicaid and CHIP Data Book, Exhibit 17 (Total Medicaid Benefit Spending by State and Category; Table 7 in editions before 2015) (https://www.macpac.gov/macstats/; earlier editions at https://www.macpac.gov/publication/macstats-archive/), from MACPAC's analysis of states' CMS-64 Financial Management Report expenditure data. Licence (https://www.macpac.gov/disclaimer/): "Because MACPAC is an agency of the federal government, the information on this site is in the public domain and may be freely copied and distributed. We would appreciate attribution when you cite our information." Read monthly (src/lib/macpac/medicaid.ts).

US Medicaid Fee-for-Service Other Practitioner Spending · USD bn. Source: Medicaid and CHIP Payment and Access Commission (MACPAC), MACStats: Medicaid and CHIP Data Book, Exhibit 17 (Total Medicaid Benefit Spending by State and Category; Table 7 in editions before 2015) (https://www.macpac.gov/macstats/; earlier editions at https://www.macpac.gov/publication/macstats-archive/), from MACPAC's analysis of states' CMS-64 Financial Management Report expenditure data. Licence (https://www.macpac.gov/disclaimer/): "Because MACPAC is an agency of the federal government, the information on this site is in the public domain and may be freely copied and distributed. We would appreciate attribution when you cite our information." Read monthly (src/lib/macpac/medicaid.ts).

US Medicaid Fee-for-Service Clinic and Health Center Spending · USD bn. Source: Medicaid and CHIP Payment and Access Commission (MACPAC), MACStats: Medicaid and CHIP Data Book, Exhibit 17 (Total Medicaid Benefit Spending by State and Category; Table 7 in editions before 2015) (https://www.macpac.gov/macstats/; earlier editions at https://www.macpac.gov/publication/macstats-archive/), from MACPAC's analysis of states' CMS-64 Financial Management Report expenditure data. Licence (https://www.macpac.gov/disclaimer/): "Because MACPAC is an agency of the federal government, the information on this site is in the public domain and may be freely copied and distributed. We would appreciate attribution when you cite our information." Read monthly (src/lib/macpac/medicaid.ts).

US Medicaid Fee-for-Service Other Acute Care Spending · USD bn. Source: Medicaid and CHIP Payment and Access Commission (MACPAC), MACStats: Medicaid and CHIP Data Book, Exhibit 17 (Total Medicaid Benefit Spending by State and Category; Table 7 in editions before 2015) (https://www.macpac.gov/macstats/; earlier editions at https://www.macpac.gov/publication/macstats-archive/), from MACPAC's analysis of states' CMS-64 Financial Management Report expenditure data. Licence (https://www.macpac.gov/disclaimer/): "Because MACPAC is an agency of the federal government, the information on this site is in the public domain and may be freely copied and distributed. We would appreciate attribution when you cite our information." Read monthly (src/lib/macpac/medicaid.ts).

US Medicaid Fee-for-Service Prescription Drug Spending · USD bn. Source: Medicaid and CHIP Payment and Access Commission (MACPAC), MACStats: Medicaid and CHIP Data Book, Exhibit 17 (Total Medicaid Benefit Spending by State and Category; Table 7 in editions before 2015) (https://www.macpac.gov/macstats/; earlier editions at https://www.macpac.gov/publication/macstats-archive/), from MACPAC's analysis of states' CMS-64 Financial Management Report expenditure data. Licence (https://www.macpac.gov/disclaimer/): "Because MACPAC is an agency of the federal government, the information on this site is in the public domain and may be freely copied and distributed. We would appreciate attribution when you cite our information." Read monthly (src/lib/macpac/medicaid.ts).

US Medicaid Fee-for-Service Institutional Long-Term Care Spending · USD bn. Source: Medicaid and CHIP Payment and Access Commission (MACPAC), MACStats: Medicaid and CHIP Data Book, Exhibit 17 (Total Medicaid Benefit Spending by State and Category; Table 7 in editions before 2015) (https://www.macpac.gov/macstats/; earlier editions at https://www.macpac.gov/publication/macstats-archive/), from MACPAC's analysis of states' CMS-64 Financial Management Report expenditure data. Licence (https://www.macpac.gov/disclaimer/): "Because MACPAC is an agency of the federal government, the information on this site is in the public domain and may be freely copied and distributed. We would appreciate attribution when you cite our information." Read monthly (src/lib/macpac/medicaid.ts).

US Medicaid Fee-for-Service Home and Community-Based Long-Term Care Spending · USD bn. Source: Medicaid and CHIP Payment and Access Commission (MACPAC), MACStats: Medicaid and CHIP Data Book, Exhibit 17 (Total Medicaid Benefit Spending by State and Category; Table 7 in editions before 2015) (https://www.macpac.gov/macstats/; earlier editions at https://www.macpac.gov/publication/macstats-archive/), from MACPAC's analysis of states' CMS-64 Financial Management Report expenditure data. Licence (https://www.macpac.gov/disclaimer/): "Because MACPAC is an agency of the federal government, the information on this site is in the public domain and may be freely copied and distributed. We would appreciate attribution when you cite our information." Read monthly (src/lib/macpac/medicaid.ts).

US Medicaid Managed Care and Premium Assistance Spending · USD bn. Source: Medicaid and CHIP Payment and Access Commission (MACPAC), MACStats: Medicaid and CHIP Data Book, Exhibit 17 (Total Medicaid Benefit Spending by State and Category; Table 7 in editions before 2015) (https://www.macpac.gov/macstats/; earlier editions at https://www.macpac.gov/publication/macstats-archive/), from MACPAC's analysis of states' CMS-64 Financial Management Report expenditure data. Licence (https://www.macpac.gov/disclaimer/): "Because MACPAC is an agency of the federal government, the information on this site is in the public domain and may be freely copied and distributed. We would appreciate attribution when you cite our information." Read monthly (src/lib/macpac/medicaid.ts).

US Medicaid Medicare Premiums and Coinsurance Spending · USD bn. Source: Medicaid and CHIP Payment and Access Commission (MACPAC), MACStats: Medicaid and CHIP Data Book, Exhibit 17 (Total Medicaid Benefit Spending by State and Category; Table 7 in editions before 2015) (https://www.macpac.gov/macstats/; earlier editions at https://www.macpac.gov/publication/macstats-archive/), from MACPAC's analysis of states' CMS-64 Financial Management Report expenditure data. Licence (https://www.macpac.gov/disclaimer/): "Because MACPAC is an agency of the federal government, the information on this site is in the public domain and may be freely copied and distributed. We would appreciate attribution when you cite our information." Read monthly (src/lib/macpac/medicaid.ts).

Charts are drawn from Palanor's signal library and recomputed from source data on every view. Transformations (changes, indexing, year-on-year rates) are Palanor's.

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