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5 Slide Series

Volume 14

Combined Spending on Medicaid and Medicare by State

This edition looks at Medicaid and Medicare combined costs.  Nationwide, 2009 combined claims-based spending on Medicaid and Medicare represented approximately $800 billion in overall outlays, excluding most disproportionate share (DSH) and upper payment limit (UPL) supplemental payments. These claims-based expenditures were divided 42% for persons with Medicare coverage (but not Medicaid), 29% for persons with Medicaid coverage (and not Medicare), and 29% for Medicaid/Medicare dual eligibles.  Together, Medicaid and Medicare represented 5.6% of Gross Domestic Product (GDP), $2,582 per resident, and $5,740 per working person above age 16, (excluding active duty military personnel).  

The slides convey numerous statistics for each state, and there is considerable variation across states.  For example, Medicaid & Medicare combined costs ranged from a high of 9.7% of GDP in West Virginia to a low of 3.1% of GDP in Wyoming, from a high of $4,647 per resident in the District of Columbia to $1,501 per resident in Utah, and from a high of $9,020 per employed resident in the District of Columbia to $3,263 per employed person in Utah.

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