Out-of-Pocket (OOP) Healthcare Expenditures in the United States, 5th Edition

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Description:

Rising out-of-pocket (OOP) healthcare expenses in the United States are driven by a variety of demographic, business, and government trends. Kalorama Information’s report, Out-of-Pocket (OOP) Healthcare Expenditures in the United States, 5th Edition, delves deeply into these trends, focusing on the financial aspects of OOP spending growth and providing forecasts for total expenditures and specialized healthcare financing.

Report Highlights

  • Total Expenditures: The report examines past, current, and future levels of U.S. out-of-pocket healthcare expenditures, segmented by type, payment method, and elective vs. non-elective procedures. Forecasts indicate that consumer out-of-pocket expenditures for healthcare will continue rising through the next five years.
    • Growth of Consumer Out-of-Pocket Expenditures (2015 – 2025) in $ Billion
    • Financing Methods for Consumer Out-of-Pocket Expenses in 2020 (%) (Credit Cards, Cash or Check, FSAs, Loans or Lines of Credit, Healthcare Financing, HSAs)
    • Specialized Healthcare Financing for Consumer Out-of-Pocket Expenditures (2015 – 2025) in $ Billion
  • Types and Amounts of Expenses Financed: Analysis of the types of healthcare expenses financed by U.S. consumers in 2020, categorized into elective procedures (e.g., OTC medications) and non-elective procedures (e.g., prescription drugs). Detailed data includes:
    • Financing Methods for Elective Procedures, 2020
    • Average Share of Non-Elective Healthcare Expenses Paid Out-of-Pocket by Percentile of Total Health Spending, 2020
    • Average Share of Non-Elective Healthcare Expenses Paid Out-of-Pocket by Type of Service, 2020
    • Distribution of Out-of-Pocket Healthcare Spending for the Average Person, 2020
    • Drug Cost Coverage by Payor Type (Public, Private, Cash) from 1965 to 2020
  • Consumers Who Pay Out-of-Pocket: Insight into the demographics of consumers facing high out-of-pocket expenditures, highlighting vulnerable groups such as the uninsured, Medicaid recipients, and individuals with chronic conditions. Key data includes:
    • Size of High-Risk Groups for Out-of-Pocket Healthcare Expenditures (2015 – 2025) in Millions of Persons
    • Comparative Sizes of High-Risk Groups (2015 – 2025) in Millions of Persons
    • Obesity in the United States (1980 – 2025)
    • Proportion of Adults under Age 65 with Chronic Conditions, 2020
  • Expenditures by Type, Payment Methods, Elective vs. Non-Elective Procedures: Examination of consumer payment methods for healthcare products and services, with forecasts indicating significant variations in financing between elective and non-elective procedures. Featured data includes:
    • Change in Consumer Out-of-Pocket Expenditures by Type (2015 – 2025) in $ Billion
    • Proportion of Consumer Out-of-Pocket Spending by Type of Healthcare Expenditure (2015, 2020, 2025)
    • Change in Consumer Out-of-Pocket Expenditures by Payment Type (2015 – 2025) in $ Billion
    • Growth of Consumer Out-of-Pocket Expenditures for Elective vs. Non-Elective Procedures (2015 – 2025) in $ Billion
    • Distribution of Out-of-Pocket Spending on Non-Elective Procedures for the Average Person, 2013
  • Market Drivers and Restraints: Identification of the key drivers and restraints influencing U.S. out-of-pocket spending, including direct pay, co-pay expenditures, and specialized healthcare financing.
    • Drivers & Restraints of the Consumer Out-of-Pocket Spending Market
    • Drivers & Restraints of Elective and Non-Elective Procedure Out-of-Pocket Expenditures
  • Company Profiles: Profiles of key companies influencing or providing financing for out-of-pocket medical expenses, focusing on their history, financial information, and business operations. The report highlights the dynamic nature of the market with many new entrants and exits.

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Sample Report: A sample is available as a PDF upon request.

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