cms stats 2015 final 2 · administrator and cms chief medical officer ......

2015 CMS

Statistics

59720148

US DEPARTMENT OF

HEALTH AND HUMAN SERVICES

US Department of Health amp Human Services

Sylvia Mathews Burwell Secretary

Centers for Medicare amp Medicaid Services

Andrew Slavitt Acting Administrator

Patrick Conway MD Acting Principal Deputy Administrator and CMS Chief Medical Officer

Mandy Cohen Chief Operating Officer and Chief of Staff

Office of Enterprise Data and Analytics

Niall Brennan Director amp CMS Chief Data Officer

Christine Cox Deputy Director

Information Products Group

Christopher Powers Director

Publication Coordinators

Maria Diacogiannis Tony Dean Publication Staff Wendy Hildt

Press inquiries should be directed to the CMS Media Relations Group (202) 690-6145 or presscmshhsgov

National health expenditure inquiries cmsdnhscmshhsgov Data availability httpswwwcmsgovResearch-Statistics-Data-and-SystemsStatistics-Trends-and-ReportsCMS-Statistics-Reference-Bookletindexhtml Submit questions on this publication httpsquestionscmsgov

Preface This reference booklet provides significant summary information about health expenditures and Centers for Medicare amp Medicaid Services (CMS) programs The information presented was the most current available at the time of publication and may not always reflect changes due to recent legislation Significant time lags may occur between the end of a data year and aggregation of data for that year Similar reported statistics may differ because of differences in sources andor methodology

The data are organized as follows

Page

Highlights - Growth in CMS Programs and Health Expenditures 1

I Populations 5

II ProvidersSuppliers 19

III Expenditures 25

IV Utilization 35

V AdministrativeOperating 43

Reference 49

i

AFDC

BETOS

CAHs

CBC

CCPs

CHIP

CM

CMCS

CMS

DHHS

DME MACs

DME

DMEPOS

ESRD

FFS

ii

Glossary of Acronyms

Aid to Families with Dependent Children

Berenson-Eggers Type of Service

Critical Access Hospitals

Community-Based Care

Coordinated Care Plans

Childrenrsquos Health Insurance Program

Center for Medicare

Center for Medicaid and CHIP Services


Department of Health amp Human Services

DME Medicare Administrative Contractors

Durable Medical Equipment

Durable Medical Equipment Prosthetics Orthotics and Supplies

End Stage Renal Disease

Fee-For-Service

Glossary of Acronyms (continued)

GDP Gross Domestic Product

HCPP Health Care Prepayment Plan

HI Hospital Insurance (Part A)

HIT Health Information Technology

HMO Health Maintenance Organization

ICFIID Intermediate Care Facility for Individuals with Intellectual Disabilities ICF-MR Intermediate Care Facility for Mentally Retarded IPAB Independent Payment Advisory

Board MA Medicare Advantage MACs Medicare Administrative Contractors MA-PD Medicare Advantage Prescription Drug Plans MEDPAR Medicare Provider Analysis and

Review MIF Medicare Improvement Fund MSA Medical Savings Account

MSIS Medicaid Statistical Information System

iii

NF Nursing Facility NHE National Health Expenditures OACT Office of the Actuary PACE Program of All-Inclusive Care for the Elderly PCCM Primary Care Case Management PDP Prescription Drug Plan PFFS Private Fee for Service Plans PHP Prepaid Health Plans PPS Prospective Payment System QIO Quality Improvement Organization RDS Retiree Drug Subsidy RPPOs Regional Preferred Provider Organizations SMI Supplementary Medical Insurance (Part B) SNF Skilled Nursing Facility SSA Social Security Administration TANF Temporary Assistance for Needy Families VA Veteranrsquos Affairs


iv

Highlights Growth in CMS programs and health expenditures

Populations

Persons enrolled for Medicare coverage increased from 191 million in 1966 to a projected 558 million in 2015 a 192 percent increase (I1)

Medicare enrollees with end-stage renal disease increased from 1100 thousand in 1985 to 4969 thousand in 2014 an increase of 352 percent (I5)

By 2014 over 377 million Medicare enrollees had Part D drug coverage 697 percent of all enrollees and an additional 27 million had RDS (I10 ampI12)

On average the number of Medicaid monthly enrollees in 2015 is estimated to be about 689 million the largest group being children (296 million or 430 percent) (I16)

In 2012 23 percent of the population was at some point enrolled in the Medicaid program (I18)

1

Medicare State buy-ins have grown from about 28 million beneficiaries in 1975 to 93 million beneficiaries in 2014 an increase of about 232 percent (I19)

ProvidersSuppliers

The number of inpatient hospital facilities decreased from 6522 in December 1990 to 6142 in December 2014 Total inpatient hospital beds have dropped from 328 beds per 1000 enrolled in 1990 to 173 in 2014 a decrease of 47 percent (II1)

The total number of Medicare certified beds in short-stay hospitals has decreased to about 784000 in 2014 from 970000 in 1990 The average number of short-stay hospital beds per 1000 enrolled in 2014 is 146 down from 288 in 1990 (II1)

The number of hospice facilities increased from 772 in 1990 to 4140 in 2014 (II5)

The number of participating home health agencies has fluctuated considerably over the years almost doubling in number from 1990 to almost 11000 in 1997 when the Balanced Budget Act was passed The number decreased sharply but has since stabilized reaching 12268 in 2014 (II5 amp II6)

2

Expenditures

In fiscal year 2014 total net Federal outlays for CMS programs were $8158 billion 233 percent of the Federal budget (III1)

Medicare Part A benefit payments are projected to increase to $2681 billion for fiscal year 2015 up from $2618 billion for fiscal year 2014 and Medicare Part B benefit payments are projected to increase to $2729 billion for fiscal year 2015 up from $2566 billion for fiscal year 2014 (III5)

Medicare hospice benefit payments are projected to be $161 billion for fiscal year 2015 down from $168 billion in 2014 (III6)

National health expenditures (NHE) were $29191 billion in calendar year 2013 comprising 174 percent of the gross domestic product (GDP) Comparably NHE amounted to $7243 billion or 121 percent of the GDP in calendar year 1990 NHE per person were $147 in calendar year 1960 and grew steadily to reach $9255 by calendar year 2013 (III7)

Utilization of Medicare and Medicaid services

Between 1990 and 2014 the number of short-stay hospital discharges per 1000 enrollees decreased from 320 to 280 a decrease of 13 percent (IV1)

The PPS short-stay hospital average length of stay decreased significantly from 90 days in 1990 to 50 days in 2014 a decrease of 44 percent (IV3)

3

The ratio of Medicare aged users of any type of covered service has grown from 528 per 1000 enrolled in 1975 to 890 per 1000 enrolled in 2014 (IV4)

About 339 million persons received a reimbursed service under Medicare fee-for-service during 2014 Comparably almost 633 million persons used Medicaid services or had a premium paid on their behalf in 2012 (IV6a amp IV9)

64 million persons received reimbursable fee-for-service inpatient hospital services under Medicare in 2014 (IV6a)

327 million persons received reimbursable fee-for-services physician services under Medicare during 2014 428 million persons received reimbursable physician services under Medicaid during 2012 (IV6a amp IV9)

251 million persons received reimbursable fee-for-service outpatient hospital services under Medicare during 2014 During 2012 263 million persons received Medicaid reimbursable outpatient hospital services (IV6a amp IV9)

Over 18 million persons received care in SNFs covered by Medicare during 2014 14 million persons received care in nursing facilities which include SNFs and all other nursing facilities excluding ICFIID covered by Medicaid during 2012 (IV6a amp IV9)

Over 38 million persons received prescribed drugs under Medicaid during 2012 (IV9)

4

Populations

Information about persons covered by Medicare Medicaid or CHIP

For Medicare statistics are based on persons enrolled for coverage Original Medicare enrollees are also referred to as fee-for-service enrollees Historically for Medicaid recipient (beneficiary) counts were used as a surrogate of persons eligible for coverage as well as for persons utilizing services Current data systems now allow the reporting of total eligibles for Medicaid and for Childrenrsquos Health Insurance Program (CHIP) Statistics are available by major program categories by demographic and geographic variables and as proportions of the US population Utilization data organized by persons served may be found in the Utilization section

5

Table I1 Medicare EnrollmentTrends

Total Aged Disabled Persons Persons Persons

July In millions 1966 191 191 --1970 204 204 --1975 249 227 22 1980 284 255 30 1985 311 281 29 1990 343 310 33 1995 376 332 44

Average monthly 2000 397 343 54 2005 426 358 68 2010 477 396 81 2012 509 422 87 2013 525 436 88 2014 538 449 89 2015 558 468 91

NOTES Represents those enrolled in HI (Part A) andor SMI (Part B and Part D) of Medicare Data for 1966-1995 are as of July Data for calendar years 2000-2015 represent average actual or projected monthly enrollment Numbers may not add to totals because of rounding Based on 2015 Trustees Report

SOURCE CMS Office of the Actuary

Table I2 Medicare EnrollmentCoverage

HI andor SMI HI P

SMI

art B Part D

HI and SMI

HI Only

SMI Only

In millions

All persons

Aged persons

Disabled persons

553

463

90

550

460

90

504

422

82

415

--

--

501

419

82

49

41

08

03

03

00 NOTES Projected average monthly enrollment during fiscal year 2015 Ageddisabled split of Part D enrollment not available Based on 2015 Trustees Report Numbers may not add to totals because of rounding


6

Table I3 Medicare EnrollmentDemographics

Total Male Female In thousands

All persons 54096 24560 29536 Aged 45312 20019 25293 65-74 years 25124 11828 13295 75-84 years 13723 5981 7743 85 years and over 6465 2210 4255Disabled 8783 4541 4243 Under 45 years 1929 1035 894 45-54 years 2467 1265 1203 55-64 years 4386 2240 2146 White 40904 18536 22368 Black 5565 2401 3164 All Other 7116 3289 3826 Native American 243 108 134 AsianPacific 1616 725 892 Hispanic 4798 2230 2567 Other 459 226 233

Unknown Race 511 333 178 NOTES Person-year enrollee counts for 2014 Numbers may not add to totals because of round-ing Race information is based on Research Triangle Institute (RTI) race codes

SOURCE CMS Office of Enterprise Data and Analytics

Table I4 Medicare Part D EnrollmentDemographics


All persons 37721 15938 21783

Aged 65-74 years 16543 7156 9387 75-84 years 9992 4087 5905 85 years and over 4555 1406 3150

Disabled Under 45 years 1572 823 750 45-54 years 1887 948 939 55-64 years 3171 1518 1653 NOTES Person-year enrollee counts for 2014 as reported in the CMS Chronic Conditions Data Warehouse Totals may not add because of rounding


7

Table I5 Medicare ESRD EnrollmentTrends

HI andor SMI HI SMI

In thousands Year 1985 1100 1091 1065 1990 1721 1706 1637 1995 2557 2536 2438 2000 2909 2904 2728 2005 3699 3698 3516 2010 4369 4368 4161 2014 4969 4938 4725

NOTE Data as of July 1 for years 1985-2010 Enrollee counts for 2014 are determined using a person-year methodology


Table I6 Medicare ESRD EnrollmentDemographics

Number of Enrollees (in thousands)

All persons 5475 Age Under 35 years 245 35-44 years 405 45-64 years 2106 65 years and over 2719

Sex Male 3121 Female 2354

Race White 2323 Black 1841

Other 1270 Unknown 41

NOTES CMS Chronic Conditions Data Warehouse Represents persons with ESRD ever enrolled during calendar year 2014


8

Table I7 Medicare Advantage Cost PACE Demo amp Prescription Drug

Number of MA only Drug Plan Total Contracts (Enrollees in thousands)

Total prepaid1 741 2094 15600 17694 Local CCPs 507 1543 13598 15140 PFFS 8 78 177 254 1876 Cost 16 297 269 566

1833 Cost (HCPP) 9 51 -- 51 PACE 117 -- 33 33 Other plans2 84 126 1524 1650

Total PDPs1 76 -- 24180 24180 Total 817 2094 39781 41875 1Totals include beneficiaries enrolled in employerunion-only group plans (contracts with 800 series plan IDs) Where a beneficiary is enrolled in both an 1876 cost or PFFS plan and a PDP plan both enrollments are reflected in these counts 2Includes MSA Pilot Medicare-Medicaid Plans and RPPOs

NOTE Data as of October 2015

SOURCE CMS Center for Medicare

Table I8 Medicare EnrollmentCMS Region

Enrollees as Resident Medicare Percent

Population1 Enrollees2 of Population

In thousands

All regions 318857 52882 166 Boston 14681 2699 184 New York 28684 4753 166 Philadelphia 30535 5385 176 Atlanta 63573 11535 181

Chicago 52196 9034 173 Dallas 40537 5903 146 Kansas City 13956 2459 176 Denver 11499 1644 143 San Francisco 49793 7246 146 Seattle 13403 2225 166 1Preliminary annual estimate July 1 2014 resident population 2Medicare enrollment data for 2014 are determined using a person-year methodology Excludes beneficiaries living in territories possessions foreign countries or with residence unknown

NOTES Resident population is a provisional estimate based on 50 States and the District of Columbia Numbers may not add to totals because of rounding For regional breakouts see Reference section SOURCES CMS Office of Enterprise Data and Analytics US Bureau of the Census Population Estimates Branch

9

Table I9 Medicare Enrollment by Health DeliveryCMS Region

MA and Other Total Original Medicare Health Plan

Enrollees Enrollees Enrollees

In thousands All regions 54096 37665 16430 Boston 2699 2142 558 New York 5520 3564 1956 Philadelphia 5385 3952 1432 Atlanta 11535 8009 3525 Chicago 9034 6199 2836 Dallas 5903 4298 1604 Kansas City 2459 1974 485 Denver 1644 1178 466 San Francisco 7267 4447 2820 Seattle 2225 1481 743 NOTES Person-year enrollee counts for 2014 Totals may not add because of rounding Foreign residents and unknowns are not included in the regions but included in the total figure


Table I9a Medicare Enrollment by Health DeliveryDemographics

Original MA and Other Total Medicare Health Plans

In thousands All persons 54096 37665 16430 Aged 45312 31038 14274 65-74 years 25124 17279 7844 75-84 years 13723 9119 4604 85 years and over 6465 4640 1825 Disabled 8783 6627 2156 Under 45 years 1929 1612 317 45-54 years 2467 1902 566 55-64 years 4386 3113 1273 Male 24560 17433 7127 Female 29536 20232 9304 White 40904 29298 11606 Black 5565 3743 1822 All Other 7116 4226 2890 Native American 243 210 33 AsianPacific 1616 1068 548 Hispanic 4798 2632 2165 Other 459 315 144 Unknown Race 511 399 112 NOTES Person-year enrollee counts for 2014 Numbers may not add to totals because of rounding Race information based on Research Triangle Institute race codes SOURCE CMS Office of Enterprise Data and Analytics

10

Table I10

Medicare Part D Enrollment by CMS Region

Total Medicare Total Part D of Total Enrollees Enrollees Enrollees

In thousands

All regions1 54096 37721 697

Boston 2699 1805 669 New York 5520 4054 734 Philadelphia 5385 3572 663 Atlanta 11535 8191 710 Chicago 9034 6496 719 Dallas 5903 3979 674 Kansas City 2459 1753 713 Denver 1644 1090 663 San Francisco 7267 5341 735 Seattle 2225 1425 641 1 Foreign residents and unknowns are not included in the regions but included in the total figure

NOTE Data for calendar year 2014 as reported in the CMS Chronic Conditions Data Warehouse SOURCE CMS Office of Enterprise Data and Analytics

Table I11 Medicare Part D Enrollment by Plan TypeCMS Region

Total Part D Total PDP Total MA-PD Enrollees Enrollees Enrollees

In thousands All regions1 37721 23437 14284


NOTE Data for calendar year 2014 as reported in the CMS Chronic Conditions Data Warehouse


11

Table I12

Medicare Part D and RDS EnrollmentCMS Region

Total Part D and Total Part D Total RDS RDS Enrollees Enrollees Enrollees



NOTE Data for calendar year 2014 as reported in the CMS Chronic Conditions Data Warehouse Totals may not add because of rounding


Table I13

Projected Population1

2010 2020 2040 2060 2080 2100

In millions

Total 315 342 392 430 471 511

Under 20 86 88 98 105 113 121

20-64 188 198 212 232 251 269

65 years and over 41 56 82 93 106 121 1 As of July 1

NOTE Numbers may not add to totals because of rounding

SOURCE Social Security Administration Office of the Chief Actuary based on the 2015 Trustees Report Intermediate Alternative

12

Table I14

Period Life Expectancy at Age 65

Historical and Projected

Male Female

Year In years

1965 129 163

1980 140 184

1990 151 191

2000 159 190

2010 176 202

20201 188 211

20301 195 217

20401 201 222

20501 207 228

20601 213 233

20701 218 237

20801 222 242

20901 227 246

21001 231 250 1 Projected


13

Table I15

Life Expectancy at Birth and at Age 65 by RaceTrends

Calendar Year All Races White Black

At Birth

1960 697 706 636

1980 737 744 681

1990 754 761 691

2000 768 773 718

2005 776 780 730

2010 787 789 751

2011 787 790 753

2012 788 791 755

2013 788 791 755

At Age 65

1960 143 144 139

1980 164 165 151

1990 172 173 154

2000 176 177 161

2005 184 185 169

2010 191 192 178

2011 192 192 180

2012 193 193 181

2013 193 193 181

SOURCE Centers for Disease Control and Prevention National Center for Health Statistics National Vital Statistics System

14

Table I16 Medicaid and CHIP Enrollment

Fiscal Year 1995 2000 2005 2010 2014 2015

Average monthly enrollment in millions Total 342 345 465 535 648 689 Age 65 years and over 37 37 46 47 54 56 BlindDisabled 58 67 81 95 98 102 Children 165 162 223 263 294 296 Adults 67 69 106 121 192 224 Other Title XIX1 06 NA NA NA NA NA Territories 08 09 10 10 10 10

CHIP NA 20 59 54 60 58

1In 1997 the Other Title XIX category was dropped and the enrollees therein were subsumed in the remaining categories

NOTES Aged and BlindDisabled eligibility groups include Qualified Medicare Beneficiaries (QMB) and Specified Low-Income Medicare Beneficiaries (SLMB) Children and Adult groups include both AFDCTANF and poverty-related recipients who are not disabled Medicaid enrollment excludes Medicaid expansion and CHIP programs CHIP numbers include adults covered under waivers Medicaid and CHIP figures for FY 2014-2015 are estimates from the Presidents FY 2016 budget Enrollment for Territories for FY 2000 and later is estimated Numbers may not add to totals because of rounding

SOURCES CMS Office of the Actuary and the Center for Medicaid and CHIP Services

15

Table I17 Medicaid EligiblesDemographics

Medicaid Percent Eligibles Distribution

In millions Total eligibles 709 1000

Age 709 1000 Under 21 353 499 21-64 years 272 384 65 years and over 67 95

Unknown 16 22

Sex 709 1000 Male 296 418 Female 412 581 Unknown 01 01

Race 709 1000 White not Hispanic 285 403

Black not Hispanic 155 218 Am IndianAlaskan Native 09 12

Asian 24 33 HawaiianPacific Islander 07 09

Hispanic 175 247 Other 03 05 Unknown 51 72

NOTES Fiscal Year 2012 data derived from MSIS Granular Database The percent distribution is based on unrounded numbers Totals do not necessarily equal the sum of rounded components Eligible is defined as anyone eligible and enrolled in the Medicaid program at some point during the fiscal year regardless of duration of enrollment receipt of a paid medical service or whether or not a capitated premium for managed care or private health insurance coverage has been made Age groups are determined using the eligiblersquos age at the end of the fiscal year Excludes beneficiaries ever enrolled in separate Title XXI Childrenrsquos Health Insurance Program (CHIP) Excludes data for Colorado Idaho and Maine and includes partial data for Arizona and Washington DC

SOURCE CMS Center for Medicaid and CHIP Services

16

Table I18 Medicaid EligiblesCMS Region

Enrollment as Resident

population1 Medicaid

enrollment2 percent of population

In thousands

All regions 305996 70895 232 Boston 13250 2964 224

New York 28483 7452 262 Philadelphia 30264 5828 193 Atlanta 62387 13582 218 Chicago 51953 11767 226 Dallas 39550 9206 233 Kansas City 13843 2578 186 Denver 5973 830 139

San Francisco 48767 14453 296 Seattle 11526 2235 194

1Estimated July 1 2012 population 2Persons ever enrolled in Medicaid during fiscal year 2012

NOTES Numbers may not add to totals because of rounding Excludes data for Colorado Idaho and Maine and includes partial data for Arizona and Washington DC Excludes enrollees ever enrolled in separate Title XXI Childrens Health Insurance Program (CHIP)

SOURCES CMS Center for Medicaid and CHIP Services US Department of Commerce Bureau of the Census

Table I19 Medicaid BeneficiariesState Buy-Ins for Medicare

1975 1 1980 1 2000 2 2014 2

Type of Beneficiary In thousands All buy-ins 2846 2954 5549 9273 Aged 2483 2449 3632 5340 Disabled 363 504 1917 3932

Percent of SMI enrollees All buy-ins 120 109 149 185 Aged 114 100 111 127 Disabled 187 189 402 481

1Beneficiaries for whom the State paid the SMI premium during the year 2Beneficiaries in person years

NOTES Numbers may not add to totals because of rounding Includes outlying areas foreign countries and unknown


17

18

ProvidersSuppliers

Information about institutions agencies or professionals who provide health care services and individuals or organizations who furnish health care equipment or supplies

These data are distributed by major providersupplier categories by geographic region and by type of program participation Utilization data organized by type of providersupplier may be found in the Utilization section

19

Table II1 Inpatient HospitalsTrends

1990 2000 2010 2014 Total hospitals 6522 5985 6169 6142 Beds in thousands 1105 991 928 931 Beds per 1000 enrollees1 328 253 196 173 Short-stay 5549 4900 3566 3466 Beds in thousands 970 873 785 784 Beds per 1000 enrollees1 288 223 166 146 Critical access hospitals NA NA 1325 1334 Beds in thousands --- --- 30 31 Beds per 1000 enrollees1 --- --- 06 06 Other non-short-stay 973 1085 1278 1342 Beds in thousands 135 118 113 116 Beds per 1000 enrollees1 40 30 24 22 1Based on number of total HI enrollees as of July 1 for years 1990 2000 and 2010 Based on person-year HI enrollee count for 2014

NOTES Facility data are as of December 31 and represent essentially those facilities eligible to participate at the start of the next calendar year Facilities certified for Medicare are deemed to meet Medicaid standards


Table II2 Inpatient HospitalsCMS Region

Short-stay Beds per Non Beds per and CAH 1000 Short-stay 1000 hospitals enrollees hospitals enrollees

All regions 4800 152 1342 22

Boston 178 119 64 35 New York 300 159 73 21 Philadelphia 360 133 131 24 Atlanta 883 156 249 18 Chicago 857 165 204 18 Dallas 764 179 350 38 Kansas City 460 189 62 18 Denver 312 160 50 25 San Francisco 475 133 130 16 Seattle 211 108 29 14 NOTES Critical Access Hospitals have been grouped with short stay Facility data as of Decem-ber 31 2014 Rates based on person-year hospital insurance enrollee count for 2014


20

Table II3 Medicare Hospital and SNFNFICF Facility Counts

Total participating hospitals 6142

Short-term hospitals 3466 Psychiatric units 1114 Rehabilitation units 915

Swing bed units 502 Psychiatric 551 Long-term 423 Rehabilitation 255

Childrenrsquos 98 Religious non-medical 15 Critical access 1334

Non-participating Hospitals 788 Emergency 436 Federal 352

All SNFsSNF-NFsNFs only 15637 All SNFsSNF-NFs 15179

Title 18 Only SNF 767 Hospital-based 188 Free-standing 579 Title 1819 SNFNF 14412 Hospital-based 573 Free-standing 13839

Title 19 only NFs 458 Hospital-based 102

Free-standing 356

All ICFIID facilities 6323

NOTES Data as of December 31 2014 Numbers may differ from other reports and program memoranda


21

Table II4 Long-Term FacilitiesCMS Region

Title XVIII and Nursing XVIIIXIX SNFs Facilities ICFIIDs

All regions 1 15179 458 6323

Boston 934 9 123 New York 995 2 586 Philadelphia 1366 39 389 Atlanta 2649 44 697 Chicago 3346 94 1387 Dallas 2050 50 1552 Kansas City 1405 113 200 Denver 591 35 111 San Francisco 1406 54 1198 Seattle 437 18 80 1 Includes outlying areas

NOTE Data as of December 2014


Table II5 Other Medicare Providers and SuppliersTrends

1980 1990 2010 2014

Home health agencies 2924 5661 10914 12268 Independent and Clinical Lab Improvement Act Facilities NA 4828 224679 250247 End stage renal disease facilities 999 1987 5631 6374 Outpatient physical therapy andor speech pathology 419 1144 2536 2102 Portable X-ray 216 435 561 536 Rural health clinics 391 517 3845 4062 Comprehensive outpatient rehabilitation facilities NA 184 354 216 Ambulatory surgical centers NA 1165 5316 5444 Hospices NA 772 3509 4140 NOTES Facility data for 1980 are as of July 1 Facility data for 1990 2010 and 2014 are as of December 31


22

Table II6 Selected FacilitiesType of Control

Skilled Short-stay nursing Home health hospitals facilities agencies

Total facilities 3466 15179 12268

Percent of total

Non-profit 595 239 152

Proprietary 213 706 798

Government 192 55 49

NOTES Data as of December 31 2014 Facilities certified for Medicare are deemed to meet Medicaid standards


Table II7 Periodic Interim Payment (PIP) FacilitiesTrends

1980 1990 2000 2012 2014

Hospitals Number of PIP

Percent of total participating

2276

338

1352

206

869

144

568

92

478

78

Skilled nursing facilities Number of PIP


203

39

774

73

1236

83

345

23

332

22

Home health agencies Number of PIP


481

160

1211

210

1038

144

141

12

146

12

NOTES These are facilities receiving Periodic Interim Payments (PIP) under Medicare Effec-tive for claims received on or after July 1 1987 the Omnibus Budget Reconciliation Act of 1986 eliminates PIP for many PPS hospitals when the servicing Part A MAC meets specified processing time standards


23

Table II8 Medicare Non-Institutional Providers by Specialty1

Count Total Providers 1173802

Primary Care 221469

Surgical Specialties 108447 Medical Specialties 142488

Anesthesiology 40453

ObstetricsGynecology 34606

Radiology 36713

Emergency Medicine 44399

Non-Physician Practitioners 332556

Limited Licensed Practitioners 104702

All Other Providers 131570

1 Providers utilized by Original Medicare beneficiaries for all Part B non-institutional provider services Providers may be counted in more than one specialty classification but are reported as a single provider in the Total Providers count

NOTE Data for calendar year 2014 as reported on the Original Medicare claims


Table II9

Medicare DMEPOS Providers by Specialty1

Count Total DMEPOS Providers 88033

Pharmacy 50338

Medical Supply Company 11257 Optometry 6276

Podiatry 5575

Individual Certified ProsthetistOrthotist 2704

Optician 2460

All Other DMEPOS Providers 9895

1Providers utilized by Original Medicare beneficiaries for all Part B non-institutional DMEPOS services Providers may be counted in more than one specialty classification but are reported as a single provider in the Total DMEPOS Providers count



24

Expenditures

Information about spending for health care services by Medicare Medicaid CHIP and for the Nation as a whole

Health care spending at the aggregate levels is distributed by source of funds types of service geographic area and broad beneficiary or eligibility categories Direct out-of-pocket other private and non-CMS-related expenditures are also covered in this section Expenditures on a per-unit-of-service level are covered in the Utilization section

25

Table III1 CMS and Total Federal Outlays

Fiscal year Fiscal year 2013 2014

$ in billions Gross domestic product (current dollars) $166186 $172440 Total Federal outlays1 34546 35061 Percent of gross domestic product 208 203 Dept of Health and Human Services1 8863 9360 Percent of Federal Budget 257 267 CMS Budget (Federal Outlays)

Medicare benefit payments 5774 5913 SMI transfer to Medicaid2 05 07

Medicaid benefit payments 2488 3015 Medicaid State and local admin 145 152 Medicaid offsets3 -05 -07

Childrens Health Ins Prog 95 90 CMS program management 37 36 Other Medicare admin expenses4 20 20 State Eligibility Determinations for Part D 00 00 Quality Improvement Organizations5 05 05 Health Care Fraud and Abuse Control 16 14 State Grants and Demonstrations6 05 05 User Fees and Reimbursables 07 05 Total CMS outlays (unadjusted) 8447 9103 Offsetting receipts7 -970 -945 Total net CMS outlays 7477 8158 Percent of Federal budget 216 233 1Net of offsetting receipts 2SMI transfers to Medicaid for Medicare Part B premium assistance ( $477 million in FY 2013 and $688 million in FY 2014) 3SMI transfers for low-income premium assistance 4Medicare administrative expenses of the Social Security Administration and other Federal agen-cies 5Formerly peer review organizations (PROs) 6Includes grants and demonstrations for various free-standing programs such as the Ticket to Work and Work Incentives Improvement Act (PL 106-170) emergency health services for undocument-ed aliens (PL108-173) and Medicaids Money Follows the Person Rebalancing Demonstration (PL 109-171)7Almost entirely Medicare premiums Also includes offsetting collections for user fee and reim-bursable activities as well as refunds to the trust funds

SOURCE CMS Office of Financial Management

26

Table III2 Program ExpendituresTrends

Total Medicare1 Medicaid2 CHIP3

$ in billions Fiscal year

1980 $608 $350 $258 --

1990 1822 1097 725 --

2000 4287 2190 2080 $17

2010 9409 5256 4039 114

2014 10820 5987 4703 130

1Medicare amounts reflect gross outlays (ie not net of offsetting receipts) These amounts include outlays for benefits administration Health Care Fraud and Abuse Control (HCFAC) activities Quality Improvement Organizations (QIOs) the SMI transfer to Medicaid for Medicare Part B premium assistance for low-income Medicare beneficiaries and since FY 2004 the admin-istrative and benefit costs of the Transitional Assistance and Part D Drug benefits under the Medicare Modernization Act of 2003

2The Medicaid amounts include total computable outlays (Federal and State shares) for benefits and administration the Federal and State shares of the cost of Medicaid surveycertification and State Medicaid fraud control units and outlays for the Vaccines for Children program These amounts do not include the SMI transfer to Medicaid for Medicare Part B premium assistance for low-income beneficiaries nor do they include the Medicare Part D compensation to States for low-income eligibility determinations in the Part D Drug program

3The CHIP amounts reflect both Federal and State shares of Title XXI outlays Please note that CHIP-related Medicaid began to be financed under Title XXI in 2001



27

Table III3 Annual Benefit Outlays by Program

1967 1980 2010 2014

Amounts in billions CMS program outlays $51 $578 $915 $1081

Federal outlays NA 472 793 891

Medicare1 32 339 518 598

HI 25 238 250 271

SMI 07 101 209 262

Prescription (Part D) NA NA 59 65

Medicaid2 19 239 386 470

Federal share NA 132 266 284

CHIP3 NA NA 11 13

Federal share NA NA 8 9

1The Medicare benefit amounts reflect gross outlays (ie not net of offsetting premiums) These amounts exclude outlays for the SMI transfer to Medicaid for premium assistance and the Quality Improvement Organizations (QIOs)

2The Medicaid amounts include total computable outlays (Federal and State shares) for Medicaid benefits and outlays for the Vaccines for Children program

3The CHIP amounts reflect both Federal and State shares of Title XXI outlays as reported by the States on line 4 of the CMS-21 Please note that CHIP-related Medicaid expansions began to be financed under CHIP (Title XXI) in FY 2001

NOTES Fiscal year data Numbers may not add to totals because of rounding


28

Table III4 Program Benefit PaymentsCMS Region

Fiscal Year 2013 Net Expenditures Reported1

Medicaid Total Payments Computable for Federal funding Federal Share

In millions All regions $433131 $248800

Boston 26805 13956 New York 64834 32757 Philadelphia 42670 23556 Atlanta 67823 44435 Chicago 68180 40640 Dallas 46561 29266 Kansas City 16822 10134 Denver 10214 5812 San Francisco 73363 39201 Seattle 15859 9043 1Data from Form CMS-64--Net Expenditures Reported by the States Medical assistance payments only excludes administrative expenses and Childrens Health Insurance Program (CHIP) Unad-justed by CMS NOTE Numbers may not add to totals because of rounding


Table III5 Medicare Benefit Outlays

Fiscal Year 2013 2014 2015

In billions Part A benefit payments $2618 $2618 $2681

Aged 2179 2176 2232

Disabled 439 442 449

Part B benefit payments 2431 2566 2729 Aged 1971 2079 2215 Disabled 459 487 513

Part D 680 722 838 NOTES Based on 2015 Trustees Report Part A benefits include additional payments for HIT CBC IPAB and Sequester Part B benefits include additional payments for HIT IPAB and Sequester Part D benefits include additional payments for IPAB Ageddisabled split of Part D benefit outlays not available Totals do not necessarily equal the sum of rounded components

SOURCE CMS Office of the Actuary 29

Table III6 MedicareType of Benefit

Fiscal Year 2015 Benefit Percent Payments1 in millions Distribution

Total Part A23 $268084 1000 Inpatient hospital 136415 509 Skilled nursing facility Home health agency4

29928 6865

11226

Hospice 16056 60 Managed care Total Part B35

78821 272877

294 1000

Physicianother suppliers6 69199 254 DME 6502 24 Other carrier 21184 78 Outpatient hospital Home health agency4

43574 11491

16042

Other intermediary 19459 71 Laboratory 8534 31 Managed care Total Part D7

92934 83845

341 1000

1Includes the effects of regulatory items and recent legislation but not proposed law 2Includes HIT CBC IPAB and Sequester expenditures 3Excludes QIO expenditures 4Distribution of home health benefits between the trust funds estimated based on outlays reported to date by the Treasury 5Includes HIT IPAB and Sequester expenditures 6Includes payments made for HIT 7Includes payments made for IPAB

NOTES Based on 2015 Trustees Report Benefits by type of service are estimated and are subject to change Totals do not necessarily equal the sum of rounded components


Table III7 National Health CareTrends

Calendar Year 1990 2000 2013

National total in billions $7243 $13780 $29191 Percent of GDP 121 134 174 Per capita amount $2855 $4881 $9255 Sponsor Percent of total Private Business 246 251 209 Household 349 315 282 Other Private Revenues 79 78 75 Governments 326 355 434 Federal government 173 190 259 State and local government 153 165 174 NOTE Numbers may not add to totals because of rounding

SOURCES CMS Office of the Actuary US Department of Commerce Bureau of Economic Analysis and US Bureau of the Census

30

Table III8 MedicaidType of Service

Fiscal Year 2011 2012 2013

In billions Total medical assistance payments1 $4075 $4088 $4331

Percent of Total Inpatient services 157 145 145 General hospitals 148 137 137

Mental hospitals 09 08 08 Nursing facility services 125 123 117 ICFIID services 33 33 28 Community-based long term care svs2 135 135 130 Prescribed drugs3 36 21 15 Physician and other practitioner services 40 35 33 Dental services 13 11 09 Outpatient hospital services 42 38 39 Clinic services4 27 26 24 Laboratory and radiological services 04 04 04 Early and periodic screening 03 03 03 Case management services 07 07 07 Capitation payments (non-Medicare) 252 291 319 Medicare premiums 35 33 32 Disproportionate share hosp payments 42 42 38 Other services 66 72 74 Collections5 -18 -20 -16 1Excludes payments under CHIP

2Comprised of home health home and community-based waivers personal care and home and community-based services for functionally disabled elderly

3Net of prescription drug rebates 4Federally qualified health clinics rural health clinics and other clinics 5Includes third party liability probate fraud and abuse overpayments and other collections


SOURCES CMS CMCS and OACT

31

Table III9 Medicare Savings Attributable to Secondary Payer

Provisions by Type of Provision Fiscal Year

2012 2013 2014 In millions Total $78622 $89258 $81999 Workers Compensation1 18419 18885 17117 Working Aged 31265 38384 35458 ESRD 2960 3031 2709 Auto 2122 1901 1729 Disability 18406 21196 19968 Liability 5232 5663 4885 VAOther 217 198 133 1Includes Workersrsquo Compensation set-asides

NOTES Includes Liability savings of the global settlements recovered by CMS Numbers may not add to totals because of rounding


Table III10 MedicaidPayments by Eligibility Status

Fiscal Year 2013 Medical Assistance Percent

Payments Distribution In billions Total1 $4331 1000

Age 65 years and over 815 188 Blinddisabled 1752 404 Dependent children under 21 years of age 782 180 Adults in families with dependent children 645 149 Disproportionate share hospital and other unallocated payments2 338 78 1Excludes payments under Childrens Health Insurance Program (CHIP)

2Includes collections prior period adjustments and payments to territories


32

Table III11 MedicareDMEPOS1

BETOS Category Allowed Charges2

2013 2014 In thousands

Total $10147264 $8686710

Medicalsurgical supplies 193817 204469 Hospital beds 183537 119600 Oxygen and supplies 1679612 1429545 Wheelchairs 806018 617261 Prostheticorthotic devices Drugs admin through DME3

2444878 770702

2363720 827574

Parenteral and enteral nutrition 604248 512214 Other DME 3464453 2612327 1Data are for calendar year DME=durable medical equipment POS=Prosthetic orthotic and supplies

2The allowed charge is the Medicare approved payment reported on a line item on the physician supplier claim

3Includes inhalation drugs administered through nebulizers only and does not include drugs administered through other DME such as infusion pumps

NOTE Over time the composition of BETOS categories has changed with the reassignment of selected procedures services and supplies Data for 2013 and 2014 as reported in the CMS Chronic Conditions Data Warehouse


33

Table III12 National Health CareType of Expenditure

National Per Percent Paid Total capita

in billions amount Total Medicare Medicaid Total $29191 $9255 355 201 154 Health Consumption Expenditures 27545 8733 376 213 163 Personal health care 24686 7826 389 223 166 Hospital care 9369 2970 434 259 175 Prof services 7779 2466 272 191 81 Physclinical 5867 1860 307 222 85 Other Professional 802 254 287 225 62 Dental 1110 352 72 04 68 Other Health Residential amp Personal Care 1482 470 591 34 557 Nursing Care Facilities amp

Continuing Care Retirement Communities 1558 494 523 222 301

Home Health 798 253 796 431 365 Retail outlet sales 3700 1173 300 230 70 Admn Net Cost and public health 2860 907 258 123 135 Investment 1646 522 -- -- --NOTE Data are as of calendar year 2013

SOURCE CMS Office of the Actuary Table III13

Personal Health CarePayment Source Calendar Year

1980 1990 2000 2013 In billions Total $2172 $6168 $11657 $24686

PercentTotal 1000 1000 1000 1000 Out of pocket 269 225 173 137 Health Insurance 607 654 725 773 Private Health Insurance 283 332 349 343 Medicare 167 174 186 223 Medicaid (Title XIX) 114 113 160 166 Total CHIP (Title XIX and Title XXI) -- -- 02 05 Department of Defense 18 17 11 15 Department of Veterans Affairs 26 18 16 22 Other Third Party Payers and Programs 124 121 102 90 NOTES Excludes administrative expenses the net cost of insurance non-commercial medical research investment in structures and equipment and public health expenditures Numbers may not add to totals because of rounding SOURCE CMS Office of the Actuary

34

Utilization

Information about the use of health care services

Utilization information is organized by persons receiving services and alternately by services rendered Measures of health care usage include persons served units of service (eg discharges days of care etc) and dimensions of the services rendered (eg average length of stay charge per person or per unit of service) These utilization measures are aggregated by program coverage categories provider characteristics type of service and demographic and geographic variables

35

Table IV1 MedicareShort-Stay Hospital Utilization

1990 2000 2013 2014 Discharges Total in millions 105 117 107 104 Rate per 1000 enrollees1 320 362 289 280

Days of care Total in millions 94 70 58 56 Rate per 1000 enrollees1 2866 2175 1548 1500

Average length of stay All short-stay 90 60 54 54 Excluded units 195 123 119 119

Total charges per day $1060 $2720 $8873 $9338

1The population base for the denominator is the July 1 HI Original Medicare enrollment for years 1990 and 2000 For 2013 and 2014 the HI Original Medicare enrollee counts are based on a person-year methodology

NOTES Data may reflect underreporting due to a variety of reasons including operational difficulties experienced by intermediaries no-pay at-risk managed care utilization no-pay Medi-care secondary payer bills and for certain years discharges where the beneficiary received services out of State Data may differ from other sources or from the same source with a different update cycle


Table IV2 Medicare Long-Term CareTrends

Skilled Nursing Facilities Home Health Agencies

Persons Served Persons Served Served in per 1000 Served in per 1000 thousands enrollees thousands enrollees

Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961

1Managed care enrollees excluded in determining rate


36

Table IV3 Medicare Average Length of StayTrends

Fiscal Year

1990 1995 2000 2010 2014 All short-stay and excluded units Short-stay PPS units 90 71 60 51 50 Short-stay hospital non-PPS units 89 71 60 51 56 Excluded units 195 148 123 118 119

NOTES Fiscal year data Average length of stay is shown in days Data for 1990 through 2014 are based on 100-percent MEDPAR stay record file Data may differ from other sources or from the same source with a different update cycle


Table IV4 Medicare Persons ServedTrends

Calendar Year 1975 1985 1995 2005 2010 2014

Aged persons served per 1000 enrollees

HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979

Disabled persons served per 1000 enrollees

HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028

NOTES Prior to 2000 data were obtained from the Annual Person Summary Record and were not yet modified to exclude persons enrolled in managed care Beginning in 2000 the rates were adjusted to exclude managed care enrollees Persons served represents estimates of beneficiaries receiving services under Original Medicare during the calendar year


37

Table IV5 Original Medicare Persons Served

Year

2010 2011 2012 2013 2014 HI Aged

Original Medicare Enrollees 290 293 300 305 307 Persons served 69 63 63 62 61 Rate per 1000 237 217 208 202 197

Disabled Original Medicare Enrollees 66 68 69 67 66

Persons served 14 14 14 13 13 Rate per 1000 213 201 196 197 198

SMI Aged




NOTES For years 2010-2012 enrollment represents persons enrolled in Original Medicare as of July For 2013 and 2014 Medicare enrollment is based on a person-year methodology Persons served represents counts of beneficiaries receiving reimbursed services under Original Medicare during the calendar year Rate is the ratio of persons served during the calendar year to the number of Original Medicare enrollees

Original Medicare enrollees and persons served counts are in millions


38

Table IV6 Medicare Persons ServedCMS Region

Disabled Aged Persons Served Persons Served

Served per 1000 Served in per 1000 in thousands Enrollees thousands Enrollees

All Regions1 27634 890 6251 943 Boston 1533 878 376 948

New York 2513 847 518 870 Philadelphia 2928 893 639 949 Atlanta 6018 927 1482 975 Chicago 4832 967 1174 976 Dallas 3107 887 745 935 Kansas City 1503 919 325 961 Denver 926 923 168 966

San Francisco 3196 845 598 897 Seattle 1063 862 225 906

1Includes utilization for residents of outlying territories possessions foreign countries and unknown NOTES Data are based on counts of beneficiaries receiving HI andor SMI reimbursed services under Original Medicare during calendar year 2014 Numbers may not add to totals because of rounding


Table IV6a Original Medicare Persons Served by Type of Service

Disabled Total Persons Aged Persons Persons

Served in Served in Served in thousands thousands thousands

Parts A andor B 33885 27634 6251

Part A 7372 6061 1312 Inpatient hospital 6383 5134 1248 Skilled nursing facility 1827 1650 177 Home health agency 1657 1440 217 Hospice 1331 1257 73

Part B 33401 27211 6190 Physiciansupplier 32745 26745 6000 Outpatient 25083 20280 4803

Home health agency 1945 1677 268

NOTES Data are as of calendar year 2014 Persons served represents counts of beneficiaries receiving services under Original Medicare during the calendar year


39

Table IV7 Medicare End Stage Renal Disease (ESRD) by Treatment Modalities

Medicare Entitled Dialysis Transplant

Year Total Patients Patients 1991 180625 141069 39556 1999 316167 244869 71298 2000 332885 257686 75199 2001 349207 270016 79191 2002 364956 281327 83629 2003 377592 291782 85810 2004 393301 301866 91435 2005 408378 312008 96370 2006 425039 323545 101494 2007 441030 334995 106035 2008 457660 347212 110448 2009 475292 360537 114755 2010 492713 373483 119230 2011 507324 383420 123904

SOURCE United States Renal Data System

Table IV8 Medicare End Stage Renal Disease (ESRD)

by Treatment Modalities and Demographics 2010 Medicare Entitled

Total Dialysis Patients

Transplant Patients

Total--all patients 492713 373483 119230 Age 0-19 years 3196 1452 1744 20-64 years 278262 195727 82535 65-74 years 118721 90823 27898 75 years and over 92534 85481 7048 Sex Male 280229 208505 71724

Female 212484 164978 47506 Race

White 295864 211046 84818 Black 164299 137796 26503 Native American 6646 5428 1218 AsianPacific 23830 17901 5929 OtherUnknown 2074 1312 762 SOURCE United States Renal Data System

40

Table IV9 MedicaidType of Service

Fiscal year 2012 Medicaid Beneficiaries

In thousands Total eligibles 70895

Number using service

Total beneficiaries any service1 63312

Inpatient services General hospitals 7601

Mental hospitals Nursing facility services2

42 1415

ICFIID services 95 Physician services 42770 Dental services 18223 Other practitioner services 9399 Outpatient hospital services 26292 Clinic services 15744 Laboratory and radiological services 28131 Home health services 1696 Prescribed drugs 38695 Personal care support services 1189 Sterilization services 285 PCCM capitation 9266 HMO capitation 39360 PHP capitation 19301 Targeted case management 2579 Other services unspecified 15873 Additional service categories 12848 Unknown 524

1Excludes gross adjustment claims for services received by individual patients that come in the form of a lump sum payment covering services to more than one patient 2All nursing facility services Unlike Medicare there is no distinction for SNFs

NOTES The methodology used is different from previous updates for this table and data were derived from the MSIS Granular Database Beneficiary counts include Medicaid eligibles enrolled in fee-for-service and Medicaid managed care Excludes data for Colorado Idaho and Maine and includes partial data for Arizona and Washington DC Excludes CHIP


41

Table IV10 MedicaidUnits of Service

Fiscal Year 2012 Units of Service

In thousands Inpatient hospital Total discharges 7536

Beneficiaries discharged 6778 Total days of care 43765

Nursing facility Total days of care 290962

ICFIID Total days of care 26733

NOTES Data are derived from the MSIS Granular Database Service counts produced using inpatient and long term care original fee-for-service and Medicaid managed care claims Excludes enrollees ever enrolled in separate Title XXI CHIP program and beneficiaries that had claims but no matching Medicaid enrollment in 2012 Excludes data for Colorado Idaho and Maine and includes partial data for Arizona and Washington DC


42

AdministrativeOperating

Information on activities and services related to oversight of the day-to-day operations of CMS programs

Included are data on Medicare contractors contractor activities and performance CMS and State agency administrative costs quality control and summaries of the operation of the Medicare trust funds

43

Table V1 Medicare Administrative ExpensesTrends

Administrative Expenses As a Percent of

Fiscal Year Amount in millions Benefit Payments HI Trust Fund 1967 $89 35 1970 149 31 1980 497 21 1990 774 12 1995 1300 11 2000 1 2350 18 2005 1 2850 16 2010 3328 14 2012 3696 15 2013 4135 16 2014 4332 17

SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13

1Includes non-expenditure transfers for Health Care Fraud and Abuse Control

2Starting in FY 2004 includes the transactions of the Part D account

3Includes expenses paid in fiscal years 1966 and 1967

SOURCE CMS Office of Actuary

44

Table V2 Medicare Administrative Contractors

Number

AB MACs 13

DME MACs 4

NOTE Data as of August 2015


Table V3 Medicare Redeterminations

Intermediary Intermediary Carrier Redeterminations Redeterminations Redeterminations

(Part A Cases Involved)

(Part B Cases Involved)


Number Processed 385016 229134 2624982

Percent Reversed 123 463 392 (Includes Fully amp Partially Reversed Cases)

NOTES Data for fiscal year 2014 Data presented in cases


Table V4 Medicare PhysicianSupplier Claims Assignment Rates

2000 2005 2010 2012 2013 2014 In millions

Claims total 7205 9516 9727 10032 9946 9952 Claims assigned 7057 9407 9657 9974 9892 9899 Claims unassigned 153 109 70 58 54 53

Percent assigned 979 989 993 994 995 995

NOTE Calendar year data (includes Carriers Part B AB MACs DME MACs) Due to the ongoing transition from Carriers to Part B MACs this table has been altered to solely reflect assignment rates at the National level


45

Table V5 Medicare Claims Processing

Fiscal Year 2014

Part A claims processed in millions 2100

Part B claims processed in millions1 10030

1Includes replicate claims (as reported in prior years)


Table V6 Medicare Claims Received

Claims received

Intermediary claims

received in millions 2113

Percent of total

Inpatient hospital 70

Outpatient hospital 546

Home health agency 73

Skilled nursing facility 27

Other 284

Carrier claims received in millions 9904

Percent of total

Assigned 995

Unassigned 05

NOTE Data for calendar year 2014


46

Table V7 Medicare Charge Reductions

Assigned Unassigned

Claims approved

Number in millions 8806 42

Percent reduced 951 790

Total covered charges

Amount in millions $347953 $519


Amount reduced per claim $25034 $2678 NOTES Data for calendar year 2014 Charge reductions include reasonable charge medical necessity and global feerebundling reductions


Table V8 Medicaid Administration

Fiscal Year 2013 2014

In millions Total payments computable for Federal funding1 $22938 $24418

Federal share1

Family Planning 32 30 Design development or

installation of MMIS2 533 663 Skilled professional

medical personnel 440 487 Operation of an

approved MMIS2 1550 1569 All other 11588 12359 Mechanized systems not approved under MMIS2 73 85

Total Federal Share $14216 $15193

Net adjusted Federal share3 $13682 $14675 1Source Form CMS-64 (Net Expenditures ReportedmdashAdministration) 2Medicaid Management Information System 3Includes CMS adjustments


47

48

Reference

Selected reference material including program financing cost-sharing features of the Medicare program and Medicaid Federal medical assistance percentages

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Les

s th

an o

r eq

ual t

o $8

500

0 $0

00

$316

70

Gre

ater

than

$85

000

and

less

than

or

equa

l to

$129

000

$194

90

$389

80

Gre

ater

than

$12

900

0 $2

680

0

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

D S

tan

dar

d B

enef

its

Ded

ucti

ble

(11

201

6)

$360

in c

harg

esy

ear

Init

ial c

over

age

lim

it (

11

2016

) $3

310

in c

harg

esy

ear

Out

-of-

pock

et th

resh

old

(11

201

6)

$48

50 in

cha

rges

yea

r B

ase

bene

fici

ary

prem

ium

(1

120

16)1

$34

10m

onth

Med

icai

d F

inan

cin

g 1

F

eder

al c

ontr

ibut

ions

(ra

ngin

g fr

om 5

0 to

74

perc

ent f

or f

isca

l yea

r 20

16)

2

Sta

te c

ontr

ibut

ions

(ra

ngin

g fr

om 2

6 to

50

perc

ent f

or f

isca

l yea

r 20

16)

1 The

bas

e be

nefi

ciar

y pr

emiu

m w

as c

alcu

late

d ba

sed

on a

nat

iona

l ave

rage

pla

n bi

d T

he a

ctua

l pre

miu

m th

at a

ben

efic

iary

pay

s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

nefi

ciar

y is

enr

olle

d

NO

TE

S

The

ben

efic

iari

es w

ho q

uali

fy f

or th

e lo

w-i

ncom

e su

bsid

y un

der

Par

t D p

ay a

red

uced

or

zero

pre

miu

m

In a

ddit

ion

low

-inc

ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Geographical Jurisdictions of CMS Regional Offices and Medicaid Federal Medical Assistance Percentages (FMAP) fiscal year 2016

I Boston FMAP II New York FMAP ConnecticutMaine

5000 6267

New Jersey New York

5000 5000

Massachusetts 5000 Puerto Rico 5500 New Hampshire 5000 Virgin Islands 5500 Rhode Island 5042 Vermont 5390 IV Atlanta

Alabama 6987 III Philadelphia

Delaware 5483 Dist of Columbia 7000

Maryland 5000 Pennsylvania 5201 Virginia 5000

West Virginia 7142

Florida Georgia

Kentucky Mississippi North Carolina South Carolina Tennessee

6067 6755 7032 7417 6624 7108 6505

V Chicago Illinois 5089

VI Dallas Arkansas 7000

Indiana 6660 Louisiana 6221 Michigan Minnesota

6560 5000

New Mexico Oklahoma

7037 6099

Ohio 6247 Texas 5713 Wisconsin 5823

VIII DenverVII Kansas City

Iowa 5491 Colorado

Montana 5072 6524

Kansas 5596 North Dakota 5000 Missouri 6328 South Dakota 5161 Nebraska 5116 Utah 7024

Wyoming 5000IX San Francisco

Arizona 6892 X Seattle California 5000 Alaska 5000

Hawaii 5398 Idaho 7124 Nevada 6493 Oregon 6438 American Samoa 5500 Washington 5000 Guam 5500 N Mariana Islds 5500

NOTE FMAPs are used in determining the amount of Federal matchingfunds for State expenditures for assistance payments

SOURCE DHHS Assistant Secretary for Planning and Evaluation

US Department of Health amp Human Services Centers for Medicare amp Medicaid Services Office of Enterprise Data and Analytics CMS Pub No 03512 December 2015

Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands

Table I10 Medicare Part D Enrollment by CMS Region

Table I12 Medicare Part D and RDS EnrollmentCMS Region

Table I13 Projected Population

Table I14

Table I15 Life Expectancy at Birth and at Age 65 by RaceTrends

Table I18


Total hospitals

All regions

Total participating hospitals

Home health agencies

Table II6

Hospitals Number of PIP Percent of total participating

Count

Count

Total

1967

In millions

2013

Total Part A23

National total in billions

Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7

for Federal funding1

I Boston

US Department of Health amp Human Services

Sylvia Mathews Burwell Secretary


Andrew Slavitt Acting Administrator

Patrick Conway MD Acting Principal Deputy Administrator and CMS Chief Medical Officer

Mandy Cohen Chief Operating Officer and Chief of Staff


Niall Brennan Director amp CMS Chief Data Officer

Christine Cox Deputy Director


Christopher Powers Director


Maria Diacogiannis Tony Dean Publication Staff Wendy Hildt

Press inquiries should be directed to the CMS Media Relations Group (202) 690-6145 or presscmshhsgov

National health expenditure inquiries cmsdnhscmshhsgov Data availability httpswwwcmsgovResearch-Statistics-Data-and-SystemsStatistics-Trends-and-ReportsCMS-Statistics-Reference-Bookletindexhtml Submit questions on this publication httpsquestionscmsgov



Page


I Populations 5


III Expenditures 25

IV Utilization 35


Reference 49

i

AFDC

BETOS

CAHs

CBC

CCPs

CHIP

CM

CMCS

CMS

DHHS

DME MACs

DME

DMEPOS

ESRD

FFS

ii








Center for Medicare








Fee-For-Service











iii



iv


Populations






1


ProvidersSuppliers





2

Expenditures








3








4

Populations



5



July In millions 1966 191 191 --1970 204 204 --1975 249 227 22 1980 284 255 30 1985 311 281 29 1990 343 310 33 1995 376 332 44

Average monthly 2000 397 343 54 2005 426 358 68 2010 477 396 81 2012 509 422 87 2013 525 436 88 2014 538 449 89 2015 558 468 91




HI andor SMI HI P

SMI

art B Part D

HI and SMI

HI Only

SMI Only

In millions

All persons

Aged persons

Disabled persons

553

463

90

550

460

90

504

422

82

415

--

--

501

419

82

49

41

08

03

03



6








All persons 37721 15938 21783




7


HI andor SMI HI SMI












8











In thousands




9









10

Table I10



In thousands

All regions1 54096 37721 697









11

Table I12







Table I13


2010 2020 2040 2060 2080 2100

In millions

Total 315 342 392 430 471 511

Under 20 86 88 98 105 113 121

20-64 188 198 212 232 251 269




12

Table I14



Male Female

Year In years

1965 129 163

1980 140 184

1990 151 191

2000 159 190

2010 176 202

20201 188 211

20301 195 217

20401 201 222

20501 207 228

20601 213 233

20701 218 237

20801 222 242

20901 227 246

21001 231 250 1 Projected


13

Table I15



At Birth

1960 697 706 636

1980 737 744 681

1990 754 761 691

2000 768 773 718

2005 776 780 730

2010 787 789 751

2011 787 790 753

2012 788 791 755

2013 788 791 755

At Age 65

1960 143 144 139

1980 164 165 151

1990 172 173 154

2000 176 177 161

2005 184 185 169

2010 191 192 178

2011 192 192 180

2012 193 193 181

2013 193 193 181


14


Fiscal Year 1995 2000 2005 2010 2014 2015


CHIP NA 20 59 54 60 58




15





Unknown 16 22








16





In thousands








1975 1 1980 1 2000 2 2014 2






17

18

ProvidersSuppliers



19







All regions 4800 152 1342 22



20










Free-standing 356




21



All regions 1 15179 458 6323





1980 1990 2010 2014



22




Percent of total







1980 1990 2000 2012 2014



2276

338

1352

206

869

144

568

92

478

78



203

39

774

73

1236

83

345

23

332

22



481

160

1211

210

1038

144

141

12

146

12



23



Primary Care 221469




Radiology 36713








Table II9



Pharmacy 50338


Podiatry 5575


Optician 2460





24

Expenditures



25








26




1980 $608 $350 $258 --

1990 1822 1097 725 --

2000 4287 2190 2080 $17

2010 9409 5256 4039 114

2014 10820 5987 4703 130






27


1967 1980 2010 2014



Medicare1 32 339 518 598

HI 25 238 250 271

SMI 07 101 209 262


Medicaid2 19 239 386 470


CHIP3 NA NA 11 13







28








Fiscal Year 2013 2014 2015


Aged 2179 2176 2232








29928 6865

11226


78821 272877

294 1000


43574 11491

16042


92934 83845

341 1000








30


Fiscal Year 2011 2012 2013








31












32




Total $10147264 $8686710


2444878 770702

2363720 827574






33










34

Utilization



35












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

eS

ourc

e of

In

com

e

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icar

e P

art

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ospi

tal I

nsur

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t fun

d 1

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ayro

ll ta

xes

2

Inc

ome

from

taxa

tion

of

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al s

ecur

ity

bene

fits

3

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nsfe

rs f

rom

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lroa

d re

tire

men

t acc

ount

4

Gen

eral

rev

enue

for

uni

nsur

ed p

erso

ns a

nd m

ilit

ary

wag

e c

redi

ts

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rem

ium

s fr

om v

olun

tary

enr

olle

es

6 I

nter

est o

n in

vest

men

ts

Con

trib

utio

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te

2014

20

15

2016

Per

cent

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ploy

ees

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empl

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ach

145

1

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elf-

empl

oyed

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90

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imum

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ble

amou

nt (

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201

6)

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e1

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unta

ry H

I m

onth

ly p

rem

ium

2 $

411

00

Par

t A

(ef

fect

ive

dat

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(11

16)

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coi

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ays

(11

16)

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ifet

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days

(1

116

) S

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coi

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s

(11

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lood

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ay

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day

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t 3 p

ints

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ar

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th $

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0 no

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ays

1 The

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nibu

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ct o

f 19

93 e

lim

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ed th

e A

nnua

l Max

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Tax

able

Ear

ning

s am

ount

s fo

r 19

94 a

nd la

ter

For

thes

e ye

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the

co

ntri

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ate

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s in

cov

ered

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ploy

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t

2 Prem

ium

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lunt

ary

part

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atio

n of

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aged

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over

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oth

erw

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ium

of

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is a

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Off

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t B

(ef

fect

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dat

e)

Am

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t D

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tibl

e (1

11

6) $

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in a

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od d

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ints

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r ye

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ance

1 20

per

cent

of

allo

wed

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M

onth

ly s

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prem

ium

(1

116

) $

104

90m

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s O

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ness

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Off

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Pro

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)

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art B

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thly

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m r

ates

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ciar

ies

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e an

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vidu

al ta

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turn

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ng th

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ld q

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r) w

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g se

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tely

w

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ved

apar

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eir

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se f

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ble

year

) o

r a

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t tax

ret

urn

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e

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mou

nt

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ium

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ount

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s th

an o

r eq

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o $8

500

0 L

ess

than

or

equa

l to

$170

000

$0

00

$121

80

Gre

ater

than

$85

000

and

less

than

Gre

ater

than

$17

000

0 an

d le

ss th

an

or e

qual

to $

107

000

or e

qual

to $

214

000

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870

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705

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Gre

ater

than

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700

0 an

d le

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an

G

reat

er th

an $

214

000

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than

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000

0 or

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0

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ater

than

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000

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ss th

an

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reat

er th

an $

320

000

and

less

than

or

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al to

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400

0 or

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al to

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800

0

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90

$316

70

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ater

than

$21

400

0 G

reat

er th

an $

428

000

$268

00

$389

80

In a

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ion

the

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thly

pre

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m r

ates

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e pa

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y be

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ciar

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are

mar

ried

and

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r sp

ouse

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me

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ng th

e ta

xabl

e ye

ar b

ut f

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para

te ta

x re

turn

fro

m th

eir

spou

se a

re li

sted

bel

ow

Tot

al m

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ly

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se a

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a s

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rn

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nt

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ount

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arri

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r In

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onth

ly

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80

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s th

an o

r eq

ual t

o $8

500

0 $0

00

$316

70

Gre

ater

than

$85

000

and

less

than

or

equa

l to

$129

000

$194

90

$389

80

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ater

than

$12

900

0 $2

680

0

SO

UR

CE

C

MS

Off

ice

of th

e A

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ry

Pro

gram

Fin

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ng

Cos

t S

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ing

and

Lim

itat

ion

s

Med

icar

e P

art

D S

tan

dar

d B

enef

its

Ded

ucti

ble

(11

201

6)

$360

in c

harg

esy

ear

Init

ial c

over

age

lim

it (

11

2016

) $3

310

in c

harg

esy

ear

Out

-of-

pock

et th

resh

old

(11

201

6)

$48

50 in

cha

rges

yea

r B

ase

bene

fici

ary

prem

ium

(1

120

16)1

$34

10m

onth

Med

icai

d F

inan

cin

g 1

F

eder

al c

ontr

ibut

ions

(ra

ngin

g fr

om 5

0 to

74

perc

ent f

or f

isca

l yea

r 20

16)

2

Sta

te c

ontr

ibut

ions

(ra

ngin

g fr

om 2

6 to

50

perc

ent f

or f

isca

l yea

r 20

16)

1 The

bas

e be

nefi

ciar

y pr

emiu

m w

as c

alcu

late

d ba

sed

on a

nat

iona

l ave

rage

pla

n bi

d T

he a

ctua

l pre

miu

m th

at a

ben

efic

iary

pay

s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

nefi

ciar

y is

enr

olle

d

NO

TE

S

The

ben

efic

iari

es w

ho q

uali

fy f

or th

e lo

w-i

ncom

e su

bsid

y un

der

Par

t D p

ay a

red

uced

or

zero

pre

miu

m

In a

ddit

ion

low

-inc

ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston



Page


I Populations 5


III Expenditures 25

IV Utilization 35


Reference 49

i

AFDC

BETOS

CAHs

CBC

CCPs

CHIP

CM

CMCS

CMS

DHHS

DME MACs

DME

DMEPOS

ESRD

FFS

ii








Center for Medicare








Fee-For-Service











iii



iv


Populations






1


ProvidersSuppliers





2

Expenditures








3








4

Populations



5



July In millions 1966 191 191 --1970 204 204 --1975 249 227 22 1980 284 255 30 1985 311 281 29 1990 343 310 33 1995 376 332 44

Average monthly 2000 397 343 54 2005 426 358 68 2010 477 396 81 2012 509 422 87 2013 525 436 88 2014 538 449 89 2015 558 468 91




HI andor SMI HI P

SMI

art B Part D

HI and SMI

HI Only

SMI Only

In millions

All persons

Aged persons

Disabled persons

553

463

90

550

460

90

504

422

82

415

--

--

501

419

82

49

41

08

03

03



6








All persons 37721 15938 21783




7


HI andor SMI HI SMI












8











In thousands




9









10

Table I10



In thousands

All regions1 54096 37721 697









11

Table I12







Table I13


2010 2020 2040 2060 2080 2100

In millions

Total 315 342 392 430 471 511

Under 20 86 88 98 105 113 121

20-64 188 198 212 232 251 269




12

Table I14



Male Female

Year In years

1965 129 163

1980 140 184

1990 151 191

2000 159 190

2010 176 202

20201 188 211

20301 195 217

20401 201 222

20501 207 228

20601 213 233

20701 218 237

20801 222 242

20901 227 246

21001 231 250 1 Projected


13

Table I15



At Birth

1960 697 706 636

1980 737 744 681

1990 754 761 691

2000 768 773 718

2005 776 780 730

2010 787 789 751

2011 787 790 753

2012 788 791 755

2013 788 791 755

At Age 65

1960 143 144 139

1980 164 165 151

1990 172 173 154

2000 176 177 161

2005 184 185 169

2010 191 192 178

2011 192 192 180

2012 193 193 181

2013 193 193 181


14


Fiscal Year 1995 2000 2005 2010 2014 2015


CHIP NA 20 59 54 60 58




15





Unknown 16 22








16





In thousands








1975 1 1980 1 2000 2 2014 2






17

18

ProvidersSuppliers



19







All regions 4800 152 1342 22



20










Free-standing 356




21



All regions 1 15179 458 6323





1980 1990 2010 2014



22




Percent of total







1980 1990 2000 2012 2014



2276

338

1352

206

869

144

568

92

478

78



203

39

774

73

1236

83

345

23

332

22



481

160

1211

210

1038

144

141

12

146

12



23



Primary Care 221469




Radiology 36713








Table II9



Pharmacy 50338


Podiatry 5575


Optician 2460





24

Expenditures



25








26




1980 $608 $350 $258 --

1990 1822 1097 725 --

2000 4287 2190 2080 $17

2010 9409 5256 4039 114

2014 10820 5987 4703 130






27


1967 1980 2010 2014



Medicare1 32 339 518 598

HI 25 238 250 271

SMI 07 101 209 262


Medicaid2 19 239 386 470


CHIP3 NA NA 11 13







28








Fiscal Year 2013 2014 2015


Aged 2179 2176 2232








29928 6865

11226


78821 272877

294 1000


43574 11491

16042


92934 83845

341 1000








30


Fiscal Year 2011 2012 2013








31












32




Total $10147264 $8686710


2444878 770702

2363720 827574






33










34

Utilization



35












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

eS

ourc

e of

In

com

e

Med

icar

e P

art

A H

ospi

tal I

nsur

ance

trus

t fun

d 1

P

ayro

ll ta

xes

2

Inc

ome

from

taxa

tion

of

soci

al s

ecur

ity

bene

fits

3

Tra

nsfe

rs f

rom

rai

lroa

d re

tire

men

t acc

ount

4

Gen

eral

rev

enue

for

uni

nsur

ed p

erso

ns a

nd m

ilit

ary

wag

e c

redi

ts

5 P

rem

ium

s fr

om v

olun

tary

enr

olle

es

6 I

nter

est o

n in

vest

men

ts

Con

trib

utio

n ra

te

2014

20

15

2016

Per

cent

Em

ploy

ees

and

empl

oyer

s e

ach

145

1

45

145

S

elf-

empl

oyed

2

90

2

90

29

0

Max

imum

taxa

ble

amou

nt (

CY

201

6)

Non

e1

Vol

unta

ry H

I m

onth

ly p

rem

ium

2 $

411

00

Par

t A

(ef

fect

ive

dat

e)

Inpa

tien

t hos

pita

l

ded

ucti

ble

(11

16)

Reg

ular

coi

nsur

ance

d

ays

(11

16)

L

ifet

ime

rese

rve

days

(1

116

) S

NF

coi

nsur

ance

day

s

(11

16)

B

lood

ded

ucti

ble

Vol

unta

ry h

ospi

tal i

nsur

ance

prem

ium

(1

116

)2

Lim

itat

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s

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tien

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chia

tric

hos

pita

ls

Am

oun

t

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88b

enef

it p

erio

d

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22d

ay f

or 6

1st

th

roug

h 90

th d

ay

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day

(60

non

-

rene

wab

le d

ays)

$161

day

for

21s

t

thro

ugh

100t

h da

y

firs

t 3 p

ints

cal

enda

r ye

ar

$411

mon

th $

226

mo

wit

h 30

-39

quar

ters

of c

over

age

19

0 no

nren

ewab

le d

ays

1 The

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nibu

s R

econ

cili

atio

n A

ct o

f 19

93 e

lim

inat

ed th

e A

nnua

l Max

imum

Tax

able

Ear

ning

s am

ount

s fo

r 19

94 a

nd la

ter

For

thes

e ye

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the

co

ntri

buti

on r

ate

is a

ppli

ed to

all

ear

ning

s in

cov

ered

em

ploy

men

t

2 Prem

ium

pai

d fo

r vo

lunt

ary

part

icip

atio

n of

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vidu

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aged

65

and

over

not

oth

erw

ise

entit

led

to h

ospi

tal i

nsur

ance

and

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tain

dis

able

d in

divi

dual

sw

ho h

ave

exha

uste

d ot

her

enti

tlem

ent

A r

educ

ed p

rem

ium

of

$226

is a

vail

able

to in

divi

dual

s ag

ed 6

5 an

d ov

er w

ho a

re n

ot o

ther

wis

e en

titl

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nce

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s or

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of c

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age

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r T

itle

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of th

e So

cial

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urit

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ct

SO

UR

CE

C

MS

Off

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e A

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ry

Pro

gram

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t S

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art

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edic

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ts

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dat

e)

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oun

t D

educ

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e (1

11

6) $

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in a

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esy

ear

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od d

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irst

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ints

cal

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r ye

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Coi

nsur

ance

1 20

per

cent

of

allo

wed

cha

rges

M

onth

ly s

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prem

ium

(1

116

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104

90m

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s O

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ness

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con

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ved

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year

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r a

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t tax

ret

urn

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ount

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l to

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00

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than

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than

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ater

than

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000

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an

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qual

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Gre

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ater

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00

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In a

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ates

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ried

and

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at a

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me

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ng th

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ut f

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para

te ta

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turn

fro

m th

eir

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se a

re li

sted

bel

ow

Tot

al m

onth

ly

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se a

nd f

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a s

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rn

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stm

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nt

prem

ium

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ount

M

arri

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who

live

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ith

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r In

com

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late

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onth

ly

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Les

s th

an o

r eq

ual t

o $8

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0 $0

00

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Gre

ater

than

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000

and

less

than

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equa

l to

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000

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90

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80

Gre

ater

than

$12

900

0 $2

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0

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

D S

tan

dar

d B

enef

its

Ded

ucti

ble

(11

201

6)

$360

in c

harg

esy

ear

Init

ial c

over

age

lim

it (

11

2016

) $3

310

in c

harg

esy

ear

Out

-of-

pock

et th

resh

old

(11

201

6)

$48

50 in

cha

rges

yea

r B

ase

bene

fici

ary

prem

ium

(1

120

16)1

$34

10m

onth

Med

icai

d F

inan

cin

g 1

F

eder

al c

ontr

ibut

ions

(ra

ngin

g fr

om 5

0 to

74

perc

ent f

or f

isca

l yea

r 20

16)

2

Sta

te c

ontr

ibut

ions

(ra

ngin

g fr

om 2

6 to

50

perc

ent f

or f

isca

l yea

r 20

16)

1 The

bas

e be

nefi

ciar

y pr

emiu

m w

as c

alcu

late

d ba

sed

on a

nat

iona

l ave

rage

pla

n bi

d T

he a

ctua

l pre

miu

m th

at a

ben

efic

iary

pay

s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

nefi

ciar

y is

enr

olle

d

NO

TE

S

The

ben

efic

iari

es w

ho q

uali

fy f

or th

e lo

w-i

ncom

e su

bsid

y un

der

Par

t D p

ay a

red

uced

or

zero

pre

miu

m

In a

ddit

ion

low

-inc

ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston

AFDC

BETOS

CAHs

CBC

CCPs

CHIP

CM

CMCS

CMS

DHHS

DME MACs

DME

DMEPOS

ESRD

FFS

ii








Center for Medicare








Fee-For-Service











iii



iv


Populations






1


ProvidersSuppliers





2

Expenditures








3








4

Populations



5



July In millions 1966 191 191 --1970 204 204 --1975 249 227 22 1980 284 255 30 1985 311 281 29 1990 343 310 33 1995 376 332 44

Average monthly 2000 397 343 54 2005 426 358 68 2010 477 396 81 2012 509 422 87 2013 525 436 88 2014 538 449 89 2015 558 468 91




HI andor SMI HI P

SMI

art B Part D

HI and SMI

HI Only

SMI Only

In millions

All persons

Aged persons

Disabled persons

553

463

90

550

460

90

504

422

82

415

--

--

501

419

82

49

41

08

03

03



6








All persons 37721 15938 21783




7


HI andor SMI HI SMI












8











In thousands




9









10

Table I10



In thousands

All regions1 54096 37721 697









11

Table I12







Table I13


2010 2020 2040 2060 2080 2100

In millions

Total 315 342 392 430 471 511

Under 20 86 88 98 105 113 121

20-64 188 198 212 232 251 269




12

Table I14



Male Female

Year In years

1965 129 163

1980 140 184

1990 151 191

2000 159 190

2010 176 202

20201 188 211

20301 195 217

20401 201 222

20501 207 228

20601 213 233

20701 218 237

20801 222 242

20901 227 246

21001 231 250 1 Projected


13

Table I15



At Birth

1960 697 706 636

1980 737 744 681

1990 754 761 691

2000 768 773 718

2005 776 780 730

2010 787 789 751

2011 787 790 753

2012 788 791 755

2013 788 791 755

At Age 65

1960 143 144 139

1980 164 165 151

1990 172 173 154

2000 176 177 161

2005 184 185 169

2010 191 192 178

2011 192 192 180

2012 193 193 181

2013 193 193 181


14


Fiscal Year 1995 2000 2005 2010 2014 2015


CHIP NA 20 59 54 60 58




15





Unknown 16 22








16





In thousands








1975 1 1980 1 2000 2 2014 2






17

18

ProvidersSuppliers



19







All regions 4800 152 1342 22



20










Free-standing 356




21



All regions 1 15179 458 6323





1980 1990 2010 2014



22




Percent of total







1980 1990 2000 2012 2014



2276

338

1352

206

869

144

568

92

478

78



203

39

774

73

1236

83

345

23

332

22



481

160

1211

210

1038

144

141

12

146

12



23



Primary Care 221469




Radiology 36713








Table II9



Pharmacy 50338


Podiatry 5575


Optician 2460





24

Expenditures



25








26




1980 $608 $350 $258 --

1990 1822 1097 725 --

2000 4287 2190 2080 $17

2010 9409 5256 4039 114

2014 10820 5987 4703 130






27


1967 1980 2010 2014



Medicare1 32 339 518 598

HI 25 238 250 271

SMI 07 101 209 262


Medicaid2 19 239 386 470


CHIP3 NA NA 11 13







28








Fiscal Year 2013 2014 2015


Aged 2179 2176 2232








29928 6865

11226


78821 272877

294 1000


43574 11491

16042


92934 83845

341 1000








30


Fiscal Year 2011 2012 2013








31












32




Total $10147264 $8686710


2444878 770702

2363720 827574






33










34

Utilization



35












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

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and

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ion

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icar

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e of

In

com

e

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icar

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art

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t fun

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Inc

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rem

ium

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est o

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ts

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trib

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n ra

te

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2016

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cent

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ploy

ees

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ach

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1

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elf-

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oyed

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90

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ble

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ry H

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ium

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(11

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in c

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in c

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pock

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(11

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perc

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r 20

16)

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(ra

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perc

ent f

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l yea

r 20

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bas

e be

nefi

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as c

alcu

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l ave

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d T

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l pre

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m th

at a

ben

efic

iary

pay

s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

nefi

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y is

enr

olle

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TE

S

The

ben

efic

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es w

ho q

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fy f

or th

e lo

w-i

ncom

e su

bsid

y un

der

Par

t D p

ay a

red

uced

or

zero

pre

miu

m

In a

ddit

ion

low

-inc

ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston











iii



iv


Populations






1


ProvidersSuppliers





2

Expenditures








3








4

Populations



5



July In millions 1966 191 191 --1970 204 204 --1975 249 227 22 1980 284 255 30 1985 311 281 29 1990 343 310 33 1995 376 332 44

Average monthly 2000 397 343 54 2005 426 358 68 2010 477 396 81 2012 509 422 87 2013 525 436 88 2014 538 449 89 2015 558 468 91




HI andor SMI HI P

SMI

art B Part D

HI and SMI

HI Only

SMI Only

In millions

All persons

Aged persons

Disabled persons

553

463

90

550

460

90

504

422

82

415

--

--

501

419

82

49

41

08

03

03



6








All persons 37721 15938 21783




7


HI andor SMI HI SMI












8











In thousands




9









10

Table I10



In thousands

All regions1 54096 37721 697









11

Table I12







Table I13


2010 2020 2040 2060 2080 2100

In millions

Total 315 342 392 430 471 511

Under 20 86 88 98 105 113 121

20-64 188 198 212 232 251 269




12

Table I14



Male Female

Year In years

1965 129 163

1980 140 184

1990 151 191

2000 159 190

2010 176 202

20201 188 211

20301 195 217

20401 201 222

20501 207 228

20601 213 233

20701 218 237

20801 222 242

20901 227 246

21001 231 250 1 Projected


13

Table I15



At Birth

1960 697 706 636

1980 737 744 681

1990 754 761 691

2000 768 773 718

2005 776 780 730

2010 787 789 751

2011 787 790 753

2012 788 791 755

2013 788 791 755

At Age 65

1960 143 144 139

1980 164 165 151

1990 172 173 154

2000 176 177 161

2005 184 185 169

2010 191 192 178

2011 192 192 180

2012 193 193 181

2013 193 193 181


14


Fiscal Year 1995 2000 2005 2010 2014 2015


CHIP NA 20 59 54 60 58




15





Unknown 16 22








16





In thousands








1975 1 1980 1 2000 2 2014 2






17

18

ProvidersSuppliers



19







All regions 4800 152 1342 22



20










Free-standing 356




21



All regions 1 15179 458 6323





1980 1990 2010 2014



22




Percent of total







1980 1990 2000 2012 2014



2276

338

1352

206

869

144

568

92

478

78



203

39

774

73

1236

83

345

23

332

22



481

160

1211

210

1038

144

141

12

146

12



23



Primary Care 221469




Radiology 36713








Table II9



Pharmacy 50338


Podiatry 5575


Optician 2460





24

Expenditures



25








26




1980 $608 $350 $258 --

1990 1822 1097 725 --

2000 4287 2190 2080 $17

2010 9409 5256 4039 114

2014 10820 5987 4703 130






27


1967 1980 2010 2014



Medicare1 32 339 518 598

HI 25 238 250 271

SMI 07 101 209 262


Medicaid2 19 239 386 470


CHIP3 NA NA 11 13







28








Fiscal Year 2013 2014 2015


Aged 2179 2176 2232








29928 6865

11226


78821 272877

294 1000


43574 11491

16042


92934 83845

341 1000








30


Fiscal Year 2011 2012 2013








31












32




Total $10147264 $8686710


2444878 770702

2363720 827574






33










34

Utilization



35












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

eS

ourc

e of

In

com

e

Med

icar

e P

art

A H

ospi

tal I

nsur

ance

trus

t fun

d 1

P

ayro

ll ta

xes

2

Inc

ome

from

taxa

tion

of

soci

al s

ecur

ity

bene

fits

3

Tra

nsfe

rs f

rom

rai

lroa

d re

tire

men

t acc

ount

4

Gen

eral

rev

enue

for

uni

nsur

ed p

erso

ns a

nd m

ilit

ary

wag

e c

redi

ts

5 P

rem

ium

s fr

om v

olun

tary

enr

olle

es

6 I

nter

est o

n in

vest

men

ts

Con

trib

utio

n ra

te

2014

20

15

2016

Per

cent

Em

ploy

ees

and

empl

oyer

s e

ach

145

1

45

145

S

elf-

empl

oyed

2

90

2

90

29

0

Max

imum

taxa

ble

amou

nt (

CY

201

6)

Non

e1

Vol

unta

ry H

I m

onth

ly p

rem

ium

2 $

411

00

Par

t A

(ef

fect

ive

dat

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tien

t hos

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l

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ucti

ble

(11

16)

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ular

coi

nsur

ance

d

ays

(11

16)

L

ifet

ime

rese

rve

days

(1

116

) S

NF

coi

nsur

ance

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s

(11

16)

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ble

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ry h

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ance

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ium

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tien

t psy

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oun

t

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88b

enef

it p

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d

$3

22d

ay f

or 6

1st

th

roug

h 90

th d

ay

$644

day

(60

non

-

rene

wab

le d

ays)

$161

day

for

21s

t

thro

ugh

100t

h da

y

firs

t 3 p

ints

cal

enda

r ye

ar

$411

mon

th $

226

mo

wit

h 30

-39

quar

ters

of c

over

age

19

0 no

nren

ewab

le d

ays

1 The

Om

nibu

s R

econ

cili

atio

n A

ct o

f 19

93 e

lim

inat

ed th

e A

nnua

l Max

imum

Tax

able

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ning

s am

ount

s fo

r 19

94 a

nd la

ter

For

thes

e ye

ars

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co

ntri

buti

on r

ate

is a

ppli

ed to

all

ear

ning

s in

cov

ered

em

ploy

men

t

2 Prem

ium

pai

d fo

r vo

lunt

ary

part

icip

atio

n of

indi

vidu

als

aged

65

and

over

not

oth

erw

ise

entit

led

to h

ospi

tal i

nsur

ance

and

cer

tain

dis

able

d in

divi

dual

sw

ho h

ave

exha

uste

d ot

her

enti

tlem

ent

A r

educ

ed p

rem

ium

of

$226

is a

vail

able

to in

divi

dual

s ag

ed 6

5 an

d ov

er w

ho a

re n

ot o

ther

wis

e en

titl

ed to

ho

spit

al in

sura

nce

but w

ho h

ave

or

who

se s

pous

e ha

s or

had

30-

39 q

uart

ers

of c

over

age

unde

r T

itle

II

of th

e So

cial

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ium

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ness

N

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nish

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of th

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gram

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art

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dar

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(11

201

6)

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in c

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ial c

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it (

11

2016

) $3

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in c

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-of-

pock

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(11

201

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50 in

cha

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ase

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prem

ium

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120

16)1

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r 20

16)

2

Sta

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(ra

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6 to

50

perc

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r 20

16)

1 The

bas

e be

nefi

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m w

as c

alcu

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d ba

sed

on a

nat

iona

l ave

rage

pla

n bi

d T

he a

ctua

l pre

miu

m th

at a

ben

efic

iary

pay

s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

nefi

ciar

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enr

olle

d

NO

TE

S

The

ben

efic

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ho q

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fy f

or th

e lo

w-i

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der

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t D p

ay a

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uced

or

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pre

miu

m

In a

ddit

ion

low

-inc

ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston



iv


Populations






1


ProvidersSuppliers





2

Expenditures








3








4

Populations



5



July In millions 1966 191 191 --1970 204 204 --1975 249 227 22 1980 284 255 30 1985 311 281 29 1990 343 310 33 1995 376 332 44

Average monthly 2000 397 343 54 2005 426 358 68 2010 477 396 81 2012 509 422 87 2013 525 436 88 2014 538 449 89 2015 558 468 91




HI andor SMI HI P

SMI

art B Part D

HI and SMI

HI Only

SMI Only

In millions

All persons

Aged persons

Disabled persons

553

463

90

550

460

90

504

422

82

415

--

--

501

419

82

49

41

08

03

03



6








All persons 37721 15938 21783




7


HI andor SMI HI SMI












8











In thousands




9









10

Table I10



In thousands

All regions1 54096 37721 697









11

Table I12







Table I13


2010 2020 2040 2060 2080 2100

In millions

Total 315 342 392 430 471 511

Under 20 86 88 98 105 113 121

20-64 188 198 212 232 251 269




12

Table I14



Male Female

Year In years

1965 129 163

1980 140 184

1990 151 191

2000 159 190

2010 176 202

20201 188 211

20301 195 217

20401 201 222

20501 207 228

20601 213 233

20701 218 237

20801 222 242

20901 227 246

21001 231 250 1 Projected


13

Table I15



At Birth

1960 697 706 636

1980 737 744 681

1990 754 761 691

2000 768 773 718

2005 776 780 730

2010 787 789 751

2011 787 790 753

2012 788 791 755

2013 788 791 755

At Age 65

1960 143 144 139

1980 164 165 151

1990 172 173 154

2000 176 177 161

2005 184 185 169

2010 191 192 178

2011 192 192 180

2012 193 193 181

2013 193 193 181


14


Fiscal Year 1995 2000 2005 2010 2014 2015


CHIP NA 20 59 54 60 58




15





Unknown 16 22








16





In thousands








1975 1 1980 1 2000 2 2014 2






17

18

ProvidersSuppliers



19







All regions 4800 152 1342 22



20










Free-standing 356




21



All regions 1 15179 458 6323





1980 1990 2010 2014



22




Percent of total







1980 1990 2000 2012 2014



2276

338

1352

206

869

144

568

92

478

78



203

39

774

73

1236

83

345

23

332

22



481

160

1211

210

1038

144

141

12

146

12



23



Primary Care 221469




Radiology 36713








Table II9



Pharmacy 50338


Podiatry 5575


Optician 2460





24

Expenditures



25








26




1980 $608 $350 $258 --

1990 1822 1097 725 --

2000 4287 2190 2080 $17

2010 9409 5256 4039 114

2014 10820 5987 4703 130






27


1967 1980 2010 2014



Medicare1 32 339 518 598

HI 25 238 250 271

SMI 07 101 209 262


Medicaid2 19 239 386 470


CHIP3 NA NA 11 13







28








Fiscal Year 2013 2014 2015


Aged 2179 2176 2232








29928 6865

11226


78821 272877

294 1000


43574 11491

16042


92934 83845

341 1000








30


Fiscal Year 2011 2012 2013








31












32




Total $10147264 $8686710


2444878 770702

2363720 827574






33










34

Utilization



35












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

eS

ourc

e of

In

com

e

Med

icar

e P

art

A H

ospi

tal I

nsur

ance

trus

t fun

d 1

P

ayro

ll ta

xes

2

Inc

ome

from

taxa

tion

of

soci

al s

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ity

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fits

3

Tra

nsfe

rs f

rom

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d re

tire

men

t acc

ount

4

Gen

eral

rev

enue

for

uni

nsur

ed p

erso

ns a

nd m

ilit

ary

wag

e c

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ts

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rem

ium

s fr

om v

olun

tary

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olle

es

6 I

nter

est o

n in

vest

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ts

Con

trib

utio

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te

2014

20

15

2016

Per

cent

Em

ploy

ees

and

empl

oyer

s e

ach

145

1

45

145

S

elf-

empl

oyed

2

90

2

90

29

0

Max

imum

taxa

ble

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nt (

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6)

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Vol

unta

ry H

I m

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ly p

rem

ium

2 $

411

00

Par

t A

(ef

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dat

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pita

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ded

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(11

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Reg

ular

coi

nsur

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d

ays

(11

16)

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ifet

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days

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116

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coi

nsur

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day

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(11

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ded

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Vol

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day

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non

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day

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ints

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mon

th $

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1 The

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f 19

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cov

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t

2 Prem

ium

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atio

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ise

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to h

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able

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enti

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ent

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ium

of

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5 an

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re n

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nce

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ho h

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s or

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r T

itle

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cial

Sec

urit

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UR

CE

C

MS

Off

ice

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ctua

ry

Pro

gram

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ng

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t S

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itat

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art

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ry M

edic

al I

nsur

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t fun

d 1

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ium

s pa

id b

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lf o

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roll

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ener

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t B

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dat

e)

Am

oun

t D

educ

tibl

e (1

11

6) $

166

in a

llow

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harg

esy

ear

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od d

educ

tibl

e f

irst

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ints

cal

enda

r ye

ar

Coi

nsur

ance

1 20

per

cent

of

allo

wed

cha

rges

M

onth

ly s

tand

ard

prem

ium

(1

116

) $

104

90m

onth

Lim

itat

ion

s O

utpa

tien

t tre

atm

ent f

or m

enta

l ill

ness

N

o li

mit

atio

ns

1 The

Par

t B d

educ

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e an

d co

insu

ranc

e ap

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s to

mos

t ser

vice

s I

tem

s an

dor

ser

vice

s no

t sub

ject

to e

ithe

r th

e de

duct

ible

or

coin

sura

nce

are

cl

inic

al d

iagn

osti

c la

b te

sts

subj

ect t

o a

fee

sche

dule

hom

e he

alth

ser

vice

s it

ems

and

serv

ices

fur

nish

ed in

con

nect

ion

to o

btai

ning

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econ

d or

th

ird

opin

ion

and

som

e pr

even

tive

serv

ices

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

B (

con

tin

ued

)

Lis

ted

belo

w a

re th

e 20

16 P

art B

mon

thly

pre

miu

m r

ates

to b

e pa

id b

y be

nefi

ciar

ies

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fil

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indi

vidu

al ta

x re

turn

(inc

ludi

ng th

ose

who

are

sin

gle

hea

d of

hou

seho

ld q

ualif

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wid

ow(e

r) w

ith

depe

nden

t chi

ld o

r m

arri

ed f

ilin

g se

para

tely

w

ho li

ved

apar

t fro

m th

eir

spou

se f

or th

e en

tire

taxa

ble

year

) o

r a

join

t tax

ret

urn

Ben

efic

iari

es w

ho f

ile

an in

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dual

B

enef

icia

ries

who

fil

e a

join

t tax

In

com

e-re

late

d m

onth

lyT

otal

mon

thly

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retu

rn w

ith

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me

re

turn

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adju

stm

ent a

mou

nt

prem

ium

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ount

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s th

an o

r eq

ual t

o $8

500

0 L

ess

than

or

equa

l to

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000

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00

$121

80

Gre

ater

than

$85

000

and

less

than

Gre

ater

than

$17

000

0 an

d le

ss th

an

or e

qual

to $

107

000

or e

qual

to $

214

000

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870

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705

0

Gre

ater

than

$10

700

0 an

d le

ss th

an

G

reat

er th

an $

214

000

and

less

than

or

equ

al to

$16

000

0 or

equ

al to

$32

000

0

$121

80

$243

60

Gre

ater

than

$16

000

0 an

d le

ss th

an

G

reat

er th

an $

320

000

and

less

than

or

equ

al to

$21

400

0 or

equ

al to

$42

800

0

$194

90

$316

70

Gre

ater

than

$21

400

0 G

reat

er th

an $

428

000

$268

00

$389

80

In a

ddit

ion

the

mon

thly

pre

miu

m r

ates

to b

e pa

id b

y be

nefi

ciar

ies

who

are

mar

ried

and

live

d w

ith

thei

r sp

ouse

at a

ny ti

me

duri

ng th

e ta

xabl

e ye

ar b

ut f

ile

a se

para

te ta

x re

turn

fro

m th

eir

spou

se a

re li

sted

bel

ow

Tot

al m

onth

ly

spou

se a

nd f

iled

a s

epar

ate

tax

retu

rn

adju

stm

ent a

mou

nt

prem

ium

am

ount

M

arri

ed b

enef

icia

ries

who

live

d w

ith

thei

r In

com

e-re

late

d m

onth

ly

$121

80

Les

s th

an o

r eq

ual t

o $8

500

0 $0

00

$316

70

Gre

ater

than

$85

000

and

less

than

or

equa

l to

$129

000

$194

90

$389

80

Gre

ater

than

$12

900

0 $2

680

0

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

D S

tan

dar

d B

enef

its

Ded

ucti

ble

(11

201

6)

$360

in c

harg

esy

ear

Init

ial c

over

age

lim

it (

11

2016

) $3

310

in c

harg

esy

ear

Out

-of-

pock

et th

resh

old

(11

201

6)

$48

50 in

cha

rges

yea

r B

ase

bene

fici

ary

prem

ium

(1

120

16)1

$34

10m

onth

Med

icai

d F

inan

cin

g 1

F

eder

al c

ontr

ibut

ions

(ra

ngin

g fr

om 5

0 to

74

perc

ent f

or f

isca

l yea

r 20

16)

2

Sta

te c

ontr

ibut

ions

(ra

ngin

g fr

om 2

6 to

50

perc

ent f

or f

isca

l yea

r 20

16)

1 The

bas

e be

nefi

ciar

y pr

emiu

m w

as c

alcu

late

d ba

sed

on a

nat

iona

l ave

rage

pla

n bi

d T

he a

ctua

l pre

miu

m th

at a

ben

efic

iary

pay

s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

nefi

ciar

y is

enr

olle

d

NO

TE

S

The

ben

efic

iari

es w

ho q

uali

fy f

or th

e lo

w-i

ncom

e su

bsid

y un

der

Par

t D p

ay a

red

uced

or

zero

pre

miu

m

In a

ddit

ion

low

-inc

ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston


Populations






1


ProvidersSuppliers





2

Expenditures








3








4

Populations



5



July In millions 1966 191 191 --1970 204 204 --1975 249 227 22 1980 284 255 30 1985 311 281 29 1990 343 310 33 1995 376 332 44

Average monthly 2000 397 343 54 2005 426 358 68 2010 477 396 81 2012 509 422 87 2013 525 436 88 2014 538 449 89 2015 558 468 91




HI andor SMI HI P

SMI

art B Part D

HI and SMI

HI Only

SMI Only

In millions

All persons

Aged persons

Disabled persons

553

463

90

550

460

90

504

422

82

415

--

--

501

419

82

49

41

08

03

03



6








All persons 37721 15938 21783




7


HI andor SMI HI SMI












8











In thousands




9









10

Table I10



In thousands

All regions1 54096 37721 697









11

Table I12







Table I13


2010 2020 2040 2060 2080 2100

In millions

Total 315 342 392 430 471 511

Under 20 86 88 98 105 113 121

20-64 188 198 212 232 251 269




12

Table I14



Male Female

Year In years

1965 129 163

1980 140 184

1990 151 191

2000 159 190

2010 176 202

20201 188 211

20301 195 217

20401 201 222

20501 207 228

20601 213 233

20701 218 237

20801 222 242

20901 227 246

21001 231 250 1 Projected


13

Table I15



At Birth

1960 697 706 636

1980 737 744 681

1990 754 761 691

2000 768 773 718

2005 776 780 730

2010 787 789 751

2011 787 790 753

2012 788 791 755

2013 788 791 755

At Age 65

1960 143 144 139

1980 164 165 151

1990 172 173 154

2000 176 177 161

2005 184 185 169

2010 191 192 178

2011 192 192 180

2012 193 193 181

2013 193 193 181


14


Fiscal Year 1995 2000 2005 2010 2014 2015


CHIP NA 20 59 54 60 58




15





Unknown 16 22








16





In thousands








1975 1 1980 1 2000 2 2014 2






17

18

ProvidersSuppliers



19







All regions 4800 152 1342 22



20










Free-standing 356




21



All regions 1 15179 458 6323





1980 1990 2010 2014



22




Percent of total







1980 1990 2000 2012 2014



2276

338

1352

206

869

144

568

92

478

78



203

39

774

73

1236

83

345

23

332

22



481

160

1211

210

1038

144

141

12

146

12



23



Primary Care 221469




Radiology 36713








Table II9



Pharmacy 50338


Podiatry 5575


Optician 2460





24

Expenditures



25








26




1980 $608 $350 $258 --

1990 1822 1097 725 --

2000 4287 2190 2080 $17

2010 9409 5256 4039 114

2014 10820 5987 4703 130






27


1967 1980 2010 2014



Medicare1 32 339 518 598

HI 25 238 250 271

SMI 07 101 209 262


Medicaid2 19 239 386 470


CHIP3 NA NA 11 13







28








Fiscal Year 2013 2014 2015


Aged 2179 2176 2232








29928 6865

11226


78821 272877

294 1000


43574 11491

16042


92934 83845

341 1000








30


Fiscal Year 2011 2012 2013








31












32




Total $10147264 $8686710


2444878 770702

2363720 827574






33










34

Utilization



35












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

eS

ourc

e of

In

com

e

Med

icar

e P

art

A H

ospi

tal I

nsur

ance

trus

t fun

d 1

P

ayro

ll ta

xes

2

Inc

ome

from

taxa

tion

of

soci

al s

ecur

ity

bene

fits

3

Tra

nsfe

rs f

rom

rai

lroa

d re

tire

men

t acc

ount

4

Gen

eral

rev

enue

for

uni

nsur

ed p

erso

ns a

nd m

ilit

ary

wag

e c

redi

ts

5 P

rem

ium

s fr

om v

olun

tary

enr

olle

es

6 I

nter

est o

n in

vest

men

ts

Con

trib

utio

n ra

te

2014

20

15

2016

Per

cent

Em

ploy

ees

and

empl

oyer

s e

ach

145

1

45

145

S

elf-

empl

oyed

2

90

2

90

29

0

Max

imum

taxa

ble

amou

nt (

CY

201

6)

Non

e1

Vol

unta

ry H

I m

onth

ly p

rem

ium

2 $

411

00

Par

t A

(ef

fect

ive

dat

e)

Inpa

tien

t hos

pita

l

ded

ucti

ble

(11

16)

Reg

ular

coi

nsur

ance

d

ays

(11

16)

L

ifet

ime

rese

rve

days

(1

116

) S

NF

coi

nsur

ance

day

s

(11

16)

B

lood

ded

ucti

ble

Vol

unta

ry h

ospi

tal i

nsur

ance

prem

ium

(1

116

)2

Lim

itat

ion

s

Inpa

tien

t psy

chia

tric

hos

pita

ls

Am

oun

t

$12

88b

enef

it p

erio

d

$3

22d

ay f

or 6

1st

th

roug

h 90

th d

ay

$644

day

(60

non

-

rene

wab

le d

ays)

$161

day

for

21s

t

thro

ugh

100t

h da

y

firs

t 3 p

ints

cal

enda

r ye

ar

$411

mon

th $

226

mo

wit

h 30

-39

quar

ters

of c

over

age

19

0 no

nren

ewab

le d

ays

1 The

Om

nibu

s R

econ

cili

atio

n A

ct o

f 19

93 e

lim

inat

ed th

e A

nnua

l Max

imum

Tax

able

Ear

ning

s am

ount

s fo

r 19

94 a

nd la

ter

For

thes

e ye

ars

the

co

ntri

buti

on r

ate

is a

ppli

ed to

all

ear

ning

s in

cov

ered

em

ploy

men

t

2 Prem

ium

pai

d fo

r vo

lunt

ary

part

icip

atio

n of

indi

vidu

als

aged

65

and

over

not

oth

erw

ise

entit

led

to h

ospi

tal i

nsur

ance

and

cer

tain

dis

able

d in

divi

dual

sw

ho h

ave

exha

uste

d ot

her

enti

tlem

ent

A r

educ

ed p

rem

ium

of

$226

is a

vail

able

to in

divi

dual

s ag

ed 6

5 an

d ov

er w

ho a

re n

ot o

ther

wis

e en

titl

ed to

ho

spit

al in

sura

nce

but w

ho h

ave

or

who

se s

pous

e ha

s or

had

30-

39 q

uart

ers

of c

over

age

unde

r T

itle

II

of th

e So

cial

Sec

urit

y A

ct

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

B

Sup

plem

enta

ry M

edic

al I

nsur

ance

trus

t fun

d 1

P

rem

ium

s pa

id b

y or

on

beha

lf o

f en

roll

ees

2 G

ener

al r

even

ue

3 I

nter

est o

n in

vest

men

ts

Par

t B

(ef

fect

ive

dat

e)

Am

oun

t D

educ

tibl

e (1

11

6) $

166

in a

llow

ed c

harg

esy

ear

Blo

od d

educ

tibl

e f

irst

3 p

ints

cal

enda

r ye

ar

Coi

nsur

ance

1 20

per

cent

of

allo

wed

cha

rges

M

onth

ly s

tand

ard

prem

ium

(1

116

) $

104

90m

onth

Lim

itat

ion

s O

utpa

tien

t tre

atm

ent f

or m

enta

l ill

ness

N

o li

mit

atio

ns

1 The

Par

t B d

educ

tibl

e an

d co

insu

ranc

e ap

plie

s to

mos

t ser

vice

s I

tem

s an

dor

ser

vice

s no

t sub

ject

to e

ithe

r th

e de

duct

ible

or

coin

sura

nce

are

cl

inic

al d

iagn

osti

c la

b te

sts

subj

ect t

o a

fee

sche

dule

hom

e he

alth

ser

vice

s it

ems

and

serv

ices

fur

nish

ed in

con

nect

ion

to o

btai

ning

a s

econ

d or

th

ird

opin

ion

and

som

e pr

even

tive

serv

ices

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

B (

con

tin

ued

)

Lis

ted

belo

w a

re th

e 20

16 P

art B

mon

thly

pre

miu

m r

ates

to b

e pa

id b

y be

nefi

ciar

ies

who

fil

e an

indi

vidu

al ta

x re

turn

(inc

ludi

ng th

ose

who

are

sin

gle

hea

d of

hou

seho

ld q

ualif

ying

wid

ow(e

r) w

ith

depe

nden

t chi

ld o

r m

arri

ed f

ilin

g se

para

tely

w

ho li

ved

apar

t fro

m th

eir

spou

se f

or th

e en

tire

taxa

ble

year

) o

r a

join

t tax

ret

urn

Ben

efic

iari

es w

ho f

ile

an in

divi

dual

B

enef

icia

ries

who

fil

e a

join

t tax

In

com

e-re

late

d m

onth

lyT

otal

mon

thly

tax

retu

rn w

ith

inco

me

re

turn

wit

h in

com

e

adju

stm

ent a

mou

nt

prem

ium

am

ount

Les

s th

an o

r eq

ual t

o $8

500

0 L

ess

than

or

equa

l to

$170

000

$0

00

$121

80

Gre

ater

than

$85

000

and

less

than

Gre

ater

than

$17

000

0 an

d le

ss th

an

or e

qual

to $

107

000

or e

qual

to $

214

000

$4

870

$1

705

0

Gre

ater

than

$10

700

0 an

d le

ss th

an

G

reat

er th

an $

214

000

and

less

than

or

equ

al to

$16

000

0 or

equ

al to

$32

000

0

$121

80

$243

60

Gre

ater

than

$16

000

0 an

d le

ss th

an

G

reat

er th

an $

320

000

and

less

than

or

equ

al to

$21

400

0 or

equ

al to

$42

800

0

$194

90

$316

70

Gre

ater

than

$21

400

0 G

reat

er th

an $

428

000

$268

00

$389

80

In a

ddit

ion

the

mon

thly

pre

miu

m r

ates

to b

e pa

id b

y be

nefi

ciar

ies

who

are

mar

ried

and

live

d w

ith

thei

r sp

ouse

at a

ny ti

me

duri

ng th

e ta

xabl

e ye

ar b

ut f

ile

a se

para

te ta

x re

turn

fro

m th

eir

spou

se a

re li

sted

bel

ow

Tot

al m

onth

ly

spou

se a

nd f

iled

a s

epar

ate

tax

retu

rn

adju

stm

ent a

mou

nt

prem

ium

am

ount

M

arri

ed b

enef

icia

ries

who

live

d w

ith

thei

r In

com

e-re

late

d m

onth

ly

$121

80

Les

s th

an o

r eq

ual t

o $8

500

0 $0

00

$316

70

Gre

ater

than

$85

000

and

less

than

or

equa

l to

$129

000

$194

90

$389

80

Gre

ater

than

$12

900

0 $2

680

0

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

D S

tan

dar

d B

enef

its

Ded

ucti

ble

(11

201

6)

$360

in c

harg

esy

ear

Init

ial c

over

age

lim

it (

11

2016

) $3

310

in c

harg

esy

ear

Out

-of-

pock

et th

resh

old

(11

201

6)

$48

50 in

cha

rges

yea

r B

ase

bene

fici

ary

prem

ium

(1

120

16)1

$34

10m

onth

Med

icai

d F

inan

cin

g 1

F

eder

al c

ontr

ibut

ions

(ra

ngin

g fr

om 5

0 to

74

perc

ent f

or f

isca

l yea

r 20

16)

2

Sta

te c

ontr

ibut

ions

(ra

ngin

g fr

om 2

6 to

50

perc

ent f

or f

isca

l yea

r 20

16)

1 The

bas

e be

nefi

ciar

y pr

emiu

m w

as c

alcu

late

d ba

sed

on a

nat

iona

l ave

rage

pla

n bi

d T

he a

ctua

l pre

miu

m th

at a

ben

efic

iary

pay

s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

nefi

ciar

y is

enr

olle

d

NO

TE

S

The

ben

efic

iari

es w

ho q

uali

fy f

or th

e lo

w-i

ncom

e su

bsid

y un

der

Par

t D p

ay a

red

uced

or

zero

pre

miu

m

In a

ddit

ion

low

-inc

ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston


ProvidersSuppliers





2

Expenditures








3








4

Populations



5



July In millions 1966 191 191 --1970 204 204 --1975 249 227 22 1980 284 255 30 1985 311 281 29 1990 343 310 33 1995 376 332 44

Average monthly 2000 397 343 54 2005 426 358 68 2010 477 396 81 2012 509 422 87 2013 525 436 88 2014 538 449 89 2015 558 468 91




HI andor SMI HI P

SMI

art B Part D

HI and SMI

HI Only

SMI Only

In millions

All persons

Aged persons

Disabled persons

553

463

90

550

460

90

504

422

82

415

--

--

501

419

82

49

41

08

03

03



6








All persons 37721 15938 21783




7


HI andor SMI HI SMI












8











In thousands




9









10

Table I10



In thousands

All regions1 54096 37721 697









11

Table I12







Table I13


2010 2020 2040 2060 2080 2100

In millions

Total 315 342 392 430 471 511

Under 20 86 88 98 105 113 121

20-64 188 198 212 232 251 269




12

Table I14



Male Female

Year In years

1965 129 163

1980 140 184

1990 151 191

2000 159 190

2010 176 202

20201 188 211

20301 195 217

20401 201 222

20501 207 228

20601 213 233

20701 218 237

20801 222 242

20901 227 246

21001 231 250 1 Projected


13

Table I15



At Birth

1960 697 706 636

1980 737 744 681

1990 754 761 691

2000 768 773 718

2005 776 780 730

2010 787 789 751

2011 787 790 753

2012 788 791 755

2013 788 791 755

At Age 65

1960 143 144 139

1980 164 165 151

1990 172 173 154

2000 176 177 161

2005 184 185 169

2010 191 192 178

2011 192 192 180

2012 193 193 181

2013 193 193 181


14


Fiscal Year 1995 2000 2005 2010 2014 2015


CHIP NA 20 59 54 60 58




15





Unknown 16 22








16





In thousands








1975 1 1980 1 2000 2 2014 2






17

18

ProvidersSuppliers



19







All regions 4800 152 1342 22



20










Free-standing 356




21



All regions 1 15179 458 6323





1980 1990 2010 2014



22




Percent of total







1980 1990 2000 2012 2014



2276

338

1352

206

869

144

568

92

478

78



203

39

774

73

1236

83

345

23

332

22



481

160

1211

210

1038

144

141

12

146

12



23



Primary Care 221469




Radiology 36713








Table II9



Pharmacy 50338


Podiatry 5575


Optician 2460





24

Expenditures



25








26




1980 $608 $350 $258 --

1990 1822 1097 725 --

2000 4287 2190 2080 $17

2010 9409 5256 4039 114

2014 10820 5987 4703 130






27


1967 1980 2010 2014



Medicare1 32 339 518 598

HI 25 238 250 271

SMI 07 101 209 262


Medicaid2 19 239 386 470


CHIP3 NA NA 11 13







28








Fiscal Year 2013 2014 2015


Aged 2179 2176 2232








29928 6865

11226


78821 272877

294 1000


43574 11491

16042


92934 83845

341 1000








30


Fiscal Year 2011 2012 2013








31












32




Total $10147264 $8686710


2444878 770702

2363720 827574






33










34

Utilization



35












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

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ng

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Inc

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elf-

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Sta

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perc

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16)

1 The

bas

e be

nefi

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as c

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d T

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l pre

miu

m th

at a

ben

efic

iary

pay

s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

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ciar

y is

enr

olle

d

NO

TE

S

The

ben

efic

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es w

ho q

uali

fy f

or th

e lo

w-i

ncom

e su

bsid

y un

der

Par

t D p

ay a

red

uced

or

zero

pre

miu

m

In a

ddit

ion

low

-inc

ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston

Expenditures








3








4

Populations



5



July In millions 1966 191 191 --1970 204 204 --1975 249 227 22 1980 284 255 30 1985 311 281 29 1990 343 310 33 1995 376 332 44

Average monthly 2000 397 343 54 2005 426 358 68 2010 477 396 81 2012 509 422 87 2013 525 436 88 2014 538 449 89 2015 558 468 91




HI andor SMI HI P

SMI

art B Part D

HI and SMI

HI Only

SMI Only

In millions

All persons

Aged persons

Disabled persons

553

463

90

550

460

90

504

422

82

415

--

--

501

419

82

49

41

08

03

03



6








All persons 37721 15938 21783




7


HI andor SMI HI SMI












8











In thousands




9









10

Table I10



In thousands

All regions1 54096 37721 697









11

Table I12







Table I13


2010 2020 2040 2060 2080 2100

In millions

Total 315 342 392 430 471 511

Under 20 86 88 98 105 113 121

20-64 188 198 212 232 251 269




12

Table I14



Male Female

Year In years

1965 129 163

1980 140 184

1990 151 191

2000 159 190

2010 176 202

20201 188 211

20301 195 217

20401 201 222

20501 207 228

20601 213 233

20701 218 237

20801 222 242

20901 227 246

21001 231 250 1 Projected


13

Table I15



At Birth

1960 697 706 636

1980 737 744 681

1990 754 761 691

2000 768 773 718

2005 776 780 730

2010 787 789 751

2011 787 790 753

2012 788 791 755

2013 788 791 755

At Age 65

1960 143 144 139

1980 164 165 151

1990 172 173 154

2000 176 177 161

2005 184 185 169

2010 191 192 178

2011 192 192 180

2012 193 193 181

2013 193 193 181


14


Fiscal Year 1995 2000 2005 2010 2014 2015


CHIP NA 20 59 54 60 58




15





Unknown 16 22








16





In thousands








1975 1 1980 1 2000 2 2014 2






17

18

ProvidersSuppliers



19







All regions 4800 152 1342 22



20










Free-standing 356




21



All regions 1 15179 458 6323





1980 1990 2010 2014



22




Percent of total







1980 1990 2000 2012 2014



2276

338

1352

206

869

144

568

92

478

78



203

39

774

73

1236

83

345

23

332

22



481

160

1211

210

1038

144

141

12

146

12



23



Primary Care 221469




Radiology 36713








Table II9



Pharmacy 50338


Podiatry 5575


Optician 2460





24

Expenditures



25








26




1980 $608 $350 $258 --

1990 1822 1097 725 --

2000 4287 2190 2080 $17

2010 9409 5256 4039 114

2014 10820 5987 4703 130






27


1967 1980 2010 2014



Medicare1 32 339 518 598

HI 25 238 250 271

SMI 07 101 209 262


Medicaid2 19 239 386 470


CHIP3 NA NA 11 13







28








Fiscal Year 2013 2014 2015


Aged 2179 2176 2232








29928 6865

11226


78821 272877

294 1000


43574 11491

16042


92934 83845

341 1000








30


Fiscal Year 2011 2012 2013








31












32




Total $10147264 $8686710


2444878 770702

2363720 827574






33










34

Utilization



35












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

eS

ourc

e of

In

com

e

Med

icar

e P

art

A H

ospi

tal I

nsur

ance

trus

t fun

d 1

P

ayro

ll ta

xes

2

Inc

ome

from

taxa

tion

of

soci

al s

ecur

ity

bene

fits

3

Tra

nsfe

rs f

rom

rai

lroa

d re

tire

men

t acc

ount

4

Gen

eral

rev

enue

for

uni

nsur

ed p

erso

ns a

nd m

ilit

ary

wag

e c

redi

ts

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ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston








4

Populations



5



July In millions 1966 191 191 --1970 204 204 --1975 249 227 22 1980 284 255 30 1985 311 281 29 1990 343 310 33 1995 376 332 44

Average monthly 2000 397 343 54 2005 426 358 68 2010 477 396 81 2012 509 422 87 2013 525 436 88 2014 538 449 89 2015 558 468 91




HI andor SMI HI P

SMI

art B Part D

HI and SMI

HI Only

SMI Only

In millions

All persons

Aged persons

Disabled persons

553

463

90

550

460

90

504

422

82

415

--

--

501

419

82

49

41

08

03

03



6








All persons 37721 15938 21783




7


HI andor SMI HI SMI












8











In thousands




9









10

Table I10



In thousands

All regions1 54096 37721 697









11

Table I12







Table I13


2010 2020 2040 2060 2080 2100

In millions

Total 315 342 392 430 471 511

Under 20 86 88 98 105 113 121

20-64 188 198 212 232 251 269




12

Table I14



Male Female

Year In years

1965 129 163

1980 140 184

1990 151 191

2000 159 190

2010 176 202

20201 188 211

20301 195 217

20401 201 222

20501 207 228

20601 213 233

20701 218 237

20801 222 242

20901 227 246

21001 231 250 1 Projected


13

Table I15



At Birth

1960 697 706 636

1980 737 744 681

1990 754 761 691

2000 768 773 718

2005 776 780 730

2010 787 789 751

2011 787 790 753

2012 788 791 755

2013 788 791 755

At Age 65

1960 143 144 139

1980 164 165 151

1990 172 173 154

2000 176 177 161

2005 184 185 169

2010 191 192 178

2011 192 192 180

2012 193 193 181

2013 193 193 181


14


Fiscal Year 1995 2000 2005 2010 2014 2015


CHIP NA 20 59 54 60 58




15





Unknown 16 22








16





In thousands








1975 1 1980 1 2000 2 2014 2






17

18

ProvidersSuppliers



19







All regions 4800 152 1342 22



20










Free-standing 356




21



All regions 1 15179 458 6323





1980 1990 2010 2014



22




Percent of total







1980 1990 2000 2012 2014



2276

338

1352

206

869

144

568

92

478

78



203

39

774

73

1236

83

345

23

332

22



481

160

1211

210

1038

144

141

12

146

12



23



Primary Care 221469




Radiology 36713








Table II9



Pharmacy 50338


Podiatry 5575


Optician 2460





24

Expenditures



25








26




1980 $608 $350 $258 --

1990 1822 1097 725 --

2000 4287 2190 2080 $17

2010 9409 5256 4039 114

2014 10820 5987 4703 130






27


1967 1980 2010 2014



Medicare1 32 339 518 598

HI 25 238 250 271

SMI 07 101 209 262


Medicaid2 19 239 386 470


CHIP3 NA NA 11 13







28








Fiscal Year 2013 2014 2015


Aged 2179 2176 2232








29928 6865

11226


78821 272877

294 1000


43574 11491

16042


92934 83845

341 1000








30


Fiscal Year 2011 2012 2013








31












32




Total $10147264 $8686710


2444878 770702

2363720 827574






33










34

Utilization



35












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

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ng

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har

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and

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s

Med

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eS

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e of

In

com

e

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Gen

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ness

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o li

mit

atio

ns

1 The

Par

t B d

educ

tibl

e an

d co

insu

ranc

e ap

plie

s to

mos

t ser

vice

s I

tem

s an

dor

ser

vice

s no

t sub

ject

to e

ithe

r th

e de

duct

ible

or

coin

sura

nce

are

cl

inic

al d

iagn

osti

c la

b te

sts

subj

ect t

o a

fee

sche

dule

hom

e he

alth

ser

vice

s it

ems

and

serv

ices

fur

nish

ed in

con

nect

ion

to o

btai

ning

a s

econ

d or

th

ird

opin

ion

and

som

e pr

even

tive

serv

ices

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

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s

Med

icar

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art

B (

con

tin

ued

)

Lis

ted

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w a

re th

e 20

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art B

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thly

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equ

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90

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ater

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an $

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ddit

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thly

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miu

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ates

to b

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y be

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me

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ng th

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90

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0 $2

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0

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UR

CE

C

MS

Off

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of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

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and

Lim

itat

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s

Med

icar

e P

art

D S

tan

dar

d B

enef

its

Ded

ucti

ble

(11

201

6)

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in c

harg

esy

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ial c

over

age

lim

it (

11

2016

) $3

310

in c

harg

esy

ear

Out

-of-

pock

et th

resh

old

(11

201

6)

$48

50 in

cha

rges

yea

r B

ase

bene

fici

ary

prem

ium

(1

120

16)1

$34

10m

onth

Med

icai

d F

inan

cin

g 1

F

eder

al c

ontr

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ions

(ra

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om 5

0 to

74

perc

ent f

or f

isca

l yea

r 20

16)

2

Sta

te c

ontr

ibut

ions

(ra

ngin

g fr

om 2

6 to

50

perc

ent f

or f

isca

l yea

r 20

16)

1 The

bas

e be

nefi

ciar

y pr

emiu

m w

as c

alcu

late

d ba

sed

on a

nat

iona

l ave

rage

pla

n bi

d T

he a

ctua

l pre

miu

m th

at a

ben

efic

iary

pay

s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

nefi

ciar

y is

enr

olle

d

NO

TE

S

The

ben

efic

iari

es w

ho q

uali

fy f

or th

e lo

w-i

ncom

e su

bsid

y un

der

Par

t D p

ay a

red

uced

or

zero

pre

miu

m

In a

ddit

ion

low

-inc

ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston

Populations



5



July In millions 1966 191 191 --1970 204 204 --1975 249 227 22 1980 284 255 30 1985 311 281 29 1990 343 310 33 1995 376 332 44

Average monthly 2000 397 343 54 2005 426 358 68 2010 477 396 81 2012 509 422 87 2013 525 436 88 2014 538 449 89 2015 558 468 91




HI andor SMI HI P

SMI

art B Part D

HI and SMI

HI Only

SMI Only

In millions

All persons

Aged persons

Disabled persons

553

463

90

550

460

90

504

422

82

415

--

--

501

419

82

49

41

08

03

03



6








All persons 37721 15938 21783




7


HI andor SMI HI SMI












8











In thousands




9









10

Table I10



In thousands

All regions1 54096 37721 697









11

Table I12







Table I13


2010 2020 2040 2060 2080 2100

In millions

Total 315 342 392 430 471 511

Under 20 86 88 98 105 113 121

20-64 188 198 212 232 251 269




12

Table I14



Male Female

Year In years

1965 129 163

1980 140 184

1990 151 191

2000 159 190

2010 176 202

20201 188 211

20301 195 217

20401 201 222

20501 207 228

20601 213 233

20701 218 237

20801 222 242

20901 227 246

21001 231 250 1 Projected


13

Table I15



At Birth

1960 697 706 636

1980 737 744 681

1990 754 761 691

2000 768 773 718

2005 776 780 730

2010 787 789 751

2011 787 790 753

2012 788 791 755

2013 788 791 755

At Age 65

1960 143 144 139

1980 164 165 151

1990 172 173 154

2000 176 177 161

2005 184 185 169

2010 191 192 178

2011 192 192 180

2012 193 193 181

2013 193 193 181


14


Fiscal Year 1995 2000 2005 2010 2014 2015


CHIP NA 20 59 54 60 58




15





Unknown 16 22








16





In thousands








1975 1 1980 1 2000 2 2014 2






17

18

ProvidersSuppliers



19







All regions 4800 152 1342 22



20










Free-standing 356




21



All regions 1 15179 458 6323





1980 1990 2010 2014



22




Percent of total







1980 1990 2000 2012 2014



2276

338

1352

206

869

144

568

92

478

78



203

39

774

73

1236

83

345

23

332

22



481

160

1211

210

1038

144

141

12

146

12



23



Primary Care 221469




Radiology 36713








Table II9



Pharmacy 50338


Podiatry 5575


Optician 2460





24

Expenditures



25








26




1980 $608 $350 $258 --

1990 1822 1097 725 --

2000 4287 2190 2080 $17

2010 9409 5256 4039 114

2014 10820 5987 4703 130






27


1967 1980 2010 2014



Medicare1 32 339 518 598

HI 25 238 250 271

SMI 07 101 209 262


Medicaid2 19 239 386 470


CHIP3 NA NA 11 13







28








Fiscal Year 2013 2014 2015


Aged 2179 2176 2232








29928 6865

11226


78821 272877

294 1000


43574 11491

16042


92934 83845

341 1000








30


Fiscal Year 2011 2012 2013








31












32




Total $10147264 $8686710


2444878 770702

2363720 827574






33










34

Utilization



35












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

eS

ourc

e of

In

com

e

Med

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art

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ospi

tal I

nsur

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t fun

d 1

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ome

from

taxa

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of

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fits

3

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4

Gen

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ilit

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rem

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cent

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oyed

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90

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rem

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411

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t A

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2 Prem

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of

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MS

Off

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t S

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art

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t B

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t D

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6) $

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in a

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nsur

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per

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utpa

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mit

atio

ns

1 The

Par

t B d

educ

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e an

d co

insu

ranc

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t ser

vice

s I

tem

s an

dor

ser

vice

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ject

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r th

e de

duct

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coin

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nce

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cl

inic

al d

iagn

osti

c la

b te

sts

subj

ect t

o a

fee

sche

dule

hom

e he

alth

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vice

s it

ems

and

serv

ices

fur

nish

ed in

con

nect

ion

to o

btai

ning

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econ

d or

th

ird

opin

ion

and

som

e pr

even

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serv

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SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

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itat

ion

s

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icar

e P

art

B (

con

tin

ued

)

Lis

ted

belo

w a

re th

e 20

16 P

art B

mon

thly

pre

miu

m r

ates

to b

e pa

id b

y be

nefi

ciar

ies

who

fil

e an

indi

vidu

al ta

x re

turn

(inc

ludi

ng th

ose

who

are

sin

gle

hea

d of

hou

seho

ld q

ualif

ying

wid

ow(e

r) w

ith

depe

nden

t chi

ld o

r m

arri

ed f

ilin

g se

para

tely

w

ho li

ved

apar

t fro

m th

eir

spou

se f

or th

e en

tire

taxa

ble

year

) o

r a

join

t tax

ret

urn

Ben

efic

iari

es w

ho f

ile

an in

divi

dual

B

enef

icia

ries

who

fil

e a

join

t tax

In

com

e-re

late

d m

onth

lyT

otal

mon

thly

tax

retu

rn w

ith

inco

me

re

turn

wit

h in

com

e

adju

stm

ent a

mou

nt

prem

ium

am

ount

Les

s th

an o

r eq

ual t

o $8

500

0 L

ess

than

or

equa

l to

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000

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00

$121

80

Gre

ater

than

$85

000

and

less

than

Gre

ater

than

$17

000

0 an

d le

ss th

an

or e

qual

to $

107

000

or e

qual

to $

214

000

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870

$1

705

0

Gre

ater

than

$10

700

0 an

d le

ss th

an

G

reat

er th

an $

214

000

and

less

than

or

equ

al to

$16

000

0 or

equ

al to

$32

000

0

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80

$243

60

Gre

ater

than

$16

000

0 an

d le

ss th

an

G

reat

er th

an $

320

000

and

less

than

or

equ

al to

$21

400

0 or

equ

al to

$42

800

0

$194

90

$316

70

Gre

ater

than

$21

400

0 G

reat

er th

an $

428

000

$268

00

$389

80

In a

ddit

ion

the

mon

thly

pre

miu

m r

ates

to b

e pa

id b

y be

nefi

ciar

ies

who

are

mar

ried

and

live

d w

ith

thei

r sp

ouse

at a

ny ti

me

duri

ng th

e ta

xabl

e ye

ar b

ut f

ile

a se

para

te ta

x re

turn

fro

m th

eir

spou

se a

re li

sted

bel

ow

Tot

al m

onth

ly

spou

se a

nd f

iled

a s

epar

ate

tax

retu

rn

adju

stm

ent a

mou

nt

prem

ium

am

ount

M

arri

ed b

enef

icia

ries

who

live

d w

ith

thei

r In

com

e-re

late

d m

onth

ly

$121

80

Les

s th

an o

r eq

ual t

o $8

500

0 $0

00

$316

70

Gre

ater

than

$85

000

and

less

than

or

equa

l to

$129

000

$194

90

$389

80

Gre

ater

than

$12

900

0 $2

680

0

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

D S

tan

dar

d B

enef

its

Ded

ucti

ble

(11

201

6)

$360

in c

harg

esy

ear

Init

ial c

over

age

lim

it (

11

2016

) $3

310

in c

harg

esy

ear

Out

-of-

pock

et th

resh

old

(11

201

6)

$48

50 in

cha

rges

yea

r B

ase

bene

fici

ary

prem

ium

(1

120

16)1

$34

10m

onth

Med

icai

d F

inan

cin

g 1

F

eder

al c

ontr

ibut

ions

(ra

ngin

g fr

om 5

0 to

74

perc

ent f

or f

isca

l yea

r 20

16)

2

Sta

te c

ontr

ibut

ions

(ra

ngin

g fr

om 2

6 to

50

perc

ent f

or f

isca

l yea

r 20

16)

1 The

bas

e be

nefi

ciar

y pr

emiu

m w

as c

alcu

late

d ba

sed

on a

nat

iona

l ave

rage

pla

n bi

d T

he a

ctua

l pre

miu

m th

at a

ben

efic

iary

pay

s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

nefi

ciar

y is

enr

olle

d

NO

TE

S

The

ben

efic

iari

es w

ho q

uali

fy f

or th

e lo

w-i

ncom

e su

bsid

y un

der

Par

t D p

ay a

red

uced

or

zero

pre

miu

m

In a

ddit

ion

low

-inc

ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston



July In millions 1966 191 191 --1970 204 204 --1975 249 227 22 1980 284 255 30 1985 311 281 29 1990 343 310 33 1995 376 332 44

Average monthly 2000 397 343 54 2005 426 358 68 2010 477 396 81 2012 509 422 87 2013 525 436 88 2014 538 449 89 2015 558 468 91




HI andor SMI HI P

SMI

art B Part D

HI and SMI

HI Only

SMI Only

In millions

All persons

Aged persons

Disabled persons

553

463

90

550

460

90

504

422

82

415

--

--

501

419

82

49

41

08

03

03



6








All persons 37721 15938 21783




7


HI andor SMI HI SMI












8











In thousands




9









10

Table I10



In thousands

All regions1 54096 37721 697









11

Table I12







Table I13


2010 2020 2040 2060 2080 2100

In millions

Total 315 342 392 430 471 511

Under 20 86 88 98 105 113 121

20-64 188 198 212 232 251 269




12

Table I14



Male Female

Year In years

1965 129 163

1980 140 184

1990 151 191

2000 159 190

2010 176 202

20201 188 211

20301 195 217

20401 201 222

20501 207 228

20601 213 233

20701 218 237

20801 222 242

20901 227 246

21001 231 250 1 Projected


13

Table I15



At Birth

1960 697 706 636

1980 737 744 681

1990 754 761 691

2000 768 773 718

2005 776 780 730

2010 787 789 751

2011 787 790 753

2012 788 791 755

2013 788 791 755

At Age 65

1960 143 144 139

1980 164 165 151

1990 172 173 154

2000 176 177 161

2005 184 185 169

2010 191 192 178

2011 192 192 180

2012 193 193 181

2013 193 193 181


14


Fiscal Year 1995 2000 2005 2010 2014 2015


CHIP NA 20 59 54 60 58




15





Unknown 16 22








16





In thousands








1975 1 1980 1 2000 2 2014 2






17

18

ProvidersSuppliers



19







All regions 4800 152 1342 22



20










Free-standing 356




21



All regions 1 15179 458 6323





1980 1990 2010 2014



22




Percent of total







1980 1990 2000 2012 2014



2276

338

1352

206

869

144

568

92

478

78



203

39

774

73

1236

83

345

23

332

22



481

160

1211

210

1038

144

141

12

146

12



23



Primary Care 221469




Radiology 36713








Table II9



Pharmacy 50338


Podiatry 5575


Optician 2460





24

Expenditures



25








26




1980 $608 $350 $258 --

1990 1822 1097 725 --

2000 4287 2190 2080 $17

2010 9409 5256 4039 114

2014 10820 5987 4703 130






27


1967 1980 2010 2014



Medicare1 32 339 518 598

HI 25 238 250 271

SMI 07 101 209 262


Medicaid2 19 239 386 470


CHIP3 NA NA 11 13







28








Fiscal Year 2013 2014 2015


Aged 2179 2176 2232








29928 6865

11226


78821 272877

294 1000


43574 11491

16042


92934 83845

341 1000








30


Fiscal Year 2011 2012 2013








31












32




Total $10147264 $8686710


2444878 770702

2363720 827574






33










34

Utilization



35












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

eS

ourc

e of

In

com

e

Med

icar

e P

art

A H

ospi

tal I

nsur

ance

trus

t fun

d 1

P

ayro

ll ta

xes

2

Inc

ome

from

taxa

tion

of

soci

al s

ecur

ity

bene

fits

3

Tra

nsfe

rs f

rom

rai

lroa

d re

tire

men

t acc

ount

4

Gen

eral

rev

enue

for

uni

nsur

ed p

erso

ns a

nd m

ilit

ary

wag

e c

redi

ts

5 P

rem

ium

s fr

om v

olun

tary

enr

olle

es

6 I

nter

est o

n in

vest

men

ts

Con

trib

utio

n ra

te

2014

20

15

2016

Per

cent

Em

ploy

ees

and

empl

oyer

s e

ach

145

1

45

145

S

elf-

empl

oyed

2

90

2

90

29

0

Max

imum

taxa

ble

amou

nt (

CY

201

6)

Non

e1

Vol

unta

ry H

I m

onth

ly p

rem

ium

2 $

411

00

Par

t A

(ef

fect

ive

dat

e)

Inpa

tien

t hos

pita

l

ded

ucti

ble

(11

16)

Reg

ular

coi

nsur

ance

d

ays

(11

16)

L

ifet

ime

rese

rve

days

(1

116

) S

NF

coi

nsur

ance

day

s

(11

16)

B

lood

ded

ucti

ble

Vol

unta

ry h

ospi

tal i

nsur

ance

prem

ium

(1

116

)2

Lim

itat

ion

s

Inpa

tien

t psy

chia

tric

hos

pita

ls

Am

oun

t

$12

88b

enef

it p

erio

d

$3

22d

ay f

or 6

1st

th

roug

h 90

th d

ay

$644

day

(60

non

-

rene

wab

le d

ays)

$161

day

for

21s

t

thro

ugh

100t

h da

y

firs

t 3 p

ints

cal

enda

r ye

ar

$411

mon

th $

226

mo

wit

h 30

-39

quar

ters

of c

over

age

19

0 no

nren

ewab

le d

ays

1 The

Om

nibu

s R

econ

cili

atio

n A

ct o

f 19

93 e

lim

inat

ed th

e A

nnua

l Max

imum

Tax

able

Ear

ning

s am

ount

s fo

r 19

94 a

nd la

ter

For

thes

e ye

ars

the

co

ntri

buti

on r

ate

is a

ppli

ed to

all

ear

ning

s in

cov

ered

em

ploy

men

t

2 Prem

ium

pai

d fo

r vo

lunt

ary

part

icip

atio

n of

indi

vidu

als

aged

65

and

over

not

oth

erw

ise

entit

led

to h

ospi

tal i

nsur

ance

and

cer

tain

dis

able

d in

divi

dual

sw

ho h

ave

exha

uste

d ot

her

enti

tlem

ent

A r

educ

ed p

rem

ium

of

$226

is a

vail

able

to in

divi

dual

s ag

ed 6

5 an

d ov

er w

ho a

re n

ot o

ther

wis

e en

titl

ed to

ho

spit

al in

sura

nce

but w

ho h

ave

or

who

se s

pous

e ha

s or

had

30-

39 q

uart

ers

of c

over

age

unde

r T

itle

II

of th

e So

cial

Sec

urit

y A

ct

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

B

Sup

plem

enta

ry M

edic

al I

nsur

ance

trus

t fun

d 1

P

rem

ium

s pa

id b

y or

on

beha

lf o

f en

roll

ees

2 G

ener

al r

even

ue

3 I

nter

est o

n in

vest

men

ts

Par

t B

(ef

fect

ive

dat

e)

Am

oun

t D

educ

tibl

e (1

11

6) $

166

in a

llow

ed c

harg

esy

ear

Blo

od d

educ

tibl

e f

irst

3 p

ints

cal

enda

r ye

ar

Coi

nsur

ance

1 20

per

cent

of

allo

wed

cha

rges

M

onth

ly s

tand

ard

prem

ium

(1

116

) $

104

90m

onth

Lim

itat

ion

s O

utpa

tien

t tre

atm

ent f

or m

enta

l ill

ness

N

o li

mit

atio

ns

1 The

Par

t B d

educ

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e an

d co

insu

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e ap

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s to

mos

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vice

s I

tem

s an

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s no

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ject

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r th

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duct

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or

coin

sura

nce

are

cl

inic

al d

iagn

osti

c la

b te

sts

subj

ect t

o a

fee

sche

dule

hom

e he

alth

ser

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s it

ems

and

serv

ices

fur

nish

ed in

con

nect

ion

to o

btai

ning

a s

econ

d or

th

ird

opin

ion

and

som

e pr

even

tive

serv

ices

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

B (

con

tin

ued

)

Lis

ted

belo

w a

re th

e 20

16 P

art B

mon

thly

pre

miu

m r

ates

to b

e pa

id b

y be

nefi

ciar

ies

who

fil

e an

indi

vidu

al ta

x re

turn

(inc

ludi

ng th

ose

who

are

sin

gle

hea

d of

hou

seho

ld q

ualif

ying

wid

ow(e

r) w

ith

depe

nden

t chi

ld o

r m

arri

ed f

ilin

g se

para

tely

w

ho li

ved

apar

t fro

m th

eir

spou

se f

or th

e en

tire

taxa

ble

year

) o

r a

join

t tax

ret

urn

Ben

efic

iari

es w

ho f

ile

an in

divi

dual

B

enef

icia

ries

who

fil

e a

join

t tax

In

com

e-re

late

d m

onth

lyT

otal

mon

thly

tax

retu

rn w

ith

inco

me

re

turn

wit

h in

com

e

adju

stm

ent a

mou

nt

prem

ium

am

ount

Les

s th

an o

r eq

ual t

o $8

500

0 L

ess

than

or

equa

l to

$170

000

$0

00

$121

80

Gre

ater

than

$85

000

and

less

than

Gre

ater

than

$17

000

0 an

d le

ss th

an

or e

qual

to $

107

000

or e

qual

to $

214

000

$4

870

$1

705

0

Gre

ater

than

$10

700

0 an

d le

ss th

an

G

reat

er th

an $

214

000

and

less

than

or

equ

al to

$16

000

0 or

equ

al to

$32

000

0

$121

80

$243

60

Gre

ater

than

$16

000

0 an

d le

ss th

an

G

reat

er th

an $

320

000

and

less

than

or

equ

al to

$21

400

0 or

equ

al to

$42

800

0

$194

90

$316

70

Gre

ater

than

$21

400

0 G

reat

er th

an $

428

000

$268

00

$389

80

In a

ddit

ion

the

mon

thly

pre

miu

m r

ates

to b

e pa

id b

y be

nefi

ciar

ies

who

are

mar

ried

and

live

d w

ith

thei

r sp

ouse

at a

ny ti

me

duri

ng th

e ta

xabl

e ye

ar b

ut f

ile

a se

para

te ta

x re

turn

fro

m th

eir

spou

se a

re li

sted

bel

ow

Tot

al m

onth

ly

spou

se a

nd f

iled

a s

epar

ate

tax

retu

rn

adju

stm

ent a

mou

nt

prem

ium

am

ount

M

arri

ed b

enef

icia

ries

who

live

d w

ith

thei

r In

com

e-re

late

d m

onth

ly

$121

80

Les

s th

an o

r eq

ual t

o $8

500

0 $0

00

$316

70

Gre

ater

than

$85

000

and

less

than

or

equa

l to

$129

000

$194

90

$389

80

Gre

ater

than

$12

900

0 $2

680

0

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

D S

tan

dar

d B

enef

its

Ded

ucti

ble

(11

201

6)

$360

in c

harg

esy

ear

Init

ial c

over

age

lim

it (

11

2016

) $3

310

in c

harg

esy

ear

Out

-of-

pock

et th

resh

old

(11

201

6)

$48

50 in

cha

rges

yea

r B

ase

bene

fici

ary

prem

ium

(1

120

16)1

$34

10m

onth

Med

icai

d F

inan

cin

g 1

F

eder

al c

ontr

ibut

ions

(ra

ngin

g fr

om 5

0 to

74

perc

ent f

or f

isca

l yea

r 20

16)

2

Sta

te c

ontr

ibut

ions

(ra

ngin

g fr

om 2

6 to

50

perc

ent f

or f

isca

l yea

r 20

16)

1 The

bas

e be

nefi

ciar

y pr

emiu

m w

as c

alcu

late

d ba

sed

on a

nat

iona

l ave

rage

pla

n bi

d T

he a

ctua

l pre

miu

m th

at a

ben

efic

iary

pay

s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

nefi

ciar

y is

enr

olle

d

NO

TE

S

The

ben

efic

iari

es w

ho q

uali

fy f

or th

e lo

w-i

ncom

e su

bsid

y un

der

Par

t D p

ay a

red

uced

or

zero

pre

miu

m

In a

ddit

ion

low

-inc

ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston








All persons 37721 15938 21783




7


HI andor SMI HI SMI












8











In thousands




9









10

Table I10



In thousands

All regions1 54096 37721 697









11

Table I12







Table I13


2010 2020 2040 2060 2080 2100

In millions

Total 315 342 392 430 471 511

Under 20 86 88 98 105 113 121

20-64 188 198 212 232 251 269




12

Table I14



Male Female

Year In years

1965 129 163

1980 140 184

1990 151 191

2000 159 190

2010 176 202

20201 188 211

20301 195 217

20401 201 222

20501 207 228

20601 213 233

20701 218 237

20801 222 242

20901 227 246

21001 231 250 1 Projected


13

Table I15



At Birth

1960 697 706 636

1980 737 744 681

1990 754 761 691

2000 768 773 718

2005 776 780 730

2010 787 789 751

2011 787 790 753

2012 788 791 755

2013 788 791 755

At Age 65

1960 143 144 139

1980 164 165 151

1990 172 173 154

2000 176 177 161

2005 184 185 169

2010 191 192 178

2011 192 192 180

2012 193 193 181

2013 193 193 181


14


Fiscal Year 1995 2000 2005 2010 2014 2015


CHIP NA 20 59 54 60 58




15





Unknown 16 22








16





In thousands








1975 1 1980 1 2000 2 2014 2






17

18

ProvidersSuppliers



19







All regions 4800 152 1342 22



20










Free-standing 356




21



All regions 1 15179 458 6323





1980 1990 2010 2014



22




Percent of total







1980 1990 2000 2012 2014



2276

338

1352

206

869

144

568

92

478

78



203

39

774

73

1236

83

345

23

332

22



481

160

1211

210

1038

144

141

12

146

12



23



Primary Care 221469




Radiology 36713








Table II9



Pharmacy 50338


Podiatry 5575


Optician 2460





24

Expenditures



25








26




1980 $608 $350 $258 --

1990 1822 1097 725 --

2000 4287 2190 2080 $17

2010 9409 5256 4039 114

2014 10820 5987 4703 130






27


1967 1980 2010 2014



Medicare1 32 339 518 598

HI 25 238 250 271

SMI 07 101 209 262


Medicaid2 19 239 386 470


CHIP3 NA NA 11 13







28








Fiscal Year 2013 2014 2015


Aged 2179 2176 2232








29928 6865

11226


78821 272877

294 1000


43574 11491

16042


92934 83845

341 1000








30


Fiscal Year 2011 2012 2013








31












32




Total $10147264 $8686710


2444878 770702

2363720 827574






33










34

Utilization



35












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

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ng

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t S

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com

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Inc

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cent

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elf-

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oyed

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its

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ble

(11

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6)

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in c

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ial c

over

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) $3

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in c

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pock

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(11

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cha

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perc

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r 20

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perc

ent f

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l yea

r 20

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bas

e be

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as c

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s va

ries

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to th

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an in

whi

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e be

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y is

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olle

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TE

S

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ben

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fy f

or th

e lo

w-i

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der

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t D p

ay a

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pre

miu

m

In a

ddit

ion

low

-inc

ome

bene

fici

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e su

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t to

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imal

cop

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ent a

mou

nts

in m

ost i

nsta

nces

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UR

CE

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MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston


HI andor SMI HI SMI












8











In thousands




9









10

Table I10



In thousands

All regions1 54096 37721 697









11

Table I12







Table I13


2010 2020 2040 2060 2080 2100

In millions

Total 315 342 392 430 471 511

Under 20 86 88 98 105 113 121

20-64 188 198 212 232 251 269




12

Table I14



Male Female

Year In years

1965 129 163

1980 140 184

1990 151 191

2000 159 190

2010 176 202

20201 188 211

20301 195 217

20401 201 222

20501 207 228

20601 213 233

20701 218 237

20801 222 242

20901 227 246

21001 231 250 1 Projected


13

Table I15



At Birth

1960 697 706 636

1980 737 744 681

1990 754 761 691

2000 768 773 718

2005 776 780 730

2010 787 789 751

2011 787 790 753

2012 788 791 755

2013 788 791 755

At Age 65

1960 143 144 139

1980 164 165 151

1990 172 173 154

2000 176 177 161

2005 184 185 169

2010 191 192 178

2011 192 192 180

2012 193 193 181

2013 193 193 181


14


Fiscal Year 1995 2000 2005 2010 2014 2015


CHIP NA 20 59 54 60 58




15





Unknown 16 22








16





In thousands








1975 1 1980 1 2000 2 2014 2






17

18

ProvidersSuppliers



19







All regions 4800 152 1342 22



20










Free-standing 356




21



All regions 1 15179 458 6323





1980 1990 2010 2014



22




Percent of total







1980 1990 2000 2012 2014



2276

338

1352

206

869

144

568

92

478

78



203

39

774

73

1236

83

345

23

332

22



481

160

1211

210

1038

144

141

12

146

12



23



Primary Care 221469




Radiology 36713








Table II9



Pharmacy 50338


Podiatry 5575


Optician 2460





24

Expenditures



25








26




1980 $608 $350 $258 --

1990 1822 1097 725 --

2000 4287 2190 2080 $17

2010 9409 5256 4039 114

2014 10820 5987 4703 130






27


1967 1980 2010 2014



Medicare1 32 339 518 598

HI 25 238 250 271

SMI 07 101 209 262


Medicaid2 19 239 386 470


CHIP3 NA NA 11 13







28








Fiscal Year 2013 2014 2015


Aged 2179 2176 2232








29928 6865

11226


78821 272877

294 1000


43574 11491

16042


92934 83845

341 1000








30


Fiscal Year 2011 2012 2013








31












32




Total $10147264 $8686710


2444878 770702

2363720 827574






33










34

Utilization



35












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

eS

ourc

e of

In

com

e

Med

icar

e P

art

A H

ospi

tal I

nsur

ance

trus

t fun

d 1

P

ayro

ll ta

xes

2

Inc

ome

from

taxa

tion

of

soci

al s

ecur

ity

bene

fits

3

Tra

nsfe

rs f

rom

rai

lroa

d re

tire

men

t acc

ount

4

Gen

eral

rev

enue

for

uni

nsur

ed p

erso

ns a

nd m

ilit

ary

wag

e c

redi

ts

5 P

rem

ium

s fr

om v

olun

tary

enr

olle

es

6 I

nter

est o

n in

vest

men

ts

Con

trib

utio

n ra

te

2014

20

15

2016

Per

cent

Em

ploy

ees

and

empl

oyer

s e

ach

145

1

45

145

S

elf-

empl

oyed

2

90

2

90

29

0

Max

imum

taxa

ble

amou

nt (

CY

201

6)

Non

e1

Vol

unta

ry H

I m

onth

ly p

rem

ium

2 $

411

00

Par

t A

(ef

fect

ive

dat

e)

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tien

t hos

pita

l

ded

ucti

ble

(11

16)

Reg

ular

coi

nsur

ance

d

ays

(11

16)

L

ifet

ime

rese

rve

days

(1

116

) S

NF

coi

nsur

ance

day

s

(11

16)

B

lood

ded

ucti

ble

Vol

unta

ry h

ospi

tal i

nsur

ance

prem

ium

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116

)2

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itat

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s

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tien

t psy

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tric

hos

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ls

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oun

t

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88b

enef

it p

erio

d

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22d

ay f

or 6

1st

th

roug

h 90

th d

ay

$644

day

(60

non

-

rene

wab

le d

ays)

$161

day

for

21s

t

thro

ugh

100t

h da

y

firs

t 3 p

ints

cal

enda

r ye

ar

$411

mon

th $

226

mo

wit

h 30

-39

quar

ters

of c

over

age

19

0 no

nren

ewab

le d

ays

1 The

Om

nibu

s R

econ

cili

atio

n A

ct o

f 19

93 e

lim

inat

ed th

e A

nnua

l Max

imum

Tax

able

Ear

ning

s am

ount

s fo

r 19

94 a

nd la

ter

For

thes

e ye

ars

the

co

ntri

buti

on r

ate

is a

ppli

ed to

all

ear

ning

s in

cov

ered

em

ploy

men

t

2 Prem

ium

pai

d fo

r vo

lunt

ary

part

icip

atio

n of

indi

vidu

als

aged

65

and

over

not

oth

erw

ise

entit

led

to h

ospi

tal i

nsur

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(11

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6)

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in c

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11

2016

) $3

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in c

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-of-

pock

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(11

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6)

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cha

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prem

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120

16)1

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r 20

16)

2

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(ra

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50

perc

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or f

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r 20

16)

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bas

e be

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as c

alcu

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on a

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n bi

d T

he a

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l pre

miu

m th

at a

ben

efic

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pay

s va

ries

ac

cord

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to th

e pl

an in

whi

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e be

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enr

olle

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TE

S

The

ben

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ho q

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or th

e lo

w-i

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t D p

ay a

red

uced

or

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pre

miu

m

In a

ddit

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low

-inc

ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston











In thousands




9









10

Table I10



In thousands

All regions1 54096 37721 697









11

Table I12







Table I13


2010 2020 2040 2060 2080 2100

In millions

Total 315 342 392 430 471 511

Under 20 86 88 98 105 113 121

20-64 188 198 212 232 251 269




12

Table I14



Male Female

Year In years

1965 129 163

1980 140 184

1990 151 191

2000 159 190

2010 176 202

20201 188 211

20301 195 217

20401 201 222

20501 207 228

20601 213 233

20701 218 237

20801 222 242

20901 227 246

21001 231 250 1 Projected


13

Table I15



At Birth

1960 697 706 636

1980 737 744 681

1990 754 761 691

2000 768 773 718

2005 776 780 730

2010 787 789 751

2011 787 790 753

2012 788 791 755

2013 788 791 755

At Age 65

1960 143 144 139

1980 164 165 151

1990 172 173 154

2000 176 177 161

2005 184 185 169

2010 191 192 178

2011 192 192 180

2012 193 193 181

2013 193 193 181


14


Fiscal Year 1995 2000 2005 2010 2014 2015


CHIP NA 20 59 54 60 58




15





Unknown 16 22








16





In thousands








1975 1 1980 1 2000 2 2014 2






17

18

ProvidersSuppliers



19







All regions 4800 152 1342 22



20










Free-standing 356




21



All regions 1 15179 458 6323





1980 1990 2010 2014



22




Percent of total







1980 1990 2000 2012 2014



2276

338

1352

206

869

144

568

92

478

78



203

39

774

73

1236

83

345

23

332

22



481

160

1211

210

1038

144

141

12

146

12



23



Primary Care 221469




Radiology 36713








Table II9



Pharmacy 50338


Podiatry 5575


Optician 2460





24

Expenditures



25








26




1980 $608 $350 $258 --

1990 1822 1097 725 --

2000 4287 2190 2080 $17

2010 9409 5256 4039 114

2014 10820 5987 4703 130






27


1967 1980 2010 2014



Medicare1 32 339 518 598

HI 25 238 250 271

SMI 07 101 209 262


Medicaid2 19 239 386 470


CHIP3 NA NA 11 13







28








Fiscal Year 2013 2014 2015


Aged 2179 2176 2232








29928 6865

11226


78821 272877

294 1000


43574 11491

16042


92934 83845

341 1000








30


Fiscal Year 2011 2012 2013








31












32




Total $10147264 $8686710


2444878 770702

2363720 827574






33










34

Utilization



35












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

eS

ourc

e of

In

com

e

Med

icar

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art

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ospi

tal I

nsur

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t fun

d 1

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ayro

ll ta

xes

2

Inc

ome

from

taxa

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of

soci

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ity

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fits

3

Tra

nsfe

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d re

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ount

4

Gen

eral

rev

enue

for

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nsur

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ns a

nd m

ilit

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e c

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ts

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rem

ium

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om v

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olle

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nter

est o

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ts

Con

trib

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te

2014

20

15

2016

Per

cent

Em

ploy

ees

and

empl

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s e

ach

145

1

45

145

S

elf-

empl

oyed

2

90

2

90

29

0

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imum

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rem

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2 $

411

00

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t A

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Vol

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e en

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al in

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nce

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r T

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cial

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urit

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UR

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MS

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ctua

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t S

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t D

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per

cent

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onth

ly s

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mit

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Par

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tem

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r th

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coin

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al d

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o a

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hom

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ems

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nect

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to o

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econ

d or

th

ird

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e pr

even

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serv

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UR

CE

C

MS

Off

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e A

ctua

ry

Pro

gram

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anci

ng

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t S

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itat

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e P

art

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con

tin

ued

)

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ted

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re th

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art B

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thly

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m r

ates

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e pa

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ciar

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vidu

al ta

x re

turn

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ludi

ng th

ose

who

are

sin

gle

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d of

hou

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ld q

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wid

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r) w

ith

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nden

t chi

ld o

r m

arri

ed f

ilin

g se

para

tely

w

ho li

ved

apar

t fro

m th

eir

spou

se f

or th

e en

tire

taxa

ble

year

) o

r a

join

t tax

ret

urn

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es w

ho f

ile

an in

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dual

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enef

icia

ries

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fil

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com

e-re

late

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thly

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ith

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re

turn

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h in

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adju

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mou

nt

prem

ium

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ount

Les

s th

an o

r eq

ual t

o $8

500

0 L

ess

than

or

equa

l to

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000

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00

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80

Gre

ater

than

$85

000

and

less

than

Gre

ater

than

$17

000

0 an

d le

ss th

an

or e

qual

to $

107

000

or e

qual

to $

214

000

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870

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705

0

Gre

ater

than

$10

700

0 an

d le

ss th

an

G

reat

er th

an $

214

000

and

less

than

or

equ

al to

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000

0 or

equ

al to

$32

000

0

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80

$243

60

Gre

ater

than

$16

000

0 an

d le

ss th

an

G

reat

er th

an $

320

000

and

less

than

or

equ

al to

$21

400

0 or

equ

al to

$42

800

0

$194

90

$316

70

Gre

ater

than

$21

400

0 G

reat

er th

an $

428

000

$268

00

$389

80

In a

ddit

ion

the

mon

thly

pre

miu

m r

ates

to b

e pa

id b

y be

nefi

ciar

ies

who

are

mar

ried

and

live

d w

ith

thei

r sp

ouse

at a

ny ti

me

duri

ng th

e ta

xabl

e ye

ar b

ut f

ile

a se

para

te ta

x re

turn

fro

m th

eir

spou

se a

re li

sted

bel

ow

Tot

al m

onth

ly

spou

se a

nd f

iled

a s

epar

ate

tax

retu

rn

adju

stm

ent a

mou

nt

prem

ium

am

ount

M

arri

ed b

enef

icia

ries

who

live

d w

ith

thei

r In

com

e-re

late

d m

onth

ly

$121

80

Les

s th

an o

r eq

ual t

o $8

500

0 $0

00

$316

70

Gre

ater

than

$85

000

and

less

than

or

equa

l to

$129

000

$194

90

$389

80

Gre

ater

than

$12

900

0 $2

680

0

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

D S

tan

dar

d B

enef

its

Ded

ucti

ble

(11

201

6)

$360

in c

harg

esy

ear

Init

ial c

over

age

lim

it (

11

2016

) $3

310

in c

harg

esy

ear

Out

-of-

pock

et th

resh

old

(11

201

6)

$48

50 in

cha

rges

yea

r B

ase

bene

fici

ary

prem

ium

(1

120

16)1

$34

10m

onth

Med

icai

d F

inan

cin

g 1

F

eder

al c

ontr

ibut

ions

(ra

ngin

g fr

om 5

0 to

74

perc

ent f

or f

isca

l yea

r 20

16)

2

Sta

te c

ontr

ibut

ions

(ra

ngin

g fr

om 2

6 to

50

perc

ent f

or f

isca

l yea

r 20

16)

1 The

bas

e be

nefi

ciar

y pr

emiu

m w

as c

alcu

late

d ba

sed

on a

nat

iona

l ave

rage

pla

n bi

d T

he a

ctua

l pre

miu

m th

at a

ben

efic

iary

pay

s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

nefi

ciar

y is

enr

olle

d

NO

TE

S

The

ben

efic

iari

es w

ho q

uali

fy f

or th

e lo

w-i

ncom

e su

bsid

y un

der

Par

t D p

ay a

red

uced

or

zero

pre

miu

m

In a

ddit

ion

low

-inc

ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston









10

Table I10



In thousands

All regions1 54096 37721 697









11

Table I12







Table I13


2010 2020 2040 2060 2080 2100

In millions

Total 315 342 392 430 471 511

Under 20 86 88 98 105 113 121

20-64 188 198 212 232 251 269




12

Table I14



Male Female

Year In years

1965 129 163

1980 140 184

1990 151 191

2000 159 190

2010 176 202

20201 188 211

20301 195 217

20401 201 222

20501 207 228

20601 213 233

20701 218 237

20801 222 242

20901 227 246

21001 231 250 1 Projected


13

Table I15



At Birth

1960 697 706 636

1980 737 744 681

1990 754 761 691

2000 768 773 718

2005 776 780 730

2010 787 789 751

2011 787 790 753

2012 788 791 755

2013 788 791 755

At Age 65

1960 143 144 139

1980 164 165 151

1990 172 173 154

2000 176 177 161

2005 184 185 169

2010 191 192 178

2011 192 192 180

2012 193 193 181

2013 193 193 181


14


Fiscal Year 1995 2000 2005 2010 2014 2015


CHIP NA 20 59 54 60 58




15





Unknown 16 22








16





In thousands








1975 1 1980 1 2000 2 2014 2






17

18

ProvidersSuppliers



19







All regions 4800 152 1342 22



20










Free-standing 356




21



All regions 1 15179 458 6323





1980 1990 2010 2014



22




Percent of total







1980 1990 2000 2012 2014



2276

338

1352

206

869

144

568

92

478

78



203

39

774

73

1236

83

345

23

332

22



481

160

1211

210

1038

144

141

12

146

12



23



Primary Care 221469




Radiology 36713








Table II9



Pharmacy 50338


Podiatry 5575


Optician 2460





24

Expenditures



25








26




1980 $608 $350 $258 --

1990 1822 1097 725 --

2000 4287 2190 2080 $17

2010 9409 5256 4039 114

2014 10820 5987 4703 130






27


1967 1980 2010 2014



Medicare1 32 339 518 598

HI 25 238 250 271

SMI 07 101 209 262


Medicaid2 19 239 386 470


CHIP3 NA NA 11 13







28








Fiscal Year 2013 2014 2015


Aged 2179 2176 2232








29928 6865

11226


78821 272877

294 1000


43574 11491

16042


92934 83845

341 1000








30


Fiscal Year 2011 2012 2013








31












32




Total $10147264 $8686710


2444878 770702

2363720 827574






33










34

Utilization



35












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

eS

ourc

e of

In

com

e

Med

icar

e P

art

A H

ospi

tal I

nsur

ance

trus

t fun

d 1

P

ayro

ll ta

xes

2

Inc

ome

from

taxa

tion

of

soci

al s

ecur

ity

bene

fits

3

Tra

nsfe

rs f

rom

rai

lroa

d re

tire

men

t acc

ount

4

Gen

eral

rev

enue

for

uni

nsur

ed p

erso

ns a

nd m

ilit

ary

wag

e c

redi

ts

5 P

rem

ium

s fr

om v

olun

tary

enr

olle

es

6 I

nter

est o

n in

vest

men

ts

Con

trib

utio

n ra

te

2014

20

15

2016

Per

cent

Em

ploy

ees

and

empl

oyer

s e

ach

145

1

45

145

S

elf-

empl

oyed

2

90

2

90

29

0

Max

imum

taxa

ble

amou

nt (

CY

201

6)

Non

e1

Vol

unta

ry H

I m

onth

ly p

rem

ium

2 $

411

00

Par

t A

(ef

fect

ive

dat

e)

Inpa

tien

t hos

pita

l

ded

ucti

ble

(11

16)

Reg

ular

coi

nsur

ance

d

ays

(11

16)

L

ifet

ime

rese

rve

days

(1

116

) S

NF

coi

nsur

ance

day

s

(11

16)

B

lood

ded

ucti

ble

Vol

unta

ry h

ospi

tal i

nsur

ance

prem

ium

(1

116

)2

Lim

itat

ion

s

Inpa

tien

t psy

chia

tric

hos

pita

ls

Am

oun

t

$12

88b

enef

it p

erio

d

$3

22d

ay f

or 6

1st

th

roug

h 90

th d

ay

$644

day

(60

non

-

rene

wab

le d

ays)

$161

day

for

21s

t

thro

ugh

100t

h da

y

firs

t 3 p

ints

cal

enda

r ye

ar

$411

mon

th $

226

mo

wit

h 30

-39

quar

ters

of c

over

age

19

0 no

nren

ewab

le d

ays

1 The

Om

nibu

s R

econ

cili

atio

n A

ct o

f 19

93 e

lim

inat

ed th

e A

nnua

l Max

imum

Tax

able

Ear

ning

s am

ount

s fo

r 19

94 a

nd la

ter

For

thes

e ye

ars

the

co

ntri

buti

on r

ate

is a

ppli

ed to

all

ear

ning

s in

cov

ered

em

ploy

men

t

2 Prem

ium

pai

d fo

r vo

lunt

ary

part

icip

atio

n of

indi

vidu

als

aged

65

and

over

not

oth

erw

ise

entit

led

to h

ospi

tal i

nsur

ance

and

cer

tain

dis

able

d in

divi

dual

sw

ho h

ave

exha

uste

d ot

her

enti

tlem

ent

A r

educ

ed p

rem

ium

of

$226

is a

vail

able

to in

divi

dual

s ag

ed 6

5 an

d ov

er w

ho a

re n

ot o

ther

wis

e en

titl

ed to

ho

spit

al in

sura

nce

but w

ho h

ave

or

who

se s

pous

e ha

s or

had

30-

39 q

uart

ers

of c

over

age

unde

r T

itle

II

of th

e So

cial

Sec

urit

y A

ct

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

B

Sup

plem

enta

ry M

edic

al I

nsur

ance

trus

t fun

d 1

P

rem

ium

s pa

id b

y or

on

beha

lf o

f en

roll

ees

2 G

ener

al r

even

ue

3 I

nter

est o

n in

vest

men

ts

Par

t B

(ef

fect

ive

dat

e)

Am

oun

t D

educ

tibl

e (1

11

6) $

166

in a

llow

ed c

harg

esy

ear

Blo

od d

educ

tibl

e f

irst

3 p

ints

cal

enda

r ye

ar

Coi

nsur

ance

1 20

per

cent

of

allo

wed

cha

rges

M

onth

ly s

tand

ard

prem

ium

(1

116

) $

104

90m

onth

Lim

itat

ion

s O

utpa

tien

t tre

atm

ent f

or m

enta

l ill

ness

N

o li

mit

atio

ns

1 The

Par

t B d

educ

tibl

e an

d co

insu

ranc

e ap

plie

s to

mos

t ser

vice

s I

tem

s an

dor

ser

vice

s no

t sub

ject

to e

ithe

r th

e de

duct

ible

or

coin

sura

nce

are

cl

inic

al d

iagn

osti

c la

b te

sts

subj

ect t

o a

fee

sche

dule

hom

e he

alth

ser

vice

s it

ems

and

serv

ices

fur

nish

ed in

con

nect

ion

to o

btai

ning

a s

econ

d or

th

ird

opin

ion

and

som

e pr

even

tive

serv

ices

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

B (

con

tin

ued

)

Lis

ted

belo

w a

re th

e 20

16 P

art B

mon

thly

pre

miu

m r

ates

to b

e pa

id b

y be

nefi

ciar

ies

who

fil

e an

indi

vidu

al ta

x re

turn

(inc

ludi

ng th

ose

who

are

sin

gle

hea

d of

hou

seho

ld q

ualif

ying

wid

ow(e

r) w

ith

depe

nden

t chi

ld o

r m

arri

ed f

ilin

g se

para

tely

w

ho li

ved

apar

t fro

m th

eir

spou

se f

or th

e en

tire

taxa

ble

year

) o

r a

join

t tax

ret

urn

Ben

efic

iari

es w

ho f

ile

an in

divi

dual

B

enef

icia

ries

who

fil

e a

join

t tax

In

com

e-re

late

d m

onth

lyT

otal

mon

thly

tax

retu

rn w

ith

inco

me

re

turn

wit

h in

com

e

adju

stm

ent a

mou

nt

prem

ium

am

ount

Les

s th

an o

r eq

ual t

o $8

500

0 L

ess

than

or

equa

l to

$170

000

$0

00

$121

80

Gre

ater

than

$85

000

and

less

than

Gre

ater

than

$17

000

0 an

d le

ss th

an

or e

qual

to $

107

000

or e

qual

to $

214

000

$4

870

$1

705

0

Gre

ater

than

$10

700

0 an

d le

ss th

an

G

reat

er th

an $

214

000

and

less

than

or

equ

al to

$16

000

0 or

equ

al to

$32

000

0

$121

80

$243

60

Gre

ater

than

$16

000

0 an

d le

ss th

an

G

reat

er th

an $

320

000

and

less

than

or

equ

al to

$21

400

0 or

equ

al to

$42

800

0

$194

90

$316

70

Gre

ater

than

$21

400

0 G

reat

er th

an $

428

000

$268

00

$389

80

In a

ddit

ion

the

mon

thly

pre

miu

m r

ates

to b

e pa

id b

y be

nefi

ciar

ies

who

are

mar

ried

and

live

d w

ith

thei

r sp

ouse

at a

ny ti

me

duri

ng th

e ta

xabl

e ye

ar b

ut f

ile

a se

para

te ta

x re

turn

fro

m th

eir

spou

se a

re li

sted

bel

ow

Tot

al m

onth

ly

spou

se a

nd f

iled

a s

epar

ate

tax

retu

rn

adju

stm

ent a

mou

nt

prem

ium

am

ount

M

arri

ed b

enef

icia

ries

who

live

d w

ith

thei

r In

com

e-re

late

d m

onth

ly

$121

80

Les

s th

an o

r eq

ual t

o $8

500

0 $0

00

$316

70

Gre

ater

than

$85

000

and

less

than

or

equa

l to

$129

000

$194

90

$389

80

Gre

ater

than

$12

900

0 $2

680

0

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

D S

tan

dar

d B

enef

its

Ded

ucti

ble

(11

201

6)

$360

in c

harg

esy

ear

Init

ial c

over

age

lim

it (

11

2016

) $3

310

in c

harg

esy

ear

Out

-of-

pock

et th

resh

old

(11

201

6)

$48

50 in

cha

rges

yea

r B

ase

bene

fici

ary

prem

ium

(1

120

16)1

$34

10m

onth

Med

icai

d F

inan

cin

g 1

F

eder

al c

ontr

ibut

ions

(ra

ngin

g fr

om 5

0 to

74

perc

ent f

or f

isca

l yea

r 20

16)

2

Sta

te c

ontr

ibut

ions

(ra

ngin

g fr

om 2

6 to

50

perc

ent f

or f

isca

l yea

r 20

16)

1 The

bas

e be

nefi

ciar

y pr

emiu

m w

as c

alcu

late

d ba

sed

on a

nat

iona

l ave

rage

pla

n bi

d T

he a

ctua

l pre

miu

m th

at a

ben

efic

iary

pay

s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

nefi

ciar

y is

enr

olle

d

NO

TE

S

The

ben

efic

iari

es w

ho q

uali

fy f

or th

e lo

w-i

ncom

e su

bsid

y un

der

Par

t D p

ay a

red

uced

or

zero

pre

miu

m

In a

ddit

ion

low

-inc

ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston

Table I10



In thousands

All regions1 54096 37721 697









11

Table I12







Table I13


2010 2020 2040 2060 2080 2100

In millions

Total 315 342 392 430 471 511

Under 20 86 88 98 105 113 121

20-64 188 198 212 232 251 269




12

Table I14



Male Female

Year In years

1965 129 163

1980 140 184

1990 151 191

2000 159 190

2010 176 202

20201 188 211

20301 195 217

20401 201 222

20501 207 228

20601 213 233

20701 218 237

20801 222 242

20901 227 246

21001 231 250 1 Projected


13

Table I15



At Birth

1960 697 706 636

1980 737 744 681

1990 754 761 691

2000 768 773 718

2005 776 780 730

2010 787 789 751

2011 787 790 753

2012 788 791 755

2013 788 791 755

At Age 65

1960 143 144 139

1980 164 165 151

1990 172 173 154

2000 176 177 161

2005 184 185 169

2010 191 192 178

2011 192 192 180

2012 193 193 181

2013 193 193 181


14


Fiscal Year 1995 2000 2005 2010 2014 2015


CHIP NA 20 59 54 60 58




15





Unknown 16 22








16





In thousands








1975 1 1980 1 2000 2 2014 2






17

18

ProvidersSuppliers



19







All regions 4800 152 1342 22



20










Free-standing 356




21



All regions 1 15179 458 6323





1980 1990 2010 2014



22




Percent of total







1980 1990 2000 2012 2014



2276

338

1352

206

869

144

568

92

478

78



203

39

774

73

1236

83

345

23

332

22



481

160

1211

210

1038

144

141

12

146

12



23



Primary Care 221469




Radiology 36713








Table II9



Pharmacy 50338


Podiatry 5575


Optician 2460





24

Expenditures



25








26




1980 $608 $350 $258 --

1990 1822 1097 725 --

2000 4287 2190 2080 $17

2010 9409 5256 4039 114

2014 10820 5987 4703 130






27


1967 1980 2010 2014



Medicare1 32 339 518 598

HI 25 238 250 271

SMI 07 101 209 262


Medicaid2 19 239 386 470


CHIP3 NA NA 11 13







28








Fiscal Year 2013 2014 2015


Aged 2179 2176 2232








29928 6865

11226


78821 272877

294 1000


43574 11491

16042


92934 83845

341 1000








30


Fiscal Year 2011 2012 2013








31












32




Total $10147264 $8686710


2444878 770702

2363720 827574






33










34

Utilization



35












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

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and

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s

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icar

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ourc

e of

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com

e

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art

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t fun

d 1

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Inc

ome

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ity

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Tra

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rom

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ount

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Gen

eral

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enue

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ilit

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e c

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ts

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rem

ium

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ts

Con

trib

utio

n ra

te

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2016

Per

cent

Em

ploy

ees

and

empl

oyer

s e

ach

145

1

45

145

S

elf-

empl

oyed

2

90

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90

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0

Max

imum

taxa

ble

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nt (

CY

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Non

e1

Vol

unta

ry H

I m

onth

ly p

rem

ium

2 $

411

00

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t A

(ef

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l

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ble

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Reg

ular

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ints

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Off

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of th

e A

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ry

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ng

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t S

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itat

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s

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icar

e P

art

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tan

dar

d B

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its

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ucti

ble

(11

201

6)

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in c

harg

esy

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ial c

over

age

lim

it (

11

2016

) $3

310

in c

harg

esy

ear

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-of-

pock

et th

resh

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(11

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50 in

cha

rges

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r B

ase

bene

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ary

prem

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d F

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0 to

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perc

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or f

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l yea

r 20

16)

2

Sta

te c

ontr

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(ra

ngin

g fr

om 2

6 to

50

perc

ent f

or f

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l yea

r 20

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1 The

bas

e be

nefi

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y pr

emiu

m w

as c

alcu

late

d ba

sed

on a

nat

iona

l ave

rage

pla

n bi

d T

he a

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l pre

miu

m th

at a

ben

efic

iary

pay

s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

nefi

ciar

y is

enr

olle

d

NO

TE

S

The

ben

efic

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es w

ho q

uali

fy f

or th

e lo

w-i

ncom

e su

bsid

y un

der

Par

t D p

ay a

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uced

or

zero

pre

miu

m

In a

ddit

ion

low

-inc

ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston

Table I12







Table I13


2010 2020 2040 2060 2080 2100

In millions

Total 315 342 392 430 471 511

Under 20 86 88 98 105 113 121

20-64 188 198 212 232 251 269




12

Table I14



Male Female

Year In years

1965 129 163

1980 140 184

1990 151 191

2000 159 190

2010 176 202

20201 188 211

20301 195 217

20401 201 222

20501 207 228

20601 213 233

20701 218 237

20801 222 242

20901 227 246

21001 231 250 1 Projected


13

Table I15



At Birth

1960 697 706 636

1980 737 744 681

1990 754 761 691

2000 768 773 718

2005 776 780 730

2010 787 789 751

2011 787 790 753

2012 788 791 755

2013 788 791 755

At Age 65

1960 143 144 139

1980 164 165 151

1990 172 173 154

2000 176 177 161

2005 184 185 169

2010 191 192 178

2011 192 192 180

2012 193 193 181

2013 193 193 181


14


Fiscal Year 1995 2000 2005 2010 2014 2015


CHIP NA 20 59 54 60 58




15





Unknown 16 22








16





In thousands








1975 1 1980 1 2000 2 2014 2






17

18

ProvidersSuppliers



19







All regions 4800 152 1342 22



20










Free-standing 356




21



All regions 1 15179 458 6323





1980 1990 2010 2014



22




Percent of total







1980 1990 2000 2012 2014



2276

338

1352

206

869

144

568

92

478

78



203

39

774

73

1236

83

345

23

332

22



481

160

1211

210

1038

144

141

12

146

12



23



Primary Care 221469




Radiology 36713








Table II9



Pharmacy 50338


Podiatry 5575


Optician 2460





24

Expenditures



25








26




1980 $608 $350 $258 --

1990 1822 1097 725 --

2000 4287 2190 2080 $17

2010 9409 5256 4039 114

2014 10820 5987 4703 130






27


1967 1980 2010 2014



Medicare1 32 339 518 598

HI 25 238 250 271

SMI 07 101 209 262


Medicaid2 19 239 386 470


CHIP3 NA NA 11 13







28








Fiscal Year 2013 2014 2015


Aged 2179 2176 2232








29928 6865

11226


78821 272877

294 1000


43574 11491

16042


92934 83845

341 1000








30


Fiscal Year 2011 2012 2013








31












32




Total $10147264 $8686710


2444878 770702

2363720 827574






33










34

Utilization



35












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

eS

ourc

e of

In

com

e

Med

icar

e P

art

A H

ospi

tal I

nsur

ance

trus

t fun

d 1

P

ayro

ll ta

xes

2

Inc

ome

from

taxa

tion

of

soci

al s

ecur

ity

bene

fits

3

Tra

nsfe

rs f

rom

rai

lroa

d re

tire

men

t acc

ount

4

Gen

eral

rev

enue

for

uni

nsur

ed p

erso

ns a

nd m

ilit

ary

wag

e c

redi

ts

5 P

rem

ium

s fr

om v

olun

tary

enr

olle

es

6 I

nter

est o

n in

vest

men

ts

Con

trib

utio

n ra

te

2014

20

15

2016

Per

cent

Em

ploy

ees

and

empl

oyer

s e

ach

145

1

45

145

S

elf-

empl

oyed

2

90

2

90

29

0

Max

imum

taxa

ble

amou

nt (

CY

201

6)

Non

e1

Vol

unta

ry H

I m

onth

ly p

rem

ium

2 $

411

00

Par

t A

(ef

fect

ive

dat

e)

Inpa

tien

t hos

pita

l

ded

ucti

ble

(11

16)

Reg

ular

coi

nsur

ance

d

ays

(11

16)

L

ifet

ime

rese

rve

days

(1

116

) S

NF

coi

nsur

ance

day

s

(11

16)

B

lood

ded

ucti

ble

Vol

unta

ry h

ospi

tal i

nsur

ance

prem

ium

(1

116

)2

Lim

itat

ion

s

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tien

t psy

chia

tric

hos

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ls

Am

oun

t

$12

88b

enef

it p

erio

d

$3

22d

ay f

or 6

1st

th

roug

h 90

th d

ay

$644

day

(60

non

-

rene

wab

le d

ays)

$161

day

for

21s

t

thro

ugh

100t

h da

y

firs

t 3 p

ints

cal

enda

r ye

ar

$411

mon

th $

226

mo

wit

h 30

-39

quar

ters

of c

over

age

19

0 no

nren

ewab

le d

ays

1 The

Om

nibu

s R

econ

cili

atio

n A

ct o

f 19

93 e

lim

inat

ed th

e A

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in c

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11

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pock

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(11

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16)1

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to th

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whi

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olle

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TE

S

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low

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bene

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e su

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only

min

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cop

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nts

in m

ost i

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UR

CE

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MS

Off

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of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston

Table I14



Male Female

Year In years

1965 129 163

1980 140 184

1990 151 191

2000 159 190

2010 176 202

20201 188 211

20301 195 217

20401 201 222

20501 207 228

20601 213 233

20701 218 237

20801 222 242

20901 227 246

21001 231 250 1 Projected


13

Table I15



At Birth

1960 697 706 636

1980 737 744 681

1990 754 761 691

2000 768 773 718

2005 776 780 730

2010 787 789 751

2011 787 790 753

2012 788 791 755

2013 788 791 755

At Age 65

1960 143 144 139

1980 164 165 151

1990 172 173 154

2000 176 177 161

2005 184 185 169

2010 191 192 178

2011 192 192 180

2012 193 193 181

2013 193 193 181


14


Fiscal Year 1995 2000 2005 2010 2014 2015


CHIP NA 20 59 54 60 58




15





Unknown 16 22








16





In thousands








1975 1 1980 1 2000 2 2014 2






17

18

ProvidersSuppliers



19







All regions 4800 152 1342 22



20










Free-standing 356




21



All regions 1 15179 458 6323





1980 1990 2010 2014



22




Percent of total







1980 1990 2000 2012 2014



2276

338

1352

206

869

144

568

92

478

78



203

39

774

73

1236

83

345

23

332

22



481

160

1211

210

1038

144

141

12

146

12



23



Primary Care 221469




Radiology 36713








Table II9



Pharmacy 50338


Podiatry 5575


Optician 2460





24

Expenditures



25








26




1980 $608 $350 $258 --

1990 1822 1097 725 --

2000 4287 2190 2080 $17

2010 9409 5256 4039 114

2014 10820 5987 4703 130






27


1967 1980 2010 2014



Medicare1 32 339 518 598

HI 25 238 250 271

SMI 07 101 209 262


Medicaid2 19 239 386 470


CHIP3 NA NA 11 13







28








Fiscal Year 2013 2014 2015


Aged 2179 2176 2232








29928 6865

11226


78821 272877

294 1000


43574 11491

16042


92934 83845

341 1000








30


Fiscal Year 2011 2012 2013








31












32




Total $10147264 $8686710


2444878 770702

2363720 827574






33










34

Utilization



35












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

eS

ourc

e of

In

com

e

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art

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t fun

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Inc

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from

taxa

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4

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Con

trib

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15

2016

Per

cent

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empl

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ach

145

1

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elf-

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dual

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enef

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000

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00

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80

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ater

than

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000

and

less

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Gre

ater

than

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000

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qual

to $

107

000

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214

000

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870

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705

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Gre

ater

than

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700

0 an

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an

G

reat

er th

an $

214

000

and

less

than

or

equ

al to

$16

000

0 or

equ

al to

$32

000

0

$121

80

$243

60

Gre

ater

than

$16

000

0 an

d le

ss th

an

G

reat

er th

an $

320

000

and

less

than

or

equ

al to

$21

400

0 or

equ

al to

$42

800

0

$194

90

$316

70

Gre

ater

than

$21

400

0 G

reat

er th

an $

428

000

$268

00

$389

80

In a

ddit

ion

the

mon

thly

pre

miu

m r

ates

to b

e pa

id b

y be

nefi

ciar

ies

who

are

mar

ried

and

live

d w

ith

thei

r sp

ouse

at a

ny ti

me

duri

ng th

e ta

xabl

e ye

ar b

ut f

ile

a se

para

te ta

x re

turn

fro

m th

eir

spou

se a

re li

sted

bel

ow

Tot

al m

onth

ly

spou

se a

nd f

iled

a s

epar

ate

tax

retu

rn

adju

stm

ent a

mou

nt

prem

ium

am

ount

M

arri

ed b

enef

icia

ries

who

live

d w

ith

thei

r In

com

e-re

late

d m

onth

ly

$121

80

Les

s th

an o

r eq

ual t

o $8

500

0 $0

00

$316

70

Gre

ater

than

$85

000

and

less

than

or

equa

l to

$129

000

$194

90

$389

80

Gre

ater

than

$12

900

0 $2

680

0

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

D S

tan

dar

d B

enef

its

Ded

ucti

ble

(11

201

6)

$360

in c

harg

esy

ear

Init

ial c

over

age

lim

it (

11

2016

) $3

310

in c

harg

esy

ear

Out

-of-

pock

et th

resh

old

(11

201

6)

$48

50 in

cha

rges

yea

r B

ase

bene

fici

ary

prem

ium

(1

120

16)1

$34

10m

onth

Med

icai

d F

inan

cin

g 1

F

eder

al c

ontr

ibut

ions

(ra

ngin

g fr

om 5

0 to

74

perc

ent f

or f

isca

l yea

r 20

16)

2

Sta

te c

ontr

ibut

ions

(ra

ngin

g fr

om 2

6 to

50

perc

ent f

or f

isca

l yea

r 20

16)

1 The

bas

e be

nefi

ciar

y pr

emiu

m w

as c

alcu

late

d ba

sed

on a

nat

iona

l ave

rage

pla

n bi

d T

he a

ctua

l pre

miu

m th

at a

ben

efic

iary

pay

s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

nefi

ciar

y is

enr

olle

d

NO

TE

S

The

ben

efic

iari

es w

ho q

uali

fy f

or th

e lo

w-i

ncom

e su

bsid

y un

der

Par

t D p

ay a

red

uced

or

zero

pre

miu

m

In a

ddit

ion

low

-inc

ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston

Table I15



At Birth

1960 697 706 636

1980 737 744 681

1990 754 761 691

2000 768 773 718

2005 776 780 730

2010 787 789 751

2011 787 790 753

2012 788 791 755

2013 788 791 755

At Age 65

1960 143 144 139

1980 164 165 151

1990 172 173 154

2000 176 177 161

2005 184 185 169

2010 191 192 178

2011 192 192 180

2012 193 193 181

2013 193 193 181


14


Fiscal Year 1995 2000 2005 2010 2014 2015


CHIP NA 20 59 54 60 58




15





Unknown 16 22








16





In thousands








1975 1 1980 1 2000 2 2014 2






17

18

ProvidersSuppliers



19







All regions 4800 152 1342 22



20










Free-standing 356




21



All regions 1 15179 458 6323





1980 1990 2010 2014



22




Percent of total







1980 1990 2000 2012 2014



2276

338

1352

206

869

144

568

92

478

78



203

39

774

73

1236

83

345

23

332

22



481

160

1211

210

1038

144

141

12

146

12



23



Primary Care 221469




Radiology 36713








Table II9



Pharmacy 50338


Podiatry 5575


Optician 2460





24

Expenditures



25








26




1980 $608 $350 $258 --

1990 1822 1097 725 --

2000 4287 2190 2080 $17

2010 9409 5256 4039 114

2014 10820 5987 4703 130






27


1967 1980 2010 2014



Medicare1 32 339 518 598

HI 25 238 250 271

SMI 07 101 209 262


Medicaid2 19 239 386 470


CHIP3 NA NA 11 13







28








Fiscal Year 2013 2014 2015


Aged 2179 2176 2232








29928 6865

11226


78821 272877

294 1000


43574 11491

16042


92934 83845

341 1000








30


Fiscal Year 2011 2012 2013








31












32




Total $10147264 $8686710


2444878 770702

2363720 827574






33










34

Utilization



35












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

eS

ourc

e of

In

com

e

Med

icar

e P

art

A H

ospi

tal I

nsur

ance

trus

t fun

d 1

P

ayro

ll ta

xes

2

Inc

ome

from

taxa

tion

of

soci

al s

ecur

ity

bene

fits

3

Tra

nsfe

rs f

rom

rai

lroa

d re

tire

men

t acc

ount

4

Gen

eral

rev

enue

for

uni

nsur

ed p

erso

ns a

nd m

ilit

ary

wag

e c

redi

ts

5 P

rem

ium

s fr

om v

olun

tary

enr

olle

es

6 I

nter

est o

n in

vest

men

ts

Con

trib

utio

n ra

te

2014

20

15

2016

Per

cent

Em

ploy

ees

and

empl

oyer

s e

ach

145

1

45

145

S

elf-

empl

oyed

2

90

2

90

29

0

Max

imum

taxa

ble

amou

nt (

CY

201

6)

Non

e1

Vol

unta

ry H

I m

onth

ly p

rem

ium

2 $

411

00

Par

t A

(ef

fect

ive

dat

e)

Inpa

tien

t hos

pita

l

ded

ucti

ble

(11

16)

Reg

ular

coi

nsur

ance

d

ays

(11

16)

L

ifet

ime

rese

rve

days

(1

116

) S

NF

coi

nsur

ance

day

s

(11

16)

B

lood

ded

ucti

ble

Vol

unta

ry h

ospi

tal i

nsur

ance

prem

ium

(1

116

)2

Lim

itat

ion

s

Inpa

tien

t psy

chia

tric

hos

pita

ls

Am

oun

t

$12

88b

enef

it p

erio

d

$3

22d

ay f

or 6

1st

th

roug

h 90

th d

ay

$644

day

(60

non

-

rene

wab

le d

ays)

$161

day

for

21s

t

thro

ugh

100t

h da

y

firs

t 3 p

ints

cal

enda

r ye

ar

$411

mon

th $

226

mo

wit

h 30

-39

quar

ters

of c

over

age

19

0 no

nren

ewab

le d

ays

1 The

Om

nibu

s R

econ

cili

atio

n A

ct o

f 19

93 e

lim

inat

ed th

e A

nnua

l Max

imum

Tax

able

Ear

ning

s am

ount

s fo

r 19

94 a

nd la

ter

For

thes

e ye

ars

the

co

ntri

buti

on r

ate

is a

ppli

ed to

all

ear

ning

s in

cov

ered

em

ploy

men

t

2 Prem

ium

pai

d fo

r vo

lunt

ary

part

icip

atio

n of

indi

vidu

als

aged

65

and

over

not

oth

erw

ise

entit

led

to h

ospi

tal i

nsur

ance

and

cer

tain

dis

able

d in

divi

dual

sw

ho h

ave

exha

uste

d ot

her

enti

tlem

ent

A r

educ

ed p

rem

ium

of

$226

is a

vail

able

to in

divi

dual

s ag

ed 6

5 an

d ov

er w

ho a

re n

ot o

ther

wis

e en

titl

ed to

ho

spit

al in

sura

nce

but w

ho h

ave

or

who

se s

pous

e ha

s or

had

30-

39 q

uart

ers

of c

over

age

unde

r T

itle

II

of th

e So

cial

Sec

urit

y A

ct

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

B

Sup

plem

enta

ry M

edic

al I

nsur

ance

trus

t fun

d 1

P

rem

ium

s pa

id b

y or

on

beha

lf o

f en

roll

ees

2 G

ener

al r

even

ue

3 I

nter

est o

n in

vest

men

ts

Par

t B

(ef

fect

ive

dat

e)

Am

oun

t D

educ

tibl

e (1

11

6) $

166

in a

llow

ed c

harg

esy

ear

Blo

od d

educ

tibl

e f

irst

3 p

ints

cal

enda

r ye

ar

Coi

nsur

ance

1 20

per

cent

of

allo

wed

cha

rges

M

onth

ly s

tand

ard

prem

ium

(1

116

) $

104

90m

onth

Lim

itat

ion

s O

utpa

tien

t tre

atm

ent f

or m

enta

l ill

ness

N

o li

mit

atio

ns

1 The

Par

t B d

educ

tibl

e an

d co

insu

ranc

e ap

plie

s to

mos

t ser

vice

s I

tem

s an

dor

ser

vice

s no

t sub

ject

to e

ithe

r th

e de

duct

ible

or

coin

sura

nce

are

cl

inic

al d

iagn

osti

c la

b te

sts

subj

ect t

o a

fee

sche

dule

hom

e he

alth

ser

vice

s it

ems

and

serv

ices

fur

nish

ed in

con

nect

ion

to o

btai

ning

a s

econ

d or

th

ird

opin

ion

and

som

e pr

even

tive

serv

ices

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

B (

con

tin

ued

)

Lis

ted

belo

w a

re th

e 20

16 P

art B

mon

thly

pre

miu

m r

ates

to b

e pa

id b

y be

nefi

ciar

ies

who

fil

e an

indi

vidu

al ta

x re

turn

(inc

ludi

ng th

ose

who

are

sin

gle

hea

d of

hou

seho

ld q

ualif

ying

wid

ow(e

r) w

ith

depe

nden

t chi

ld o

r m

arri

ed f

ilin

g se

para

tely

w

ho li

ved

apar

t fro

m th

eir

spou

se f

or th

e en

tire

taxa

ble

year

) o

r a

join

t tax

ret

urn

Ben

efic

iari

es w

ho f

ile

an in

divi

dual

B

enef

icia

ries

who

fil

e a

join

t tax

In

com

e-re

late

d m

onth

lyT

otal

mon

thly

tax

retu

rn w

ith

inco

me

re

turn

wit

h in

com

e

adju

stm

ent a

mou

nt

prem

ium

am

ount

Les

s th

an o

r eq

ual t

o $8

500

0 L

ess

than

or

equa

l to

$170

000

$0

00

$121

80

Gre

ater

than

$85

000

and

less

than

Gre

ater

than

$17

000

0 an

d le

ss th

an

or e

qual

to $

107

000

or e

qual

to $

214

000

$4

870

$1

705

0

Gre

ater

than

$10

700

0 an

d le

ss th

an

G

reat

er th

an $

214

000

and

less

than

or

equ

al to

$16

000

0 or

equ

al to

$32

000

0

$121

80

$243

60

Gre

ater

than

$16

000

0 an

d le

ss th

an

G

reat

er th

an $

320

000

and

less

than

or

equ

al to

$21

400

0 or

equ

al to

$42

800

0

$194

90

$316

70

Gre

ater

than

$21

400

0 G

reat

er th

an $

428

000

$268

00

$389

80

In a

ddit

ion

the

mon

thly

pre

miu

m r

ates

to b

e pa

id b

y be

nefi

ciar

ies

who

are

mar

ried

and

live

d w

ith

thei

r sp

ouse

at a

ny ti

me

duri

ng th

e ta

xabl

e ye

ar b

ut f

ile

a se

para

te ta

x re

turn

fro

m th

eir

spou

se a

re li

sted

bel

ow

Tot

al m

onth

ly

spou

se a

nd f

iled

a s

epar

ate

tax

retu

rn

adju

stm

ent a

mou

nt

prem

ium

am

ount

M

arri

ed b

enef

icia

ries

who

live

d w

ith

thei

r In

com

e-re

late

d m

onth

ly

$121

80

Les

s th

an o

r eq

ual t

o $8

500

0 $0

00

$316

70

Gre

ater

than

$85

000

and

less

than

or

equa

l to

$129

000

$194

90

$389

80

Gre

ater

than

$12

900

0 $2

680

0

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

D S

tan

dar

d B

enef

its

Ded

ucti

ble

(11

201

6)

$360

in c

harg

esy

ear

Init

ial c

over

age

lim

it (

11

2016

) $3

310

in c

harg

esy

ear

Out

-of-

pock

et th

resh

old

(11

201

6)

$48

50 in

cha

rges

yea

r B

ase

bene

fici

ary

prem

ium

(1

120

16)1

$34

10m

onth

Med

icai

d F

inan

cin

g 1

F

eder

al c

ontr

ibut

ions

(ra

ngin

g fr

om 5

0 to

74

perc

ent f

or f

isca

l yea

r 20

16)

2

Sta

te c

ontr

ibut

ions

(ra

ngin

g fr

om 2

6 to

50

perc

ent f

or f

isca

l yea

r 20

16)

1 The

bas

e be

nefi

ciar

y pr

emiu

m w

as c

alcu

late

d ba

sed

on a

nat

iona

l ave

rage

pla

n bi

d T

he a

ctua

l pre

miu

m th

at a

ben

efic

iary

pay

s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

nefi

ciar

y is

enr

olle

d

NO

TE

S

The

ben

efic

iari

es w

ho q

uali

fy f

or th

e lo

w-i

ncom

e su

bsid

y un

der

Par

t D p

ay a

red

uced

or

zero

pre

miu

m

In a

ddit

ion

low

-inc

ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston


Fiscal Year 1995 2000 2005 2010 2014 2015


CHIP NA 20 59 54 60 58




15





Unknown 16 22








16





In thousands








1975 1 1980 1 2000 2 2014 2






17

18

ProvidersSuppliers



19







All regions 4800 152 1342 22



20










Free-standing 356




21



All regions 1 15179 458 6323





1980 1990 2010 2014



22




Percent of total







1980 1990 2000 2012 2014



2276

338

1352

206

869

144

568

92

478

78



203

39

774

73

1236

83

345

23

332

22



481

160

1211

210

1038

144

141

12

146

12



23



Primary Care 221469




Radiology 36713








Table II9



Pharmacy 50338


Podiatry 5575


Optician 2460





24

Expenditures



25








26




1980 $608 $350 $258 --

1990 1822 1097 725 --

2000 4287 2190 2080 $17

2010 9409 5256 4039 114

2014 10820 5987 4703 130






27


1967 1980 2010 2014



Medicare1 32 339 518 598

HI 25 238 250 271

SMI 07 101 209 262


Medicaid2 19 239 386 470


CHIP3 NA NA 11 13







28








Fiscal Year 2013 2014 2015


Aged 2179 2176 2232








29928 6865

11226


78821 272877

294 1000


43574 11491

16042


92934 83845

341 1000








30


Fiscal Year 2011 2012 2013








31












32




Total $10147264 $8686710


2444878 770702

2363720 827574






33










34

Utilization



35












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

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ng

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t S

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com

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elf-

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art

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tan

dar

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its

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(11

201

6)

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in c

harg

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over

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it (

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in c

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pock

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(11

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perc

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l yea

r 20

16)

2

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ontr

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(ra

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g fr

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perc

ent f

or f

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l yea

r 20

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bas

e be

nefi

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as c

alcu

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n bi

d T

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m th

at a

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efic

iary

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s va

ries

ac

cord

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to th

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an in

whi

ch th

e be

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ciar

y is

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olle

d

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TE

S

The

ben

efic

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es w

ho q

uali

fy f

or th

e lo

w-i

ncom

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bsid

y un

der

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ay a

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uced

or

zero

pre

miu

m

In a

ddit

ion

low

-inc

ome

bene

fici

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e su

bjec

t to

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min

imal

cop

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mou

nts

in m

ost i

nsta

nces

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UR

CE

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MS

Off

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of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston





Unknown 16 22








16





In thousands








1975 1 1980 1 2000 2 2014 2






17

18

ProvidersSuppliers



19







All regions 4800 152 1342 22



20










Free-standing 356




21



All regions 1 15179 458 6323





1980 1990 2010 2014



22




Percent of total







1980 1990 2000 2012 2014



2276

338

1352

206

869

144

568

92

478

78



203

39

774

73

1236

83

345

23

332

22



481

160

1211

210

1038

144

141

12

146

12



23



Primary Care 221469




Radiology 36713








Table II9



Pharmacy 50338


Podiatry 5575


Optician 2460





24

Expenditures



25








26




1980 $608 $350 $258 --

1990 1822 1097 725 --

2000 4287 2190 2080 $17

2010 9409 5256 4039 114

2014 10820 5987 4703 130






27


1967 1980 2010 2014



Medicare1 32 339 518 598

HI 25 238 250 271

SMI 07 101 209 262


Medicaid2 19 239 386 470


CHIP3 NA NA 11 13







28








Fiscal Year 2013 2014 2015


Aged 2179 2176 2232








29928 6865

11226


78821 272877

294 1000


43574 11491

16042


92934 83845

341 1000








30


Fiscal Year 2011 2012 2013








31












32




Total $10147264 $8686710


2444878 770702

2363720 827574






33










34

Utilization



35












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

eS

ourc

e of

In

com

e

Med

icar

e P

art

A H

ospi

tal I

nsur

ance

trus

t fun

d 1

P

ayro

ll ta

xes

2

Inc

ome

from

taxa

tion

of

soci

al s

ecur

ity

bene

fits

3

Tra

nsfe

rs f

rom

rai

lroa

d re

tire

men

t acc

ount

4

Gen

eral

rev

enue

for

uni

nsur

ed p

erso

ns a

nd m

ilit

ary

wag

e c

redi

ts

5 P

rem

ium

s fr

om v

olun

tary

enr

olle

es

6 I

nter

est o

n in

vest

men

ts

Con

trib

utio

n ra

te

2014

20

15

2016

Per

cent

Em

ploy

ees

and

empl

oyer

s e

ach

145

1

45

145

S

elf-

empl

oyed

2

90

2

90

29

0

Max

imum

taxa

ble

amou

nt (

CY

201

6)

Non

e1

Vol

unta

ry H

I m

onth

ly p

rem

ium

2 $

411

00

Par

t A

(ef

fect

ive

dat

e)

Inpa

tien

t hos

pita

l

ded

ucti

ble

(11

16)

Reg

ular

coi

nsur

ance

d

ays

(11

16)

L

ifet

ime

rese

rve

days

(1

116

) S

NF

coi

nsur

ance

day

s

(11

16)

B

lood

ded

ucti

ble

Vol

unta

ry h

ospi

tal i

nsur

ance

prem

ium

(1

116

)2

Lim

itat

ion

s

Inpa

tien

t psy

chia

tric

hos

pita

ls

Am

oun

t

$12

88b

enef

it p

erio

d

$3

22d

ay f

or 6

1st

th

roug

h 90

th d

ay

$644

day

(60

non

-

rene

wab

le d

ays)

$161

day

for

21s

t

thro

ugh

100t

h da

y

firs

t 3 p

ints

cal

enda

r ye

ar

$411

mon

th $

226

mo

wit

h 30

-39

quar

ters

of c

over

age

19

0 no

nren

ewab

le d

ays

1 The

Om

nibu

s R

econ

cili

atio

n A

ct o

f 19

93 e

lim

inat

ed th

e A

nnua

l Max

imum

Tax

able

Ear

ning

s am

ount

s fo

r 19

94 a

nd la

ter

For

thes

e ye

ars

the

co

ntri

buti

on r

ate

is a

ppli

ed to

all

ear

ning

s in

cov

ered

em

ploy

men

t

2 Prem

ium

pai

d fo

r vo

lunt

ary

part

icip

atio

n of

indi

vidu

als

aged

65

and

over

not

oth

erw

ise

entit

led

to h

ospi

tal i

nsur

ance

and

cer

tain

dis

able

d in

divi

dual

sw

ho h

ave

exha

uste

d ot

her

enti

tlem

ent

A r

educ

ed p

rem

ium

of

$226

is a

vail

able

to in

divi

dual

s ag

ed 6

5 an

d ov

er w

ho a

re n

ot o

ther

wis

e en

titl

ed to

ho

spit

al in

sura

nce

but w

ho h

ave

or

who

se s

pous

e ha

s or

had

30-

39 q

uart

ers

of c

over

age

unde

r T

itle

II

of th

e So

cial

Sec

urit

y A

ct

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

B

Sup

plem

enta

ry M

edic

al I

nsur

ance

trus

t fun

d 1

P

rem

ium

s pa

id b

y or

on

beha

lf o

f en

roll

ees

2 G

ener

al r

even

ue

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16)

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S

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UR

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MS

Off

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of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston





In thousands








1975 1 1980 1 2000 2 2014 2






17

18

ProvidersSuppliers



19







All regions 4800 152 1342 22



20










Free-standing 356




21



All regions 1 15179 458 6323





1980 1990 2010 2014



22




Percent of total







1980 1990 2000 2012 2014



2276

338

1352

206

869

144

568

92

478

78



203

39

774

73

1236

83

345

23

332

22



481

160

1211

210

1038

144

141

12

146

12



23



Primary Care 221469




Radiology 36713








Table II9



Pharmacy 50338


Podiatry 5575


Optician 2460





24

Expenditures



25








26




1980 $608 $350 $258 --

1990 1822 1097 725 --

2000 4287 2190 2080 $17

2010 9409 5256 4039 114

2014 10820 5987 4703 130






27


1967 1980 2010 2014



Medicare1 32 339 518 598

HI 25 238 250 271

SMI 07 101 209 262


Medicaid2 19 239 386 470


CHIP3 NA NA 11 13







28








Fiscal Year 2013 2014 2015


Aged 2179 2176 2232








29928 6865

11226


78821 272877

294 1000


43574 11491

16042


92934 83845

341 1000








30


Fiscal Year 2011 2012 2013








31












32




Total $10147264 $8686710


2444878 770702

2363720 827574






33










34

Utilization



35












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

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and

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itat

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s

Med

icar

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ourc

e of

In

com

e

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than

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000

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000

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214

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870

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705

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than

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reat

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than

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equ

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800

0

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90

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70

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ater

than

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400

0 G

reat

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428

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00

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ciar

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are

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ried

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live

d w

ith

thei

r sp

ouse

at a

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me

duri

ng th

e ta

xabl

e ye

ar b

ut f

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para

te ta

x re

turn

fro

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eir

spou

se a

re li

sted

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ow

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al m

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ly

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se a

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ount

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arri

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r In

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ly

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Les

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r eq

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o $8

500

0 $0

00

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70

Gre

ater

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000

and

less

than

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equa

l to

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000

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90

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80

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ater

than

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900

0 $2

680

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UR

CE

C

MS

Off

ice

of th

e A

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ry

Pro

gram

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anci

ng

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t S

har

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itat

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icar

e P

art

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tan

dar

d B

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its

Ded

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ble

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201

6)

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in c

harg

esy

ear

Init

ial c

over

age

lim

it (

11

2016

) $3

310

in c

harg

esy

ear

Out

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pock

et th

resh

old

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201

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ase

bene

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ium

(1

120

16)1

$34

10m

onth

Med

icai

d F

inan

cin

g 1

F

eder

al c

ontr

ibut

ions

(ra

ngin

g fr

om 5

0 to

74

perc

ent f

or f

isca

l yea

r 20

16)

2

Sta

te c

ontr

ibut

ions

(ra

ngin

g fr

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6 to

50

perc

ent f

or f

isca

l yea

r 20

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1 The

bas

e be

nefi

ciar

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emiu

m w

as c

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late

d ba

sed

on a

nat

iona

l ave

rage

pla

n bi

d T

he a

ctua

l pre

miu

m th

at a

ben

efic

iary

pay

s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

nefi

ciar

y is

enr

olle

d

NO

TE

S

The

ben

efic

iari

es w

ho q

uali

fy f

or th

e lo

w-i

ncom

e su

bsid

y un

der

Par

t D p

ay a

red

uced

or

zero

pre

miu

m

In a

ddit

ion

low

-inc

ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston

18

ProvidersSuppliers



19







All regions 4800 152 1342 22



20










Free-standing 356




21



All regions 1 15179 458 6323





1980 1990 2010 2014



22




Percent of total







1980 1990 2000 2012 2014



2276

338

1352

206

869

144

568

92

478

78



203

39

774

73

1236

83

345

23

332

22



481

160

1211

210

1038

144

141

12

146

12



23



Primary Care 221469




Radiology 36713








Table II9



Pharmacy 50338


Podiatry 5575


Optician 2460





24

Expenditures



25








26




1980 $608 $350 $258 --

1990 1822 1097 725 --

2000 4287 2190 2080 $17

2010 9409 5256 4039 114

2014 10820 5987 4703 130






27


1967 1980 2010 2014



Medicare1 32 339 518 598

HI 25 238 250 271

SMI 07 101 209 262


Medicaid2 19 239 386 470


CHIP3 NA NA 11 13







28








Fiscal Year 2013 2014 2015


Aged 2179 2176 2232








29928 6865

11226


78821 272877

294 1000


43574 11491

16042


92934 83845

341 1000








30


Fiscal Year 2011 2012 2013








31












32




Total $10147264 $8686710


2444878 770702

2363720 827574






33










34

Utilization



35












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

eS

ourc

e of

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com

e

Med

icar

e P

art

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ospi

tal I

nsur

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t fun

d 1

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ll ta

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Inc

ome

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ium

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Con

trib

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cent

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ploy

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empl

oyer

s e

ach

145

1

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elf-

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oyed

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90

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ble

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nt (

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rem

ium

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411

00

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t A

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(11

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mou

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than

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In a

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Tot

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Off

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gram

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itat

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art

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tan

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in c

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it (

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2016

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in c

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et th

resh

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(11

201

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50 in

cha

rges

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r B

ase

bene

fici

ary

prem

ium

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16)1

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onth

Med

icai

d F

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cin

g 1

F

eder

al c

ontr

ibut

ions

(ra

ngin

g fr

om 5

0 to

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perc

ent f

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isca

l yea

r 20

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2

Sta

te c

ontr

ibut

ions

(ra

ngin

g fr

om 2

6 to

50

perc

ent f

or f

isca

l yea

r 20

16)

1 The

bas

e be

nefi

ciar

y pr

emiu

m w

as c

alcu

late

d ba

sed

on a

nat

iona

l ave

rage

pla

n bi

d T

he a

ctua

l pre

miu

m th

at a

ben

efic

iary

pay

s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

nefi

ciar

y is

enr

olle

d

NO

TE

S

The

ben

efic

iari

es w

ho q

uali

fy f

or th

e lo

w-i

ncom

e su

bsid

y un

der

Par

t D p

ay a

red

uced

or

zero

pre

miu

m

In a

ddit

ion

low

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ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston

ProvidersSuppliers



19







All regions 4800 152 1342 22



20










Free-standing 356




21



All regions 1 15179 458 6323





1980 1990 2010 2014



22




Percent of total







1980 1990 2000 2012 2014



2276

338

1352

206

869

144

568

92

478

78



203

39

774

73

1236

83

345

23

332

22



481

160

1211

210

1038

144

141

12

146

12



23



Primary Care 221469




Radiology 36713








Table II9



Pharmacy 50338


Podiatry 5575


Optician 2460





24

Expenditures



25








26




1980 $608 $350 $258 --

1990 1822 1097 725 --

2000 4287 2190 2080 $17

2010 9409 5256 4039 114

2014 10820 5987 4703 130






27


1967 1980 2010 2014



Medicare1 32 339 518 598

HI 25 238 250 271

SMI 07 101 209 262


Medicaid2 19 239 386 470


CHIP3 NA NA 11 13







28








Fiscal Year 2013 2014 2015


Aged 2179 2176 2232








29928 6865

11226


78821 272877

294 1000


43574 11491

16042


92934 83845

341 1000








30


Fiscal Year 2011 2012 2013








31












32




Total $10147264 $8686710


2444878 770702

2363720 827574






33










34

Utilization



35












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

eS

ourc

e of

In

com

e

Med

icar

e P

art

A H

ospi

tal I

nsur

ance

trus

t fun

d 1

P

ayro

ll ta

xes

2

Inc

ome

from

taxa

tion

of

soci

al s

ecur

ity

bene

fits

3

Tra

nsfe

rs f

rom

rai

lroa

d re

tire

men

t acc

ount

4

Gen

eral

rev

enue

for

uni

nsur

ed p

erso

ns a

nd m

ilit

ary

wag

e c

redi

ts

5 P

rem

ium

s fr

om v

olun

tary

enr

olle

es

6 I

nter

est o

n in

vest

men

ts

Con

trib

utio

n ra

te

2014

20

15

2016

Per

cent

Em

ploy

ees

and

empl

oyer

s e

ach

145

1

45

145

S

elf-

empl

oyed

2

90

2

90

29

0

Max

imum

taxa

ble

amou

nt (

CY

201

6)

Non

e1

Vol

unta

ry H

I m

onth

ly p

rem

ium

2 $

411

00

Par

t A

(ef

fect

ive

dat

e)

Inpa

tien

t hos

pita

l

ded

ucti

ble

(11

16)

Reg

ular

coi

nsur

ance

d

ays

(11

16)

L

ifet

ime

rese

rve

days

(1

116

) S

NF

coi

nsur

ance

day

s

(11

16)

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UR

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Off

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of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston







All regions 4800 152 1342 22



20










Free-standing 356




21



All regions 1 15179 458 6323





1980 1990 2010 2014



22




Percent of total







1980 1990 2000 2012 2014



2276

338

1352

206

869

144

568

92

478

78



203

39

774

73

1236

83

345

23

332

22



481

160

1211

210

1038

144

141

12

146

12



23



Primary Care 221469




Radiology 36713








Table II9



Pharmacy 50338


Podiatry 5575


Optician 2460





24

Expenditures



25








26




1980 $608 $350 $258 --

1990 1822 1097 725 --

2000 4287 2190 2080 $17

2010 9409 5256 4039 114

2014 10820 5987 4703 130






27


1967 1980 2010 2014



Medicare1 32 339 518 598

HI 25 238 250 271

SMI 07 101 209 262


Medicaid2 19 239 386 470


CHIP3 NA NA 11 13







28








Fiscal Year 2013 2014 2015


Aged 2179 2176 2232








29928 6865

11226


78821 272877

294 1000


43574 11491

16042


92934 83845

341 1000








30


Fiscal Year 2011 2012 2013








31












32




Total $10147264 $8686710


2444878 770702

2363720 827574






33










34

Utilization



35












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

eS

ourc

e of

In

com

e

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art

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t fun

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Inc

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Tra

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4

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Con

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2016

Per

cent

Em

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ach

145

1

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elf-

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90

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dual

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r eq

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ess

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l to

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00

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ater

than

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000

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qual

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107

000

or e

qual

to $

214

000

$4

870

$1

705

0

Gre

ater

than

$10

700

0 an

d le

ss th

an

G

reat

er th

an $

214

000

and

less

than

or

equ

al to

$16

000

0 or

equ

al to

$32

000

0

$121

80

$243

60

Gre

ater

than

$16

000

0 an

d le

ss th

an

G

reat

er th

an $

320

000

and

less

than

or

equ

al to

$21

400

0 or

equ

al to

$42

800

0

$194

90

$316

70

Gre

ater

than

$21

400

0 G

reat

er th

an $

428

000

$268

00

$389

80

In a

ddit

ion

the

mon

thly

pre

miu

m r

ates

to b

e pa

id b

y be

nefi

ciar

ies

who

are

mar

ried

and

live

d w

ith

thei

r sp

ouse

at a

ny ti

me

duri

ng th

e ta

xabl

e ye

ar b

ut f

ile

a se

para

te ta

x re

turn

fro

m th

eir

spou

se a

re li

sted

bel

ow

Tot

al m

onth

ly

spou

se a

nd f

iled

a s

epar

ate

tax

retu

rn

adju

stm

ent a

mou

nt

prem

ium

am

ount

M

arri

ed b

enef

icia

ries

who

live

d w

ith

thei

r In

com

e-re

late

d m

onth

ly

$121

80

Les

s th

an o

r eq

ual t

o $8

500

0 $0

00

$316

70

Gre

ater

than

$85

000

and

less

than

or

equa

l to

$129

000

$194

90

$389

80

Gre

ater

than

$12

900

0 $2

680

0

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

D S

tan

dar

d B

enef

its

Ded

ucti

ble

(11

201

6)

$360

in c

harg

esy

ear

Init

ial c

over

age

lim

it (

11

2016

) $3

310

in c

harg

esy

ear

Out

-of-

pock

et th

resh

old

(11

201

6)

$48

50 in

cha

rges

yea

r B

ase

bene

fici

ary

prem

ium

(1

120

16)1

$34

10m

onth

Med

icai

d F

inan

cin

g 1

F

eder

al c

ontr

ibut

ions

(ra

ngin

g fr

om 5

0 to

74

perc

ent f

or f

isca

l yea

r 20

16)

2

Sta

te c

ontr

ibut

ions

(ra

ngin

g fr

om 2

6 to

50

perc

ent f

or f

isca

l yea

r 20

16)

1 The

bas

e be

nefi

ciar

y pr

emiu

m w

as c

alcu

late

d ba

sed

on a

nat

iona

l ave

rage

pla

n bi

d T

he a

ctua

l pre

miu

m th

at a

ben

efic

iary

pay

s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

nefi

ciar

y is

enr

olle

d

NO

TE

S

The

ben

efic

iari

es w

ho q

uali

fy f

or th

e lo

w-i

ncom

e su

bsid

y un

der

Par

t D p

ay a

red

uced

or

zero

pre

miu

m

In a

ddit

ion

low

-inc

ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston










Free-standing 356




21



All regions 1 15179 458 6323





1980 1990 2010 2014



22




Percent of total







1980 1990 2000 2012 2014



2276

338

1352

206

869

144

568

92

478

78



203

39

774

73

1236

83

345

23

332

22



481

160

1211

210

1038

144

141

12

146

12



23



Primary Care 221469




Radiology 36713








Table II9



Pharmacy 50338


Podiatry 5575


Optician 2460





24

Expenditures



25








26




1980 $608 $350 $258 --

1990 1822 1097 725 --

2000 4287 2190 2080 $17

2010 9409 5256 4039 114

2014 10820 5987 4703 130






27


1967 1980 2010 2014



Medicare1 32 339 518 598

HI 25 238 250 271

SMI 07 101 209 262


Medicaid2 19 239 386 470


CHIP3 NA NA 11 13







28








Fiscal Year 2013 2014 2015


Aged 2179 2176 2232








29928 6865

11226


78821 272877

294 1000


43574 11491

16042


92934 83845

341 1000








30


Fiscal Year 2011 2012 2013








31












32




Total $10147264 $8686710


2444878 770702

2363720 827574






33










34

Utilization



35












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

eS

ourc

e of

In

com

e

Med

icar

e P

art

A H

ospi

tal I

nsur

ance

trus

t fun

d 1

P

ayro

ll ta

xes

2

Inc

ome

from

taxa

tion

of

soci

al s

ecur

ity

bene

fits

3

Tra

nsfe

rs f

rom

rai

lroa

d re

tire

men

t acc

ount

4

Gen

eral

rev

enue

for

uni

nsur

ed p

erso

ns a

nd m

ilit

ary

wag

e c

redi

ts

5 P

rem

ium

s fr

om v

olun

tary

enr

olle

es

6 I

nter

est o

n in

vest

men

ts

Con

trib

utio

n ra

te

2014

20

15

2016

Per

cent

Em

ploy

ees

and

empl

oyer

s e

ach

145

1

45

145

S

elf-

empl

oyed

2

90

2

90

29

0

Max

imum

taxa

ble

amou

nt (

CY

201

6)

Non

e1

Vol

unta

ry H

I m

onth

ly p

rem

ium

2 $

411

00

Par

t A

(ef

fect

ive

dat

e)

Inpa

tien

t hos

pita

l

ded

ucti

ble

(11

16)

Reg

ular

coi

nsur

ance

d

ays

(11

16)

L

ifet

ime

rese

rve

days

(1

116

) S

NF

coi

nsur

ance

day

s

(11

16)

B

lood

ded

ucti

ble

Vol

unta

ry h

ospi

tal i

nsur

ance

prem

ium

(1

116

)2

Lim

itat

ion

s

Inpa

tien

t psy

chia

tric

hos

pita

ls

Am

oun

t

$12

88b

enef

it p

erio

d

$3

22d

ay f

or 6

1st

th

roug

h 90

th d

ay

$644

day

(60

non

-

rene

wab

le d

ays)

$161

day

for

21s

t

thro

ugh

100t

h da

y

firs

t 3 p

ints

cal

enda

r ye

ar

$411

mon

th $

226

mo

wit

h 30

-39

quar

ters

of c

over

age

19

0 no

nren

ewab

le d

ays

1 The

Om

nibu

s R

econ

cili

atio

n A

ct o

f 19

93 e

lim

inat

ed th

e A

nnua

l Max

imum

Tax

able

Ear

ning

s am

ount

s fo

r 19

94 a

nd la

ter

For

thes

e ye

ars

the

co

ntri

buti

on r

ate

is a

ppli

ed to

all

ear

ning

s in

cov

ered

em

ploy

men

t

2 Prem

ium

pai

d fo

r vo

lunt

ary

part

icip

atio

n of

indi

vidu

als

aged

65

and

over

not

oth

erw

ise

entit

led

to h

ospi

tal i

nsur

ance

and

cer

tain

dis

able

d in

divi

dual

sw

ho h

ave

exha

uste

d ot

her

enti

tlem

ent

A r

educ

ed p

rem

ium

of

$226

is a

vail

able

to in

divi

dual

s ag

ed 6

5 an

d ov

er w

ho a

re n

ot o

ther

wis

e en

titl

ed to

ho

spit

al in

sura

nce

but w

ho h

ave

or

who

se s

pous

e ha

s or

had

30-

39 q

uart

ers

of c

over

age

unde

r T

itle

II

of th

e So

cial

Sec

urit

y A

ct

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

B

Sup

plem

enta

ry M

edic

al I

nsur

ance

trus

t fun

d 1

P

rem

ium

s pa

id b

y or

on

beha

lf o

f en

roll

ees

2 G

ener

al r

even

ue

3 I

nter

est o

n in

vest

men

ts

Par

t B

(ef

fect

ive

dat

e)

Am

oun

t D

educ

tibl

e (1

11

6) $

166

in a

llow

ed c

harg

esy

ear

Blo

od d

educ

tibl

e f

irst

3 p

ints

cal

enda

r ye

ar

Coi

nsur

ance

1 20

per

cent

of

allo

wed

cha

rges

M

onth

ly s

tand

ard

prem

ium

(1

116

) $

104

90m

onth

Lim

itat

ion

s O

utpa

tien

t tre

atm

ent f

or m

enta

l ill

ness

N

o li

mit

atio

ns

1 The

Par

t B d

educ

tibl

e an

d co

insu

ranc

e ap

plie

s to

mos

t ser

vice

s I

tem

s an

dor

ser

vice

s no

t sub

ject

to e

ithe

r th

e de

duct

ible

or

coin

sura

nce

are

cl

inic

al d

iagn

osti

c la

b te

sts

subj

ect t

o a

fee

sche

dule

hom

e he

alth

ser

vice

s it

ems

and

serv

ices

fur

nish

ed in

con

nect

ion

to o

btai

ning

a s

econ

d or

th

ird

opin

ion

and

som

e pr

even

tive

serv

ices

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

B (

con

tin

ued

)

Lis

ted

belo

w a

re th

e 20

16 P

art B

mon

thly

pre

miu

m r

ates

to b

e pa

id b

y be

nefi

ciar

ies

who

fil

e an

indi

vidu

al ta

x re

turn

(inc

ludi

ng th

ose

who

are

sin

gle

hea

d of

hou

seho

ld q

ualif

ying

wid

ow(e

r) w

ith

depe

nden

t chi

ld o

r m

arri

ed f

ilin

g se

para

tely

w

ho li

ved

apar

t fro

m th

eir

spou

se f

or th

e en

tire

taxa

ble

year

) o

r a

join

t tax

ret

urn

Ben

efic

iari

es w

ho f

ile

an in

divi

dual

B

enef

icia

ries

who

fil

e a

join

t tax

In

com

e-re

late

d m

onth

lyT

otal

mon

thly

tax

retu

rn w

ith

inco

me

re

turn

wit

h in

com

e

adju

stm

ent a

mou

nt

prem

ium

am

ount

Les

s th

an o

r eq

ual t

o $8

500

0 L

ess

than

or

equa

l to

$170

000

$0

00

$121

80

Gre

ater

than

$85

000

and

less

than

Gre

ater

than

$17

000

0 an

d le

ss th

an

or e

qual

to $

107

000

or e

qual

to $

214

000

$4

870

$1

705

0

Gre

ater

than

$10

700

0 an

d le

ss th

an

G

reat

er th

an $

214

000

and

less

than

or

equ

al to

$16

000

0 or

equ

al to

$32

000

0

$121

80

$243

60

Gre

ater

than

$16

000

0 an

d le

ss th

an

G

reat

er th

an $

320

000

and

less

than

or

equ

al to

$21

400

0 or

equ

al to

$42

800

0

$194

90

$316

70

Gre

ater

than

$21

400

0 G

reat

er th

an $

428

000

$268

00

$389

80

In a

ddit

ion

the

mon

thly

pre

miu

m r

ates

to b

e pa

id b

y be

nefi

ciar

ies

who

are

mar

ried

and

live

d w

ith

thei

r sp

ouse

at a

ny ti

me

duri

ng th

e ta

xabl

e ye

ar b

ut f

ile

a se

para

te ta

x re

turn

fro

m th

eir

spou

se a

re li

sted

bel

ow

Tot

al m

onth

ly

spou

se a

nd f

iled

a s

epar

ate

tax

retu

rn

adju

stm

ent a

mou

nt

prem

ium

am

ount

M

arri

ed b

enef

icia

ries

who

live

d w

ith

thei

r In

com

e-re

late

d m

onth

ly

$121

80

Les

s th

an o

r eq

ual t

o $8

500

0 $0

00

$316

70

Gre

ater

than

$85

000

and

less

than

or

equa

l to

$129

000

$194

90

$389

80

Gre

ater

than

$12

900

0 $2

680

0

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

D S

tan

dar

d B

enef

its

Ded

ucti

ble

(11

201

6)

$360

in c

harg

esy

ear

Init

ial c

over

age

lim

it (

11

2016

) $3

310

in c

harg

esy

ear

Out

-of-

pock

et th

resh

old

(11

201

6)

$48

50 in

cha

rges

yea

r B

ase

bene

fici

ary

prem

ium

(1

120

16)1

$34

10m

onth

Med

icai

d F

inan

cin

g 1

F

eder

al c

ontr

ibut

ions

(ra

ngin

g fr

om 5

0 to

74

perc

ent f

or f

isca

l yea

r 20

16)

2

Sta

te c

ontr

ibut

ions

(ra

ngin

g fr

om 2

6 to

50

perc

ent f

or f

isca

l yea

r 20

16)

1 The

bas

e be

nefi

ciar

y pr

emiu

m w

as c

alcu

late

d ba

sed

on a

nat

iona

l ave

rage

pla

n bi

d T

he a

ctua

l pre

miu

m th

at a

ben

efic

iary

pay

s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

nefi

ciar

y is

enr

olle

d

NO

TE

S

The

ben

efic

iari

es w

ho q

uali

fy f

or th

e lo

w-i

ncom

e su

bsid

y un

der

Par

t D p

ay a

red

uced

or

zero

pre

miu

m

In a

ddit

ion

low

-inc

ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston



All regions 1 15179 458 6323





1980 1990 2010 2014



22




Percent of total







1980 1990 2000 2012 2014



2276

338

1352

206

869

144

568

92

478

78



203

39

774

73

1236

83

345

23

332

22



481

160

1211

210

1038

144

141

12

146

12



23



Primary Care 221469




Radiology 36713








Table II9



Pharmacy 50338


Podiatry 5575


Optician 2460





24

Expenditures



25








26




1980 $608 $350 $258 --

1990 1822 1097 725 --

2000 4287 2190 2080 $17

2010 9409 5256 4039 114

2014 10820 5987 4703 130






27


1967 1980 2010 2014



Medicare1 32 339 518 598

HI 25 238 250 271

SMI 07 101 209 262


Medicaid2 19 239 386 470


CHIP3 NA NA 11 13







28








Fiscal Year 2013 2014 2015


Aged 2179 2176 2232








29928 6865

11226


78821 272877

294 1000


43574 11491

16042


92934 83845

341 1000








30


Fiscal Year 2011 2012 2013








31












32




Total $10147264 $8686710


2444878 770702

2363720 827574






33










34

Utilization



35












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

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Off

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ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston




Percent of total







1980 1990 2000 2012 2014



2276

338

1352

206

869

144

568

92

478

78



203

39

774

73

1236

83

345

23

332

22



481

160

1211

210

1038

144

141

12

146

12



23



Primary Care 221469




Radiology 36713








Table II9



Pharmacy 50338


Podiatry 5575


Optician 2460





24

Expenditures



25








26




1980 $608 $350 $258 --

1990 1822 1097 725 --

2000 4287 2190 2080 $17

2010 9409 5256 4039 114

2014 10820 5987 4703 130






27


1967 1980 2010 2014



Medicare1 32 339 518 598

HI 25 238 250 271

SMI 07 101 209 262


Medicaid2 19 239 386 470


CHIP3 NA NA 11 13







28








Fiscal Year 2013 2014 2015


Aged 2179 2176 2232








29928 6865

11226


78821 272877

294 1000


43574 11491

16042


92934 83845

341 1000








30


Fiscal Year 2011 2012 2013








31












32




Total $10147264 $8686710


2444878 770702

2363720 827574






33










34

Utilization



35












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

eS

ourc

e of

In

com

e

Med

icar

e P

art

A H

ospi

tal I

nsur

ance

trus

t fun

d 1

P

ayro

ll ta

xes

2

Inc

ome

from

taxa

tion

of

soci

al s

ecur

ity

bene

fits

3

Tra

nsfe

rs f

rom

rai

lroa

d re

tire

men

t acc

ount

4

Gen

eral

rev

enue

for

uni

nsur

ed p

erso

ns a

nd m

ilit

ary

wag

e c

redi

ts

5 P

rem

ium

s fr

om v

olun

tary

enr

olle

es

6 I

nter

est o

n in

vest

men

ts

Con

trib

utio

n ra

te

2014

20

15

2016

Per

cent

Em

ploy

ees

and

empl

oyer

s e

ach

145

1

45

145

S

elf-

empl

oyed

2

90

2

90

29

0

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imum

taxa

ble

amou

nt (

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201

6)

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e1

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unta

ry H

I m

onth

ly p

rem

ium

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411

00

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t A

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t hos

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l

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ucti

ble

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16)

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ular

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ance

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ays

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ime

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ry h

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ium

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th d

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le d

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h da

y

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ints

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enda

r ye

ar

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th $

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wit

h 30

-39

quar

ters

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over

age

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le d

ays

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s R

econ

cili

atio

n A

ct o

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ed th

e A

nnua

l Max

imum

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able

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ning

s am

ount

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r 19

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nd la

ter

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thes

e ye

ars

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ntri

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on r

ate

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ed to

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ered

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ploy

men

t

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ium

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d fo

r vo

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ary

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icip

atio

n of

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vidu

als

aged

65

and

over

not

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ise

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led

to h

ospi

tal i

nsur

ance

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tain

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able

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dual

sw

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ave

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uste

d ot

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enti

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ent

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ed p

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ium

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dual

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d ov

er w

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re n

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e en

titl

ed to

ho

spit

al in

sura

nce

but w

ho h

ave

or

who

se s

pous

e ha

s or

had

30-

39 q

uart

ers

of c

over

age

unde

r T

itle

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of th

e So

cial

Sec

urit

y A

ct

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

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anci

ng

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t S

har

ing

and

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itat

ion

s

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icar

e P

art

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plem

enta

ry M

edic

al I

nsur

ance

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t fun

d 1

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rem

ium

s pa

id b

y or

on

beha

lf o

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roll

ees

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ener

al r

even

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nter

est o

n in

vest

men

ts

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t B

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fect

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dat

e)

Am

oun

t D

educ

tibl

e (1

11

6) $

166

in a

llow

ed c

harg

esy

ear

Blo

od d

educ

tibl

e f

irst

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ints

cal

enda

r ye

ar

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nsur

ance

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per

cent

of

allo

wed

cha

rges

M

onth

ly s

tand

ard

prem

ium

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116

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104

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onth

Lim

itat

ion

s O

utpa

tien

t tre

atm

ent f

or m

enta

l ill

ness

N

o li

mit

atio

ns

1 The

Par

t B d

educ

tibl

e an

d co

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mou

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SO

UR

CE

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MS

Off

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of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston



Primary Care 221469




Radiology 36713








Table II9



Pharmacy 50338


Podiatry 5575


Optician 2460





24

Expenditures



25








26




1980 $608 $350 $258 --

1990 1822 1097 725 --

2000 4287 2190 2080 $17

2010 9409 5256 4039 114

2014 10820 5987 4703 130






27


1967 1980 2010 2014



Medicare1 32 339 518 598

HI 25 238 250 271

SMI 07 101 209 262


Medicaid2 19 239 386 470


CHIP3 NA NA 11 13







28








Fiscal Year 2013 2014 2015


Aged 2179 2176 2232








29928 6865

11226


78821 272877

294 1000


43574 11491

16042


92934 83845

341 1000








30


Fiscal Year 2011 2012 2013








31












32




Total $10147264 $8686710


2444878 770702

2363720 827574






33










34

Utilization



35












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

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000

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80

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Sta

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arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston

Expenditures



25








26




1980 $608 $350 $258 --

1990 1822 1097 725 --

2000 4287 2190 2080 $17

2010 9409 5256 4039 114

2014 10820 5987 4703 130






27


1967 1980 2010 2014



Medicare1 32 339 518 598

HI 25 238 250 271

SMI 07 101 209 262


Medicaid2 19 239 386 470


CHIP3 NA NA 11 13







28








Fiscal Year 2013 2014 2015


Aged 2179 2176 2232








29928 6865

11226


78821 272877

294 1000


43574 11491

16042


92934 83845

341 1000








30


Fiscal Year 2011 2012 2013








31












32




Total $10147264 $8686710


2444878 770702

2363720 827574






33










34

Utilization



35












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

eS

ourc

e of

In

com

e

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icar

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art

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tal I

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t fun

d 1

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Inc

ome

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Tra

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Gen

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ilit

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ts

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rem

ium

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6 I

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men

ts

Con

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utio

n ra

te

2014

20

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2016

Per

cent

Em

ploy

ees

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oyer

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ach

145

1

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145

S

elf-

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oyed

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90

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imum

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ble

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nt (

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00

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Off

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art

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plem

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edic

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in a

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ness

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e pr

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con

tin

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)

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w

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ved

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eir

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efic

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at a

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me

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e ta

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Off

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e A

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ry

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gram

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anci

ng

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t S

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itat

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icar

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art

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tan

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its

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ble

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in c

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esy

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ial c

over

age

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it (

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2016

) $3

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in c

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esy

ear

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(11

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r B

ase

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d F

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ngin

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0 to

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perc

ent f

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l yea

r 20

16)

2

Sta

te c

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ions

(ra

ngin

g fr

om 2

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50

perc

ent f

or f

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l yea

r 20

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1 The

bas

e be

nefi

ciar

y pr

emiu

m w

as c

alcu

late

d ba

sed

on a

nat

iona

l ave

rage

pla

n bi

d T

he a

ctua

l pre

miu

m th

at a

ben

efic

iary

pay

s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

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ciar

y is

enr

olle

d

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TE

S

The

ben

efic

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es w

ho q

uali

fy f

or th

e lo

w-i

ncom

e su

bsid

y un

der

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t D p

ay a

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uced

or

zero

pre

miu

m

In a

ddit

ion

low

-inc

ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston








26




1980 $608 $350 $258 --

1990 1822 1097 725 --

2000 4287 2190 2080 $17

2010 9409 5256 4039 114

2014 10820 5987 4703 130






27


1967 1980 2010 2014



Medicare1 32 339 518 598

HI 25 238 250 271

SMI 07 101 209 262


Medicaid2 19 239 386 470


CHIP3 NA NA 11 13







28








Fiscal Year 2013 2014 2015


Aged 2179 2176 2232








29928 6865

11226


78821 272877

294 1000


43574 11491

16042


92934 83845

341 1000








30


Fiscal Year 2011 2012 2013








31












32




Total $10147264 $8686710


2444878 770702

2363720 827574






33










34

Utilization



35












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

eS

ourc

e of

In

com

e

Med

icar

e P

art

A H

ospi

tal I

nsur

ance

trus

t fun

d 1

P

ayro

ll ta

xes

2

Inc

ome

from

taxa

tion

of

soci

al s

ecur

ity

bene

fits

3

Tra

nsfe

rs f

rom

rai

lroa

d re

tire

men

t acc

ount

4

Gen

eral

rev

enue

for

uni

nsur

ed p

erso

ns a

nd m

ilit

ary

wag

e c

redi

ts

5 P

rem

ium

s fr

om v

olun

tary

enr

olle

es

6 I

nter

est o

n in

vest

men

ts

Con

trib

utio

n ra

te

2014

20

15

2016

Per

cent

Em

ploy

ees

and

empl

oyer

s e

ach

145

1

45

145

S

elf-

empl

oyed

2

90

2

90

29

0

Max

imum

taxa

ble

amou

nt (

CY

201

6)

Non

e1

Vol

unta

ry H

I m

onth

ly p

rem

ium

2 $

411

00

Par

t A

(ef

fect

ive

dat

e)

Inpa

tien

t hos

pita

l

ded

ucti

ble

(11

16)

Reg

ular

coi

nsur

ance

d

ays

(11

16)

L

ifet

ime

rese

rve

days

(1

116

) S

NF

coi

nsur

ance

day

s

(11

16)

B

lood

ded

ucti

ble

Vol

unta

ry h

ospi

tal i

nsur

ance

prem

ium

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116

)2

Lim

itat

ion

s

Inpa

tien

t psy

chia

tric

hos

pita

ls

Am

oun

t

$12

88b

enef

it p

erio

d

$3

22d

ay f

or 6

1st

th

roug

h 90

th d

ay

$644

day

(60

non

-

rene

wab

le d

ays)

$161

day

for

21s

t

thro

ugh

100t

h da

y

firs

t 3 p

ints

cal

enda

r ye

ar

$411

mon

th $

226

mo

wit

h 30

-39

quar

ters

of c

over

age

19

0 no

nren

ewab

le d

ays

1 The

Om

nibu

s R

econ

cili

atio

n A

ct o

f 19

93 e

lim

inat

ed th

e A

nnua

l Max

imum

Tax

able

Ear

ning

s am

ount

s fo

r 19

94 a

nd la

ter

For

thes

e ye

ars

the

co

ntri

buti

on r

ate

is a

ppli

ed to

all

ear

ning

s in

cov

ered

em

ploy

men

t

2 Prem

ium

pai

d fo

r vo

lunt

ary

part

icip

atio

n of

indi

vidu

als

aged

65

and

over

not

oth

erw

ise

entit

led

to h

ospi

tal i

nsur

ance

and

cer

tain

dis

able

d in

divi

dual

sw

ho h

ave

exha

uste

d ot

her

enti

tlem

ent

A r

educ

ed p

rem

ium

of

$226

is a

vail

able

to in

divi

dual

s ag

ed 6

5 an

d ov

er w

ho a

re n

ot o

ther

wis

e en

titl

ed to

ho

spit

al in

sura

nce

but w

ho h

ave

or

who

se s

pous

e ha

s or

had

30-

39 q

uart

ers

of c

over

age

unde

r T

itle

II

of th

e So

cial

Sec

urit

y A

ct

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

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gram

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of th

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ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston




1980 $608 $350 $258 --

1990 1822 1097 725 --

2000 4287 2190 2080 $17

2010 9409 5256 4039 114

2014 10820 5987 4703 130






27


1967 1980 2010 2014



Medicare1 32 339 518 598

HI 25 238 250 271

SMI 07 101 209 262


Medicaid2 19 239 386 470


CHIP3 NA NA 11 13







28








Fiscal Year 2013 2014 2015


Aged 2179 2176 2232








29928 6865

11226


78821 272877

294 1000


43574 11491

16042


92934 83845

341 1000








30


Fiscal Year 2011 2012 2013








31












32




Total $10147264 $8686710


2444878 770702

2363720 827574






33










34

Utilization



35












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

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74

perc

ent f

or f

isca

l yea

r 20

16)

2

Sta

te c

ontr

ibut

ions

(ra

ngin

g fr

om 2

6 to

50

perc

ent f

or f

isca

l yea

r 20

16)

1 The

bas

e be

nefi

ciar

y pr

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m w

as c

alcu

late

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sed

on a

nat

iona

l ave

rage

pla

n bi

d T

he a

ctua

l pre

miu

m th

at a

ben

efic

iary

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s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

nefi

ciar

y is

enr

olle

d

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TE

S

The

ben

efic

iari

es w

ho q

uali

fy f

or th

e lo

w-i

ncom

e su

bsid

y un

der

Par

t D p

ay a

red

uced

or

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pre

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m

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ddit

ion

low

-inc

ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

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ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston


1967 1980 2010 2014



Medicare1 32 339 518 598

HI 25 238 250 271

SMI 07 101 209 262


Medicaid2 19 239 386 470


CHIP3 NA NA 11 13







28








Fiscal Year 2013 2014 2015


Aged 2179 2176 2232








29928 6865

11226


78821 272877

294 1000


43574 11491

16042


92934 83845

341 1000








30


Fiscal Year 2011 2012 2013








31












32




Total $10147264 $8686710


2444878 770702

2363720 827574






33










34

Utilization



35












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

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ng

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r 20

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te c

ontr

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g fr

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6 to

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perc

ent f

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l yea

r 20

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bas

e be

nefi

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y pr

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m w

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late

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sed

on a

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iona

l ave

rage

pla

n bi

d T

he a

ctua

l pre

miu

m th

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ben

efic

iary

pay

s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

nefi

ciar

y is

enr

olle

d

NO

TE

S

The

ben

efic

iari

es w

ho q

uali

fy f

or th

e lo

w-i

ncom

e su

bsid

y un

der

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t D p

ay a

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uced

or

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pre

miu

m

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ddit

ion

low

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ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston








Fiscal Year 2013 2014 2015


Aged 2179 2176 2232








29928 6865

11226


78821 272877

294 1000


43574 11491

16042


92934 83845

341 1000








30


Fiscal Year 2011 2012 2013








31












32




Total $10147264 $8686710


2444878 770702

2363720 827574






33










34

Utilization



35












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

eS

ourc

e of

In

com

e

Med

icar

e P

art

A H

ospi

tal I

nsur

ance

trus

t fun

d 1

P

ayro

ll ta

xes

2

Inc

ome

from

taxa

tion

of

soci

al s

ecur

ity

bene

fits

3

Tra

nsfe

rs f

rom

rai

lroa

d re

tire

men

t acc

ount

4

Gen

eral

rev

enue

for

uni

nsur

ed p

erso

ns a

nd m

ilit

ary

wag

e c

redi

ts

5 P

rem

ium

s fr

om v

olun

tary

enr

olle

es

6 I

nter

est o

n in

vest

men

ts

Con

trib

utio

n ra

te

2014

20

15

2016

Per

cent

Em

ploy

ees

and

empl

oyer

s e

ach

145

1

45

145

S

elf-

empl

oyed

2

90

2

90

29

0

Max

imum

taxa

ble

amou

nt (

CY

201

6)

Non

e1

Vol

unta

ry H

I m

onth

ly p

rem

ium

2 $

411

00

Par

t A

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fect

ive

dat

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tien

t hos

pita

l

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ucti

ble

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16)

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ular

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nsur

ance

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ays

(11

16)

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ifet

ime

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116

) S

NF

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ance

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ble

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ry h

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tal i

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ance

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ium

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itat

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tien

t psy

chia

tric

hos

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ls

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oun

t

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88b

enef

it p

erio

d

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ay f

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th

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h 90

th d

ay

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day

(60

non

-

rene

wab

le d

ays)

$161

day

for

21s

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thro

ugh

100t

h da

y

firs

t 3 p

ints

cal

enda

r ye

ar

$411

mon

th $

226

mo

wit

h 30

-39

quar

ters

of c

over

age

19

0 no

nren

ewab

le d

ays

1 The

Om

nibu

s R

econ

cili

atio

n A

ct o

f 19

93 e

lim

inat

ed th

e A

nnua

l Max

imum

Tax

able

Ear

ning

s am

ount

s fo

r 19

94 a

nd la

ter

For

thes

e ye

ars

the

co

ntri

buti

on r

ate

is a

ppli

ed to

all

ear

ning

s in

cov

ered

em

ploy

men

t

2 Prem

ium

pai

d fo

r vo

lunt

ary

part

icip

atio

n of

indi

vidu

als

aged

65

and

over

not

oth

erw

ise

entit

led

to h

ospi

tal i

nsur

ance

and

cer

tain

dis

able

d in

divi

dual

sw

ho h

ave

exha

uste

d ot

her

enti

tlem

ent

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5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston




29928 6865

11226


78821 272877

294 1000


43574 11491

16042


92934 83845

341 1000








30


Fiscal Year 2011 2012 2013








31












32




Total $10147264 $8686710


2444878 770702

2363720 827574






33










34

Utilization



35












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

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cha

rges

yea

r B

ase

bene

fici

ary

prem

ium

(1

120

16)1

$34

10m

onth

Med

icai

d F

inan

cin

g 1

F

eder

al c

ontr

ibut

ions

(ra

ngin

g fr

om 5

0 to

74

perc

ent f

or f

isca

l yea

r 20

16)

2

Sta

te c

ontr

ibut

ions

(ra

ngin

g fr

om 2

6 to

50

perc

ent f

or f

isca

l yea

r 20

16)

1 The

bas

e be

nefi

ciar

y pr

emiu

m w

as c

alcu

late

d ba

sed

on a

nat

iona

l ave

rage

pla

n bi

d T

he a

ctua

l pre

miu

m th

at a

ben

efic

iary

pay

s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

nefi

ciar

y is

enr

olle

d

NO

TE

S

The

ben

efic

iari

es w

ho q

uali

fy f

or th

e lo

w-i

ncom

e su

bsid

y un

der

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t D p

ay a

red

uced

or

zero

pre

miu

m

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ddit

ion

low

-inc

ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston


Fiscal Year 2011 2012 2013








31












32




Total $10147264 $8686710


2444878 770702

2363720 827574






33










34

Utilization



35












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

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itat

ion

s

Med

icar

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ourc

e of

In

com

e

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icar

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art

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ospi

tal I

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t fun

d 1

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Inc

ome

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Tra

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cent

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ploy

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elf-

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oyed

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90

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ble

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nt (

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rem

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00

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con

tin

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me

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than

$12

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0 $2

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UR

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MS

Off

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of th

e A

ctua

ry

Pro

gram

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anci

ng

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t S

har

ing

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itat

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s

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icar

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art

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tan

dar

d B

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its

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ucti

ble

(11

201

6)

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in c

harg

esy

ear

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ial c

over

age

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it (

11

2016

) $3

310

in c

harg

esy

ear

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-of-

pock

et th

resh

old

(11

201

6)

$48

50 in

cha

rges

yea

r B

ase

bene

fici

ary

prem

ium

(1

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16)1

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onth

Med

icai

d F

inan

cin

g 1

F

eder

al c

ontr

ibut

ions

(ra

ngin

g fr

om 5

0 to

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perc

ent f

or f

isca

l yea

r 20

16)

2

Sta

te c

ontr

ibut

ions

(ra

ngin

g fr

om 2

6 to

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perc

ent f

or f

isca

l yea

r 20

16)

1 The

bas

e be

nefi

ciar

y pr

emiu

m w

as c

alcu

late

d ba

sed

on a

nat

iona

l ave

rage

pla

n bi

d T

he a

ctua

l pre

miu

m th

at a

ben

efic

iary

pay

s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

nefi

ciar

y is

enr

olle

d

NO

TE

S

The

ben

efic

iari

es w

ho q

uali

fy f

or th

e lo

w-i

ncom

e su

bsid

y un

der

Par

t D p

ay a

red

uced

or

zero

pre

miu

m

In a

ddit

ion

low

-inc

ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston












32




Total $10147264 $8686710


2444878 770702

2363720 827574






33










34

Utilization



35












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

eS

ourc

e of

In

com

e

Med

icar

e P

art

A H

ospi

tal I

nsur

ance

trus

t fun

d 1

P

ayro

ll ta

xes

2

Inc

ome

from

taxa

tion

of

soci

al s

ecur

ity

bene

fits

3

Tra

nsfe

rs f

rom

rai

lroa

d re

tire

men

t acc

ount

4

Gen

eral

rev

enue

for

uni

nsur

ed p

erso

ns a

nd m

ilit

ary

wag

e c

redi

ts

5 P

rem

ium

s fr

om v

olun

tary

enr

olle

es

6 I

nter

est o

n in

vest

men

ts

Con

trib

utio

n ra

te

2014

20

15

2016

Per

cent

Em

ploy

ees

and

empl

oyer

s e

ach

145

1

45

145

S

elf-

empl

oyed

2

90

2

90

29

0

Max

imum

taxa

ble

amou

nt (

CY

201

6)

Non

e1

Vol

unta

ry H

I m

onth

ly p

rem

ium

2 $

411

00

Par

t A

(ef

fect

ive

dat

e)

Inpa

tien

t hos

pita

l

ded

ucti

ble

(11

16)

Reg

ular

coi

nsur

ance

d

ays

(11

16)

L

ifet

ime

rese

rve

days

(1

116

) S

NF

coi

nsur

ance

day

s

(11

16)

B

lood

ded

ucti

ble

Vol

unta

ry h

ospi

tal i

nsur

ance

prem

ium

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116

)2

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itat

ion

s

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tien

t psy

chia

tric

hos

pita

ls

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oun

t

$12

88b

enef

it p

erio

d

$3

22d

ay f

or 6

1st

th

roug

h 90

th d

ay

$644

day

(60

non

-

rene

wab

le d

ays)

$161

day

for

21s

t

thro

ugh

100t

h da

y

firs

t 3 p

ints

cal

enda

r ye

ar

$411

mon

th $

226

mo

wit

h 30

-39

quar

ters

of c

over

age

19

0 no

nren

ewab

le d

ays

1 The

Om

nibu

s R

econ

cili

atio

n A

ct o

f 19

93 e

lim

inat

ed th

e A

nnua

l Max

imum

Tax

able

Ear

ning

s am

ount

s fo

r 19

94 a

nd la

ter

For

thes

e ye

ars

the

co

ntri

buti

on r

ate

is a

ppli

ed to

all

ear

ning

s in

cov

ered

em

ploy

men

t

2 Prem

ium

pai

d fo

r vo

lunt

ary

part

icip

atio

n of

indi

vidu

als

aged

65

and

over

not

oth

erw

ise

entit

led

to h

ospi

tal i

nsur

ance

and

cer

tain

dis

able

d in

divi

dual

sw

ho h

ave

exha

uste

d ot

her

enti

tlem

ent

A r

educ

ed p

rem

ium

of

$226

is a

vail

able

to in

divi

dual

s ag

ed 6

5 an

d ov

er w

ho a

re n

ot o

ther

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MS

Off

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of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston




Total $10147264 $8686710


2444878 770702

2363720 827574






33










34

Utilization



35












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

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isca

l yea

r 20

16)

2

Sta

te c

ontr

ibut

ions

(ra

ngin

g fr

om 2

6 to

50

perc

ent f

or f

isca

l yea

r 20

16)

1 The

bas

e be

nefi

ciar

y pr

emiu

m w

as c

alcu

late

d ba

sed

on a

nat

iona

l ave

rage

pla

n bi

d T

he a

ctua

l pre

miu

m th

at a

ben

efic

iary

pay

s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

nefi

ciar

y is

enr

olle

d

NO

TE

S

The

ben

efic

iari

es w

ho q

uali

fy f

or th

e lo

w-i

ncom

e su

bsid

y un

der

Par

t D p

ay a

red

uced

or

zero

pre

miu

m

In a

ddit

ion

low

-inc

ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston










34

Utilization



35












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

eS

ourc

e of

In

com

e

Med

icar

e P

art

A H

ospi

tal I

nsur

ance

trus

t fun

d 1

P

ayro

ll ta

xes

2

Inc

ome

from

taxa

tion

of

soci

al s

ecur

ity

bene

fits

3

Tra

nsfe

rs f

rom

rai

lroa

d re

tire

men

t acc

ount

4

Gen

eral

rev

enue

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nsur

ed p

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nd m

ilit

ary

wag

e c

redi

ts

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rem

ium

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om v

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est o

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men

ts

Con

trib

utio

n ra

te

2014

20

15

2016

Per

cent

Em

ploy

ees

and

empl

oyer

s e

ach

145

1

45

145

S

elf-

empl

oyed

2

90

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90

29

0

Max

imum

taxa

ble

amou

nt (

CY

201

6)

Non

e1

Vol

unta

ry H

I m

onth

ly p

rem

ium

2 $

411

00

Par

t A

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dat

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Reg

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ints

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ium

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rem

ium

of

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vail

able

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dual

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ed 6

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itle

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MS

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edic

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t D

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in a

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od d

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r ye

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rges

M

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116

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Lim

itat

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s O

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atm

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ness

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nish

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e pr

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ices

SO

UR

CE

C

MS

Off

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of th

e A

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ry

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gram

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ng

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t S

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s

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e P

art

B (

con

tin

ued

)

Lis

ted

belo

w a

re th

e 20

16 P

art B

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thly

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miu

m r

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id b

y be

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ciar

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al ta

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turn

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ng th

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gle

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ld q

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para

tely

w

ho li

ved

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t fro

m th

eir

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taxa

ble

year

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r a

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t tax

ret

urn

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efic

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es w

ho f

ile

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dual

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fil

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t tax

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com

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r eq

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107

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Gre

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than

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ss th

an

G

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an $

214

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and

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Gre

ater

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ater

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In a

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me

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xabl

e ye

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ut f

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eir

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sted

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Tot

al m

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00

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Gre

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than

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0 $2

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UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

D S

tan

dar

d B

enef

its

Ded

ucti

ble

(11

201

6)

$360

in c

harg

esy

ear

Init

ial c

over

age

lim

it (

11

2016

) $3

310

in c

harg

esy

ear

Out

-of-

pock

et th

resh

old

(11

201

6)

$48

50 in

cha

rges

yea

r B

ase

bene

fici

ary

prem

ium

(1

120

16)1

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10m

onth

Med

icai

d F

inan

cin

g 1

F

eder

al c

ontr

ibut

ions

(ra

ngin

g fr

om 5

0 to

74

perc

ent f

or f

isca

l yea

r 20

16)

2

Sta

te c

ontr

ibut

ions

(ra

ngin

g fr

om 2

6 to

50

perc

ent f

or f

isca

l yea

r 20

16)

1 The

bas

e be

nefi

ciar

y pr

emiu

m w

as c

alcu

late

d ba

sed

on a

nat

iona

l ave

rage

pla

n bi

d T

he a

ctua

l pre

miu

m th

at a

ben

efic

iary

pay

s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

nefi

ciar

y is

enr

olle

d

NO

TE

S

The

ben

efic

iari

es w

ho q

uali

fy f

or th

e lo

w-i

ncom

e su

bsid

y un

der

Par

t D p

ay a

red

uced

or

zero

pre

miu

m

In a

ddit

ion

low

-inc

ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston

Utilization



35












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

eS

ourc

e of

In

com

e

Med

icar

e P

art

A H

ospi

tal I

nsur

ance

trus

t fun

d 1

P

ayro

ll ta

xes

2

Inc

ome

from

taxa

tion

of

soci

al s

ecur

ity

bene

fits

3

Tra

nsfe

rs f

rom

rai

lroa

d re

tire

men

t acc

ount

4

Gen

eral

rev

enue

for

uni

nsur

ed p

erso

ns a

nd m

ilit

ary

wag

e c

redi

ts

5 P

rem

ium

s fr

om v

olun

tary

enr

olle

es

6 I

nter

est o

n in

vest

men

ts

Con

trib

utio

n ra

te

2014

20

15

2016

Per

cent

Em

ploy

ees

and

empl

oyer

s e

ach

145

1

45

145

S

elf-

empl

oyed

2

90

2

90

29

0

Max

imum

taxa

ble

amou

nt (

CY

201

6)

Non

e1

Vol

unta

ry H

I m

onth

ly p

rem

ium

2 $

411

00

Par

t A

(ef

fect

ive

dat

e)

Inpa

tien

t hos

pita

l

ded

ucti

ble

(11

16)

Reg

ular

coi

nsur

ance

d

ays

(11

16)

L

ifet

ime

rese

rve

days

(1

116

) S

NF

coi

nsur

ance

day

s

(11

16)

B

lood

ded

ucti

ble

Vol

unta

ry h

ospi

tal i

nsur

ance

prem

ium

(1

116

)2

Lim

itat

ion

s

Inpa

tien

t psy

chia

tric

hos

pita

ls

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oun

t

$12

88b

enef

it p

erio

d

$3

22d

ay f

or 6

1st

th

roug

h 90

th d

ay

$644

day

(60

non

-

rene

wab

le d

ays)

$161

day

for

21s

t

thro

ugh

100t

h da

y

firs

t 3 p

ints

cal

enda

r ye

ar

$411

mon

th $

226

mo

wit

h 30

-39

quar

ters

of c

over

age

19

0 no

nren

ewab

le d

ays

1 The

Om

nibu

s R

econ

cili

atio

n A

ct o

f 19

93 e

lim

inat

ed th

e A

nnua

l Max

imum

Tax

able

Ear

ning

s am

ount

s fo

r 19

94 a

nd la

ter

For

thes

e ye

ars

the

co

ntri

buti

on r

ate

is a

ppli

ed to

all

ear

ning

s in

cov

ered

em

ploy

men

t

2 Prem

ium

pai

d fo

r vo

lunt

ary

part

icip

atio

n of

indi

vidu

als

aged

65

and

over

not

oth

erw

ise

entit

led

to h

ospi

tal i

nsur

ance

and

cer

tain

dis

able

d in

divi

dual

sw

ho h

ave

exha

uste

d ot

her

enti

tlem

ent

A r

educ

ed p

rem

ium

of

$226

is a

vail

able

to in

divi

dual

s ag

ed 6

5 an

d ov

er w

ho a

re n

ot o

ther

wis

e en

titl

ed to

ho

spit

al in

sura

nce

but w

ho h

ave

or

who

se s

pous

e ha

s or

had

30-

39 q

uart

ers

of c

over

age

unde

r T

itle

II

of th

e So

cial

Sec

urit

y A

ct

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

B

Sup

plem

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ry M

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UR

CE

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MS

Off

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of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston












Calendar year 1985 315 10 1576 51 1990 638 19 1978 58 1995 1233 37 3468 103 2000 1468 451 2461 751

2005 1847 511 2976 811

2010 1839 521 3605 1001

2014 1827 491 3601 961



36


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

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ben

efic

iari

es w

ho q

uali

fy f

or th

e lo

w-i

ncom

e su

bsid

y un

der

Par

t D p

ay a

red

uced

or

zero

pre

miu

m

In a

ddit

ion

low

-inc

ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston


Fiscal Year





Calendar Year 1975 1985 1995 2005 2010 2014


HI andor SMI 528 722 826 923 919 890 HI 221 219 218 234 237 197

SMI 536 739 858 979 988 979


HI andor SMI 450 669 759 865 897 943 HI 219 228 212 205 213 198

SMI 471 715 837 977 1007 1028



37


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

eS

ourc

e of

In

com

e

Med

icar

e P

art

A H

ospi

tal I

nsur

ance

trus

t fun

d 1

P

ayro

ll ta

xes

2

Inc

ome

from

taxa

tion

of

soci

al s

ecur

ity

bene

fits

3

Tra

nsfe

rs f

rom

rai

lroa

d re

tire

men

t acc

ount

4

Gen

eral

rev

enue

for

uni

nsur

ed p

erso

ns a

nd m

ilit

ary

wag

e c

redi

ts

5 P

rem

ium

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om v

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tary

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olle

es

6 I

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est o

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men

ts

Con

trib

utio

n ra

te

2014

20

15

2016

Per

cent

Em

ploy

ees

and

empl

oyer

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ach

145

1

45

145

S

elf-

empl

oyed

2

90

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90

29

0

Max

imum

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ble

amou

nt (

CY

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6)

Non

e1

Vol

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ry H

I m

onth

ly p

rem

ium

2 $

411

00

Par

t A

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fect

ive

dat

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tien

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pita

l

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ble

(11

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Reg

ular

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ays

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L

ifet

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116

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coi

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B

lood

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Vol

unta

ry h

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ium

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ay

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ints

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mon

th $

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f 19

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ium

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r vo

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dual

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ave

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enti

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rem

ium

of

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vail

able

to in

divi

dual

s ag

ed 6

5 an

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er w

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ot o

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e en

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al in

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itle

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MS

Off

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Pro

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t S

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itat

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icar

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art

B

Sup

plem

enta

ry M

edic

al I

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t fun

d 1

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ium

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lf o

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t B

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fect

ive

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e)

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oun

t D

educ

tibl

e (1

11

6) $

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in a

llow

ed c

harg

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Blo

od d

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ints

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nsur

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1 20

per

cent

of

allo

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rges

M

onth

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tand

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ium

(1

116

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104

90m

onth

Lim

itat

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s O

utpa

tien

t tre

atm

ent f

or m

enta

l ill

ness

N

o li

mit

atio

ns

1 The

Par

t B d

educ

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e an

d co

insu

ranc

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plie

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mos

t ser

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s I

tem

s an

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ser

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t sub

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r th

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duct

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coin

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cl

inic

al d

iagn

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c la

b te

sts

subj

ect t

o a

fee

sche

dule

hom

e he

alth

ser

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s it

ems

and

serv

ices

fur

nish

ed in

con

nect

ion

to o

btai

ning

a s

econ

d or

th

ird

opin

ion

and

som

e pr

even

tive

serv

ices

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

B (

con

tin

ued

)

Lis

ted

belo

w a

re th

e 20

16 P

art B

mon

thly

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miu

m r

ates

to b

e pa

id b

y be

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ciar

ies

who

fil

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vidu

al ta

x re

turn

(inc

ludi

ng th

ose

who

are

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gle

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d of

hou

seho

ld q

ualif

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wid

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ld o

r m

arri

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para

tely

w

ho li

ved

apar

t fro

m th

eir

spou

se f

or th

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taxa

ble

year

) o

r a

join

t tax

ret

urn

Ben

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iari

es w

ho f

ile

an in

divi

dual

B

enef

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fil

e a

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t tax

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com

e-re

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thly

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rn w

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turn

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prem

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ount

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r eq

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l to

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00

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than

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000

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less

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Gre

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than

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qual

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107

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870

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Gre

ater

than

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d le

ss th

an

G

reat

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214

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Gre

ater

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ater

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reat

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In a

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ith

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ouse

at a

ny ti

me

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ng th

e ta

xabl

e ye

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ut f

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eir

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sted

bel

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Tot

al m

onth

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r eq

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o $8

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l to

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000

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90

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Gre

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than

$12

900

0 $2

680

0

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

D S

tan

dar

d B

enef

its

Ded

ucti

ble

(11

201

6)

$360

in c

harg

esy

ear

Init

ial c

over

age

lim

it (

11

2016

) $3

310

in c

harg

esy

ear

Out

-of-

pock

et th

resh

old

(11

201

6)

$48

50 in

cha

rges

yea

r B

ase

bene

fici

ary

prem

ium

(1

120

16)1

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10m

onth

Med

icai

d F

inan

cin

g 1

F

eder

al c

ontr

ibut

ions

(ra

ngin

g fr

om 5

0 to

74

perc

ent f

or f

isca

l yea

r 20

16)

2

Sta

te c

ontr

ibut

ions

(ra

ngin

g fr

om 2

6 to

50

perc

ent f

or f

isca

l yea

r 20

16)

1 The

bas

e be

nefi

ciar

y pr

emiu

m w

as c

alcu

late

d ba

sed

on a

nat

iona

l ave

rage

pla

n bi

d T

he a

ctua

l pre

miu

m th

at a

ben

efic

iary

pay

s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

nefi

ciar

y is

enr

olle

d

NO

TE

S

The

ben

efic

iari

es w

ho q

uali

fy f

or th

e lo

w-i

ncom

e su

bsid

y un

der

Par

t D p

ay a

red

uced

or

zero

pre

miu

m

In a

ddit

ion

low

-inc

ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston


Year

2010 2011 2012 2013 2014 HI Aged




SMI Aged







38












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

eS

ourc

e of

In

com

e

Med

icar

e P

art

A H

ospi

tal I

nsur

ance

trus

t fun

d 1

P

ayro

ll ta

xes

2

Inc

ome

from

taxa

tion

of

soci

al s

ecur

ity

bene

fits

3

Tra

nsfe

rs f

rom

rai

lroa

d re

tire

men

t acc

ount

4

Gen

eral

rev

enue

for

uni

nsur

ed p

erso

ns a

nd m

ilit

ary

wag

e c

redi

ts

5 P

rem

ium

s fr

om v

olun

tary

enr

olle

es

6 I

nter

est o

n in

vest

men

ts

Con

trib

utio

n ra

te

2014

20

15

2016

Per

cent

Em

ploy

ees

and

empl

oyer

s e

ach

145

1

45

145

S

elf-

empl

oyed

2

90

2

90

29

0

Max

imum

taxa

ble

amou

nt (

CY

201

6)

Non

e1

Vol

unta

ry H

I m

onth

ly p

rem

ium

2 $

411

00

Par

t A

(ef

fect

ive

dat

e)

Inpa

tien

t hos

pita

l

ded

ucti

ble

(11

16)

Reg

ular

coi

nsur

ance

d

ays

(11

16)

L

ifet

ime

rese

rve

days

(1

116

) S

NF

coi

nsur

ance

day

s

(11

16)

B

lood

ded

ucti

ble

Vol

unta

ry h

ospi

tal i

nsur

ance

prem

ium

(1

116

)2

Lim

itat

ion

s

Inpa

tien

t psy

chia

tric

hos

pita

ls

Am

oun

t

$12

88b

enef

it p

erio

d

$3

22d

ay f

or 6

1st

th

roug

h 90

th d

ay

$644

day

(60

non

-

rene

wab

le d

ays)

$161

day

for

21s

t

thro

ugh

100t

h da

y

firs

t 3 p

ints

cal

enda

r ye

ar

$411

mon

th $

226

mo

wit

h 30

-39

quar

ters

of c

over

age

19

0 no

nren

ewab

le d

ays

1 The

Om

nibu

s R

econ

cili

atio

n A

ct o

f 19

93 e

lim

inat

ed th

e A

nnua

l Max

imum

Tax

able

Ear

ning

s am

ount

s fo

r 19

94 a

nd la

ter

For

thes

e ye

ars

the

co

ntri

buti

on r

ate

is a

ppli

ed to

all

ear

ning

s in

cov

ered

em

ploy

men

t

2 Prem

ium

pai

d fo

r vo

lunt

ary

part

icip

atio

n of

indi

vidu

als

aged

65

and

over

not

oth

erw

ise

entit

led

to h

ospi

tal i

nsur

ance

and

cer

tain

dis

able

d in

divi

dual

sw

ho h

ave

exha

uste

d ot

her

enti

tlem

ent

A r

educ

ed p

rem

ium

of

$226

is a

vail

able

to in

divi

dual

s ag

ed 6

5 an

d ov

er w

ho a

re n

ot o

ther

wis

e en

titl

ed to

ho

spit

al in

sura

nce

but w

ho h

ave

or

who

se s

pous

e ha

s or

had

30-

39 q

uart

ers

of c

over

age

unde

r T

itle

II

of th

e So

cial

Sec

urit

y A

ct

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

B

Sup

plem

enta

ry M

edic

al I

nsur

ance

trus

t fun

d 1

P

rem

ium

s pa

id b

y or

on

beha

lf o

f en

roll

ees

2 G

ener

al r

even

ue

3 I

nter

est o

n in

vest

men

ts

Par

t B

(ef

fect

ive

dat

e)

Am

oun

t D

educ

tibl

e (1

11

6) $

166

in a

llow

ed c

harg

esy

ear

Blo

od d

educ

tibl

e f

irst

3 p

ints

cal

enda

r ye

ar

Coi

nsur

ance

1 20

per

cent

of

allo

wed

cha

rges

M

onth

ly s

tand

ard

prem

ium

(1

116

) $

104

90m

onth

Lim

itat

ion

s O

utpa

tien

t tre

atm

ent f

or m

enta

l ill

ness

N

o li

mit

atio

ns

1 The

Par

t B d

educ

tibl

e an

d co

insu

ranc

e ap

plie

s to

mos

t ser

vice

s I

tem

s an

dor

ser

vice

s no

t sub

ject

to e

ithe

r th

e de

duct

ible

or

coin

sura

nce

are

cl

inic

al d

iagn

osti

c la

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x re

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eir

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al m

onth

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iled

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C

MS

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gram

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art

D S

tan

dar

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its

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ble

(11

201

6)

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in c

harg

esy

ear

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ial c

over

age

lim

it (

11

2016

) $3

310

in c

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esy

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ase

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120

16)1

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F

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r 20

16)

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Sta

te c

ontr

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ions

(ra

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g fr

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50

perc

ent f

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l yea

r 20

16)

1 The

bas

e be

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m w

as c

alcu

late

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sed

on a

nat

iona

l ave

rage

pla

n bi

d T

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ctua

l pre

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m th

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ben

efic

iary

pay

s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

nefi

ciar

y is

enr

olle

d

NO

TE

S

The

ben

efic

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es w

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uali

fy f

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low

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ome

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fici

arie

s ar

e su

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t to

only

min

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cop

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ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston












Parts A andor B 33885 27634 6251






39








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

anci

ng

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t S

har

ing

and

Lim

itat

ion

s

Med

icar

eS

ourc

e of

In

com

e

Med

icar

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art

A H

ospi

tal I

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t fun

d 1

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xes

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Inc

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from

taxa

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of

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Gen

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rem

ium

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nter

est o

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vest

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cent

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ach

145

1

45

145

S

elf-

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90

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90

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Max

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I m

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00

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t A

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coi

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d

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lood

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Vol

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r th

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inic

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iagn

osti

c la

b te

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subj

ect t

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fee

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dule

hom

e he

alth

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serv

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nish

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nect

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ird

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MS

Off

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gram

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art

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con

tin

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)

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ted

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w a

re th

e 20

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art B

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thly

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m r

ates

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e pa

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ciar

ies

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fil

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indi

vidu

al ta

x re

turn

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ludi

ng th

ose

who

are

sin

gle

hea

d of

hou

seho

ld q

ualif

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r) w

ith

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nden

t chi

ld o

r m

arri

ed f

ilin

g se

para

tely

w

ho li

ved

apar

t fro

m th

eir

spou

se f

or th

e en

tire

taxa

ble

year

) o

r a

join

t tax

ret

urn

Ben

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iari

es w

ho f

ile

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dual

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enef

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fil

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com

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onth

lyT

otal

mon

thly

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ith

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nt

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ount

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s th

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r eq

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500

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ess

than

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equa

l to

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000

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00

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80

Gre

ater

than

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000

and

less

than

Gre

ater

than

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000

0 an

d le

ss th

an

or e

qual

to $

107

000

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qual

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214

000

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870

$1

705

0

Gre

ater

than

$10

700

0 an

d le

ss th

an

G

reat

er th

an $

214

000

and

less

than

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al to

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000

0 or

equ

al to

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000

0

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80

$243

60

Gre

ater

than

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000

0 an

d le

ss th

an

G

reat

er th

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320

000

and

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than

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al to

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400

0 or

equ

al to

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800

0

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90

$316

70

Gre

ater

than

$21

400

0 G

reat

er th

an $

428

000

$268

00

$389

80

In a

ddit

ion

the

mon

thly

pre

miu

m r

ates

to b

e pa

id b

y be

nefi

ciar

ies

who

are

mar

ried

and

live

d w

ith

thei

r sp

ouse

at a

ny ti

me

duri

ng th

e ta

xabl

e ye

ar b

ut f

ile

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para

te ta

x re

turn

fro

m th

eir

spou

se a

re li

sted

bel

ow

Tot

al m

onth

ly

spou

se a

nd f

iled

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epar

ate

tax

retu

rn

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stm

ent a

mou

nt

prem

ium

am

ount

M

arri

ed b

enef

icia

ries

who

live

d w

ith

thei

r In

com

e-re

late

d m

onth

ly

$121

80

Les

s th

an o

r eq

ual t

o $8

500

0 $0

00

$316

70

Gre

ater

than

$85

000

and

less

than

or

equa

l to

$129

000

$194

90

$389

80

Gre

ater

than

$12

900

0 $2

680

0

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

D S

tan

dar

d B

enef

its

Ded

ucti

ble

(11

201

6)

$360

in c

harg

esy

ear

Init

ial c

over

age

lim

it (

11

2016

) $3

310

in c

harg

esy

ear

Out

-of-

pock

et th

resh

old

(11

201

6)

$48

50 in

cha

rges

yea

r B

ase

bene

fici

ary

prem

ium

(1

120

16)1

$34

10m

onth

Med

icai

d F

inan

cin

g 1

F

eder

al c

ontr

ibut

ions

(ra

ngin

g fr

om 5

0 to

74

perc

ent f

or f

isca

l yea

r 20

16)

2

Sta

te c

ontr

ibut

ions

(ra

ngin

g fr

om 2

6 to

50

perc

ent f

or f

isca

l yea

r 20

16)

1 The

bas

e be

nefi

ciar

y pr

emiu

m w

as c

alcu

late

d ba

sed

on a

nat

iona

l ave

rage

pla

n bi

d T

he a

ctua

l pre

miu

m th

at a

ben

efic

iary

pay

s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

nefi

ciar

y is

enr

olle

d

NO

TE

S

The

ben

efic

iari

es w

ho q

uali

fy f

or th

e lo

w-i

ncom

e su

bsid

y un

der

Par

t D p

ay a

red

uced

or

zero

pre

miu

m

In a

ddit

ion

low

-inc

ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston








Transplant Patients


Female 212484 164978 47506 Race


40








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

eS

ourc

e of

In

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ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston








42 1415





41









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

eS

ourc

e of

In

com

e

Med

icar

e P

art

A H

ospi

tal I

nsur

ance

trus

t fun

d 1

P

ayro

ll ta

xes

2

Inc

ome

from

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tion

of

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al s

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ity

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fits

3

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nsfe

rs f

rom

rai

lroa

d re

tire

men

t acc

ount

4

Gen

eral

rev

enue

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uni

nsur

ed p

erso

ns a

nd m

ilit

ary

wag

e c

redi

ts

5 P

rem

ium

s fr

om v

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tary

enr

olle

es

6 I

nter

est o

n in

vest

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ts

Con

trib

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2014

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Per

cent

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700

0 an

d le

ss th

an

G

reat

er th

an $

214

000

and

less

than

or

equ

al to

$16

000

0 or

equ

al to

$32

000

0

$121

80

$243

60

Gre

ater

than

$16

000

0 an

d le

ss th

an

G

reat

er th

an $

320

000

and

less

than

or

equ

al to

$21

400

0 or

equ

al to

$42

800

0

$194

90

$316

70

Gre

ater

than

$21

400

0 G

reat

er th

an $

428

000

$268

00

$389

80

In a

ddit

ion

the

mon

thly

pre

miu

m r

ates

to b

e pa

id b

y be

nefi

ciar

ies

who

are

mar

ried

and

live

d w

ith

thei

r sp

ouse

at a

ny ti

me

duri

ng th

e ta

xabl

e ye

ar b

ut f

ile

a se

para

te ta

x re

turn

fro

m th

eir

spou

se a

re li

sted

bel

ow

Tot

al m

onth

ly

spou

se a

nd f

iled

a s

epar

ate

tax

retu

rn

adju

stm

ent a

mou

nt

prem

ium

am

ount

M

arri

ed b

enef

icia

ries

who

live

d w

ith

thei

r In

com

e-re

late

d m

onth

ly

$121

80

Les

s th

an o

r eq

ual t

o $8

500

0 $0

00

$316

70

Gre

ater

than

$85

000

and

less

than

or

equa

l to

$129

000

$194

90

$389

80

Gre

ater

than

$12

900

0 $2

680

0

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

D S

tan

dar

d B

enef

its

Ded

ucti

ble

(11

201

6)

$360

in c

harg

esy

ear

Init

ial c

over

age

lim

it (

11

2016

) $3

310

in c

harg

esy

ear

Out

-of-

pock

et th

resh

old

(11

201

6)

$48

50 in

cha

rges

yea

r B

ase

bene

fici

ary

prem

ium

(1

120

16)1

$34

10m

onth

Med

icai

d F

inan

cin

g 1

F

eder

al c

ontr

ibut

ions

(ra

ngin

g fr

om 5

0 to

74

perc

ent f

or f

isca

l yea

r 20

16)

2

Sta

te c

ontr

ibut

ions

(ra

ngin

g fr

om 2

6 to

50

perc

ent f

or f

isca

l yea

r 20

16)

1 The

bas

e be

nefi

ciar

y pr

emiu

m w

as c

alcu

late

d ba

sed

on a

nat

iona

l ave

rage

pla

n bi

d T

he a

ctua

l pre

miu

m th

at a

ben

efic

iary

pay

s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

nefi

ciar

y is

enr

olle

d

NO

TE

S

The

ben

efic

iari

es w

ho q

uali

fy f

or th

e lo

w-i

ncom

e su

bsid

y un

der

Par

t D p

ay a

red

uced

or

zero

pre

miu

m

In a

ddit

ion

low

-inc

ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston









42




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

eS

ourc

e of

In

com

e

Med

icar

e P

art

A H

ospi

tal I

nsur

ance

trus

t fun

d 1

P

ayro

ll ta

xes

2

Inc

ome

from

taxa

tion

of

soci

al s

ecur

ity

bene

fits

3

Tra

nsfe

rs f

rom

rai

lroa

d re

tire

men

t acc

ount

4

Gen

eral

rev

enue

for

uni

nsur

ed p

erso

ns a

nd m

ilit

ary

wag

e c

redi

ts

5 P

rem

ium

s fr

om v

olun

tary

enr

olle

es

6 I

nter

est o

n in

vest

men

ts

Con

trib

utio

n ra

te

2014

20

15

2016

Per

cent

Em

ploy

ees

and

empl

oyer

s e

ach

145

1

45

145

S

elf-

empl

oyed

2

90

2

90

29

0

Max

imum

taxa

ble

amou

nt (

CY

201

6)

Non

e1

Vol

unta

ry H

I m

onth

ly p

rem

ium

2 $

411

00

Par

t A

(ef

fect

ive

dat

e)

Inpa

tien

t hos

pita

l

ded

ucti

ble

(11

16)

Reg

ular

coi

nsur

ance

d

ays

(11

16)

L

ifet

ime

rese

rve

days

(1

116

) S

NF

coi

nsur

ance

day

s

(11

16)

B

lood

ded

ucti

ble

Vol

unta

ry h

ospi

tal i

nsur

ance

prem

ium

(1

116

)2

Lim

itat

ion

s

Inpa

tien

t psy

chia

tric

hos

pita

ls

Am

oun

t

$12

88b

enef

it p

erio

d

$3

22d

ay f

or 6

1st

th

roug

h 90

th d

ay

$644

day

(60

non

-

rene

wab

le d

ays)

$161

day

for

21s

t

thro

ugh

100t

h da

y

firs

t 3 p

ints

cal

enda

r ye

ar

$411

mon

th $

226

mo

wit

h 30

-39

quar

ters

of c

over

age

19

0 no

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ewab

le d

ays

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Om

nibu

s R

econ

cili

atio

n A

ct o

f 19

93 e

lim

inat

ed th

e A

nnua

l Max

imum

Tax

able

Ear

ning

s am

ount

s fo

r 19

94 a

nd la

ter

For

thes

e ye

ars

the

co

ntri

buti

on r

ate

is a

ppli

ed to

all

ear

ning

s in

cov

ered

em

ploy

men

t

2 Prem

ium

pai

d fo

r vo

lunt

ary

part

icip

atio

n of

indi

vidu

als

aged

65

and

over

not

oth

erw

ise

entit

led

to h

ospi

tal i

nsur

ance

and

cer

tain

dis

able

d in

divi

dual

sw

ho h

ave

exha

uste

d ot

her

enti

tlem

ent

A r

educ

ed p

rem

ium

of

$226

is a

vail

able

to in

divi

dual

s ag

ed 6

5 an

d ov

er w

ho a

re n

ot o

ther

wis

e en

titl

ed to

ho

spit

al in

sura

nce

but w

ho h

ave

or

who

se s

pous

e ha

s or

had

30-

39 q

uart

ers

of c

over

age

unde

r T

itle

II

of th

e So

cial

Sec

urit

y A

ct

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

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and

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itat

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s

Med

icar

e P

art

B

Sup

plem

enta

ry M

edic

al I

nsur

ance

trus

t fun

d 1

P

rem

ium

s pa

id b

y or

on

beha

lf o

f en

roll

ees

2 G

ener

al r

even

ue

3 I

nter

est o

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vest

men

ts

Par

t B

(ef

fect

ive

dat

e)

Am

oun

t D

educ

tibl

e (1

11

6) $

166

in a

llow

ed c

harg

esy

ear

Blo

od d

educ

tibl

e f

irst

3 p

ints

cal

enda

r ye

ar

Coi

nsur

ance

1 20

per

cent

of

allo

wed

cha

rges

M

onth

ly s

tand

ard

prem

ium

(1

116

) $

104

90m

onth

Lim

itat

ion

s O

utpa

tien

t tre

atm

ent f

or m

enta

l ill

ness

N

o li

mit

atio

ns

1 The

Par

t B d

educ

tibl

e an

d co

insu

ranc

e ap

plie

s to

mos

t ser

vice

s I

tem

s an

dor

ser

vice

s no

t sub

ject

to e

ithe

r th

e de

duct

ible

or

coin

sura

nce

are

cl

inic

al d

iagn

osti

c la

b te

sts

subj

ect t

o a

fee

sche

dule

hom

e he

alth

ser

vice

s it

ems

and

serv

ices

fur

nish

ed in

con

nect

ion

to o

btai

ning

a s

econ

d or

th

ird

opin

ion

and

som

e pr

even

tive

serv

ices

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

B (

con

tin

ued

)

Lis

ted

belo

w a

re th

e 20

16 P

art B

mon

thly

pre

miu

m r

ates

to b

e pa

id b

y be

nefi

ciar

ies

who

fil

e an

indi

vidu

al ta

x re

turn

(inc

ludi

ng th

ose

who

are

sin

gle

hea

d of

hou

seho

ld q

ualif

ying

wid

ow(e

r) w

ith

depe

nden

t chi

ld o

r m

arri

ed f

ilin

g se

para

tely

w

ho li

ved

apar

t fro

m th

eir

spou

se f

or th

e en

tire

taxa

ble

year

) o

r a

join

t tax

ret

urn

Ben

efic

iari

es w

ho f

ile

an in

divi

dual

B

enef

icia

ries

who

fil

e a

join

t tax

In

com

e-re

late

d m

onth

lyT

otal

mon

thly

tax

retu

rn w

ith

inco

me

re

turn

wit

h in

com

e

adju

stm

ent a

mou

nt

prem

ium

am

ount

Les

s th

an o

r eq

ual t

o $8

500

0 L

ess

than

or

equa

l to

$170

000

$0

00

$121

80

Gre

ater

than

$85

000

and

less

than

Gre

ater

than

$17

000

0 an

d le

ss th

an

or e

qual

to $

107

000

or e

qual

to $

214

000

$4

870

$1

705

0

Gre

ater

than

$10

700

0 an

d le

ss th

an

G

reat

er th

an $

214

000

and

less

than

or

equ

al to

$16

000

0 or

equ

al to

$32

000

0

$121

80

$243

60

Gre

ater

than

$16

000

0 an

d le

ss th

an

G

reat

er th

an $

320

000

and

less

than

or

equ

al to

$21

400

0 or

equ

al to

$42

800

0

$194

90

$316

70

Gre

ater

than

$21

400

0 G

reat

er th

an $

428

000

$268

00

$389

80

In a

ddit

ion

the

mon

thly

pre

miu

m r

ates

to b

e pa

id b

y be

nefi

ciar

ies

who

are

mar

ried

and

live

d w

ith

thei

r sp

ouse

at a

ny ti

me

duri

ng th

e ta

xabl

e ye

ar b

ut f

ile

a se

para

te ta

x re

turn

fro

m th

eir

spou

se a

re li

sted

bel

ow

Tot

al m

onth

ly

spou

se a

nd f

iled

a s

epar

ate

tax

retu

rn

adju

stm

ent a

mou

nt

prem

ium

am

ount

M

arri

ed b

enef

icia

ries

who

live

d w

ith

thei

r In

com

e-re

late

d m

onth

ly

$121

80

Les

s th

an o

r eq

ual t

o $8

500

0 $0

00

$316

70

Gre

ater

than

$85

000

and

less

than

or

equa

l to

$129

000

$194

90

$389

80

Gre

ater

than

$12

900

0 $2

680

0

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

D S

tan

dar

d B

enef

its

Ded

ucti

ble

(11

201

6)

$360

in c

harg

esy

ear

Init

ial c

over

age

lim

it (

11

2016

) $3

310

in c

harg

esy

ear

Out

-of-

pock

et th

resh

old

(11

201

6)

$48

50 in

cha

rges

yea

r B

ase

bene

fici

ary

prem

ium

(1

120

16)1

$34

10m

onth

Med

icai

d F

inan

cin

g 1

F

eder

al c

ontr

ibut

ions

(ra

ngin

g fr

om 5

0 to

74

perc

ent f

or f

isca

l yea

r 20

16)

2

Sta

te c

ontr

ibut

ions

(ra

ngin

g fr

om 2

6 to

50

perc

ent f

or f

isca

l yea

r 20

16)

1 The

bas

e be

nefi

ciar

y pr

emiu

m w

as c

alcu

late

d ba

sed

on a

nat

iona

l ave

rage

pla

n bi

d T

he a

ctua

l pre

miu

m th

at a

ben

efic

iary

pay

s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

nefi

ciar

y is

enr

olle

d

NO

TE

S

The

ben

efic

iari

es w

ho q

uali

fy f

or th

e lo

w-i

ncom

e su

bsid

y un

der

Par

t D p

ay a

red

uced

or

zero

pre

miu

m

In a

ddit

ion

low

-inc

ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston




43




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

eS

ourc

e of

In

com

e

Med

icar

e P

art

A H

ospi

tal I

nsur

ance

trus

t fun

d 1

P

ayro

ll ta

xes

2

Inc

ome

from

taxa

tion

of

soci

al s

ecur

ity

bene

fits

3

Tra

nsfe

rs f

rom

rai

lroa

d re

tire

men

t acc

ount

4

Gen

eral

rev

enue

for

uni

nsur

ed p

erso

ns a

nd m

ilit

ary

wag

e c

redi

ts

5 P

rem

ium

s fr

om v

olun

tary

enr

olle

es

6 I

nter

est o

n in

vest

men

ts

Con

trib

utio

n ra

te

2014

20

15

2016

Per

cent

Em

ploy

ees

and

empl

oyer

s e

ach

145

1

45

145

S

elf-

empl

oyed

2

90

2

90

29

0

Max

imum

taxa

ble

amou

nt (

CY

201

6)

Non

e1

Vol

unta

ry H

I m

onth

ly p

rem

ium

2 $

411

00

Par

t A

(ef

fect

ive

dat

e)

Inpa

tien

t hos

pita

l

ded

ucti

ble

(11

16)

Reg

ular

coi

nsur

ance

d

ays

(11

16)

L

ifet

ime

rese

rve

days

(1

116

) S

NF

coi

nsur

ance

day

s

(11

16)

B

lood

ded

ucti

ble

Vol

unta

ry h

ospi

tal i

nsur

ance

prem

ium

(1

116

)2

Lim

itat

ion

s

Inpa

tien

t psy

chia

tric

hos

pita

ls

Am

oun

t

$12

88b

enef

it p

erio

d

$3

22d

ay f

or 6

1st

th

roug

h 90

th d

ay

$644

day

(60

non

-

rene

wab

le d

ays)

$161

day

for

21s

t

thro

ugh

100t

h da

y

firs

t 3 p

ints

cal

enda

r ye

ar

$411

mon

th $

226

mo

wit

h 30

-39

quar

ters

of c

over

age

19

0 no

nren

ewab

le d

ays

1 The

Om

nibu

s R

econ

cili

atio

n A

ct o

f 19

93 e

lim

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5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston




SMI Trust Fund2

1967 1353 203 1970 217 110 1980 593 58 1990 1524 37 1995 1722 27 2000 1780 20 2005 2348 16 2010 3513 13 2012 4130 14 2013 3756 12 2014 4297 13





44


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

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ium

(1

120

16)1

$34

10m

onth

Med

icai

d F

inan

cin

g 1

F

eder

al c

ontr

ibut

ions

(ra

ngin

g fr

om 5

0 to

74

perc

ent f

or f

isca

l yea

r 20

16)

2

Sta

te c

ontr

ibut

ions

(ra

ngin

g fr

om 2

6 to

50

perc

ent f

or f

isca

l yea

r 20

16)

1 The

bas

e be

nefi

ciar

y pr

emiu

m w

as c

alcu

late

d ba

sed

on a

nat

iona

l ave

rage

pla

n bi

d T

he a

ctua

l pre

miu

m th

at a

ben

efic

iary

pay

s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

nefi

ciar

y is

enr

olle

d

NO

TE

S

The

ben

efic

iari

es w

ho q

uali

fy f

or th

e lo

w-i

ncom

e su

bsid

y un

der

Par

t D p

ay a

red

uced

or

zero

pre

miu

m

In a

ddit

ion

low

-inc

ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston


Number

AB MACs 13

DME MACs 4













2000 2005 2010 2012 2013 2014 In millions





45


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

eS

ourc

e of

In

com

e

Med

icar

e P

art

A H

ospi

tal I

nsur

ance

trus

t fun

d 1

P

ayro

ll ta

xes

2

Inc

ome

from

taxa

tion

of

soci

al s

ecur

ity

bene

fits

3

Tra

nsfe

rs f

rom

rai

lroa

d re

tire

men

t acc

ount

4

Gen

eral

rev

enue

for

uni

nsur

ed p

erso

ns a

nd m

ilit

ary

wag

e c

redi

ts

5 P

rem

ium

s fr

om v

olun

tary

enr

olle

es

6 I

nter

est o

n in

vest

men

ts

Con

trib

utio

n ra

te

2014

20

15

2016

Per

cent

Em

ploy

ees

and

empl

oyer

s e

ach

145

1

45

145

S

elf-

empl

oyed

2

90

2

90

29

0

Max

imum

taxa

ble

amou

nt (

CY

201

6)

Non

e1

Vol

unta

ry H

I m

onth

ly p

rem

ium

2 $

411

00

Par

t A

(ef

fect

ive

dat

e)

Inpa

tien

t hos

pita

l

ded

ucti

ble

(11

16)

Reg

ular

coi

nsur

ance

d

ays

(11

16)

L

ifet

ime

rese

rve

days

(1

116

) S

NF

coi

nsur

ance

day

s

(11

16)

B

lood

ded

ucti

ble

Vol

unta

ry h

ospi

tal i

nsur

ance

prem

ium

(1

116

)2

Lim

itat

ion

s

Inpa

tien

t psy

chia

tric

hos

pita

ls

Am

oun

t

$12

88b

enef

it p

erio

d

$3

22d

ay f

or 6

1st

th

roug

h 90

th d

ay

$644

day

(60

non

-

rene

wab

le d

ays)

$161

day

for

21s

t

thro

ugh

100t

h da

y

firs

t 3 p

ints

cal

enda

r ye

ar

$411

mon

th $

226

mo

wit

h 30

-39

quar

ters

of c

over

age

19

0 no

nren

ewab

le d

ays

1 The

Om

nibu

s R

econ

cili

atio

n A

ct o

f 19

93 e

lim

inat

ed th

e A

nnua

l Max

imum

Tax

able

Ear

ning

s am

ount

s fo

r 19

94 a

nd la

ter

For

thes

e ye

ars

the

co

ntri

buti

on r

ate

is a

ppli

ed to

all

ear

ning

s in

cov

ered

em

ploy

men

t

2 Prem

ium

pai

d fo

r vo

lunt

ary

part

icip

atio

n of

indi

vidu

als

aged

65

and

over

not

oth

erw

ise

entit

led

to h

ospi

tal i

nsur

ance

and

cer

tain

dis

able

d in

divi

dual

sw

ho h

ave

exha

uste

d ot

her

enti

tlem

ent

A r

educ

ed p

rem

ium

of

$226

is a

vail

able

to in

divi

dual

s ag

ed 6

5 an

d ov

er w

ho a

re n

ot o

ther

wis

e en

titl

ed to

ho

spit

al in

sura

nce

but w

ho h

ave

or

who

se s

pous

e ha

s or

had

30-

39 q

uart

ers

of c

over

age

unde

r T

itle

II

of th

e So

cial

Sec

urit

y A

ct

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

B

Sup

plem

enta

ry M

edic

al I

nsur

ance

trus

t fun

d 1

P

rem

ium

s pa

id b

y or

on

beha

lf o

f en

roll

ees

2 G

ener

al r

even

ue

3 I

nter

est o

n in

vest

men

ts

Par

t B

(ef

fect

ive

dat

e)

Am

oun

t D

educ

tibl

e (1

11

6) $

166

in a

llow

ed c

harg

esy

ear

Blo

od d

educ

tibl

e f

irst

3 p

ints

cal

enda

r ye

ar

Coi

nsur

ance

1 20

per

cent

of

allo

wed

cha

rges

M

onth

ly s

tand

ard

prem

ium

(1

116

) $

104

90m

onth

Lim

itat

ion

s O

utpa

tien

t tre

atm

ent f

or m

enta

l ill

ness

N

o li

mit

atio

ns

1 The

Par

t B d

educ

tibl

e an

d co

insu

ranc

e ap

plie

s to

mos

t ser

vice

s I

tem

s an

dor

ser

vice

s no

t sub

ject

to e

ithe

r th

e de

duct

ible

or

coin

sura

nce

are

cl

inic

al d

iagn

osti

c la

b te

sts

subj

ect t

o a

fee

sche

dule

hom

e he

alth

ser

vice

s it

ems

and

serv

ices

fur

nish

ed in

con

nect

ion

to o

btai

ning

a s

econ

d or

th

ird

opin

ion

and

som

e pr

even

tive

serv

ices

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

B (

con

tin

ued

)

Lis

ted

belo

w a

re th

e 20

16 P

art B

mon

thly

pre

miu

m r

ates

to b

e pa

id b

y be

nefi

ciar

ies

who

fil

e an

indi

vidu

al ta

x re

turn

(inc

ludi

ng th

ose

who

are

sin

gle

hea

d of

hou

seho

ld q

ualif

ying

wid

ow(e

r) w

ith

depe

nden

t chi

ld o

r m

arri

ed f

ilin

g se

para

tely

w

ho li

ved

apar

t fro

m th

eir

spou

se f

or th

e en

tire

taxa

ble

year

) o

r a

join

t tax

ret

urn

Ben

efic

iari

es w

ho f

ile

an in

divi

dual

B

enef

icia

ries

who

fil

e a

join

t tax

In

com

e-re

late

d m

onth

lyT

otal

mon

thly

tax

retu

rn w

ith

inco

me

re

turn

wit

h in

com

e

adju

stm

ent a

mou

nt

prem

ium

am

ount

Les

s th

an o

r eq

ual t

o $8

500

0 L

ess

than

or

equa

l to

$170

000

$0

00

$121

80

Gre

ater

than

$85

000

and

less

than

Gre

ater

than

$17

000

0 an

d le

ss th

an

or e

qual

to $

107

000

or e

qual

to $

214

000

$4

870

$1

705

0

Gre

ater

than

$10

700

0 an

d le

ss th

an

G

reat

er th

an $

214

000

and

less

than

or

equ

al to

$16

000

0 or

equ

al to

$32

000

0

$121

80

$243

60

Gre

ater

than

$16

000

0 an

d le

ss th

an

G

reat

er th

an $

320

000

and

less

than

or

equ

al to

$21

400

0 or

equ

al to

$42

800

0

$194

90

$316

70

Gre

ater

than

$21

400

0 G

reat

er th

an $

428

000

$268

00

$389

80

In a

ddit

ion

the

mon

thly

pre

miu

m r

ates

to b

e pa

id b

y be

nefi

ciar

ies

who

are

mar

ried

and

live

d w

ith

thei

r sp

ouse

at a

ny ti

me

duri

ng th

e ta

xabl

e ye

ar b

ut f

ile

a se

para

te ta

x re

turn

fro

m th

eir

spou

se a

re li

sted

bel

ow

Tot

al m

onth

ly

spou

se a

nd f

iled

a s

epar

ate

tax

retu

rn

adju

stm

ent a

mou

nt

prem

ium

am

ount

M

arri

ed b

enef

icia

ries

who

live

d w

ith

thei

r In

com

e-re

late

d m

onth

ly

$121

80

Les

s th

an o

r eq

ual t

o $8

500

0 $0

00

$316

70

Gre

ater

than

$85

000

and

less

than

or

equa

l to

$129

000

$194

90

$389

80

Gre

ater

than

$12

900

0 $2

680

0

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

D S

tan

dar

d B

enef

its

Ded

ucti

ble

(11

201

6)

$360

in c

harg

esy

ear

Init

ial c

over

age

lim

it (

11

2016

) $3

310

in c

harg

esy

ear

Out

-of-

pock

et th

resh

old

(11

201

6)

$48

50 in

cha

rges

yea

r B

ase

bene

fici

ary

prem

ium

(1

120

16)1

$34

10m

onth

Med

icai

d F

inan

cin

g 1

F

eder

al c

ontr

ibut

ions

(ra

ngin

g fr

om 5

0 to

74

perc

ent f

or f

isca

l yea

r 20

16)

2

Sta

te c

ontr

ibut

ions

(ra

ngin

g fr

om 2

6 to

50

perc

ent f

or f

isca

l yea

r 20

16)

1 The

bas

e be

nefi

ciar

y pr

emiu

m w

as c

alcu

late

d ba

sed

on a

nat

iona

l ave

rage

pla

n bi

d T

he a

ctua

l pre

miu

m th

at a

ben

efic

iary

pay

s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

nefi

ciar

y is

enr

olle

d

NO

TE

S

The

ben

efic

iari

es w

ho q

uali

fy f

or th

e lo

w-i

ncom

e su

bsid

y un

der

Par

t D p

ay a

red

uced

or

zero

pre

miu

m

In a

ddit

ion

low

-inc

ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston


Fiscal Year 2014






Claims received

Intermediary claims


Percent of total





Other 284


Percent of total

Assigned 995

Unassigned 05



46


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

eS

ourc

e of

In

com

e

Med

icar

e P

art

A H

ospi

tal I

nsur

ance

trus

t fun

d 1

P

ayro

ll ta

xes

2

Inc

ome

from

taxa

tion

of

soci

al s

ecur

ity

bene

fits

3

Tra

nsfe

rs f

rom

rai

lroa

d re

tire

men

t acc

ount

4

Gen

eral

rev

enue

for

uni

nsur

ed p

erso

ns a

nd m

ilit

ary

wag

e c

redi

ts

5 P

rem

ium

s fr

om v

olun

tary

enr

olle

es

6 I

nter

est o

n in

vest

men

ts

Con

trib

utio

n ra

te

2014

20

15

2016

Per

cent

Em

ploy

ees

and

empl

oyer

s e

ach

145

1

45

145

S

elf-

empl

oyed

2

90

2

90

29

0

Max

imum

taxa

ble

amou

nt (

CY

201

6)

Non

e1

Vol

unta

ry H

I m

onth

ly p

rem

ium

2 $

411

00

Par

t A

(ef

fect

ive

dat

e)

Inpa

tien

t hos

pita

l

ded

ucti

ble

(11

16)

Reg

ular

coi

nsur

ance

d

ays

(11

16)

L

ifet

ime

rese

rve

days

(1

116

) S

NF

coi

nsur

ance

day

s

(11

16)

B

lood

ded

ucti

ble

Vol

unta

ry h

ospi

tal i

nsur

ance

prem

ium

(1

116

)2

Lim

itat

ion

s

Inpa

tien

t psy

chia

tric

hos

pita

ls

Am

oun

t

$12

88b

enef

it p

erio

d

$3

22d

ay f

or 6

1st

th

roug

h 90

th d

ay

$644

day

(60

non

-

rene

wab

le d

ays)

$161

day

for

21s

t

thro

ugh

100t

h da

y

firs

t 3 p

ints

cal

enda

r ye

ar

$411

mon

th $

226

mo

wit

h 30

-39

quar

ters

of c

over

age

19

0 no

nren

ewab

le d

ays

1 The

Om

nibu

s R

econ

cili

atio

n A

ct o

f 19

93 e

lim

inat

ed th

e A

nnua

l Max

imum

Tax

able

Ear

ning

s am

ount

s fo

r 19

94 a

nd la

ter

For

thes

e ye

ars

the

co

ntri

buti

on r

ate

is a

ppli

ed to

all

ear

ning

s in

cov

ered

em

ploy

men

t

2 Prem

ium

pai

d fo

r vo

lunt

ary

part

icip

atio

n of

indi

vidu

als

aged

65

and

over

not

oth

erw

ise

entit

led

to h

ospi

tal i

nsur

ance

and

cer

tain

dis

able

d in

divi

dual

sw

ho h

ave

exha

uste

d ot

her

enti

tlem

ent

A r

educ

ed p

rem

ium

of

$226

is a

vail

able

to in

divi

dual

s ag

ed 6

5 an

d ov

er w

ho a

re n

ot o

ther

wis

e en

titl

ed to

ho

spit

al in

sura

nce

but w

ho h

ave

or

who

se s

pous

e ha

s or

had

30-

39 q

uart

ers

of c

over

age

unde

r T

itle

II

of th

e So

cial

Sec

urit

y A

ct

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

B

Sup

plem

enta

ry M

edic

al I

nsur

ance

trus

t fun

d 1

P

rem

ium

s pa

id b

y or

on

beha

lf o

f en

roll

ees

2 G

ener

al r

even

ue

3 I

nter

est o

n in

vest

men

ts

Par

t B

(ef

fect

ive

dat

e)

Am

oun

t D

educ

tibl

e (1

11

6) $

166

in a

llow

ed c

harg

esy

ear

Blo

od d

educ

tibl

e f

irst

3 p

ints

cal

enda

r ye

ar

Coi

nsur

ance

1 20

per

cent

of

allo

wed

cha

rges

M

onth

ly s

tand

ard

prem

ium

(1

116

) $

104

90m

onth

Lim

itat

ion

s O

utpa

tien

t tre

atm

ent f

or m

enta

l ill

ness

N

o li

mit

atio

ns

1 The

Par

t B d

educ

tibl

e an

d co

insu

ranc

e ap

plie

s to

mos

t ser

vice

s I

tem

s an

dor

ser

vice

s no

t sub

ject

to e

ithe

r th

e de

duct

ible

or

coin

sura

nce

are

cl

inic

al d

iagn

osti

c la

b te

sts

subj

ect t

o a

fee

sche

dule

hom

e he

alth

ser

vice

s it

ems

and

serv

ices

fur

nish

ed in

con

nect

ion

to o

btai

ning

a s

econ

d or

th

ird

opin

ion

and

som

e pr

even

tive

serv

ices

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

B (

con

tin

ued

)

Lis

ted

belo

w a

re th

e 20

16 P

art B

mon

thly

pre

miu

m r

ates

to b

e pa

id b

y be

nefi

ciar

ies

who

fil

e an

indi

vidu

al ta

x re

turn

(inc

ludi

ng th

ose

who

are

sin

gle

hea

d of

hou

seho

ld q

ualif

ying

wid

ow(e

r) w

ith

depe

nden

t chi

ld o

r m

arri

ed f

ilin

g se

para

tely

w

ho li

ved

apar

t fro

m th

eir

spou

se f

or th

e en

tire

taxa

ble

year

) o

r a

join

t tax

ret

urn

Ben

efic

iari

es w

ho f

ile

an in

divi

dual

B

enef

icia

ries

who

fil

e a

join

t tax

In

com

e-re

late

d m

onth

lyT

otal

mon

thly

tax

retu

rn w

ith

inco

me

re

turn

wit

h in

com

e

adju

stm

ent a

mou

nt

prem

ium

am

ount

Les

s th

an o

r eq

ual t

o $8

500

0 L

ess

than

or

equa

l to

$170

000

$0

00

$121

80

Gre

ater

than

$85

000

and

less

than

Gre

ater

than

$17

000

0 an

d le

ss th

an

or e

qual

to $

107

000

or e

qual

to $

214

000

$4

870

$1

705

0

Gre

ater

than

$10

700

0 an

d le

ss th

an

G

reat

er th

an $

214

000

and

less

than

or

equ

al to

$16

000

0 or

equ

al to

$32

000

0

$121

80

$243

60

Gre

ater

than

$16

000

0 an

d le

ss th

an

G

reat

er th

an $

320

000

and

less

than

or

equ

al to

$21

400

0 or

equ

al to

$42

800

0

$194

90

$316

70

Gre

ater

than

$21

400

0 G

reat

er th

an $

428

000

$268

00

$389

80

In a

ddit

ion

the

mon

thly

pre

miu

m r

ates

to b

e pa

id b

y be

nefi

ciar

ies

who

are

mar

ried

and

live

d w

ith

thei

r sp

ouse

at a

ny ti

me

duri

ng th

e ta

xabl

e ye

ar b

ut f

ile

a se

para

te ta

x re

turn

fro

m th

eir

spou

se a

re li

sted

bel

ow

Tot

al m

onth

ly

spou

se a

nd f

iled

a s

epar

ate

tax

retu

rn

adju

stm

ent a

mou

nt

prem

ium

am

ount

M

arri

ed b

enef

icia

ries

who

live

d w

ith

thei

r In

com

e-re

late

d m

onth

ly

$121

80

Les

s th

an o

r eq

ual t

o $8

500

0 $0

00

$316

70

Gre

ater

than

$85

000

and

less

than

or

equa

l to

$129

000

$194

90

$389

80

Gre

ater

than

$12

900

0 $2

680

0

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

D S

tan

dar

d B

enef

its

Ded

ucti

ble

(11

201

6)

$360

in c

harg

esy

ear

Init

ial c

over

age

lim

it (

11

2016

) $3

310

in c

harg

esy

ear

Out

-of-

pock

et th

resh

old

(11

201

6)

$48

50 in

cha

rges

yea

r B

ase

bene

fici

ary

prem

ium

(1

120

16)1

$34

10m

onth

Med

icai

d F

inan

cin

g 1

F

eder

al c

ontr

ibut

ions

(ra

ngin

g fr

om 5

0 to

74

perc

ent f

or f

isca

l yea

r 20

16)

2

Sta

te c

ontr

ibut

ions

(ra

ngin

g fr

om 2

6 to

50

perc

ent f

or f

isca

l yea

r 20

16)

1 The

bas

e be

nefi

ciar

y pr

emiu

m w

as c

alcu

late

d ba

sed

on a

nat

iona

l ave

rage

pla

n bi

d T

he a

ctua

l pre

miu

m th

at a

ben

efic

iary

pay

s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

nefi

ciar

y is

enr

olle

d

NO

TE

S

The

ben

efic

iari

es w

ho q

uali

fy f

or th

e lo

w-i

ncom

e su

bsid

y un

der

Par

t D p

ay a

red

uced

or

zero

pre

miu

m

In a

ddit

ion

low

-inc

ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston


Assigned Unassigned

Claims approved











Federal share1








47

48

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

eS

ourc

e of

In

com

e

Med

icar

e P

art

A H

ospi

tal I

nsur

ance

trus

t fun

d 1

P

ayro

ll ta

xes

2

Inc

ome

from

taxa

tion

of

soci

al s

ecur

ity

bene

fits

3

Tra

nsfe

rs f

rom

rai

lroa

d re

tire

men

t acc

ount

4

Gen

eral

rev

enue

for

uni

nsur

ed p

erso

ns a

nd m

ilit

ary

wag

e c

redi

ts

5 P

rem

ium

s fr

om v

olun

tary

enr

olle

es

6 I

nter

est o

n in

vest

men

ts

Con

trib

utio

n ra

te

2014

20

15

2016

Per

cent

Em

ploy

ees

and

empl

oyer

s e

ach

145

1

45

145

S

elf-

empl

oyed

2

90

2

90

29

0

Max

imum

taxa

ble

amou

nt (

CY

201

6)

Non

e1

Vol

unta

ry H

I m

onth

ly p

rem

ium

2 $

411

00

Par

t A

(ef

fect

ive

dat

e)

Inpa

tien

t hos

pita

l

ded

ucti

ble

(11

16)

Reg

ular

coi

nsur

ance

d

ays

(11

16)

L

ifet

ime

rese

rve

days

(1

116

) S

NF

coi

nsur

ance

day

s

(11

16)

B

lood

ded

ucti

ble

Vol

unta

ry h

ospi

tal i

nsur

ance

prem

ium

(1

116

)2

Lim

itat

ion

s

Inpa

tien

t psy

chia

tric

hos

pita

ls

Am

oun

t

$12

88b

enef

it p

erio

d

$3

22d

ay f

or 6

1st

th

roug

h 90

th d

ay

$644

day

(60

non

-

rene

wab

le d

ays)

$161

day

for

21s

t

thro

ugh

100t

h da

y

firs

t 3 p

ints

cal

enda

r ye

ar

$411

mon

th $

226

mo

wit

h 30

-39

quar

ters

of c

over

age

19

0 no

nren

ewab

le d

ays

1 The

Om

nibu

s R

econ

cili

atio

n A

ct o

f 19

93 e

lim

inat

ed th

e A

nnua

l Max

imum

Tax

able

Ear

ning

s am

ount

s fo

r 19

94 a

nd la

ter

For

thes

e ye

ars

the

co

ntri

buti

on r

ate

is a

ppli

ed to

all

ear

ning

s in

cov

ered

em

ploy

men

t

2 Prem

ium

pai

d fo

r vo

lunt

ary

part

icip

atio

n of

indi

vidu

als

aged

65

and

over

not

oth

erw

ise

entit

led

to h

ospi

tal i

nsur

ance

and

cer

tain

dis

able

d in

divi

dual

sw

ho h

ave

exha

uste

d ot

her

enti

tlem

ent

A r

educ

ed p

rem

ium

of

$226

is a

vail

able

to in

divi

dual

s ag

ed 6

5 an

d ov

er w

ho a

re n

ot o

ther

wis

e en

titl

ed to

ho

spit

al in

sura

nce

but w

ho h

ave

or

who

se s

pous

e ha

s or

had

30-

39 q

uart

ers

of c

over

age

unde

r T

itle

II

of th

e So

cial

Sec

urit

y A

ct

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

B

Sup

plem

enta

ry M

edic

al I

nsur

ance

trus

t fun

d 1

P

rem

ium

s pa

id b

y or

on

beha

lf o

f en

roll

ees

2 G

ener

al r

even

ue

3 I

nter

est o

n in

vest

men

ts

Par

t B

(ef

fect

ive

dat

e)

Am

oun

t D

educ

tibl

e (1

11

6) $

166

in a

llow

ed c

harg

esy

ear

Blo

od d

educ

tibl

e f

irst

3 p

ints

cal

enda

r ye

ar

Coi

nsur

ance

1 20

per

cent

of

allo

wed

cha

rges

M

onth

ly s

tand

ard

prem

ium

(1

116

) $

104

90m

onth

Lim

itat

ion

s O

utpa

tien

t tre

atm

ent f

or m

enta

l ill

ness

N

o li

mit

atio

ns

1 The

Par

t B d

educ

tibl

e an

d co

insu

ranc

e ap

plie

s to

mos

t ser

vice

s I

tem

s an

dor

ser

vice

s no

t sub

ject

to e

ithe

r th

e de

duct

ible

or

coin

sura

nce

are

cl

inic

al d

iagn

osti

c la

b te

sts

subj

ect t

o a

fee

sche

dule

hom

e he

alth

ser

vice

s it

ems

and

serv

ices

fur

nish

ed in

con

nect

ion

to o

btai

ning

a s

econ

d or

th

ird

opin

ion

and

som

e pr

even

tive

serv

ices

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

B (

con

tin

ued

)

Lis

ted

belo

w a

re th

e 20

16 P

art B

mon

thly

pre

miu

m r

ates

to b

e pa

id b

y be

nefi

ciar

ies

who

fil

e an

indi

vidu

al ta

x re

turn

(inc

ludi

ng th

ose

who

are

sin

gle

hea

d of

hou

seho

ld q

ualif

ying

wid

ow(e

r) w

ith

depe

nden

t chi

ld o

r m

arri

ed f

ilin

g se

para

tely

w

ho li

ved

apar

t fro

m th

eir

spou

se f

or th

e en

tire

taxa

ble

year

) o

r a

join

t tax

ret

urn

Ben

efic

iari

es w

ho f

ile

an in

divi

dual

B

enef

icia

ries

who

fil

e a

join

t tax

In

com

e-re

late

d m

onth

lyT

otal

mon

thly

tax

retu

rn w

ith

inco

me

re

turn

wit

h in

com

e

adju

stm

ent a

mou

nt

prem

ium

am

ount

Les

s th

an o

r eq

ual t

o $8

500

0 L

ess

than

or

equa

l to

$170

000

$0

00

$121

80

Gre

ater

than

$85

000

and

less

than

Gre

ater

than

$17

000

0 an

d le

ss th

an

or e

qual

to $

107

000

or e

qual

to $

214

000

$4

870

$1

705

0

Gre

ater

than

$10

700

0 an

d le

ss th

an

G

reat

er th

an $

214

000

and

less

than

or

equ

al to

$16

000

0 or

equ

al to

$32

000

0

$121

80

$243

60

Gre

ater

than

$16

000

0 an

d le

ss th

an

G

reat

er th

an $

320

000

and

less

than

or

equ

al to

$21

400

0 or

equ

al to

$42

800

0

$194

90

$316

70

Gre

ater

than

$21

400

0 G

reat

er th

an $

428

000

$268

00

$389

80

In a

ddit

ion

the

mon

thly

pre

miu

m r

ates

to b

e pa

id b

y be

nefi

ciar

ies

who

are

mar

ried

and

live

d w

ith

thei

r sp

ouse

at a

ny ti

me

duri

ng th

e ta

xabl

e ye

ar b

ut f

ile

a se

para

te ta

x re

turn

fro

m th

eir

spou

se a

re li

sted

bel

ow

Tot

al m

onth

ly

spou

se a

nd f

iled

a s

epar

ate

tax

retu

rn

adju

stm

ent a

mou

nt

prem

ium

am

ount

M

arri

ed b

enef

icia

ries

who

live

d w

ith

thei

r In

com

e-re

late

d m

onth

ly

$121

80

Les

s th

an o

r eq

ual t

o $8

500

0 $0

00

$316

70

Gre

ater

than

$85

000

and

less

than

or

equa

l to

$129

000

$194

90

$389

80

Gre

ater

than

$12

900

0 $2

680

0

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

D S

tan

dar

d B

enef

its

Ded

ucti

ble

(11

201

6)

$360

in c

harg

esy

ear

Init

ial c

over

age

lim

it (

11

2016

) $3

310

in c

harg

esy

ear

Out

-of-

pock

et th

resh

old

(11

201

6)

$48

50 in

cha

rges

yea

r B

ase

bene

fici

ary

prem

ium

(1

120

16)1

$34

10m

onth

Med

icai

d F

inan

cin

g 1

F

eder

al c

ontr

ibut

ions

(ra

ngin

g fr

om 5

0 to

74

perc

ent f

or f

isca

l yea

r 20

16)

2

Sta

te c

ontr

ibut

ions

(ra

ngin

g fr

om 2

6 to

50

perc

ent f

or f

isca

l yea

r 20

16)

1 The

bas

e be

nefi

ciar

y pr

emiu

m w

as c

alcu

late

d ba

sed

on a

nat

iona

l ave

rage

pla

n bi

d T

he a

ctua

l pre

miu

m th

at a

ben

efic

iary

pay

s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

nefi

ciar

y is

enr

olle

d

NO

TE

S

The

ben

efic

iari

es w

ho q

uali

fy f

or th

e lo

w-i

ncom

e su

bsid

y un

der

Par

t D p

ay a

red

uced

or

zero

pre

miu

m

In a

ddit

ion

low

-inc

ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston

48

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

eS

ourc

e of

In

com

e

Med

icar

e P

art

A H

ospi

tal I

nsur

ance

trus

t fun

d 1

P

ayro

ll ta

xes

2

Inc

ome

from

taxa

tion

of

soci

al s

ecur

ity

bene

fits

3

Tra

nsfe

rs f

rom

rai

lroa

d re

tire

men

t acc

ount

4

Gen

eral

rev

enue

for

uni

nsur

ed p

erso

ns a

nd m

ilit

ary

wag

e c

redi

ts

5 P

rem

ium

s fr

om v

olun

tary

enr

olle

es

6 I

nter

est o

n in

vest

men

ts

Con

trib

utio

n ra

te

2014

20

15

2016

Per

cent

Em

ploy

ees

and

empl

oyer

s e

ach

145

1

45

145

S

elf-

empl

oyed

2

90

2

90

29

0

Max

imum

taxa

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of th

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in c

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it (

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2016

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in c

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r 20

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d ba

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d T

he a

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m th

at a

ben

efic

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s va

ries

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to th

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S

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e su

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of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston

Reference


49

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

eS

ourc

e of

In

com

e

Med

icar

e P

art

A H

ospi

tal I

nsur

ance

trus

t fun

d 1

P

ayro

ll ta

xes

2

Inc

ome

from

taxa

tion

of

soci

al s

ecur

ity

bene

fits

3

Tra

nsfe

rs f

rom

rai

lroa

d re

tire

men

t acc

ount

4

Gen

eral

rev

enue

for

uni

nsur

ed p

erso

ns a

nd m

ilit

ary

wag

e c

redi

ts

5 P

rem

ium

s fr

om v

olun

tary

enr

olle

es

6 I

nter

est o

n in

vest

men

ts

Con

trib

utio

n ra

te

2014

20

15

2016

Per

cent

Em

ploy

ees

and

empl

oyer

s e

ach

145

1

45

145

S

elf-

empl

oyed

2

90

2

90

29

0

Max

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taxa

ble

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nt (

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6)

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ry H

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rem

ium

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411

00

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t A

(ef

fect

ive

dat

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ble

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L

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rve

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nsur

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s

(11

16)

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Vol

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tal i

nsur

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ium

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s

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th d

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day

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y

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ints

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th $

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wit

h 30

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of c

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ct o

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ed th

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l Max

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Tax

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ium

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UR

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MS

Off

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Pro

gram

Fin

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art

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Sup

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t B

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t D

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M

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104

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enta

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ness

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o li

mit

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ns

1 The

Par

t B d

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mos

t ser

vice

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tem

s an

dor

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ject

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r th

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coin

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nce

are

cl

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al d

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c la

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ect t

o a

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dule

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nish

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con

nect

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to o

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econ

d or

th

ird

opin

ion

and

som

e pr

even

tive

serv

ices

SO

UR

CE

C

MS

Off

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of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

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t S

har

ing

and

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itat

ion

s

Med

icar

e P

art

B (

con

tin

ued

)

Lis

ted

belo

w a

re th

e 20

16 P

art B

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thly

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miu

m r

ates

to b

e pa

id b

y be

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ciar

ies

who

fil

e an

indi

vidu

al ta

x re

turn

(inc

ludi

ng th

ose

who

are

sin

gle

hea

d of

hou

seho

ld q

ualif

ying

wid

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r) w

ith

depe

nden

t chi

ld o

r m

arri

ed f

ilin

g se

para

tely

w

ho li

ved

apar

t fro

m th

eir

spou

se f

or th

e en

tire

taxa

ble

year

) o

r a

join

t tax

ret

urn

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efic

iari

es w

ho f

ile

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dual

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enef

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ith

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nt

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ount

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s th

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r eq

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ess

than

or

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l to

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000

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00

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80

Gre

ater

than

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000

and

less

than

Gre

ater

than

$17

000

0 an

d le

ss th

an

or e

qual

to $

107

000

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qual

to $

214

000

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870

$1

705

0

Gre

ater

than

$10

700

0 an

d le

ss th

an

G

reat

er th

an $

214

000

and

less

than

or

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000

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equ

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000

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80

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60

Gre

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than

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000

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ss th

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reat

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an $

320

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and

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than

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400

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equ

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$42

800

0

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90

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70

Gre

ater

than

$21

400

0 G

reat

er th

an $

428

000

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00

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80

In a

ddit

ion

the

mon

thly

pre

miu

m r

ates

to b

e pa

id b

y be

nefi

ciar

ies

who

are

mar

ried

and

live

d w

ith

thei

r sp

ouse

at a

ny ti

me

duri

ng th

e ta

xabl

e ye

ar b

ut f

ile

a se

para

te ta

x re

turn

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m th

eir

spou

se a

re li

sted

bel

ow

Tot

al m

onth

ly

spou

se a

nd f

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rn

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stm

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nt

prem

ium

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ount

M

arri

ed b

enef

icia

ries

who

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ith

thei

r In

com

e-re

late

d m

onth

ly

$121

80

Les

s th

an o

r eq

ual t

o $8

500

0 $0

00

$316

70

Gre

ater

than

$85

000

and

less

than

or

equa

l to

$129

000

$194

90

$389

80

Gre

ater

than

$12

900

0 $2

680

0

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

D S

tan

dar

d B

enef

its

Ded

ucti

ble

(11

201

6)

$360

in c

harg

esy

ear

Init

ial c

over

age

lim

it (

11

2016

) $3

310

in c

harg

esy

ear

Out

-of-

pock

et th

resh

old

(11

201

6)

$48

50 in

cha

rges

yea

r B

ase

bene

fici

ary

prem

ium

(1

120

16)1

$34

10m

onth

Med

icai

d F

inan

cin

g 1

F

eder

al c

ontr

ibut

ions

(ra

ngin

g fr

om 5

0 to

74

perc

ent f

or f

isca

l yea

r 20

16)

2

Sta

te c

ontr

ibut

ions

(ra

ngin

g fr

om 2

6 to

50

perc

ent f

or f

isca

l yea

r 20

16)

1 The

bas

e be

nefi

ciar

y pr

emiu

m w

as c

alcu

late

d ba

sed

on a

nat

iona

l ave

rage

pla

n bi

d T

he a

ctua

l pre

miu

m th

at a

ben

efic

iary

pay

s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

nefi

ciar

y is

enr

olle

d

NO

TE

S

The

ben

efic

iari

es w

ho q

uali

fy f

or th

e lo

w-i

ncom

e su

bsid

y un

der

Par

t D p

ay a

red

uced

or

zero

pre

miu

m

In a

ddit

ion

low

-inc

ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

eS

ourc

e of

In

com

e

Med

icar

e P

art

A H

ospi

tal I

nsur

ance

trus

t fun

d 1

P

ayro

ll ta

xes

2

Inc

ome

from

taxa

tion

of

soci

al s

ecur

ity

bene

fits

3

Tra

nsfe

rs f

rom

rai

lroa

d re

tire

men

t acc

ount

4

Gen

eral

rev

enue

for

uni

nsur

ed p

erso

ns a

nd m

ilit

ary

wag

e c

redi

ts

5 P

rem

ium

s fr

om v

olun

tary

enr

olle

es

6 I

nter

est o

n in

vest

men

ts

Con

trib

utio

n ra

te

2014

20

15

2016

Per

cent

Em

ploy

ees

and

empl

oyer

s e

ach

145

1

45

145

S

elf-

empl

oyed

2

90

2

90

29

0

Max

imum

taxa

ble

amou

nt (

CY

201

6)

Non

e1

Vol

unta

ry H

I m

onth

ly p

rem

ium

2 $

411

00

Par

t A

(ef

fect

ive

dat

e)

Inpa

tien

t hos

pita

l

ded

ucti

ble

(11

16)

Reg

ular

coi

nsur

ance

d

ays

(11

16)

L

ifet

ime

rese

rve

days

(1

116

) S

NF

coi

nsur

ance

day

s

(11

16)

B

lood

ded

ucti

ble

Vol

unta

ry h

ospi

tal i

nsur

ance

prem

ium

(1

116

)2

Lim

itat

ion

s

Inpa

tien

t psy

chia

tric

hos

pita

ls

Am

oun

t

$12

88b

enef

it p

erio

d

$3

22d

ay f

or 6

1st

th

roug

h 90

th d

ay

$644

day

(60

non

-

rene

wab

le d

ays)

$161

day

for

21s

t

thro

ugh

100t

h da

y

firs

t 3 p

ints

cal

enda

r ye

ar

$411

mon

th $

226

mo

wit

h 30

-39

quar

ters

of c

over

age

19

0 no

nren

ewab

le d

ays

1 The

Om

nibu

s R

econ

cili

atio

n A

ct o

f 19

93 e

lim

inat

ed th

e A

nnua

l Max

imum

Tax

able

Ear

ning

s am

ount

s fo

r 19

94 a

nd la

ter

For

thes

e ye

ars

the

co

ntri

buti

on r

ate

is a

ppli

ed to

all

ear

ning

s in

cov

ered

em

ploy

men

t

2 Prem

ium

pai

d fo

r vo

lunt

ary

part

icip

atio

n of

indi

vidu

als

aged

65

and

over

not

oth

erw

ise

entit

led

to h

ospi

tal i

nsur

ance

and

cer

tain

dis

able

d in

divi

dual

sw

ho h

ave

exha

uste

d ot

her

enti

tlem

ent

A r

educ

ed p

rem

ium

of

$226

is a

vail

able

to in

divi

dual

s ag

ed 6

5 an

d ov

er w

ho a

re n

ot o

ther

wis

e en

titl

ed to

ho

spit

al in

sura

nce

but w

ho h

ave

or

who

se s

pous

e ha

s or

had

30-

39 q

uart

ers

of c

over

age

unde

r T

itle

II

of th

e So

cial

Sec

urit

y A

ct

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

B

Sup

plem

enta

ry M

edic

al I

nsur

ance

trus

t fun

d 1

P

rem

ium

s pa

id b

y or

on

beha

lf o

f en

roll

ees

2 G

ener

al r

even

ue

3 I

nter

est o

n in

vest

men

ts

Par

t B

(ef

fect

ive

dat

e)

Am

oun

t D

educ

tibl

e (1

11

6) $

166

in a

llow

ed c

harg

esy

ear

Blo

od d

educ

tibl

e f

irst

3 p

ints

cal

enda

r ye

ar

Coi

nsur

ance

1 20

per

cent

of

allo

wed

cha

rges

M

onth

ly s

tand

ard

prem

ium

(1

116

) $

104

90m

onth

Lim

itat

ion

s O

utpa

tien

t tre

atm

ent f

or m

enta

l ill

ness

N

o li

mit

atio

ns

1 The

Par

t B d

educ

tibl

e an

d co

insu

ranc

e ap

plie

s to

mos

t ser

vice

s I

tem

s an

dor

ser

vice

s no

t sub

ject

to e

ithe

r th

e de

duct

ible

or

coin

sura

nce

are

cl

inic

al d

iagn

osti

c la

b te

sts

subj

ect t

o a

fee

sche

dule

hom

e he

alth

ser

vice

s it

ems

and

serv

ices

fur

nish

ed in

con

nect

ion

to o

btai

ning

a s

econ

d or

th

ird

opin

ion

and

som

e pr

even

tive

serv

ices

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

B (

con

tin

ued

)

Lis

ted

belo

w a

re th

e 20

16 P

art B

mon

thly

pre

miu

m r

ates

to b

e pa

id b

y be

nefi

ciar

ies

who

fil

e an

indi

vidu

al ta

x re

turn

(inc

ludi

ng th

ose

who

are

sin

gle

hea

d of

hou

seho

ld q

ualif

ying

wid

ow(e

r) w

ith

depe

nden

t chi

ld o

r m

arri

ed f

ilin

g se

para

tely

w

ho li

ved

apar

t fro

m th

eir

spou

se f

or th

e en

tire

taxa

ble

year

) o

r a

join

t tax

ret

urn

Ben

efic

iari

es w

ho f

ile

an in

divi

dual

B

enef

icia

ries

who

fil

e a

join

t tax

In

com

e-re

late

d m

onth

lyT

otal

mon

thly

tax

retu

rn w

ith

inco

me

re

turn

wit

h in

com

e

adju

stm

ent a

mou

nt

prem

ium

am

ount

Les

s th

an o

r eq

ual t

o $8

500

0 L

ess

than

or

equa

l to

$170

000

$0

00

$121

80

Gre

ater

than

$85

000

and

less

than

Gre

ater

than

$17

000

0 an

d le

ss th

an

or e

qual

to $

107

000

or e

qual

to $

214

000

$4

870

$1

705

0

Gre

ater

than

$10

700

0 an

d le

ss th

an

G

reat

er th

an $

214

000

and

less

than

or

equ

al to

$16

000

0 or

equ

al to

$32

000

0

$121

80

$243

60

Gre

ater

than

$16

000

0 an

d le

ss th

an

G

reat

er th

an $

320

000

and

less

than

or

equ

al to

$21

400

0 or

equ

al to

$42

800

0

$194

90

$316

70

Gre

ater

than

$21

400

0 G

reat

er th

an $

428

000

$268

00

$389

80

In a

ddit

ion

the

mon

thly

pre

miu

m r

ates

to b

e pa

id b

y be

nefi

ciar

ies

who

are

mar

ried

and

live

d w

ith

thei

r sp

ouse

at a

ny ti

me

duri

ng th

e ta

xabl

e ye

ar b

ut f

ile

a se

para

te ta

x re

turn

fro

m th

eir

spou

se a

re li

sted

bel

ow

Tot

al m

onth

ly

spou

se a

nd f

iled

a s

epar

ate

tax

retu

rn

adju

stm

ent a

mou

nt

prem

ium

am

ount

M

arri

ed b

enef

icia

ries

who

live

d w

ith

thei

r In

com

e-re

late

d m

onth

ly

$121

80

Les

s th

an o

r eq

ual t

o $8

500

0 $0

00

$316

70

Gre

ater

than

$85

000

and

less

than

or

equa

l to

$129

000

$194

90

$389

80

Gre

ater

than

$12

900

0 $2

680

0

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

D S

tan

dar

d B

enef

its

Ded

ucti

ble

(11

201

6)

$360

in c

harg

esy

ear

Init

ial c

over

age

lim

it (

11

2016

) $3

310

in c

harg

esy

ear

Out

-of-

pock

et th

resh

old

(11

201

6)

$48

50 in

cha

rges

yea

r B

ase

bene

fici

ary

prem

ium

(1

120

16)1

$34

10m

onth

Med

icai

d F

inan

cin

g 1

F

eder

al c

ontr

ibut

ions

(ra

ngin

g fr

om 5

0 to

74

perc

ent f

or f

isca

l yea

r 20

16)

2

Sta

te c

ontr

ibut

ions

(ra

ngin

g fr

om 2

6 to

50

perc

ent f

or f

isca

l yea

r 20

16)

1 The

bas

e be

nefi

ciar

y pr

emiu

m w

as c

alcu

late

d ba

sed

on a

nat

iona

l ave

rage

pla

n bi

d T

he a

ctua

l pre

miu

m th

at a

ben

efic

iary

pay

s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

nefi

ciar

y is

enr

olle

d

NO

TE

S

The

ben

efic

iari

es w

ho q

uali

fy f

or th

e lo

w-i

ncom

e su

bsid

y un

der

Par

t D p

ay a

red

uced

or

zero

pre

miu

m

In a

ddit

ion

low

-inc

ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

B

Sup

plem

enta

ry M

edic

al I

nsur

ance

trus

t fun

d 1

P

rem

ium

s pa

id b

y or

on

beha

lf o

f en

roll

ees

2 G

ener

al r

even

ue

3 I

nter

est o

n in

vest

men

ts

Par

t B

(ef

fect

ive

dat

e)

Am

oun

t D

educ

tibl

e (1

11

6) $

166

in a

llow

ed c

harg

esy

ear

Blo

od d

educ

tibl

e f

irst

3 p

ints

cal

enda

r ye

ar

Coi

nsur

ance

1 20

per

cent

of

allo

wed

cha

rges

M

onth

ly s

tand

ard

prem

ium

(1

116

) $

104

90m

onth

Lim

itat

ion

s O

utpa

tien

t tre

atm

ent f

or m

enta

l ill

ness

N

o li

mit

atio

ns

1 The

Par

t B d

educ

tibl

e an

d co

insu

ranc

e ap

plie

s to

mos

t ser

vice

s I

tem

s an

dor

ser

vice

s no

t sub

ject

to e

ithe

r th

e de

duct

ible

or

coin

sura

nce

are

cl

inic

al d

iagn

osti

c la

b te

sts

subj

ect t

o a

fee

sche

dule

hom

e he

alth

ser

vice

s it

ems

and

serv

ices

fur

nish

ed in

con

nect

ion

to o

btai

ning

a s

econ

d or

th

ird

opin

ion

and

som

e pr

even

tive

serv

ices

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

B (

con

tin

ued

)

Lis

ted

belo

w a

re th

e 20

16 P

art B

mon

thly

pre

miu

m r

ates

to b

e pa

id b

y be

nefi

ciar

ies

who

fil

e an

indi

vidu

al ta

x re

turn

(inc

ludi

ng th

ose

who

are

sin

gle

hea

d of

hou

seho

ld q

ualif

ying

wid

ow(e

r) w

ith

depe

nden

t chi

ld o

r m

arri

ed f

ilin

g se

para

tely

w

ho li

ved

apar

t fro

m th

eir

spou

se f

or th

e en

tire

taxa

ble

year

) o

r a

join

t tax

ret

urn

Ben

efic

iari

es w

ho f

ile

an in

divi

dual

B

enef

icia

ries

who

fil

e a

join

t tax

In

com

e-re

late

d m

onth

lyT

otal

mon

thly

tax

retu

rn w

ith

inco

me

re

turn

wit

h in

com

e

adju

stm

ent a

mou

nt

prem

ium

am

ount

Les

s th

an o

r eq

ual t

o $8

500

0 L

ess

than

or

equa

l to

$170

000

$0

00

$121

80

Gre

ater

than

$85

000

and

less

than

Gre

ater

than

$17

000

0 an

d le

ss th

an

or e

qual

to $

107

000

or e

qual

to $

214

000

$4

870

$1

705

0

Gre

ater

than

$10

700

0 an

d le

ss th

an

G

reat

er th

an $

214

000

and

less

than

or

equ

al to

$16

000

0 or

equ

al to

$32

000

0

$121

80

$243

60

Gre

ater

than

$16

000

0 an

d le

ss th

an

G

reat

er th

an $

320

000

and

less

than

or

equ

al to

$21

400

0 or

equ

al to

$42

800

0

$194

90

$316

70

Gre

ater

than

$21

400

0 G

reat

er th

an $

428

000

$268

00

$389

80

In a

ddit

ion

the

mon

thly

pre

miu

m r

ates

to b

e pa

id b

y be

nefi

ciar

ies

who

are

mar

ried

and

live

d w

ith

thei

r sp

ouse

at a

ny ti

me

duri

ng th

e ta

xabl

e ye

ar b

ut f

ile

a se

para

te ta

x re

turn

fro

m th

eir

spou

se a

re li

sted

bel

ow

Tot

al m

onth

ly

spou

se a

nd f

iled

a s

epar

ate

tax

retu

rn

adju

stm

ent a

mou

nt

prem

ium

am

ount

M

arri

ed b

enef

icia

ries

who

live

d w

ith

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r In

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e-re

late

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onth

ly

$121

80

Les

s th

an o

r eq

ual t

o $8

500

0 $0

00

$316

70

Gre

ater

than

$85

000

and

less

than

or

equa

l to

$129

000

$194

90

$389

80

Gre

ater

than

$12

900

0 $2

680

0

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

D S

tan

dar

d B

enef

its

Ded

ucti

ble

(11

201

6)

$360

in c

harg

esy

ear

Init

ial c

over

age

lim

it (

11

2016

) $3

310

in c

harg

esy

ear

Out

-of-

pock

et th

resh

old

(11

201

6)

$48

50 in

cha

rges

yea

r B

ase

bene

fici

ary

prem

ium

(1

120

16)1

$34

10m

onth

Med

icai

d F

inan

cin

g 1

F

eder

al c

ontr

ibut

ions

(ra

ngin

g fr

om 5

0 to

74

perc

ent f

or f

isca

l yea

r 20

16)

2

Sta

te c

ontr

ibut

ions

(ra

ngin

g fr

om 2

6 to

50

perc

ent f

or f

isca

l yea

r 20

16)

1 The

bas

e be

nefi

ciar

y pr

emiu

m w

as c

alcu

late

d ba

sed

on a

nat

iona

l ave

rage

pla

n bi

d T

he a

ctua

l pre

miu

m th

at a

ben

efic

iary

pay

s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

nefi

ciar

y is

enr

olle

d

NO

TE

S

The

ben

efic

iari

es w

ho q

uali

fy f

or th

e lo

w-i

ncom

e su

bsid

y un

der

Par

t D p

ay a

red

uced

or

zero

pre

miu

m

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ddit

ion

low

-inc

ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

B (

con

tin

ued

)

Lis

ted

belo

w a

re th

e 20

16 P

art B

mon

thly

pre

miu

m r

ates

to b

e pa

id b

y be

nefi

ciar

ies

who

fil

e an

indi

vidu

al ta

x re

turn

(inc

ludi

ng th

ose

who

are

sin

gle

hea

d of

hou

seho

ld q

ualif

ying

wid

ow(e

r) w

ith

depe

nden

t chi

ld o

r m

arri

ed f

ilin

g se

para

tely

w

ho li

ved

apar

t fro

m th

eir

spou

se f

or th

e en

tire

taxa

ble

year

) o

r a

join

t tax

ret

urn

Ben

efic

iari

es w

ho f

ile

an in

divi

dual

B

enef

icia

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who

fil

e a

join

t tax

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com

e-re

late

d m

onth

lyT

otal

mon

thly

tax

retu

rn w

ith

inco

me

re

turn

wit

h in

com

e

adju

stm

ent a

mou

nt

prem

ium

am

ount

Les

s th

an o

r eq

ual t

o $8

500

0 L

ess

than

or

equa

l to

$170

000

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00

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80

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ater

than

$85

000

and

less

than

Gre

ater

than

$17

000

0 an

d le

ss th

an

or e

qual

to $

107

000

or e

qual

to $

214

000

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870

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705

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ater

than

$10

700

0 an

d le

ss th

an

G

reat

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an $

214

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than

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al to

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al to

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80

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60

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ater

than

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000

0 an

d le

ss th

an

G

reat

er th

an $

320

000

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less

than

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equ

al to

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400

0 or

equ

al to

$42

800

0

$194

90

$316

70

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ater

than

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400

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reat

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an $

428

000

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00

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In a

ddit

ion

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thly

pre

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m r

ates

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e pa

id b

y be

nefi

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are

mar

ried

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live

d w

ith

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ouse

at a

ny ti

me

duri

ng th

e ta

xabl

e ye

ar b

ut f

ile

a se

para

te ta

x re

turn

fro

m th

eir

spou

se a

re li

sted

bel

ow

Tot

al m

onth

ly

spou

se a

nd f

iled

a s

epar

ate

tax

retu

rn

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stm

ent a

mou

nt

prem

ium

am

ount

M

arri

ed b

enef

icia

ries

who

live

d w

ith

thei

r In

com

e-re

late

d m

onth

ly

$121

80

Les

s th

an o

r eq

ual t

o $8

500

0 $0

00

$316

70

Gre

ater

than

$85

000

and

less

than

or

equa

l to

$129

000

$194

90

$389

80

Gre

ater

than

$12

900

0 $2

680

0

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

D S

tan

dar

d B

enef

its

Ded

ucti

ble

(11

201

6)

$360

in c

harg

esy

ear

Init

ial c

over

age

lim

it (

11

2016

) $3

310

in c

harg

esy

ear

Out

-of-

pock

et th

resh

old

(11

201

6)

$48

50 in

cha

rges

yea

r B

ase

bene

fici

ary

prem

ium

(1

120

16)1

$34

10m

onth

Med

icai

d F

inan

cin

g 1

F

eder

al c

ontr

ibut

ions

(ra

ngin

g fr

om 5

0 to

74

perc

ent f

or f

isca

l yea

r 20

16)

2

Sta

te c

ontr

ibut

ions

(ra

ngin

g fr

om 2

6 to

50

perc

ent f

or f

isca

l yea

r 20

16)

1 The

bas

e be

nefi

ciar

y pr

emiu

m w

as c

alcu

late

d ba

sed

on a

nat

iona

l ave

rage

pla

n bi

d T

he a

ctua

l pre

miu

m th

at a

ben

efic

iary

pay

s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

nefi

ciar

y is

enr

olle

d

NO

TE

S

The

ben

efic

iari

es w

ho q

uali

fy f

or th

e lo

w-i

ncom

e su

bsid

y un

der

Par

t D p

ay a

red

uced

or

zero

pre

miu

m

In a

ddit

ion

low

-inc

ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston

Pro

gram

Fin

anci

ng

Cos

t S

har

ing

and

Lim

itat

ion

s

Med

icar

e P

art

D S

tan

dar

d B

enef

its

Ded

ucti

ble

(11

201

6)

$360

in c

harg

esy

ear

Init

ial c

over

age

lim

it (

11

2016

) $3

310

in c

harg

esy

ear

Out

-of-

pock

et th

resh

old

(11

201

6)

$48

50 in

cha

rges

yea

r B

ase

bene

fici

ary

prem

ium

(1

120

16)1

$34

10m

onth

Med

icai

d F

inan

cin

g 1

F

eder

al c

ontr

ibut

ions

(ra

ngin

g fr

om 5

0 to

74

perc

ent f

or f

isca

l yea

r 20

16)

2

Sta

te c

ontr

ibut

ions

(ra

ngin

g fr

om 2

6 to

50

perc

ent f

or f

isca

l yea

r 20

16)

1 The

bas

e be

nefi

ciar

y pr

emiu

m w

as c

alcu

late

d ba

sed

on a

nat

iona

l ave

rage

pla

n bi

d T

he a

ctua

l pre

miu

m th

at a

ben

efic

iary

pay

s va

ries

ac

cord

ing

to th

e pl

an in

whi

ch th

e be

nefi

ciar

y is

enr

olle

d

NO

TE

S

The

ben

efic

iari

es w

ho q

uali

fy f

or th

e lo

w-i

ncom

e su

bsid

y un

der

Par

t D p

ay a

red

uced

or

zero

pre

miu

m

In a

ddit

ion

low

-inc

ome

bene

fici

arie

s ar

e su

bjec

t to

only

min

imal

cop

aym

ent a

mou

nts

in m

ost i

nsta

nces

SO

UR

CE

C

MS

Off

ice

of th

e A

ctua

ry



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston



5000 6267

New Jersey New York

5000 5000





West Virginia 7142

Florida Georgia


6067 6755 7032 7417 6624 7108 6505




6560 5000

New Mexico Oklahoma

7037 6099



Iowa 5491 Colorado

Montana 5072 6524








Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston


Structure Bookmarks

2015 CMS Statistics





Publication Staff

Preface

I Populations 5

GDP

NF

Table I1


Table I3



All regions

In thousands




Table I14


Table I18


Total hospitals

All regions



Table II6


Count

Count

Total

1967

In millions

2013

Total Part A23


Table III8

In millions

Total

Discharges

1975

2010

Table IV6

Disabled

Parts A andor B

Dialysis

Table

In thousands




Table V7


I Boston

cms stats 2015 final 2 · administrator and cms chief medical officer ......

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