Distribution of Medicaid: spending in the U.S. by service type 2018

This statistic represents the distribution of Medicaid spending in the United States, sorted by type of service, in federal fiscal year 2018. In that year, approximately 25 percent of total national Medicaid spending was due to fee-for-service acute care.

Distribution of Medicaid spending in the United States in 2018, by type of service

Type of servicePercentage of total Medicaid spending
Fee-for-service acute care24.9%
Fee-for-service long-term care21%
Disproportionate share
hospital payments
Payments to Medicare3.4%
Managed care & health plans47.9%
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Release date



United States

Survey time period

FY 2018

Supplementary notes

Medicaid expenditures do not include administrative costs, accounting adjustments, or the U.S. Territories. Total Medicaid spending including these additional items $616 billion in FY 2018.
Federal Fiscal Year runs from October 1 through September 30. FY 2015 refers to the period from October 1, 2014 through September 30, 2015.
Acute care services include payments inpatient, physician, lab, X-ray, outpatient, clinic, prescription drugs, family planning, dental, vision, other practitioners' care.
Long-term care services include nursing facilities, intermediate care facilities for the mentally retarded, mental health, home health services, and personal care support services.
Payments to Medicare are primarily premiums paid by Medicaid for Medicare enrollees. Medicaid may also pay Medicare cost-sharing for some individuals, but these amounts typically should be reported as payments for other services (e.g., "Inpatient Hospital").
Managed Care & Health Plans includes payments to health maintenance organizations (HMOs), prepaid health plans (PHPs), and other health plans, as well as primary care case management (PCCM) fees.

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Statistics on "Medicaid/CHIP"

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