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Medicaid enrollment and expenditure by enrollment group 2017

Children accounted for 40 percent of Medicaid enrollees in 2017, which was the largest share of all enrollment groups. The elderly and persons with disabilities had the smallest shares, but together they accounted for more than half of all Medicaid expenditure.

Medicaid expenditures per enrollee

Medicaid is a joint federal and state health care program in the United States. The program provides medical coverage to millions of Americans and supports a variety of enrollment groups, particularly senior citizens and individuals with disabilities. Medicaid per enrollee spending is significantly higher for these two groups because they require more frequent and costly long-term care in the community and nursing homes. Medicaid spending on home health and nursing home care accounted for two-thirds of the total U.S. health expenditure in 2017.

Millions of Americans are uninsured

The United States has a multi-payer health care system, meaning that some Americans will be covered by private health insurance, and others will be covered by a government program such as Medicaid. However, approximately 30 million people in the U.S. had no health insurance in 2018, and should they require health care, they would have to pay the full price out of their own pocket. This becomes a real problem for many because the United States has the most expensive health care system in the world.

Distribution of Medicaid enrollment and expenditure in FY 2017, by enrollment group

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Release date

April 2020


United States

Survey time period

fiscal year 2017

Supplementary notes

Percentages may not add up to 100 due to rounding. Totals and components exclude DSH expenditures, territorial enrollees and expenditures, and adjustments.

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Statistics on "Medicaid/CHIP"

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