title: Health spending by state of residence, 1991-2009.
abstract: OBJECTIVE
  Provide a detailed discussion of baseline health spending by state of residence (per capita  personal health care spending, per enrollee Medicare spending, and per enrollee Medicaid spending) in 2009, over the last  decade (1998-2009), as well as the differential regional and state impacts of the recent recession.
  
  
  METHODS
  State  Health Expenditures by State of Residence for 1991-2009, produced by the Centers for Medicare & Medicaid Services' Office  of the Actuary.
  
  
  RESULTS
  In 2009, the 10 states where per capita spending was highest ranged from 13 to 36  percent higher than the national average, and the 10 states where per capita spending was lowest ranged from 8 to 26  percent below the national average. States with the highest per capita spending tended to have older populations and the  highest per capita incomes; states with the lowest per capita spending tended to have younger populations, lower per  capita incomes, and higher rates of uninsured. Over the last decade, the New England and Mideast regions exhibited the  highest per capita personal health care spending, while states in the Southwest and Rocky Mountain regions had the lowest  per capita spending. Variation in per enrollee Medicaid spending, however, has consistently been greater than that of total  per capita personal health care spending or per enrollee Medicare spending from 1998-2009. The Great Lakes, New England,  and Far West regions experienced the largest slowdown in per person health spending growth during the recent recession,  largely as a result of higher unemployment rates.
authors.affiliation: National Health Statistics Group in Office of Actuary, Centers for Medicare & Medicaid Services, USA. DNHS@cms.hhs.gov
authors.forename: Gigi
authors.initials: G
authors.lastname: Cuckler
authors.forename: Anne
authors.initials: A
authors.lastname: Martin
authors.forename: Lekha
authors.initials: L
authors.lastname: Whittle
authors.forename: Stephen
authors.initials: S
authors.lastname: Heffler
authors.forename: Andrea
authors.initials: A
authors.lastname: Sisko
authors.forename: Dave
authors.initials: D
authors.lastname: Lassman
authors.forename: Joseph
authors.initials: J
authors.lastname: Benson
mesh_terms: D016527:Drug Costs / Q000706:statistics & numerical data; D057172:Economic Recession / Q000706:statistics & numerical data; D017048:Health Care Costs / Q000706:statistics & numerical data; D005102:Health Expenditures / Q000706:statistics & numerical data*; D017721:Hospital Costs / Q000706:statistics & numerical data; D006801:Humans; D008484:Medicaid / Q000191:economics / Q000706:statistics & numerical data; D006278:Medicare / Q000191:economics / Q000706:statistics & numerical data; D013219:State Government; D014481:United States / Q000453:epidemiology