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Financing and Insurance 

Financing and Insurance
Chapter:
Financing and Insurance
Author(s):

Samuel H Zuvekas

, Earle Buddy Lingle

, Ardis Hanson

, and Bruce Lubotsky Levin

DOI:
10.1093/med/9780190238308.003.0010
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date: 22 August 2018

The complexity of US healthcare systems is staggering. In 2015, Americans spent approximately $3.7 trillion on healthcare, averaging almost $10,000 per person. Further, Americans rely on a mixture of public and private health insurance coverage to pay for the bulk of the healthcare services they receive. To provide a better understanding of the financing of healthcare in the United States, this chapter examines major government healthcare programs and funding. It begins with a look at the US public health insurance system and the healthcare “safety net,” comprised of a patchwork of public, private, and philanthropic providers and programs. The next sections look at how US insurers and families pay doctors, hospitals, nursing homes, and other healthcare providers to deliver services in the United States and how pharmacy services are financed in public health.

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