In fiscal year (FY) 2015, total Medicaid spending was $556 billion. Of this amount, $351 billion was federal spending and $205 billion was state spending. This represents:

  • 16.4 percent of U.S. health care spending (2014),
  • 9.5 percent of federal outlays (FY 2015),
  • 61 percent of spending on long-term services and supports (2012), and
  • 26 percent of spending on mental health and substance abuse (2009).

Go to our MACStats data book for the most recent detailed data on spending including trends and information broken out by state and eligibility group.

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Featured publications

Trends in Medicaid Spending

June 2016 |

Chapter 1 examines national Medicaid spending trends through a variety of lenses, comparing the growth in Medicaid spending as a share of national health expenditures and federal and state budgets. The chapter also examines the components of spending growth. Medicaid is growing as a share of federal and state budgets and as a share of […]

Addressing Growth in Medicaid Spending: State Options

June 2016 |

Chapter 2 focuses on state policy levers to control Medicaid spending. As Medicaid program spending grows in absolute and relative terms and becomes a larger share of state budgets, states have incentives to limit growth in per-person spending and overall Medicaid costs. The federalist structure of Medicaid provides states with many options for the design […]

Trends in Medicaid Spending for Prescription Drugs

October 2015 |

The Office of the Actuary at the Centers for Medicare and Medicaid Services has identified prescription drug spending as a key driver in the increase in overall health care spending from 2013 to 2014. This session provides an overview of trends in Medicaid spending for prescription drugs and describes current Medicaid policy with respect to […]