Primary Care


Health Management Associates

Funding Area

Primary Care


February 3, 2014


In this NYHealth-funded chart book, Health Management Associates has prepared a compendium of information on health care costs, spending, and payments based on existing State and national research. The slides in this online chart book synthesize a wide range of data into an objective, easy-to-use resource that looks at the impact of rising costs, drivers of spending growth, variations in spending, and the relationship between quality of care and spending.

In 2012, total U.S. health expenditures reached $2.8 trillion—17% of gross domestic product (GDP). Although health care spending growth has slowed in recent years, it is projected to grow faster than GDP over the next decade.

New York’s health care spending overall and per capita are among the highest in the nation. The State’s health care spending has accelerated over time and is projected to rapidly increase to more than $300 billion by 2020, outpacing both inflation and overall economic growth. The rising cost of health care has far-ranging consequences affecting wages, employment, the price of goods and services, and the ability to fund other public services.

This chart book illustrates trends over time, highlights regional variations within the State, and contrasts New York with the nation and other states. It is intended to facilitate ongoing research on health care costs and generate continued conversation on payment reform in New York.

The complete report is available as a downloadable PDF or PowerPoint presentation. The Foundation encourages others to incorporate the slides into their own presentations and share the information widely.

Download the full report as a PDF or PPT.

Explore by Section…

  • Health Care Spending Growth in New York State [PDF] [PPT]
    Health care expenditures in New York totaled $163 billion in 2009, the second highest in the country. 
  • The Growing Cost of Health Insurance Coverage [PDF] [PPT]
    In New York over the last decade, employees’ required premium contributions as a percentage of their income roughly doubled.
  • Where Are We Spending Our Money? [PDF] [PPT]
    New York has a high number of physicians and specialists per capita. New York has higher hospital admission rates, longer lengths of stay, and more hospital outpatient visits compared to the national average.
  • Getting More Bang for the Buck: The Quality Question [PDF] [PPT]
    In New York, an individual hospital’s costs show no consistent relationship to quality. Despite high spending, hospital quality in New York is similar to U.S. averages.