This issue brief includes the most recent historical and projected Medicare spending data published in the 2019 annual report of the Boards of Medicare Trustees from the CMS and the Office of the Actuary, and the 2019 Medicare baseline and projections from the Congressional Budget Office.

Medicare was 15% of federal spending in 2018; it’s projected to rise to 18% by 2029.

As a share of total Medicare benefit spending, payments to Medicare Advantage plans for Part A and Part B benefits increased by nearly 50% between 2008 and 2018, from 21% ($99 billion) to 32% ($232 billion) of total spending, as enrollment in Medicare Advantage plans increased over these years.

 Medicare per capita spending is projected to grow at an average annual rate of 5.1% over the next 10 years (2018 – 2028) with enrollment growth, increased use of services, intensity of care and rising health care prices.



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