Evolution of private and public health spending (2010–2018)
| Health spending by source (US$ billions*) | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | Average change 2010–2014 | Average change 2015–2018 | |
| Public | Total public spending | 61.7 | 66.8 | 70.1 | 72.9 | 76.2 | 75.2 | 73.5 | 75.9 | 75.5 | 5.4% | (0.2%) |
| Growth rate | 8.3% | 4.9% | 4.0% | 4.5% | (1.3%) | (2.2%) | 3.2% | (0.5%) | ||||
| % of total spending | 45.8 | 46.7 | 45.8 | 45.1 | 44.0 | 43.4 | 43.4 | 43.6 | — | |||
| Federal (direct+transfers) | 27.4 | 29.9 | 31.4 | 30.7 | 32.0 | 31.9 | 31.2 | 32.5 | 32.0 | 4.0% | 0.0% | |
| States (own sources) | 17.0 | 17.9 | 18.3 | 20.1 | 20.8 | 20.2 | 19.4 | 20.2 | 20.8 | 5.2% | 0.0% | |
| Local (own sources) | 17.3 | 19.0 | 20.4 | 22.2 | 23.4 | 23.0 | 23.0 | 23.2 | 22.7 | 7.8% | (0.8%) | |
| Private | Total private spending | 73.0 | 76.4 | 83.0 | 88.7 | 97.0 | 97.9 | 95.8 | 98.0 | — | 7.4% | — |
| Growth rate | – | 4.6% | 8.6% | 7.0% | 9.3% | 1.0% | (2.2%) | 2.4% | — | |||
| % of total spending | 54.2 | 53.3 | 54.2 | 54.9 | 56.0 | 56.6 | 56.6 | 56.4 | — | |||
| Health plans | 32.8 | 34.9 | 37.4 | 40.3 | 44.0 | 45.7 | 47.4 | 50.8 | 53.5 | 7.6% | 5.0% | |
| Out of pocket | 40.2 | 41.5 | 45.6 | 48.4 | 53.0 | 52.2 | 48.4 | 47.2 | — | 7.1% | — | |
| Total spending | 134.7 | 143.2 | 153.1 | 161.7 | 173.2 | 173.1 | 169.3 | 173.9 | — | 6.5% | — | |
| Growth rate | 6.3% | 6.9% | 5.6% | 7.1% | 0.0% | (2.2%) | 2.7% | — | ||||
| Total spending per capita | 703.6 | 744.6 | 789.6 | 804.2 | 854.0 | 846.8 | 821.6 | 837.5 | — | 5.0% | — | |
| Public spending per capita | 322.2 | 347.5 | 361.7 | 362.8 | 375.7 | 367.8 | 356.9 | 365.4 | 362.2 | 3.9% | (0.9%) | |
| Health plans spending per capita | 729.4 | 758.8 | 781.5 | 814.7 | 872.5 | 929.0 | 995.5 | 1078.9 | 1132.5 | 4.6% | 6.7% | |
Source: Public data—Ministry of Health/Public Health Budgets Information System; private data—Brazilian Institute of Statistics and Geography, National Agency of Supplementary Health.
*Constant values in BRL converted to 2018 USD.