U.S. investment in primary care has always been low, particularly compared to international benchmarks. Primary care makes up just under 6 percent of total health care spending for non-elderly adults with employer-sponsored insurance ($430 per enrollee), and a similar share of Medicare spending for people 65 and older. This amounts to only about half the OECD country average of 12 percent.

There is significant state variability within these numbers. While more than 11.2 percent of Alaska’s employer health spending goes toward primary care (more than $1,000 per enrollee), that same number is less than 3.6 percent in West Virginia ($285 per enrollee).

Learn more at scorecard.commonwealthfund.org.

Primary care services account for less than 6 percent of employer health spending in 22 states.