Chart 1.6: Annual Percent Change in National Health Expenditures (NHE) for Selected Health Services and Supplies, 2000-2021

Source: Centers for Medicare & Medicaid Services, Office of the Actuary. Data released December 2022.

Notes:

(1) CMS completed a benchmark revision in 2019, introducing changes in methods, definitions and source data that are retroactively applied to the entire time series. For more information on this revision, see https://www.cms.gov/files/document/summary-benchmark-changes-2019.pdf 

(2) Private Health Insurance includes administration and net cost 

(3) National Health Expenditure (NHE) are expressed in the current year's dollar, 2021.

(4) Regarding the Nursing Care category, CMS states: "Spending for services provided at freestanding nursing care facilities and continuing care retirement communities declined in 2021 by 7.9 percent to $181.3 billion, compared to 13.1 percent growth in 2020. The decline in 2021 was attributable to decreased spending from other federal programs, and to a lesser extent, declines in out-of-pocket and private health insurance payments." https://www.cms.gov/files/document/highlights.pdf 

(5) Regarding the Home Health Care category, CMS states: "Spending for services provided by freestanding home health care agencies increased 0.2 percent in 2021 to $125.2 billion, decelerating from growth of 11.2 percent in 2020. The slower growth in 2021 was due to less federal funding through Paycheck Protection Program loans and the Provider Relief Fund. " https://www.cms.gov/files/document/highlights.pdf