Chart 1.2: Annual Percent Change in Total National Health Expenditures (NHE), 1980-2022
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) National Health Expenditure (NHE) are expressed in the current year's dollar, 2022.
(3) In 2021, U.S. health care spending grew at a slower pace than in the previous year, totaling $4.3 trillion. This slowdown was primarily due to a decrease in federal government spending on health care, which had increased significantly in 2020 due to the COVID-19 pandemic. While there was greater use of health care services and an uptick in insurance coverage in 2021, these factors could not fully offset the reduction in federal expenditures. The percentages also change year over year, with most current percentages reflected in the chart. For more archived information on this decline, see https://www.cms.gov/newsroom/press-releases/national-health-spending-grew-slightly-2021
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
Chart 1.9: Total Prescription Drug Spending, 1980-2021
Source: Centers for Medicare & Medicaid Services. Data released December 2022. National Health Expenditures by types of service and source of funds, CY 1960-2021. https://www.cms.gov/files/zip/national-health-expenditures-type-service-and-source-funds-cy-1960-2021.zip
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) Total Prescription Drug Spending is expressed in the current year's dollar, 2021.
Chart 1.13: Number and Percent Uninsured, 2008-2019, 2021
Source: U.S. Census Bureau, American Community Surveys (ACS). Table HIC-4_ACS. Health Insurance Coverage Status and Type of Coverage by State All Persons (for years 2008 to 2019, 2021).
Note: Due to disruptions to data collection from the COVID-19 pandemic, the Census Bureau announced that the standard 2020 1-year ACS data products would not be released. For more information, refer to https://www.census.gov/programs-surveys/acs/technical-documentation/user-notes/2021-02.html#:~:text=The%20U.S.%20Census%20Bureau%20did,19%20pandemic%20on%20data%20collection