2021 US Nationwide Well being Expenditures – Healthcare Economist


A paper in Well being Affairs by Martin, Hartman, Benson, Catlin, and The Nationwide Well being Expenditure Accounts Group (2022) finds that nationwide well being expenditures (NHE) rose however declined as a share of gross home product (GDP).

Well being care spending within the US grew 2.7 p.c to succeed in $4.3 trillion in 2021, a a lot slower charge than the rise of 10.3 p.c seen in 2020. The slower charge of development in 2021 was pushed by a 3.5 p.c decline in federal authorities expenditures for well being care after a spike in 2020 that occurred largely in response to the COVID-19 pandemic. Alongside this decline, using medical items and providers elevated in 2021. The share of the economic system accounted for by the well being sector fell from 19.7 p.c in 2020 to 18.3 p.c in 2021, however it was nonetheless larger than the 17.6 p.c share in 2019.

For these with out entry, a weblog publish summarizes the findings right here and there may be protection elsewhere right here. As acknowledged above, the decline in well being care prices (as a share of GDP) is essentially to a discount in COVID-19 spending and a rise within the economic system.

Digging into some extra element, we see that institutional providers make the biggest share of well being care spending. Particularly, hospital care made up 31% of price, a broad “different” class 23%, doctor providers 20% and prescribed drugs 9%. Administrative prices from authorities and well being insurers made up 7% of prices which is comparatively excessive by worldwide requirements.

How did well being care spending differ by insurance coverage kind? Healthcare Dive studies:

Non-public medical insurance grew 5.8% in 2021 and remained accountable for the biggest proportion of whole well being expenditures by payer kind, at 28%.
Medicare spending grew 8.4%, whereas Medicaid development remained typically steady 12 months over 12 months at 9.2%.
Out-of-pocket spending jumped 10.4%, the quickest charge of development since 1985, in response to the evaluation, as customers spent extra on dental providers and sturdy medical tools.

Whereas the decline in well being care spending as a share of GDP could also be thought-about a superb factor, it’s unclear if this development is sustainable given the post-COVID changes within the well being care sector and broader economic system. It will likely be fascinating to see whether or not 2022 sees one other decline in well being care spending, which might be resulting from authorities reimbursement charges lagging behind inflation within the broader. Nevertheless, the information is but to be launched for 2022.

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