Chart 1.2: Annual Percent Change in Total National Health Expenditures (NHE), 1980-2021
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
(2) National Health Expenditure (NHE) are expressed in the current year's dollar, 2021.
(3) "The 2021 National Health Expenditures (NHE) Report found that U.S. health care spending grew 2.7% to reach $4.3 trillion in 2021, slower than the increase of 10.3% in 2020. The slower growth in 2021 was driven by a 3.5% decline in federal government expenditures for health care that followed strong growth in 2020 due to the COVID-19 pandemic response. This decline more than offset the impact of greater use of health care goods and services and increased insurance coverage in 2021. "