Major payer spending in 2020 was as follows: The number of uninsured individuals decreased from 31.8 million in 2019 to 31.2 million in 2020 as enrollment increases in Medicaid and Marketplace more than offset the pandemic’s significant effect on employment and the resulting reduction in employer-sponsored coverage.įor almost all health care services, in particular for hospitals, physicians, and nursing homes, increased federal spending in response to the COVID-19 pandemic far outweighed the negative or slow growth in private health insurance, Medicare, and out-of-pocket spending that was associated with less use of care in 2020. The share of the Gross Domestic Product (GDP) devoted to health increased sharply from 17.6% in 2019 to 19.7% in 2020, the largest increase in the history of the NHE reports. However, when spending for federal public health and other federal programs (which includes COVID-19 supplemental funding) is removed, NHE growth was only 1.9%, a slower rate of growth from the 4.3% increase in 2019, largely due to reduced use of medical care goods and services because of the pandemic. As a result, growth in federal government spending on health care increased 36.0% in 2020.ĭue to the impact of the COVID-19 pandemic, health expenditures grew in 2020 at the fastest rate of growth experienced since 2002. health care spending increased rapidly in response to the pandemic and was primarily driven by increased federal spending, including financial assistance to providers to make up for lost revenue through the Provider Relief Fund ($122 billion in 2020) and the Paycheck Protection Program ($53 billion in 2020) and increased federal public health spending ($114.9 billion) including spending for vaccine development, COVID testing, and health facility preparedness. The report also contains information on insurance enrollment and uninsured estimates. The NHE report also includes spending on government public health, investment in structures and equipment, and non-commercial research. spending for the delivery of health care goods and services by type of good or service (hospital, physician, prescription drugs, etc.) type of payer (private health insurance, Medicare, Medicaid, etc.) and type of sponsor (businesses, households and federal/state governments). The NHE has been published annually since 1960 and is often referred to as the “official” estimates of U.S.
This statistic is one of many health care expenditures presented in the 2020 National Health Expenditures (NHE) Report, prepared by the Office of the Actuary at the Centers for Medicare & Medicaid Services (CMS). Fewer Uninsured as Medicaid and Marketplace Enrollment IncreasesĪs with so many aspects of American life, the COVID-19 pandemic had a dramatic impact on the nation’s health sector in 2020, driving a 9.7% growth in total national healthcare spending, bringing spending to $4.1 trillion.
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