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National Health Care Spending In 2020: Growth Driven By Federal Spending In Response To The COVID-19 Pandemic.
Micah Hartman1, Anne B Martin2, Benjamin Washington3
1Micah Hartman (micah.hartman@cms.hhs.gov), Office of the Actuary, Centers for Medicare and Medicaid Services (CMS), Baltimore, Maryland.
US health care spending surged in 2020 due to the COVID-19 pandemic, reaching $4.1 trillion. This led to a significant increase in the national health expenditure share of the economy.
Area of Science:
- Health Economics
- Public Health Policy
- Healthcare Administration
Background:
- US health care spending experienced a notable acceleration in 2020.
- National health expenditures reached $4.1 trillion, a 9.7% increase from 2019.
- This contrasts with a 4.3% increase observed in the previous year.
Purpose of the Study:
- To analyze the drivers of increased US health care spending in 2020.
- To examine the impact of the COVID-19 pandemic on national health expenditures.
- To assess shifts in health insurance coverage and the uninsured population.
Main Methods:
- Analysis of national health expenditure data for 2020.
- Comparison of spending trends between 2019 and 2020.
- Examination of federal health care expenditures and their relation to the pandemic.
- Assessment of changes in gross domestic product (GDP) and the health spending share of the economy.
Main Results:
- US health care spending rose by 9.7% to $4.1 trillion in 2020.
- Federal health care expenditures increased by 36.0%, largely due to the COVID-19 pandemic.
- The share of the economy devoted to health care spending increased to 19.7% as GDP declined by 2.2%.
- The number of uninsured individuals decreased, with notable shifts in coverage types.
Conclusions:
- The COVID-19 pandemic significantly impacted US health care spending in 2020.
- Increased federal spending was a primary driver of the overall expenditure rise.
- The pandemic influenced both the volume of health care spending and insurance coverage patterns.
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