Other Third Party Payers and Programs and Public Health Activity spending declined 20.7% in 2021 to $596.6 billion, or 14 percent of total NHE.Out of pocket spending grew 10.4% to $433.2 billion in 2021, or 10 percent of total NHE.Private health insurance spending grew 5.8% to $1,211.4 billion in 2021, or 28 percent of total NHE.Medicaid spending grew 9.2% to $734.0 billion in 2021, or 17 percent of total NHE.Medicare spending grew 8.4% to $900.8 billion in 2021, or 21 percent of total NHE.
