Physician and clinical services expenditures grew 5.6% to $864.6 billion in 2021, slower growth than the 6.6% in 2020.Hospital expenditures grew 4.4% to $1,323.9 billion in 2021, slower than the 6.2% growth in 2020.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.NHE grew 2.7% to $4.3 trillion in 2021, or $12,914 per person, and accounted for 18.3% of Gross Domestic Product (GDP).
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