Projected

The Office of the Actuary in the Centers for Medicare & Medicaid Services annually produces projections of health care spending for categories within the National Health Expenditure Accounts, which track health spending by source of funds (for example, private health insurance, Medicare, Medicaid),by type of service (hospital, physician, prescription drugs, etc.), and by sponsor (businesses, households, governments). The latest projections begin after the latest historical year (2010) and go through 2021.

The 2008-2018 NHE projection was updated and extended in the summer of 2009 in order to take into account relevant subsequent legislation (American Recovery and Reinvestment Act, Children's Health Insurance Program Reauthorization Act) and to act as a baseline for the Office of the Actuary's cost estimates for national health reform proposals. See downloads below.