**Executive Summary**
The Union Health Ministry released the National Health Accounts (NHA) estimates for 2022-23 on May 27, 2026, marking the tenth report prepared using the System of Health Accounts (2011) framework. The report details a decadal trend of increased public investment in healthcare and a significant reduction in the financial burden on households. Key findings highlight a threefold increase in government health expenditure and a decline in out-of-pocket expenses since 2013-14.
**Key Points / Main Content**
**Government Health Expenditure (GHE) Trends**
* GHE increased threefold from ₹1.30 lakh crores in 2013-14 to ₹3.85 lakh crores in 2022-23.
* GHE as a share of the country's GDP rose from 1.15% to 1.43% (1.48% as per the new GDP series with base year 2022-23).
* The share of GHE within General Government Expenditure (GGE) increased from 3.78% to 4.89%.
* Per capita GHE grew 2.7 times, rising from ₹1,042 to ₹2,786.
**Primary Healthcare and Social Security**
* Government expenditure on Primary Health Care more than doubled, increasing from ₹0.5 lakh crores to ₹1.4 lakh crores.
* Social Security Expenditure (SSE) on healthcare, including schemes like AB PM-JAY and medical reimbursements, rose from 6% to 9.9% of Total Health Expenditure (THE).
* Private Health Insurance share in THE increased from 3.4% to 9.2%, signaling improved health-seeking behavior and purchasing power.
**Reduction in Out-of-Pocket Expenditure (OOPE)**
* OOPE as a share of THE declined significantly by nearly 21 percentage points, falling from 64.2% to 43.4%.
* Government health spending as a share of THE increased from 28.6% to 43.7%, reflecting a shift toward a more equitable public financing model.
**COVID-19 Pandemic Response**
* Health expenditure saw an "extra boost" during the pandemic, reaching 1.84% of GDP in 2021-22.
* This one-time increase supported the mass COVID vaccination programme and emergency response (ECRP-I & II), causing OOPE to drop to 39.4% during that period.
**Impact Analysis**
**Households / General Public**
**Impact**
Citizens are experiencing a reduced financial burden for healthcare services, as evidenced by the sharp decline in out-of-pocket expenses and increased access to social security schemes.
**Action Required**
Continue to utilize government health schemes and social health insurance programs to ensure financial risk protection.
**Union and State Governments**
**Impact**
The data confirms that policy efforts are moving toward Universal Health Coverage (UHC) through sustained public investment and prioritization of health in the national budget.
**Action Required**
Maintain the trend of increased public spending and focus on primary healthcare to further strengthen the health system.
**National Health Systems Resource Centre (NHSRC) / Researchers**
**Impact**
The institutionalization of NHA estimates provides a standardized framework (SHA 2011) to track health spending and evaluate the efficiency of healthcare financing.
**Action Required**
Stakeholders should access the full NHA Estimates 2022-23 via the official NHSRC website for detailed policy analysis and future planning.
Key Entities Referenced
National Health Accounts (NHA) Estimates for India 2022-23: The tenth annual report providing comprehensive estimates of health expenditure in India, highlighting trends in government spending and out-of-pocket costs.
Ministry of Health and Family Welfare: The primary Union Ministry responsible for releasing the health account estimates and overseeing national health policy and public investment.
National Health Systems Resource Centre (NHSRC): The technical body designated as the National Health Accounts Technical Secretariat responsible for preparing the expenditure estimates.
Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY): A flagship government-funded health insurance scheme cited as a major contributor to the increase in Social Security Expenditure (SSE) on healthcare.
System of Health Accounts (2011): The internationally standardized accounting framework and methodology used to prepare the National Health Accounts estimates.
Ministry of Health and Family Welfare
Union Health Ministry Releases The National
Health Accounts Estimates for India 2022-23
Government Health Expenditure (GHE) Increases by
Threefold From ₹1.30 Lakh Crores to ₹3.85 Lakh Crores
between 2013-14 and 2022-23
GHE as a share of the country’s GDP increased from 1.15%
to 1.43% between 2013-14 and 2022-23
Government Health Expenditure as a share of Total Health
Expenditure (THE) increases from 28.6% to 43.7% between
2013-14 and 2022-23
Out-of-Pocket Expenditure (OOPE) as a share of Total Health
Expenditure declined from 64.2% to 43.4%.
Social Security Expenditure (SSE) on healthcare increased
from 6% to 9.9%
Expenditure On Primary Health Care by Government has
more than doubled from ₹0.5 Lakh Crores to ₹1.4 Lakh Crores
between 2013-14 and 2022-23
The Decadal Trend Shows The Extra Boost During The COVID
period in Government Health Expenditure
Posted On: 27 MAY 2026 3:18PM by PIB Delhi
The Union Health Ministry released the National Health Accounts (NHA) estimates for India 2022-23.
The NHA 2022–23 is the tenth report on health expenditure estimates prepared by the National Health
Accounts Technical Secretariat (NHATS), National Health Systems Resource Centre, Ministry of Health
and Family Welfare, using the System of Health Accounts (2011) framework. The report indicates an
increase government expenditure on healthcare since 2013-14, reflecting sustained efforts to strengthen
public investment in the health sector.The share of Government Health Expenditure (GHE) in the country’s Gross Domestic Product (GDP) has
risen from 1.15% in 2013–14 to 1.43% in 2022–23. As per the new GDP series with base year 2022-23,
GHE as % of GDP is 1.48%. Similarly, GHE’s share in General Government Expenditure (GGE) has
increased from 3.78% to 4.89% over the same period, underscoring the growing prioritisation of health in
public spending. In per capita terms, GHE has increased nearly 2.7 times, from Rs. 1,042 to Rs. 2,786
between 2013-14 and 2022-23.
The decadal trend of increased Government Health Expenditure (GHE) has resulted in overall reduction in
the Out-of-Pocket Expenditure (OOPE) as a share of the Total Health Expenditure (THE). The efforts of
the Union Government, specifically during the COVID pandemic, were noteworthy. To address the
emergency COVID pandemic situation, Government increased the health expenditure significantly to
1.84% of GDP in 2021-22 towards managing the pandemic situation which included ECRP-I & II, and
mass COVID vaccination programme, that was largest in the world. Given these additional spending by
the government as a one-time measure, OOPE as percentage of Total Health Expenditure (THE) during
this period also declined to 39.4%.
The share of GHE in THE has increased by almost 15 percentage points, from 28.6% in 2013-14 to 43.7%
in 2022–23. This shift underscores the important role of public financing in the health system and signals
that policy efforts are moving in the right direction—towards a more affordable, equitable, and accessible
healthcare system for all.
Reducing the burden of OOPE on households has been a key priority for the Government, pursued
through various health schemes and a sustained commitment to Universal Health Coverage (UHC).
Between 2013-14 and 2022–23, the share of OOPE in THE declined significantly by nearly 21 percentage
points, from 64.2% to 43.4%.Intertemporal comparisons also reveal a positive trend in the growth of Social Security Expenditure (SSE)
on healthcare reflecting the government’s commitment to financial risk protection and reducing health
inequities, the share of SSE in THE—which includes government-funded health insurance such as the AB
PM-JAY, medical reimbursements to government employees, and social health insurance programmes—
has increased substantially from 6% in 2013-14 to 9.9% in 2022–23. The share of Private Health
Insurance in THE has also increased, from 3.4% to 9.2%, clearly indicating improved health-seeking
behaviour due to awareness, and the population's purchasing power.
The NHA Estimates 2022–23 released today can be accessed here: https://nhsrcindia.org/national-health-a
ccounts-records
Background: Preparation of National Health Accounts (NHA) estimates was institutionalised at National
Health Systems Resource Centre (NHSRC) in 2014 and NHSRC was designated as National Health
Accounts Technical Secretariat.
As of now, 9 NHA estimates (2013-14 to 2021-22) have been prepared.
Methodology followed: System of Health Accounts, 2011 (SHA 2011).
Expert group for NHA comprise of experts from Ministry of Statistics and Programme
Implementation (MOSPI), NITI Aayog, Ministry of Jal Shakti, Research Institutions- National
Institute of Public Finance and Policy (NIPFP), National Council of Applied Economic Research
(NCAER), and Institute of Economic Growth (IEG), and National Health Authority.
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SR
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