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29 May 2026Social Issues3 questions

National Health Accounts FY2022-23: Government Health Expenditure Triples, OOPE Declines to 39.4%

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Article summary

The Union Ministry of Health and Family Welfare released the 10th edition of National Health Accounts (NHA) Estimates for FY 2022-23, prepared by the National Health Accounts Technical Secretariat (NHATS) under the NHSRC. Government Health Expenditure (GHE) has tripled from ₹1.30 lakh crore in 2013-14 to ₹3.85 lakh crore in 2022-23, with GHE as a share of GDP rising from 1.15% to 1.43%. Out-of-Pocket Expenditure (OOPE) as a share of Total Health Expenditure (THE) declined from 64.2% in 2013-14 to 39.4% in 2022-23. Despite progress, India remains below the National Health Policy 2017 target of 2.5% of GDP in government health spending.

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analysisTests whether you can reason across multiple related facts.
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Social IssuesRecallEasy

Q1. The National Health Accounts (NHA) Estimates for FY 2022-23 are the 10th in the series. Which of the following correctly identifies the body that prepares these estimates and the international methodology framework it follows?

ANational Health Accounts Technical Secretariat (NHATS) under the National Health Systems Resource Centre (NHSRC), following the System of Health Accounts (SHA) 2011 framework developed by WHO and OECD
BNational Health Mission Directorate under the Ministry of Health and Family Welfare, following the System of National Accounts (SNA) 2008 framework developed by the United Nations
CNational Institution for Transforming India (NITI Aayog) in collaboration with NHSRC, following the System of Health Accounts (SHA) 2011 framework developed by WHO and World Bank
DNational Health Accounts Technical Secretariat (NHATS) under the Indian Council of Medical Research (ICMR), following the SHA 2011 framework developed by WHO and OECD
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Social IssuesApplicationMedium

Q2. A parliamentary standing committee reviewing India's health financing is presented with the following four claims drawn from the NHA FY 2022-23 estimates and related policy documents. Which of these claims is CORRECTLY stated?

AIndia's Out-of-Pocket Expenditure (OOPE) as a share of Total Health Expenditure declined from 64.2% in 2013-14 to 39.4% in 2022-23, yet this figure remains well above the WHO benchmark of 15–20% above which health spending becomes catastrophic for vulnerable households
BGovernment Health Expenditure as a percentage of GDP reached 2.5% in FY 2022-23, thereby meeting the target set by the National Health Policy 2017 ahead of the 2025 deadline
CPer capita Government Health Expenditure more than quadrupled from ₹1,042 in 2013-14 to ₹4,500 in 2022-23, reflecting the impact of Ayushman Bharat scheme expansion
DBihar recorded the highest per capita state health expenditure in 2022-23 at ₹10,148, while Arunachal Pradesh recorded the lowest at ₹937, illustrating federal fiscal disparities in health financing
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Social IssuesAnalysisHard

Q3. Consider the following statements regarding India's health financing as revealed by the National Health Accounts (NHA) FY 2022-23 estimates: 1. The decline in Out-of-Pocket Expenditure (OOPE) as a share of Total Health Expenditure from 64.2% to 39.4% over the decade conclusively demonstrates that fewer Indian households are being pushed into poverty by health spending. 2. Government Health Expenditure at 1.43% of GDP in FY 2022-23 remains short of the National Health Policy 2017 target, even as total Government Health Expenditure in absolute terms tripled from ₹1.30 lakh crore to ₹3.85 lakh crore between 2013-14 and 2022-23. 3. The 11-fold differential in per capita health expenditure between the lowest-spending and highest-spending states indicates that Universal Health Coverage, as envisioned, cannot be operationalised under the current fiscal federalism structure without earmarked equalisation transfers. Which of the statements given above is/are correct?

A1 and 2 only
B2 and 3 only
C1 and 3 only
D1, 2 and 3
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