Healthcare transparency
Where money moves through U.S. healthcare — federal spending (HHS, Medicare, Medicaid), drug spending, lobbying, and congressional trades in health stocks. Coverage-honest: figures we don't have yet show "—"; Medicaid is state-administered and partial. New to the topic? Start with the healthcare primer.
Federal health spending over time
HHS agency outlays and the Medicare & Health budget functions, by fiscal year (USAspending). Gross by-function figures differ from Treasury net totals.
| FY | Department of Health and Human Services | Medicare | Health |
|---|---|---|---|
| 2017 | $1,646,989,531,124 | $1,046,629,647,350 | $668,798,313,890 |
| 2018 | $1,679,128,003,254 | $1,059,508,772,650 | $696,461,718,451 |
| 2019 | $1,814,270,463,757 | $1,166,775,735,190 | $729,669,451,777 |
| 2020 | $2,198,882,208,892 | $1,326,920,207,561 | $948,669,160,297 |
| 2021 | $2,355,524,286,884 | $1,382,370,688,566 | $1,004,083,682,015 |
| 2022 | $2,452,969,781,323 | $1,484,160,985,812 | $1,075,778,623,838 |
| 2023 | $2,475,673,980,553 | $1,554,762,388,110 | $1,039,243,879,971 |
| 2024 | $2,518,647,728,971 | $1,582,650,103,296 | $1,098,419,579,301 |
| 2025 | $2,794,349,803,089 | $1,836,688,276,390 | $1,145,485,923,480 |
HHS-outlays figure from USAspending (agency & budget function); drug-spending figure from CMS. Fuller breakdowns on the funding page.
Top drugs by Medicare Part D spending
Top 25 drugs by total Medicare Part D spend in 2024, with the primary manufacturer and year-over-year change. Medicare Part D covers outpatient prescription drugs. Data from CMS.gov