National Health Accounts 2022–23: Insights into Healthcare Financing and Universal Health Coverage in India
DOI:
https://doi.org/10.47203/IJCH.2026.v38i05.002Keywords:
Health Economics; National Health Accounts; Health Expenditures; Health Care Financing; Health Policy; Health Services AccessibilityAbstract
Health financing is a critical determinant of healthcare accessibility, equity, and quality within any healthcare system. The National Health Accounts (NHA) Estimates for India 2022–23 provide comprehensive information regarding healthcare expenditure patterns, financing mechanisms, healthcare providers, and utilisation of health services in India. This review article examines the major findings of the NHA 2022–23 report and discusses their implications for public health policy and Universal Health Coverage (UHC). The report indicates that the Current Health Expenditure (CHE) in India was ₹7,66,814 crores, with Out-of-Pocket Expenditure (OOPE) accounting for 49.9% of CHE, reflecting persistent financial burden on households. Government Health Expenditure constituted 43.72% of Total Health Expenditure, demonstrating gradual improvement in public financing. Private hospitals and pharmacies accounted for substantial proportions of healthcare expenditure, highlighting continued dependence on the private sector and medicine-related spending. Preventive healthcare expenditure remained relatively low, indicating greater emphasis on curative services. Expansion of government insurance schemes and strengthening of primary healthcare services have contributed to improved financial protection; however, significant challenges related to healthcare inequity, high OOPE, and inadequate public investment remain. Strengthening public healthcare infrastructure, increasing preventive healthcare expenditure, and expanding financial risk protection are essential for achieving equitable and sustainable healthcare delivery in India.
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References
1. World Health Organization. Health systems financing: the path to universal coverage. Geneva: WHO; 2010.
2. Ministry of Health and Family Welfare. National Health Accounts Estimates for India 2022–23. New Delhi: Government of India; 2026..
3. Pandey A, Ploubidis GB, Clarke L, Dandona L. Trends in catastrophic health expenditure in India: 1993 to 2014. Bull World Health Organ. 2018;96(1):18-28.
4. Prinja S, Bahuguna P, Gupta I, Chowdhury S, Trivedi M. Role of insurance in determining utilization of healthcare and financial risk protection in India. PLoS One. 2019;14(2):e0211793.
5. Berman P, Ahuja R, Bhandari L. The impoverishing effect of healthcare payments in India. New Delhi: Institute of Economic Growth; 2010.
6. Organisation for Economic Co-operation and Development. A system of health accounts 2011. Paris: OECD Publishing; 2011.
7. Xu K, Evans DB, Kawabata K, Zeramdini R, Klavus J, Murray CJ. Household catastrophic health expenditure: a multicountry analysis. Lancet. 2003;362(9378):111-7.
8. Ghosh S. Catastrophic payments and impoverishment due to out-of-pocket health spending. Econ Polit Wkly. 2011;46(47):63-70.
9. National Health Policy 2017. Ministry of Health and Family Welfare, Government of India. New Delhi; 2017.
10. World Health Organization. Global spending on health 2024: weathering the storm. Geneva: WHO; 2024.
11. Selvaraj S, Karan A. Deepening health insecurity in India: evidence from national sample surveys since 1980s. Econ Polit Wkly. 2009;44(40):55-60.
12. Baru R, Acharya A, Acharya S, Kumar AKS, Nagaraj K. Inequities in access to healthcare in India. Econ Polit Wkly. 2010;45(38):49-58.
13. Berman P, Bhawalkar M, Jha R. Government financing of health care in India since 1991. Harvard School of Public Health Working Paper; 2010.
14. Jamison DT, Summers LH, Alleyne G, Arrow KJ, Berkley S, Binagwaho A, et al. Global health 2035: a world converging within a generation. Lancet. 2013;382(9908):1898-955.
15. World Health Organization. Universal health coverage. Geneva: WHO; 2023.
16. Prinja S, Chauhan AS, Karan A, Kaur G, Kumar R. Impact of publicly financed health insurance schemes on healthcare utilization and financial risk protection in India. BMJ Glob Health. 2017;2(2):e000122.
17. Joe W, Mishra US, Navaneetham K. Health inequality in India: evidence from NFHS. Econ Polit Wkly. 2008;43(31):41-7.
18. Frieden TR. A framework for public health action: the health impact pyramid. Am J Public Health. 2010;100(4):590-5.
19. Rao KD, Shahrawat R, Bhatnagar A. Composition and distribution of the health workforce in India. Hum Resour Health. 2016;14:57.
20. India State-Level Disease Burden Initiative Collaborators. Nations within a nation: variations in epidemiological transition across the states of India. Lancet. 2017;390(10111):2437-60.
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Copyright (c) 2026 Rahul Kumar, Deepanshi Saxena, Syed Hasan Nawaz Zaidi (Author)
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