OOPE are expenditures households make directly at the point of receiving healthcare. “This indicates the extent of financial protection available for households towards healthcare payments,” states the report.

Private health insurance expenditure also increased to Rs 81,012 crore (9.19 per cent of THE) in 2022-23 from Rs 66,975 crore (7.40 per cent of THE) in 2021-22.

While OOPE increased sharply during fiscal year 2022-23, THE, which includes current and capital expenditures incurred by government and private sources, including external funds, declined. THE declined by 2.5 per cent to Rs 8,81,359 crore in 2022-23 from Rs 9,04,461 crore in 2021-22.

Per capita THE, too, came down to Rs 6,373 from Rs 6,602 during this period. THE as a share of Gross Domestic Product (GDP) also came down to 3.3 per cent in 2022-23 from 3.8 per cent in 2021-22.

THE constitutes current and capital expenditures incurred by government and private Sources, including external/donor funds. Current health expenditure (CHE) is Rs 7,66,814 crore (87 per cent of THE), and capital expenditures are Rs 1,14,545 crore (13.00 per cent of THE), according to the report.

Capital expenditures are reported for government and other sources (Union government: Rs 50,024 crore, state governments: Rs 62,146 crore, corporations: Rs 903 crore, rest of the world: Rs 1,472 crore), the report states.

As per the report, government health expenditure (GHE) dropped by 11 per cent to Rs 3,85,332 crore from Rs 4,34,163 crore in the fiscal year 2021-22. The Union government’s share in the GHE was about 36.3 per cent, while the share of state governments was estimated to be 63.7 per cent during 2022-23.

The Union government’s share in GHE came down while that of the state governments increased. In 2021-22, the Union government’s share in the GHE was about 41.8 per cent while the share of state governments was about 58.2 per cent.