{
  "name": "health-spending-macro-mcp",
  "title": "HealthMesh · Health Spending Macro (NHE, Medicare Trustees, BEA Satellite Account) MCP",
  "version": "0.1.1",
  "description": "US health spending at the macro level: CMS National Health Expenditure Accounts (historical 1960-2024 by type of service and source of funds, with per capita and share of GDP), CMS NHE projections 2025-2034, state health expenditures by state of residence 1991-2020, the 2026 Medicare Trustees Report (HI trust fund ratio and depletion year, cost rates, Medicare spending as % of GDP under low/intermediate/high assumptions), and the BEA Health Care Satellite Account (spending, treated episodes, cost per case and price indexes by disease, 2000-2021).",
  "healthmesh_domain": "Health Spending & Economics",
  "datasets": [
    "SPEND-01",
    "SPEND-05",
    "SPEND-06"
  ],
  "mcp_endpoint": "https://health-spending-macro.healthmesh.ai/mcp",
  "transport": "Streamable HTTP (stateless, JSON responses)",
  "authorization": "none",
  "auth_mode": "off",
  "docs": "https://github.com/HendrikK/healthmesh/tree/main/servers/health-spending-macro-mcp#readme",
  "contact": "hendrik.kleine@gmail.com",
  "data_source": {
    "name": "CMS National Health Expenditure Accounts (historical, projections, state of residence) + 2026 Medicare Trustees Report supplementary tables + BEA Health Care Satellite Account (bundled)",
    "url": "https://www.cms.gov/data-research/statistics-trends-and-reports/national-health-expenditure-data",
    "license": "U.S. Government work (public)",
    "refresh": "Bundled; weekly GitHub Actions check for new NHE, projection, Trustees Report and BEA releases"
  },
  "tools": [
    {
      "name": "nhe_get_spending",
      "title": "NHE historical spending",
      "description": "Returns CMS National Health Expenditure (NHE) historical amounts for one type of service and one source of funds (payer), 1960-2024: amount (USD millions and billions), per capita (amount / NHE population), share of GDP, share of total NHE and annual growth. Services: total, health_consumption, personal_health_care, hospital, physician_clinical, dental, other_professional, home_health, nursing_care, other_health_residential_personal, prescription_drugs (retail), other_nondurable, durable_medical_equipment, admin_and_net_cost_insurance, public_health, research, structures_equipment. Payers: total, out_of_pocket, health_insurance, private_health_insurance, medicare, medicaid (+ medicaid_federal / medicaid_state_local), chip, department_of_defense, veterans_affairs, other_third_party and its programs. With 'state': CMS health expenditures by state of residence (personal health care only, 1991-2020; payer all, medicare, medicaid or private_health_insurance) with per capita / per enrollee."
    },
    {
      "name": "nhe_get_projection",
      "title": "NHE projections",
      "description": "Returns CMS Office of the Actuary NHE projections (2025-2034, released June 2026) for one type of service and source of funds, with the last historical years for context: amount (billions), annual growth, average annual growth over the projection window, and for total NHE the projected share of GDP and per capita. Payers in the projection file: total, out_of_pocket, health_insurance, private_health_insurance, medicare, medicaid, other_health_insurance (CHIP, DoD, VA combined), other_third_party, public_health_activity, investment."
    },
    {
      "name": "trustees_get_projection",
      "title": "Medicare Trustees Report projections",
      "description": "Returns 2026 Medicare Trustees Report figures (actual data through 2025, projections to 2100): hi_depletion_year (HI trust fund depletion year with quote), hi_trust_fund_ratio (beginning-of-year reserves as % of annual cost), hi_cost_rate (HI cost and income rates as % of taxable payroll), total_expenditures_pct_gdp (Part A/B/D/total incurred expenditures as % of GDP), smi_expenditures (Part B + D incurred, USD millions), total_expenditures (total Medicare income, expenditures and assets, to 2035), enrollment (Part A/B/D millions), hi_operations (HI trust fund income and outgo, to 2035). Assumptions: intermediate (default); low_cost and high_cost for the HI depletion, ratio and cost rate; illustrative_alternative for % GDP / SMI."
    },
    {
      "name": "bea_get_disease_spending",
      "title": "BEA Health Care Satellite Account by disease",
      "description": "Returns BEA Health Care Satellite Account (Blended Account, net of drug rebates) spending by disease, 2000-2021. level=chapter (default): the 18 CCS disease chapters plus totals (spending in billions, price index 2017=100, real spending in chained 2017 dollars, per capita) - cases and cost_per_case at chapter level are summed from the detailed file. level=condition: ~260 CCS conditions and 60 AHRQ condition groups from Blended Detailed Diseases (spending, treated episodes, cost per case, per capita, medical-care expenditure and prevalence indexes, MEPS volatility flag). Omit disease_category at chapter level to list all chapters for one year."
    },
    {
      "name": "spending_describe_dataset",
      "title": "Describe health spending datasets",
      "description": "Lists the bundled datasets (NHE historical, NHE projections, state health expenditures, 2026 Medicare Trustees Report, BEA Health Care Satellite Account), their coverage, the available service and payer names, and refresh schedule."
    }
  ]
}