U.S. health care spending surged in 2009, driven in part by a sharp increase in Medicaid spending, the H1N1 virus and the government's subsidization of COBRA premiums.

Health care expenditures outpaced GDP growth in 2009, according to new projections from the Centers for Medicare & Medicaid Services (CMS). Health care spending consumed a record 17.3 percent of the U.S. economy. National health care expenditures reached $2.5 trillion, and grew 5.7 percent, up from 4.4 percent in 2008.

CMS expects the health share of U.S. spending increased from 16.2 percent of GDP in 2008 to 17.3 percent in 2009, which would represent the largest one-year increase in history.

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