Call it a case of good news, bad news and worse news.

The number of uninsured is expected to fall by almost half in a decade, from 45 million two years ago to roughly 23 million by 2023. That prediction comes from the Centers for Medicare and Medicaid Services Office of the Actuary's latest report.

And while the office's annual National Health Expenditure Report also showed slowed health spending growth last year – the fifth straight year below 4 percent – the agency expects this year's spending to blow past that at a 5.6 percent clip. Blame it on the 9 million or so more insureds.

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