Congressional Budget Office: Ten-Year Medicare Spending Projections, Jan. 2010–Aug. 2014 Projected Medicare spending ($ billions) Projected Medicare spending in 2020: As of January 2010: $1,038 billion As of August 2014: $ 826 billion Source: Based on analysis by Chapin White, now of RAND Health, of Congressional Budget Office projections of Medicare outlays, from Budget and Economic Outlook, various vintages. (Presented by Melinda Buntin, Vanderbilt University, to The Commonwealth Fund Board of Directors, July 7, 2014.)