Uninsured and Underinsured Adults with Chronic Conditions Are More Likely to Visit the ER for Their Conditions Percent of adults ages 19–64 with at least.

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THE COMMONWEALTH FUND Rising Health Care Costs: Implications for the Health and Financial Security of U.S. Families Sara R. Collins, Ph.D. Assistant Vice.

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Note: FPL refers to federal poverty level. * A composite of the following four indicators measures access to a medical home: 1) having a regular doctor.

Exhibit 1. Continuously insured adults with private coverage or Medicaid rated the quality of their health care as excellent or very good at higher rates.

THE COMMONWEALTH FUND 1 Figure 1. We Can’t Continue on Our Current Path: Growth in the Uninsured Data: Analysis of the U.S. Census Bureau, Current Population.

Exhibit 1. Two of Five Insured Adults with Incomes Below the Federal Poverty Level Spent 5 Percent or More of Their Income on Medical Out-of-Pocket Costs.

Insured Women Are More Likely to Receive Cancer Screenings Than Uninsured Women, 2016 Percent of women Notes: “Continuously insured” refers to adults.

Insured Women Are More Likely to Have a Regular Source of Care and Receive Preventive Services Percent of women ages 19–64 Notes: “Continuously insured”

Has a regular source of care

Adults with Medical Bill Problems Had Lingering Financial Problems

More Than One-Quarter of Insured Adults Were Underinsured in 2016

Chronic Disease Under Control: Diabetes and Hypertension

Nearly a Quarter of Underinsured Adults with Health Problems Skimped on Medications or Got Care in a Hospital or Emergency Department Percent adults ages.

More Than One-Quarter of Insured Adults Were Underinsured in 2016

Uninsured Adults and Those with Coverage Gaps Reported Medical Bill Problems at Higher Rates Than Did Those Continuously Insured, 2016 Percent of adults.

Uninsured Adults and Those with Coverage Gaps Reported Cost-Related Access Problems at Higher Rates Than Did Those Continuously Insured Percent of adults.

Fair/poor health status or any chronic condition**

Adults ages 19– Uninsured now 15%

Fewer Women Say They Are Not Getting Needed Care Because of Costs

Across Income Groups, Increasing Numbers of U. S

Women in the U.S. Report Highest Rates of Not Getting Needed Care Because of Cost Percent of women ages 19–64 who experienced any access problem because.

Percent adults ages 19–64 insured all year who were underinsured*

The ACA’s Individual Market Reforms and Subsidies Have Made It Easier for People to Buy Health Plans on Their Own Total Health problem**

Adults in California and New York Reported Lower Rates of Cost-Related Access Problems Than Those in Florida and Texas Percent of adults ages 19–64 U.S.

Uninsured Adults Are Less Likely to Receive Cancer Screenings, 2016

Exhibit 1 The Number of Uninsured Adults Dropped to 23 Million in 2016, Down from 37 Million in 2010 Adults ages 19–

Percent of adults ages 19–64

Insured all year Total (%) Number (in millions) Uninsured anytime (%)

Percent adults ages 19–64 with a health problem or condition^

Percent of adults ages 19– In the past 12 months:

Deductibles Have Become a Growing Factor in Underinsurance Rates

Percent of women ages 19–64 Total <133% FPL 133%–249% FPL

High Chronic Disease Burden Among U.S. Women

Two of Five Insured Adults with Incomes Below the Federal Poverty Level Spent 5 Percent or More of Their Income on Medical Out-of-Pocket Costs Percent.

An Estimated 116 Million Adults Were Uninsured, Underinsured, Reported a Medical Bill Problem, and/or Did Not Access Needed Health Care Because of Cost,

Women Are More Likely to Have Access Problems and Medical Bill Problems in Past Year, 2007 Percent of adults ages 19–64 reporting the following problems.

Percent of adults ages 19–64

Adults Ages 19–64 Who Are Uninsured and Underinsured, By Poverty Status, 2007 *Underinsured defined as insured all year but experienced one of the following:

Since the ACA, Fewer Adults Are Uninsured, but More Are Underinsured

Percent of adults ages 19–

Percent of adults ages 19–64* Total <133% FPL 133%–249% FPL

Medical Bill Problems and Accrued Medical Debt, 2005–2007

16 Million Adults Under Age 65 Were Underinsured in 2005

Percent of adults ages 19–64 with at least one chronic condition*

Adequately insured 48% Uninsured anytime 15% Uninsured anytime 36%

Inadequate Coverage Is Associated with More Cost-Related Problems Getting Needed Care Percent of adults ages 19–64 who had any of four access problems.

25 Million Adults Underinsured in 2007, Up from 16 Million in 2003

How Well Does Insurance Coverage Protect Consumers from Health Care Costs? Findings from the Commonwealth Fund Biennial Health Insurance Survey, 2016 Sara.

Cost-Related Access Problems and Medical Bill Problems Are Significantly Higher Among Latinos Uninsured During the Year Percent Latino adults ages

Uninsured Adults with Low and Moderate Incomes Are Less Likely to Be Up to Date with Recommended Preventive Tests Percent of adults ages 19–64, income.

Self-Rated Health Status, by Type of Health Plan

Adults ages 19–64 with individual coverage

Two of Five Adults Uninsured or Underinsured 25 Million Underinsured 60 Percent Increase in Underinsured from 2003 to 2007 Percent of adults (ages 19–64)

Adults Ages 19–64 Who Are Uninsured and Underinsured, by Poverty Status, 2003 *Underinsured defined as insured all year but experienced one of the following:

Percent of adults ages 19–64 Total <200% FPL 200% FPL or more

The Number of Underinsured Adults Under Age 65 Rose to 25 Million in 2007, Up from 16 Million in 2003 Percent of adults ages 19– Total.

Percent of adults (ages 19–64)

Problems with Medical Bills or Accrued Medical Debt Increased, 2005–2007 Percent of adults ages 19–64 with medical bill problems or accrued medical debt.

Uninsured during the year

Uninsured and Underinsured Adults with Chronic Conditions Are More Likely to Visit the ER for Their Conditions Percent of adults ages 19–64 with at least.

Adults with Health Problems Who Have an Excellent Patient Experience Are Most Likely to Be Well-Informed About Their Prescription Medications Percent of.

Percent of adults ages 19–64 who had any of four access problems

Medical Bill Problems and Accrued Medical Debt, 2005–2007

Chronic Disease Under Control: Managed Care Plan Distribution, 2006

Insured now, time uninsured during year

Percent of adults ages 19–64

When Low-Income Adults Have a Medical Home and Insurance, Their Rates of Having Cost-Related Access Problems Decline Percent of adults ages 19–64 with.

Percent of adults (ages 19–64)

Percent adults insured all year ages 19–64 who were underinsured*

The Number of Adults Reporting Not Getting Needed Care Because of Cost Declined in 2014 for the First Time Since 2003 Percent of adults ages 19–

Adults ages 19–64 who were uninsured

Presentation transcript:

Uninsured and Underinsured Adults with Chronic Conditions Are More Likely to Visit the ER for Their Conditions Percent of adults ages 19–64 with at least one chronic condition* Q59 where q58=1 (takes rx meds regularly), q57 *see output * Hypertension, high blood pressure; heart disease; diabetes; asthma, emphysema, or lung disease. ** Adults with at least one chronic condition who take prescription medications on a regular basis. Data: The Commonwealth Fund Biennial Health Insurance Survey (2007). Source: S. R. Collins, J. L. Kriss, M. M. Doty and S. D. Rustgi, Losing Ground: How the Loss of Adequate Health Insurance Is Burdening Working Families, The Commonwealth Fund, August 2008.