Scorecard Performance Among Lower- and Higher-Income Local Areas: Low-Income Communities Tend to Rank Lower Overall Performance Access & Affordability.

Slides:

Advertisements

Similar presentations

Geographic Variation in Health System Performance: Findings from

Advertisements

Exhibit 1. Low-Income Adults Have Higher Rates of Being Uninsured for Long Periods of Time * Combines Insured now, time uninsured in past year and Uninsured.

Taconic Health Information Network and Community w w w. t h I n c. o r g Albany White Plains Ridgewood, NJ Hartford, CT New Haven, CT Bridgeport, CT Commonwealth.

Uninsured On The Rise What The 2011 Colorado Health Access Survey Tells Us About Vulnerable Coloradans March 7, 2012 CHI/AHEC Conversation Series.

Health Care Coverage and Access for Men, JAMA, June 23, 2015.

Chapter 10. Lorenz Curve and Gini Coefficient Measure distribution of thing your interested in. E.g.   Share of largest firms in an oligopolistic industry,

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.

Economic Policy Institute Most gains in life expectancy have gone to high earners, The State of Working America. Washington, D.C.: Economic Policy.

Measure distribution of thing your interested in. E.g.  Share of largest firms in an oligopolistic industry, e.g share of top eight, sixteen etc  distribution.

Exhibit 1. More Adults Who Visited the Marketplaces Found It Easy to Compare Benefits and Costs of Plans; Few Found It Easy to Compare Plans by Providers.

Top quintile (61 local areas) Second quintile (61) Third quintile (63) Fourth quintile (61) Overall performance, 2016 Bottom quintile (60) Source: Commonwealth.

Exhibit 1 After The End of the Affordable Care Act’s Third Open Enrollment Period, the Percentage of Uninsured U.S. Adults Was 12.7 Percent Percent of.

David Radley and Cathy Schoen

Subsidized private insurance

The Massachusetts mandate

Lower-Income Adults with Marketplace Plans More Likely to View Their Premiums as Affordable Than Adults with Higher Incomes How easy or difficult is it.

Percent of adults ages 19–64 with single policies

Resident population below 200% FPL

ENVIRONMENTAL HEALTH AND POVERTY.

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

SCC Student Household Income Level (Fall 2012 to Fall 2016)

Fair/poor health status or any chronic condition**

Percent of uninsured adults ages 19–64 Income level Race Age Firm size

Paid less than $125 Percent of adults ages 19–64 with single policies

Overall, how satisfied are you with your health insurance?

Ratings of the Overall Marketplace Shopping Experience Were Higher Among Those Who Enrolled Compared to Those Who Did Not Enroll Overall, how would you.

Across Income Groups, Increasing Numbers of U. S

Exhibit 1 Three of Five Adults with Marketplace or Medicaid Coverage Who Had Used Their Plan Said They Would Not Have Been Able to Access or Afford This.

Percent adults ages 19–64 who pay all or some of premium

Four of Five Adults with New Coverage Said They Were Very or Somewhat Optimistic That Their New Coverage Would Improve Their Ability to Get the Care.

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

Distribution of 8.6 Million Uninsured Adults Ages 50–64 by Federal Poverty Level and Provisions of the Affordable Care Act Uninsured adults ages 50–64.

Media teleconference: March 15, 2017

QUALITY: COORDINATED CARE

Percentage-point reduction in uninsured adults between 2012 and 2014

Adults with marketplace plans or Medicaid express the least confidence in being able to keep their coverage in the future. You said you currently have.

Public Awareness PRC Results

Deductibles Have Become a Growing Factor in Underinsurance Rates

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

Access New Jersey Ranking: 42

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.

Fewer Than Half of Adults Said It Was Easy to Find an Affordable Plan

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

Percent of Population Uninsured Under the Affordable Care Act and Governor Romney’s Plan Compared with Baseline by Poverty, 2022 Percent of nonelderly.

About Three of Five Privately Insured Adults with Low Incomes Reported That It Was Difficult or Impossible to Afford Their Deductible How easy or difficult.

Seven of 10 Adults with Marketplace Plans Rate Their Coverage as Excellent, Very Good, or Good Now thinking about (your current health insurance coverage/

Subsidized private insurance

Medicaid <133% FPL 26 million

More Adults with Lower Incomes Found It Easy to Find an Affordable Plan Than Did Adults with Higher Incomes How easy or difficult was it to find a plan.

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.

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)

How the Affordable Care Act Has Improved Americans’ Ability to Buy Health Insurance on Their Own Findings from the Commonwealth Fund Biennial Health Insurance.

Employer-Sponsored Insurance and Medicare Spending per Enrollee, Relative to U.S Median Spending for Each Population, 2014 Per-Enrollee Spending: Employer-Sponsored.

Overall, how satisfied are you with this new health insurance?

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

QUALITY: EFFECTIVE CARE

Uninsured young adults = 13.2 million

Premium tax credits have made the cost of marketplace plans similar to employer plans for low-income adults, but adults with higher incomes pay more Percent.

Exhibit ES-1. Overall Ranking

Premium Affordability: Insurance-Related Premium Subsidies

Larger Shares of Adults with Marketplace Coverage Have Plans with High Deductibles Compared to Those with Employer Plans No deductible Less than $1,000.

Our Community Where is …?.

The Share of Women Spending 10 Percent or More of Their Income on Health Care Climbed over the Past Decade, Especially for Women with Low Incomes Percent.

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.

Under the Affordable Care Act, Young Adults Will Benefit from Newly Subsidized Sources of Health Insurance Percent of young adults ages 19–29 Total

Surgical Infection Prevention, 2006

QUALITY: SAFE CARE Prescription of Potentially Unsafe Medications Among Elderly Beneficiaries, by Hospital Referral Regions, 2007 Percent of elderly Medicare.

Changes in Family Income, U. S

SCC Student Household Income Level (Fall 2011 to Fall 2015)

Uninsured young adults ages 19–29 Federal Poverty Level Percent

Presentation transcript:

Scorecard Performance Among Lower- and Higher-Income Local Areas: Low-Income Communities Tend to Rank Lower Overall Performance Access & Affordability Prevention & Treatment Avoidable Use & Cost Healthy Lives Higher-income Lower-income Lower- income Lower- income Top performance quintile Middle performance quintile Bottom performance quintile Note: Lower-income local areas are defined as those hospital referral regions (HRRs) where 40% or more of residents live in households with incomes below 200% of the Federal Poverty Level (FPL). Higher-income local areas are defined as those HRRs where fewer than 30% of residents live in households with incomes below 200% FPL. Quintile delineations are are based on overall Scorecard performance. Source: Commonwealth Fund Scorecard on Local Health System Performance, 2016 Edition.