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.

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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.

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Percent of adults ages 19–64 Figure ES-1. High Out-of-Pocket Spending Climbs Across Income Groups, 2001–2007 Spent 5% or more of income annually on out-of-pocket.

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”

Adults with Medical Bill Problems Had Lingering Financial Problems

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

Subsidized private insurance

Medicare Household Spending Non-Medicare Household Spending

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

Exhibit 1 Medicare Beneficiaries Spending 20 Percent or More of Income on Premiums and Care, by Poverty Level Percent of Medicare beneficiaries Note: FPL.

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

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.

There Has Been a Modest Reduction in Reports of Medical Bill Problems by Women Percent of women ages 19–64 who reported any of following bill or medical.

Reduction Across States in Percentage of People Under Age 65 Who Spent a Large Share of Income on Medical Care Relative to Income 2013– –16 10%–11%

Underinsured Rates by Source of Coverage

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**

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

Change in Health System Performance, by Access Indicator, 2013–2016

State Uninsured Rates by Poverty and Firm Size

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*

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.

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.

Distribution of Uninsured or Underinsured by Poverty, 2012

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

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.

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

The Number of Adults Without Insurance, Forgoing Health Care Because of Cost, and Paying Large Shares of Their Income on Health Care Has Increased, 2001–2010.

Women in Switzerland and the U.S. Report Very High Out-of-Pocket Costs

One-Quarter of Women in the U. S

Deductibles Have Become a Growing Factor in Underinsurance Rates

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

Underinsured Rates Among Adults Who Were Insured All Year by Source of Coverage at the Time of the Survey Percent adults insured all year ages 19–64 who.

Inadequate Coverage Is Associated with More Problems Paying Medical Bills Percent of adults ages 19–64 who had medical bill or debt problems in past year*

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.

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

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

16 Million Adults Under Age 65 Were Underinsured in 2005

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

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.

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

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

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.

Medical Bill Problems or Medical Debt

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:

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

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.

Under the health reform law, many provisions will make it easier for young adults to remain covered after they graduate. Do you think this is a major improvement.

Uninsured young adults = 13.2 million

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.

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.

Households with employer coverage can spend thousands of dollars on premiums and out-of-pocket costs. Distribution of spending on premiums and out-of-pocket.

Percent of adults ages 19–64

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.

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

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

Percent of adults ages 19–64 insured all year 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–

Uninsured young adults ages 19–29 Federal Poverty Level Percent

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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 of women ages 19–64 who spent 10% or more of household income annually on out-of-pocket costs and premiums* Note: FPL refers to Federal Poverty Level. * Base: Women who specified income level and private insurance premium/out-of-pocket costs for combined individual/family medical expenses. Source: The Commonwealth Fund Biennial Health Insurance Surveys (2001 and 2010).