Health Centers Are Expanding Access to Care and the Timeliness of Care

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THE COMMONWEALTH FUND Source: KFF/HRET Survey of Employer-Sponsored Health Benefits: * Estimate is statistically different from the previous year.

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Has a regular source of care

Overall Ranking Country Rankings 1.00– – –7.00 AUS CAN

Overall, how satisfied are you with your health insurance?

Across all coverage sources, some adults plan to drop insurance after mandate repeal The tax bill passed by Congress in December 2017 made a change to.

Primary care physicians visited chiefly by black patients were more likely to report they were unable to provide high-quality care to all their patients.

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

Across Income Groups, Increasing Numbers of U. S

Agreement with Statements About Health Plan: Percent Reporting That They Strongly or Somewhat Agree, by Type of Health Plan Percent of privately insured.

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.

Premiums Rising Faster Than Inflation and Wages

Percent of FQHCs reporting they can easily obtain the following:

Net Impact of Insurance Exchange Options on Federal Budget and National Health Expenditures, 2010–2020 Option 1 Public Plan at Medicare Rates Option.

QUALITY: PATIENT-CENTERED, TIMELY CARE

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:

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

Nearly One of Three Opinion Leaders Familiar with Culture Change Believe It Has Been Effective in Improving the Quality of Care in Nursing Homes “How.

High Chronic Disease Burden Among U.S. Women

High-Need Adults Are More Likely to Be Socially Isolated

Only 28% of U.S. Primary Care Physicians Have Electronic Medical Records; Only 19% Advanced IT Capacity, 2006 Percent reporting 7 or more out of 14 functions*

Student loan support to strengthen the health care workforce:

ACCESS: AFFORDABLE CARE

Post-Reform Role of Traditional Safety-Net Providers

Health Information Systems: Functional Capacity

Percent reporting that it is very difficult/difficult:

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

More Than One-Third of Women in the U. S. Skip Care Because of Cost vs

Seniors with Activities of Daily Living Needs

Percent of Individuals Reporting That They Strongly or Somewhat Agree That Health Plan is Easy to Understand, by Type of Health Plan, 2005–2006 Percent.

MHQP’s Performance Reporting for Quality Improvement

Reducing Medicare Advantage Payments to Match Costs in Local Areas

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.

Adults ages 19–64 with either marketplace or employer coverage

Adults with Health Problems Who Have an Excellent Patient Experience Report Greater Support to Help Manage Their Health Condition Percent of adults 18–64.

Despite Much Greater Health Care Spending, High-Need Adults Reported More Unmet Needs and Mixed Care Experiences Total adult population Three or more chronic.

Resources Used for Health Information, by Type of Health Plan

How easy or difficult was it to find…?

Percent of Individuals Extremely or Very Likely to Recommend Health Plan to Friend or Co-Worker, by Type of Health Plan, 2005–2006 Percent of privately.

Medical Bill Problems or Medical Debt

Only minor changes needed Fundamental changes needed

Percent of privately insured adults 21–64

Medicare Has Had Limited Impact Changing the Health System

Percent of Individuals Extremely or Very Satisfied with Health Plan, by Type of Health Plan, 2005–2006 Percent of privately insured adults 21–64 extremely/very.

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

QUALITY: EFFECTIVE CARE

Base: Adults with any chronic condition

Among those with Internet access, percent reporting ability to:

Health Centers in Medicaid Expansion States Were More Likely to Report Improvements in Capacity and Financial Stability Since the ACA * Statistically significantly.

Consumers and Families Need Assistance in Making Informed Choices About Long-Term Care “How effective do you think each of the following strategies would.

Percent of respondents *

Health Centers in Medicaid Expansion States Were More Likely to Address Behavioral Health Needs of Patients Health center usually or often offers the following.

African Americans and Hispanics Are More Likely to Lack a Regular Provider or Source of Care; Hispanics Are Least Likely to Have a Medical Home Percent.

Total current marketplace and Medicaid enrollees* ages 19–64

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

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.

Patient Engagement in Care Management for Chronic Condition, by Medical Home Percent reporting positive patient engagement in managing chronic condition*

Familiarity with Consumer-Driven Health Plans, 2006

Health Centers in Medicaid Expansion States Were More Likely to Report Participation in Value-Based Payment Arrangements * Statistically significantly.

Patient Safety and Quality Improvement Act Judged Insufficient

Percentage of Individuals Covered by Employment-Based Health Benefits With a Choice of Health Plan, by Type of Health Plan, 2005–2007 Comprehensive =

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.

Distribution of responses to the knowledge questions.

Two-Year Waiting Period for Medicare Coverage for Disabled Adults

Surgical Infection Prevention, 2006

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–

Presentation transcript:

Health Centers Are Expanding Access to Care and the Timeliness of Care Percent of health centers reporting . . . * Statistically significant difference compared to 2013 (p<.05). Data: Commonwealth Fund 2013 and 2018 National Surveys of Federally Qualified Health Centers. Corinne Lewis et al., Changes at Community Health Centers, and How Patients Are Benefiting: Results from the Commonwealth Fund National Survey of Federally Qualified Health Centers, 2013–2018 (Commonwealth Fund, Aug. 2019).

Health Centers Are Expanding Language Access Percent of health centers reporting . . . * Statistically significant difference compared to 2013 (p<.05). Data: Commonwealth Fund 2013 and 2018 National Surveys of Federally Qualified Health Centers. Corinne Lewis et al., Changes at Community Health Centers, and How Patients Are Benefiting: Results from the Commonwealth Fund National Survey of Federally Qualified Health Centers, 2013–2018 (Commonwealth Fund, Aug. 2019).

Health Centers Are Leveraging Technology to Improve Care Percent of health centers reporting . . . * Statistically significant difference compared to 2013 (p<.05). Data: Commonwealth Fund 2013 and 2018 National Surveys of Federally Qualified Health Centers. Corinne Lewis et al., Changes at Community Health Centers, and How Patients Are Benefiting: Results from the Commonwealth Fund National Survey of Federally Qualified Health Centers, 2013–2018 (Commonwealth Fund, Aug. 2019).

Health Centers Increasingly Participate in Innovative Models of Care Percent of health centers reporting . . . * Statistically significant difference compared to 2013 (p<.05). Data: Commonwealth Fund 2013 and 2018 National Surveys of Federally Qualified Health Centers. Corinne Lewis et al., Changes at Community Health Centers, and How Patients Are Benefiting: Results from the Commonwealth Fund National Survey of Federally Qualified Health Centers, 2013–2018 (Commonwealth Fund, Aug. 2019).

Despite Progress, Health Centers Increasingly Face Staffing Shortages Percent of health centers reporting budgeted, unfilled positions for . . . * Statistically significant difference compared to 2013 (p<.05). Data: Commonwealth Fund 2013 and 2018 National Surveys of Federally Qualified Health Centers. Corinne Lewis et al., Changes at Community Health Centers, and How Patients Are Benefiting: Results from the Commonwealth Fund National Survey of Federally Qualified Health Centers, 2013–2018 (Commonwealth Fund, Aug. 2019).

Health Centers Anticipate Several Challenges over the Next Two Years Percent of health centers reporting anticipated challenges over the next two years. . . Data: Commonwealth Fund 2018 National Survey of Federally Qualified Health Centers. Corinne Lewis et al., Changes at Community Health Centers, and How Patients Are Benefiting: Results from the Commonwealth Fund National Survey of Federally Qualified Health Centers, 2013–2018 (Commonwealth Fund, Aug. 2019).