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.

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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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* Respondents were asked: Thinking about paying for your healthcare in the future, would you be interested in having 1% of your (and/or your spouses) earnings.

CLOSING THE DIVIDE: HOW MEDICAL HOMES PROMOTE EQUITY IN HEALTH CARE Results from the Commonwealth Fund 2006 Health Care Quality Survey THE COMMONWEALTH.

Exhibit 1. Nearly Two of Five Young Adults Spent Some Time Uninsured in the Past Year Notes: FPL refers to federal poverty level. Numbers may not sum to.

THE COMMONWEALTH FUND Source: McCarthy and Leatherman, Performance Snapshots, Data: National Health Interview Survey (National.

Source: Commonwealth Fund 2006 Health Care Quality Survey. Percent of adults 18–64 with a chronic disease Only One-Third of Patients with Chronic Conditions.

One-Third of Privately Insured Adults Experience Medical Bill or Debt Problems, 2005–2007 * Had problems paying medical bills, contacted by a collection.

Uninsured now 15% 24 million 17% 30 million 18% 32 million 20% 37 million 19% 36 million 16% 29 million Insured now 85% 138 million.

Exhibit 1. Percent of Adults Under Age 65 with a Usual Source of Care, by State, 2012 Percent Data source: 2012 Behavioral Risk Factor Surveillance System.

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.

Figure 1. Uninsured Rates Are Highest Among Hispanics and African Americans, 2005 Percent of adults ages 19–64 Note: Because of rounding, totals above.

Exhibit 1. Only One of Three Small-Firm Workers Was Insured Through Their Employer in 2010 ^ Includes both part-time and full-time workers who are not.

Exhibit ES-1. The Percentage of Young Adults Uninsured Declined over 2010–2012, While Rates Rose in Other Age Groups Note: Totals may not equal sum of.

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.

Figure 1. Younger Women Are Most Likely to Be Uninsured Part-Year MenWomen Source: Analysis of the 2004 Medical Expenditure Panel Survey by S. Glied and.

Exhibit 1. Uninsured Rates Declined Among Whites, Blacks, and Latinos in 2014 Source: The Commonwealth Fund Biennial Health Insurance Surveys (2010, 2012,

Exhibit Million Uninsured Adults Ages 50–64 in 2009, Up by 1.1 Million in Last Year Millions uninsured, adults ages 50–64 Source: Analysis of the.

Exhibit 1. Adults with Marketplace Coverage with Incomes Under 250 Percent of Poverty Paid Monthly Premiums Comparable to Those with Employer Coverage.

More Older Adults in U.S. Have Multiple Chronic Conditions Exhibit 1 * Reported having hypertension or high blood pressure, heart disease, diabetes, lung.

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

Exhibit 1 After Rising Steadily Through 2010, the Number of Uninsured Women in the U.S. Had Fallen by Nearly Half by

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 Insured All Year with Medicaid or Private Coverage Reported Getting Cancer Screening Tests at Significantly Higher Rates Than Adults Uninsured During.

The Income Divide in Health Care:

Adults Insured All Year with Medicaid Coverage Reported Lower Rates of Cost-Related Access Problems Than Adults with Private Coverage and Those Uninsured.

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

Subsidized private insurance

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

Adults Insured All Year with Medicaid Coverage Reported Lower Rates of Medical Bill Problems Than Adults with Private Coverage and Those Uninsured During.

Has a regular source of care

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**

Receipt of Recommended Screening and Preventive Care for Adults

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

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.

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 (%)

Receipt of Recommended Screening and Preventive Care for Adults, by Family Income and Insurance Status, 2002 Percent of adults (ages 18+) who received.

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

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.

Seventy-Five Percent of Uninsured Adults Ages 50–64 Reported a Cost-Related Problem Getting Needed Care Percent of adults ages 50–64 Rtoopf5 rtcsf10 newdebt.

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

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 19–64

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

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

Reasons for Skipping Cancer Screening Tests

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.

Subsidized private insurance

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.

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

Access Problems Because of Cost

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

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.

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.

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

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

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–

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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 or usual place of care; 2) availability of regular provider by phone; 3) patient-centeredness of care; and 4) care coordination. Respondents who scored positive on all four indicators are considered to have access to a medical home. ** Because of small sample size, “Insured now, time uninsured in past year” and “Uninsured now” are combined. Source: The Commonwealth Fund Biennial Health Insurance Survey (2010). Exhibit 1. Low-Income and Uninsured Adults Are Less Likely to Have a Regular Provider and Medical Home Percent of adults ages 19–64 who reported: Poverty statusInsurance status

Exhibit 2. Low-Income and Uninsured Adults Report High Rates of Cost-Related Access Problems Percent of adults ages 19–64 who reported any of four cost-related access problems*: Notes: FPL refers to federal poverty level. Percentages are adjusted for age, sex, race, and health status. * Respondent had at least one of four access problems because of cost: did not fill prescription; skipped recommended test, treatment, or follow-up; had a medical problem, did not visit doctor/clinic; and did not get needed specialist care. ** Because of small sample size, “Insured now, time uninsured in past year” and “Uninsured now” are combined. ^ Significant difference compared with income at or above 200% FPL (p <0.05 or better). ^^ Significant difference compared with insured all year (p <0.05 or better). Source: The Commonwealth Fund Biennial Health Insurance Survey (2010). Poverty statusInsurance status

Notes: FPL refers to federal poverty level. Percentages are adjusted for age, sex, race, and health status. * Pap test in past year for females ages 19–29, past three years age 30+; colon cancer screening in past five years for adults ages 50–64; mammogram in past two years for females ages 50–64; blood pressure checked in past year; cholesterol checked in past five years (in past year if has hypertension or heart disease). ** Because of small sample size, “Insured now, time uninsured in past year” and “Uninsured now” are combined. ^ Significant difference compared with income at or above 200% FPL (p <0.05 or better). ^^ Significant difference compared with insured all year (p <0.05 or better). Source: The Commonwealth Fund Biennial Health Insurance Survey (2010). Exhibit 3. Low-Income and Uninsured Adults Are Less Likely to be Up-to-Date with Preventive Care Percent of adults ages 19–64 who reported receiving preventive care screenings*: Poverty statusInsurance status

Exhibit 4. Low-Income and Uninsured Adults Are Less Likely to Rate the Quality of Their Care as Excellent or Very Good Percent of adults ages 19–64 who rated the quality of their care as excellent or very good*: Notes: FPL refers to federal poverty level. Percentages are adjusted for age, sex, race, and health status. * Respondent rated the quality of care received in the past 12 months as excellent/very good. ** Because of small sample size, “Insured now, time uninsured in past year” and “Uninsured now” are combined. ^ Significant difference compared with income at or above 200% FPL (p <0.05 or better). ^^ Significant difference compared with insured all year (p <0.05 or better). Source: The Commonwealth Fund Biennial Health Insurance Survey (2010). Poverty statusInsurance status

Exhibit 5. When Low-Income Adults Have a Medical Home and Insurance, Their Rates of Having Cost-Related Access Problems Decline Notes: FPL refers to federal poverty level. Percentages are adjusted for age, sex, race, and health status. * Respondent had at least one of four access problems because of cost: did not fill prescription; skipped recommended test, treatment, or follow-up; had a medical problem, did not visit doctor/clinic; and did not get needed specialist care. ** Because of small sample size, “Insured now, time uninsured in past year” and “Uninsured now” are combined. ^ Significant difference compared with insured all year with medical home (p <0.05 or better). Source: The Commonwealth Fund Biennial Health Insurance Survey (2010). Percent of adults ages 19–64 with income below 200 percent FPL who reported at least one of four cost-related access problems*:

Notes: FPL refers to federal poverty level. Percentages are adjusted for age, sex, race, and health status. * Pap test in past year for females ages 19–29, past three years age 30+; colon cancer screening in past five years for adults ages 50–64; mammogram in past two years for females ages 50–64; blood pressure checked in past year; cholesterol checked in past five years (in past year if has hypertension or heart disease). ** Because of small sample size, “Insured now, time uninsured in past year” and “Uninsured now” are combined. ^ Significant difference compared with insured all year with medical home (p <0.05 or better). Source: The Commonwealth Fund Biennial Health Insurance Survey (2010). Exhibit 6. When Low-Income Adults Have a Medical Home and Insurance, Their Rates of Getting Preventive Care Improve Percent of adults ages 19–64 with income below 200 percent FPL who reported receiving preventive care screenings*:

Exhibit 7. When Low-Income Adults Have a Medical Home and Insurance, Their Rating of Quality of Care Improves Percent of adults ages 19–64 with income below 200 percent FPL who rated the quality of their care as excellent or very good*: Notes: FPL refers to federal poverty level. Percentages are adjusted for age, sex, race, and health status. * Respondent rated the quality of care received in the past 12 months as excellent/very good. ** Because of small sample size, “Insured now, time uninsured in past year” and “Uninsured now” are combined. ^ Significant difference compared with insured all year with medical home (p <0.05 or better). Source: The Commonwealth Fund Biennial Health Insurance Survey (2010).