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<h1 class="page__title title" id="page-title">Chartbook on Access to Health Care</h1> <h2>Health Insurance</h2>
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</div>
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<div class="field field-name-ahrq-generic-body field-type-text-long field-label-hidden"><div class="field-items"><div class="field-item even"><ul>
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<li>Health insurance facilitates entry into the health care system. Uninsured people are less likely to receive medical care and more likely to have poor health status (Healthy People 2020). </li>
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<li>Public health insurance—includes Medicaid, Children's Health Insurance Program (CHIP), State-sponsored or other government-sponsored health plans, Medicare, and military plans. </li>
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<li>A small number of people were covered by both public and private plans and were included in both categories.</li>
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</ul>
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<h3>Health Insurance Measures</h3>
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<ul>
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<li>Adults ages 18-64 who were uninsured at the time of interview, 2000-2014 (January-June).</li>
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<li>People without health insurance coverage at the time of interview, by age, 2010-2014 (January-June).</li>
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<li>Adults ages 18-64 who were uninsured at the time of interview, by race/ethnicity, January 2010-June 2014.</li>
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<li>Adults ages 18-64 without health insurance at the time of interview, by region, January-June 2014.</li>
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<li>Adults ages 18-64 with private health insurance coverage, by age, January 2010-June 2014.</li>
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</ul>
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<h4>Trends in Percentage of Uninsured Adults</h4>
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<p><strong>Adults ages 18-64 who were uninsured at the time of interview, 2000-2014 (January-June) </strong></p>
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<p><img alt="Line graph showing trend percentage of uninsured adults, from 18.7% in 2000 to a peak of 22.3% in 2010 and declining to 15.6% in the second quarter of 2014. The chart notes first Affordable Care Act effects in 2010 and marketplace enrollment in 2013." src="access-fig4.jpg"></p>
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<p><strong>Data Source:</strong> Centers for Disease Control and Prevention, National Center for Health Statistics, National Health Interview Survey, 2000-2014, Family Core Component.<br><br />
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<strong>Note:</strong> For this measure, lower rates are better. Data only available for 2014 quarters 1 and 2.</p>
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<p><strong>Trends:</strong></p>
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<ul>
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<li>From 2000 to 2010, the percentage of adults ages 18-64 who reported they were without health insurance coverage at the time of interview increased from 18.7% to 22.3%.</li>
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<li>From 2010 to 2013, the percentage without health insurance decreased from 22.3% to 20.4%. During the first half of 2014, the percentage without health insurance decreased to 15.6%.</li>
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</ul>
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<h4>Trends in Percentage of Uninsured People Ages 0-64</h4>
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<p><strong>People without health insurance coverage at the time of interview, by age, 2010-2014 (January-June) </strong></p>
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<p><img alt="Line graph showing trends in percentage of uninsured adults ages 0-17, 18-29, and 30-64 from 2010 quarter 1 to 2014 quarter 2. For children ages 0-17, the percentage uninsured was 7.4 % in 2010 quarter 1 and 5.6% in 2014 quarter 2. For adults ages 18-29, the percentage was 30.6% in 2010 quarter 1 and 19.8% in 2014 quarter 2. For adults ages 30-64, the percentage was 18.2% in 2010 quarter 1 and 14.1% in 2014 quarter 2." src="access-fig5.jpg"></p>
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<p><strong>Key: </strong>Q = quarter.<br><br />
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<strong>Data Source: </strong>Centers for Disease Control and Prevention, National Center for Health Statistics, National Health Interview Survey, 2010-2014, Family Core Component.<br><br />
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<strong>Note: </strong>For this measure, lower rates are better. Data only available for 2014 quarters 1 and 2. </p>
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<p><strong>Trends:</strong></p>
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<ul>
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<li>For adults ages 18-29, the percentage uninsured at the time of interview decreased from 32% in 2010 Q3 to 19.8% in 2014 Q2.</li>
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<li>For adults ages 30-64, the percentage uninsured at the time of interview decreased from 20% in 2010 Q2 to 18.7% in 2013 Q2, then decreased again to 14.1% in the second quarter of 2014.</li>
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</ul>
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<h4>Trends in Uninsurance Disparities</h4>
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<p><strong>Adults ages 18-64 who were uninsured at the time of interview, by race/ethnicity, January 2010-June 2014 </strong></p>
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<p><img alt="Line graph showing trends in percentage of uninsured adults from 2010 quarter 1 to 2014 quarter 2, by race/ethnicity. For Whites, the percentage uninsured was 15.6% in 2010 quarter 1 and 11.1% in 2014 quarter 2. For Blacks, the percentage was 27.9% in 2010 quarter 1 and 15.9% in 2014 quarter 2. For Hispanics, the percentage was 42.4% in 2010 quarter 1 and 33.2% in 2014 quarter 2." src="access-fig6.jpg"></p>
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<p><strong>Key: </strong>Q = quarter.<br><br />
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<strong>Data Source: </strong>Centers for Disease Control and Prevention, National Center for Health Statistics, National Health Interview Survey, 2010 -2014, Family Core Component.<br><br />
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<strong>Note: </strong>For this measure, lower rates are better. Data only available for 2014 quarters 1 and 2 White and Black are non-Hispanic. Hispanic includes all races.</p>
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<p><strong>Trends:</strong></p>
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<ul>
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<li>Hispanic adults ages 18-64 were significantly more likely to be uninsured from January 2010 to June 2014. The percentage peaked in the second quarter of 2010 at 44.9%, then significantly decreased to 33.2% for the second quarter of 2014. </li>
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<li>All racial/ethnic groups displayed a decrease from 2013 Q4 to 2014 Q2: 
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<ul>
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<li>White: 14.0% to 11.1%. </li>
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<li>Black: 24.6% to 15.9%. </li>
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<li>Hispanic: 40.3% to 33.2%.</li>
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</ul>
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</li>
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</ul>
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<h4>Adults Without Health Insurance, by Region</h4>
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<p><strong>Adults ages 18-64 without health insurance at the time of interview, by region, January-June 2014 </strong></p>
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<p><img alt="Bar chart showing percentage of adults ages 18-64 who were uninsured: All States, 17; New England, 7.6; Middle Atlantic, 12.3; East North Central, 12.7; West North Central, 14.4; South Atlantic, 21.2; East South Central, 16.5; West South Central, 25.9; Mountain, 18.6; Pacific, 17." src="access-fig7.jpg"></p>
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<p><strong>Data Source:</strong> Centers for Disease Control and Prevention, National Center for Health Statistics, National Health Interview Survey, 2014, Family Core Component.<br><br />
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<strong>Note: </strong>For this measure, lower rates are better. Regions are based on a subdivision of the four census regions (South, West, Northeast, and Midwest) into nine divisions.<sup><a href="#notei">i</a></sup> For this report, the nine census divisions were modified by moving Delaware, the District of Columbia, and Maryland into the Middle Atlantic Division. Estimates for 2014 are based on data collected from January through June. Data are based on household interviews of a sample of the civilian noninstitutionalized population. </p>
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<p><strong>Geographic Variation:</strong></p>
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<ul>
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<li>The percentage of uninsured adults ages 18-64 was significantly lower than the national average of 17% in the New England, Middle Atlantic, East North Central, and West North Central regions. The percentage of uninsured adults was significantly higher in the West South Central and South Atlantic regions. </li>
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</ul>
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<h4>Trends in Private Insurance Among Adults</h4>
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<p><strong>Adults ages 18-64 with private health insurance coverage, by age, January 2010-June 2014 </strong></p>
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<p><img alt="Line graph showing trends in percentage of ages 18-29 and 30-64 with private insurance from 2010 quarter 1 to 2014 quarter 2. For adults ages 18-29, the percentage with private insurance was 53.4% in 2010 quarter 1 and 62.2% in 2014 quarter 2. For adults ages 30-64, the percentage was 69.8% in 2010 quarter 1 and 69.6% in 2014 quarter 2." src="access-fig8.jpg"></p>
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<p><strong>Key: Q </strong>= quarter.<br><br />
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<strong>Data Source: </strong>Centers for Disease Control and Prevention, National Center for Health Statistics, National Health Interview Survey, 2010-2014, Family Core Component. </p>
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<p><strong>Trends:</strong></p>
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<ul>
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<li>The percentage of adults ages 18-29 with private health insurance was lowest in 2010 Q3 (52.2%) and highest in 2014 Q2 (62.2%).</li>
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</ul>
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<hr>
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<p><a name="notei" id="notei"> </a></p>
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<p><sup>i.</sup> States in each region follow: </p>
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<ul>
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<li>New England region: CT, ME, MA, NH, RI, and VT. </li>
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<li>Middle Atlantic region: DE, DC, MD, NJ, NY, and PA. </li>
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<li>East North Central region: IL, IN, MI, OH, and WI. </li>
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<li>West North Central region: IA, KS, MN, MO, NE, ND, and SD. </li>
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<li>South Atlantic region: FL, GA, NC, SC, VA, and WV. </li>
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<li>East South Central region: AL, KY, MS, and TN. </li>
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<li>West South Central region: AR, LA, OK, and TX. </li>
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<li>Mountain region: AZ, CO, ID, MT, NV, NM, UT, and WY. </li>
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<li>Pacific region: AK, CA, HI, OR, and WA.</li>
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</ul>
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<hr>
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<p><a href="/research/findings/nhqrdr/2014chartbooks/access/index.html">Return to Contents</a></p>
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</div></div></div><div class="field field-name-field-last-reviewed field-type-datestamp field-label-hidden">
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Page last reviewed <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2015-04-01T00:00:00-04:00">April 2015</span> <br />Page originally created April 2015 </div>
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Internet Citation: Health Insurance. Content last reviewed April 2015. Agency for Healthcare Research and Quality, Rockville, MD. https://archive.ahrq.gov/research/findings/nhqrdr/2014chartbooks/access/access-insurance.html<div class="citation-flag"> </div> </div> <!--</div>--> <div class="footnote"> <p> The information on this page is archived and provided for reference purposes only.</p> </div> <p> </p> </div> </div></td> </tr> </tbody> </table> </td> </tr> </tbody> </table> </div>
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