Fair/poor health status or any chronic condition**

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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.

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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.

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

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

Chronic Disease Under Control: Diabetes and Hypertension

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.

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.

Underinsured Rates by Source of Coverage

THE COMMONWEALTH FUND Help on the Horizon:

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

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

State Uninsured Rates by Poverty and Firm Size

Across Income Groups, Increasing Numbers of U. S

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

The ACA’s Individual Market Reforms and Subsidies Have Made It Easier for People to Buy Health Plans on Their Own Total Health problem**

High Deductibles Relative to Income by Coverage Source

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

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 (%)

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

Health Status by Income

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.

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.

High Chronic Disease Burden Among U.S. Women

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.

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.

Adults Ages 19–64 Who Are Uninsured and Underinsured, By Poverty Status, 2007 *Underinsured defined as insured all year but experienced one of the following:

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

16 Million Adults Under Age 65 Were Underinsured in 2005

Percent of adults ages 19–64 with at least one chronic condition*

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

How Well Does Insurance Coverage Protect Consumers from Health Care Costs? Findings from the Commonwealth Fund Biennial Health Insurance Survey, 2016 Sara.

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

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.

Self-Rated Health Status, by Type of Health Plan

Vice President, Health Care Coverage and Access

Adults ages 19–64 with individual coverage

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:

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.

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.

Figure 4. Profile of Medicare Elderly Beneficiaries and Employer Coverage Nonelderly, by Poverty and Health Status, 2003 Health problems, lower income.

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.

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

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.

Chronic Disease Under Control: Managed Care Plan Distribution, 2006

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.

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

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

High Deductibles Relative to Income by Coverage Source at the Time of the Survey Percent with deductibles that are 5% or more of income, adults ages 19–64.

Adults ages 19–64 who were uninsured

Presentation transcript:

Fair/poor health status or any chronic condition** Underinsured Rates Highest Among Low-Income Adults and Those with Health Problems Percent adults ages 19–64 insured all year who were underinsured* Fair/poor health status or any chronic condition** <200% FPL 200% FPL or more No health problem Notes: FPL refers to federal poverty level. Income levels are for a family of four in 2016. * Underinsured defined as insured all year but experienced one of the following: out-of-pocket costs, excluding premiums, equaled 10% or more of income; out-of-pocket costs, excluding premiums, equaled 5% or more of income if low-income (<200% of poverty); or deductibles equaled 5% or more of income. ** Respondent has at least one of the following health conditions: hypertension or high blood pressure; heart disease; diabetes; asthma, emphysema, or lung disease; or high cholesterol. Data: Commonwealth Fund Biennial Health Insurance Surveys (2003, 2005, 2010, 2012, 2014, and 2016).