Racial and ethnic differences in getting needed medical care are minimal for adults with medical homes; disparities decline substantially compared with.

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

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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.

Total adult population

Among Marketplace Visitors Who Neither Enrolled nor Got Coverage from Another Source, Most Said They Could Not Find an Affordable Plan Can you tell me.

Exhibit 1 Adults with High Needs Have Higher Health Care Spending and Out-of-Pocket Costs Average annual out-of-pocket spending Average annual health.

Chronic Disease Under Control: Diabetes and Hypertension

Adults Who Received Personal Assistance Were More Likely to Enroll

Total adult population

Has individual components of medical home care

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.

Adults ages 19– Uninsured now 15%

Adults ages 19–64 who are uninsured or have individual coverage

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.

Total adult population

Adults ages 19–64 who visited the marketplace

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.

Percent with good patient–provider communication

Percent of adults ages 19–64

Health Status by Income

Percent of FQHCs reporting they can easily obtain the following:

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

More Than One-Third of Young Adults Experienced a Medical Bill Problem or Were Paying Off Medical Debt Percent of adults ages 19–29 who experienced the.

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.

Percent adults ages 19–64 who went to marketplace

Average number of medical office visits per year

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.

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

One-Quarter of Women in the U. S

High-Need Adults Are More Likely to Be Socially Isolated

An Estimated 116 Million Adults Were Uninsured, Underinsured, Reported a Medical Bill Problem, and/or Did Not Access Needed Health Care Because of Cost,

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

Percent reporting that it is very difficult/difficult:

Most people think all Americans should have the right to affordable health care. Do you think all Americans should have the right to affordable health.

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

2008 Survey Profile of Sicker Adults with Any Chronic Condition

16 Million Adults Under Age 65 Were Underinsured in 2005

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.

Any Gaps in Hospital or Surgery Discharge in Past Two Years

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.

Cost-Related Access Problems and Medical Bill Problems Are Significantly Higher Among Latinos Uninsured During the Year Percent Latino adults ages

Medical Bill Problems or Medical Debt

Hospital or Surgery Discharge Gap in Past Two Years, by Medical Home

Percent of adults ages 19–

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)

Medicare Has Had Limited Impact Changing the Health System

Awareness and Use of Health Insurance Marketplaces by Race

QUALITY: EFFECTIVE CARE

Minorities with medical homes are just as likely as whites to receive reminders for preventive care visits. Percentage of adults ages 18 to 64 receiving.

Percent of adults (ages 19–64)

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.

Among those with Internet access, percent reporting ability to:

Percent reporting that it is very difficult/difficult:

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.

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.

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

Reasons for Not Enrolling in October Included Uncertainty over Affordability, Still Deciding Among Plans, and Website Technical Difficulties Can you tell.

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

Have you gone to this new marketplace to shop for health insurance

EQUITY: EFFECTIVE CARE

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 of adults (ages 19–64)

Adults ages 19–64 who went to marketplace

Percent of currently employed adults ages 19–64

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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Racial and ethnic differences in getting needed medical care are minimal for adults with medical homes; disparities decline substantially compared with adults with no regular source of care. Percentage of adults ages 18 to 64 reporting always getting care they need when they need it Note: Having a medical home includes having a regular provider or place of care, reporting no difficulty contacting provider by phone, or getting advice and medical care on weekends or evenings, and always or often finding office visits well organized and running on time. Source: The Commonwealth Fund. Health Care Quality Survey. 2006.