Health Care Access and Utilization Among Adults Aged 18–64, by Race and Hispanic Origin: United States, 2013 and 2014

July 15, 2015

In 2014, U.S. adults could buy a private health insurance plan through the Health Insurance Marketplace or state-based exchanges established as part of the Affordable Care Act. Moreover, some states opted to expand Medicaid coverage to low-income adults.

This report has data from the 2013 and 2014 National Health Interview Survey used to describe recent changes in health insurance coverage and selected measures of health care access and utilization for adults aged 18–64, by race and Hispanic origin.

Key Findings from the Report:

  • Compared with 2013, adults aged 18–64 who were uninsured at the time of interview decreased in 2014 for Hispanic (41.1% to 34.1%), non-Hispanic white (14.5% to 11.5%), non-Hispanic black (24.7% to 17.6%), and non-Hispanic Asian (16.1% to 12.1%) adults.
  • Adults aged 18–64 who had a usual place to go for medical care increased in 2014 for Hispanic (69.1% to 73.0%) and non-Hispanic white (84.3% to 85.6%) adults.
  • Adults aged 18–64 who had seen or talked to a health care professional in the past 12 months increased in 2014 for Hispanic (67.5% to 70.1%) adults.
  • Adults aged 18–64 who did not obtain needed medical care due to cost at some time during the past 12 months decreased in 2014 for Hispanic (9.9% to 7.6%) and non-Hispanic white (7.7% to 7.0%) adults.

 


Health Insurance Coverage: Early Release of Estimates From the National Health Interview Survey, 2014

June 23, 2015

NCHS has released selected estimates of health insurance coverage for the civilian noninstitutionalized U.S. population based on data from the 2014 National Health Interview Survey (NHIS), along with comparable estimates from the 2009–2013 NHIS. Estimates for 2014 are based on data for 111,682 persons.

Key Findings from the Report:

  • In 2014, 36.0 million persons of all ages (11.5%) were uninsured at the time of interview, 51.6 million (16.5%) had been uninsured for at least part of the year prior to interview, and 26.3 million (8.4%) had been uninsured for more than a year at the time of interview.
  • Among persons under age 65, 63.6% (170.4 million) were covered by private health insurance plans at the time of interview. This includes 2.2% (5.9 million) covered by private plans through the Health Insurance Marketplace or state-based exchanges at the time of interview between January and December 2014. The proportion with exchange coverage increased from 1.4% (3.7 million) in the first quarter of 2014 (January–March) to 2.5% (6.7 million) in the fourth quarter of 2014 (October–December).
  • Among adults aged 18–64, the percentage who were uninsured at the time of interview decreased from 20.4% in 2013 to 16.3% in 2014.
  • Among adults aged 19–25, the percentage who were uninsured at the time of interview decreased from 26.5% in 2013 to 20.0% in 2014.
  • In 2014, the percentage of persons under age 65 who were uninsured at the time of interview varied by state. For example, 2.5% were uninsured in Hawaii, whereas 21.5% were uninsured in Oklahoma and Texas.

 


Insurance Status by State Medicaid Expansion Status: Early Release of Estimates From the National Health Interview Survey, 2013–September 2014

May 21, 2015

Under the Affordable Care Act, states have the option to expand Medicaid coverage to all eligible persons with incomes up to 138% of the federal poverty level (FPL). Previous research has shown that there have already been significant decreases in the percentages of persons who were uninsured between 2013 and the first 9 months of 2014.

Using data from 2013 and the second and third quarters (April through September) of the 2014 National Health Interview Survey (NHIS), a new NCHS report examines changes in the percentage of persons who were uninsured, by state Medicaid expansion status, age, and poverty status.

Data from the second and third quarters of the 2014 NHIS were chosen for this analysis because they capture the surge in enrollment in the Health Insurance Marketplace and state-based exchange plans that occurred in March and the beginning of April 2014. Data from the fourth quarter of the 2014 NHIS are not yet available.

Key Findings from the Report:

  • The percentage of adults aged 18–64 who were uninsured at the time of interview decreased from 20.4% in 2013 to 15.9% in April–September 2014.
  • Adults aged 18–64 with family incomes less than or equal to 138% of the FPL in Medicaid expansion states had a larger decrease in the percentage uninsured (10.2 percentage points) than those with similar income in nonexpansion states (3.3 percentage points) from 2013 to April–September 2014.
  • Between 2013 and April–September 2014, the percentage of uninsured adults aged 18–34 with incomes less than or equal to 138% FPL decreased 9.1 percentage points in Medicaid expansion states, compared with only 0.7 percentage points in nonexpansion states.
  • The greatest absolute decrease in the percentage uninsured from 2013 to April–September 2014 (12.1 percentage points) was among adults aged 45–64 with incomes less than or equal to 138% FPL in Medicaid expansion states.

 


Health Insurance Coverage: Early Release of Estimates From the National Health Interview Survey, January–September 2014

March 24, 2015

NCHS has released selected estimates of health insurance coverage for the civilian noninstitutionalized U.S. population based on data from the 2014 National Health Interview Survey, along with comparable estimates from the 2009–2013 NHIS. Estimates for January–September 2014 are based on data for 85,224 persons.

Key Findings from the Report:

  • In the first 9 months of 2014, 37.2 million persons of all ages (11.9%) were uninsured at the time of interview, 53.5 million (17.1%) had been uninsured for at least part of the year prior to interview, and 27.2 million (8.7%) had been uninsured for more than a year at the time of interview.
  • Among persons under age 65, 63.2% (169.5 million) were covered by private health insurance plans at the time of interview. This includes 2.1% (5.6 million) covered by private plans through the Health Insurance Marketplace or state-based exchanges at the time of interview between January and September 2014. The proportion with exchange coverage increased from 1.4% (3.7 million) in the first quarter of 2014 (January–March) to 2.5% (6.8 million) in the third quarter of 2014 (July–September).
  • Among adults aged 18–64, the percentage who were uninsured at the time of interview decreased from 20.4% in 2013 to 16.7% in the first 9 months of 2014.
  • Among adults aged 19–25, the percentage who were uninsured at the time of interview decreased from 26.5% in 2013 to 20.4% in the first 9 months of 2014.
  • In the first 9 months of 2014, the percentage of persons under age 65 who were uninsured at the time of interview varied by state. For example, 9.1% were uninsured in Pennsylvania, whereas 22.2% were uninsured in Texas.

Health Insurance Coverage: Early Release of Estimates From the National Health Interview Survey, January–June 2014

December 16, 2014

NCHS has released selected estimates of health insurance coverage for the civilian noninstitutionalized U.S. population based on data from the 2014 National Health Interview Survey (NHIS), along with comparable estimates from the 2009–2013 NHIS. Estimates for January–June 2014 are based on data for 56,784 persons.

Three estimates of lack of health insurance coverage are provided: (a) uninsured at the time of interview, (b) uninsured at least part of the year prior to interview (which includes persons uninsured for more than a year), and (c) uninsured for more than a year at the time of interview.

Key Findings from the Report:

  • In the first 6 months of 2014, 38.0 million persons of all ages (12.2%) were uninsured at the time of interview, 54.0 million (17.3%) had been uninsured for at least part of the year prior to interview, and 27.3 million (8.7%) had been uninsured for more than a year at the time of interview.
  • Among persons under age 65, 62.8% (168.3 million) were covered by private health insurance plans at the time of interview. This includes 1.9% (5.0 million) covered by private plans through the Health Insurance Marketplace or state-based exchanges at the time of interview between January and June 2014. The proportion with exchange coverage increased from 1.4% (3.7 million) in the first quarter of 2014 (January–March) to 2.4% (6.3 million) in the second quarter of 2014 (April–June).
  • Among adults aged 18–64, the percentage who were uninsured at the time of interview decreased from 20.4% in 2013 to 17.0% in the first 6 months of 2014.
  • Among adults aged 19–25, the percentage who were uninsured at the time of interview decreased from 26.5% in 2013 to 20.1% in the first 6 months of 2014.
  • In the first 6 months of 2014, the percentage of persons under age 65 who were uninsured at the time of interview varied by state. For example, 8.0% were uninsured in Pennsylvania, whereas 23.0% were uninsured in Texas.

Health insurance stats – down to basics…

October 7, 2009

In 2008, 43.8 million people of all ages(14.7%) were uninsured at the time of interview. After adjusting for age and sex, the percentage uninsured at the time of interview was 30.7% for Hispanics, 10.4% for the non-Hispanic white population, and 16.0% for the non-Hispanic black population. The percentage of people under age 65 with no health insurance coverage remained stable during 1990–2007, after increasing from 1978 to 1990.

Health Insurance Trends


New health insurance coverage numbers/percentages released for first quarter 2009

September 23, 2009

Today the National Center for Health Statistics released the first numbers for health insurance coverage and non-coverage for 2009 (first quarter, January through March). Below shows the percentage of the population that was uninsured last year, as well as the percentage of the population covered by a public or private plan.

Percentage of person without health insruance by age group and percentage by type of coverage

For more information from this report, visit www.cdc.gov/nchs/data/nhis/earlyrelease/insur200909.htm.

 

 

 


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