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Access to Health Services

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Explore the latest data for the LHI topic Access to Health Services.
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Where We’ve Been and Where We’re Going

Over the past decade, the rate of persons aged less than 65 years with health insurance has increased 3.7%, from 83.6% in 2004 to 86.7% in 2014. In 2014, several population groups had higher rates of health insurance coverage than their counterparts, including the white non-Hispanic population and those with an advanced degree.  
 
The proportion of all persons with a usual primary care provider decreased, moving from 77.3% in 2002 to 76.5% in 2012, although this change was not statistically significant. In 2012, several population groups had higher rates of having a usual primary care provider, including the American Indian or Alaska Native population, those with an advanced degree, and those with public insurance.
 
Leading Health Indicators

Explore the latest data and disparities for each indicator.

Health Insurance (AHS-1.1)

  • Healthy People 2020 objective AHS-1.1 tracks the proportion of persons aged less than 65 years with health (medical) insurance.
    • HP2020 Baseline: In 2008, 83.2% of persons aged less than 65 years had health insurance.  
    • HP2020 Target: 100%, or total coverage. 
    • Between 2004 and 2014, the rate of persons with health insurance increased 3.7%, from 83.6% to 86.7%.
  • Among racial and ethnic groups, the white non-Hispanic population aged less than 65 years had the highest rate of health insurance coverage, 90.3% in 2014, whereas the American Indian or Alaska Native population and the Hispanic or Latino population had rates of 71.7% and 74.5%, respectively. 
  • Females aged less than 65 years had a higher rate of health insurance coverage (88.1%) compared to males (85.3%) in 2014.
  • Those aged 25–64 years with an advanced degree had the highest rate of health insurance coverage, 96.6% in 2014, among education groups, whereas those without a high school education had the lowest rate, 64.0% in 2014. 
Persons with Health Insurance by Educational Attainment, 2014 
Access to Health Services by Education Graphic
 
Data source: National Health Interview Survey (NCHS), CDC/NCHS.
 
  • Among income groups, the highest-income population aged less than 65 years (those with family incomes of more than 600% of the poverty threshold) had the highest rate of health insurance coverage, 97.4% in 2014, whereas the near-poor population (those with family incomes between 100% and 199% of the poverty threshold) had the lowest rate, 76.6% in 2014. 
  • Persons aged less than 18 years had the highest rate of health insurance, 94.6% in 2014, among broad age groups. Rates for the other age groups were:
    • 80.3% among persons aged 18–44 years (lowest rate)
    • 88.2% among persons aged 45–64 years
    • When further refining the age groups, children aged less than 5 years had the highest rate of health insurance, 96.2% in 2014. Rates for the other age groups were: 
    • 94.8% among persons aged 5–11 years 
    • 93.1% among persons aged 12–17 years 
    • 81.9% among persons aged 18–24 years 
    • 79.8% among persons aged 25–44 years 
    • 86.3% among persons aged 45–54 years 
    • 90.3% among persons aged 55–64 years 
  • Persons aged less than 65 years born in the U.S. had a higher rate of health insurance coverage (89.5%) compared to those born outside the U.S. (70.9%) in 2014. 
Endnotes:
  • All disparities described are statistically significant at the 0.05 level of significance. 
  • Data for this measure are available annually and come from the National Health Interview Survey (NHIS), CDC/NCHS.
  • The terms “Hispanic or Latino” and “Hispanic” are used interchangeably in this report.  

Usual Primary Care Provider (AHS-3)

  • Healthy People 2020 objective AHS-3 tracks the proportion of persons with a usual primary care provider.
    • HP2020 Baseline: In 2007, 76.3% of persons had a usual primary care provider.  
    • HP2020 Target: 83.9%, or a 10% improvement over baseline.
    • Between 2002 and 2012, the proportion of persons with a usual primary care provider decreased by 1.0%, from 77.3% to 76.5%, although this change was not statistically significant.  
  • Among racial and ethnic groups, the American Indian or Alaska Native population had the highest proportion of persons with a usual primary care provider, 82.6% in 2012, whereas the Hispanic or Latino population had a rate of 68.7% and the Native Hawaiian or Other Pacific Islander population had a rate of 64.7% (not significantly different than the best group rate) in 2012.
  • Females had a higher proportion of having a usual primary care provider (80.2%) compared to males (72.7%) in 2012. 
  • Among education groups, those with an advanced degree had the highest proportion of persons with a usual primary care provider, 80.1% in 2012, whereas those without a high school education had the lowest rate, 68.3% in 2012. 
  • Among income groups, the highest-income population (those with family incomes of more than 600% of the federal poverty threshold) had the highest proportion of persons with a usual primary care provider, 81.7% in 2012, whereas those with family incomes below the federal poverty threshold had the lowest proportion, 71.1% in 2012. 
  • Persons aged 65 years and over had the highest proportion of persons with a usual primary care provider, 91.0%, among age groups in 2012. Rates for the other age groups were:
    • 88.4% among persons aged less than 18 years 
    • 60.8% among persons aged 18–44 years 
    • 79.6% among persons aged 45–64 years 
  • When further refining the age groups, adults aged 75–84 years had the highest proportion of persons with a usual primary care provider, 92.3% in 2012. Rates for the other age groups were:
    • 91.2% among persons aged 0–4 years; not significantly different than the best group rate
    • 88.6% among persons aged 5–11 years 
    • 86.0% among persons aged 12–17 years 
    • 58.2% among persons aged 18–24 years 
    • 61.8% among persons aged 25–44 years 
    • 76.2% among persons aged 45–54 years 
    • 83.6% among persons aged 55–64 years
    • 90.3% among persons aged 65–74 years; not significantly different than the best group rate
    • 91.1% among persons aged 85 years and over; not significantly different than the best group rate
  • Persons born in the U.S. had a higher proportion of persons with a usual primary care provider (78.8%) compared to those born outside the U.S. (62.7%) in 2012. 
  • Among insurance groups for persons aged less than 65 years, those with public insurance had the highest proportion of persons with a usual primary care provider (81.8%), whereas the uninsured had the lowest proportion (40.2%) in 2012. The rate for the population with public insurance was twice that for the uninsured population.
Persons with a Usual Primary Care Provider by Health Insurance Status, 2012
 
 
Access to Health Services by Age Graphic
Data source: Medical Expenditure Panel Survey (MEPS), AHRQ.
 
Endnotes:
  • All disparities described are statistically significant at the 0.05 level of significance. 
  • Data for this measure are available annually and come from the Medical Panel Expenditure Survey (MEPS), AHRQ. 
  • The terms “Hispanic or Latino” and “Hispanic” are used interchangeably in this report.