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AHS-1.1 Data Details

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AHS-1.1 Increase the proportion of persons with medical insurance
LHI

Leading Health Indicators are a subset of Healthy People 2020 objectives selected to communicate high-priority health issues.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Data Source: 
National Health Interview Survey
Changed Since the Healthy People 2020 Launch: 
No
Measure: 
percent
Baseline (Year): 
83.2 (2008)
Target: 
100
Target-Setting Method: 
Total coverage
Target-Setting Method Justification: 
Total coverage of the population is an important national goal addressed by the Patient Protection and Affordable Care Act (ACA), a comprehensive health care reform law passed in 2010. ACA provides new strategies to reduce the number of uninsured children and adults and to improve the organization and delivery of health care. Increased health insurance coverage, both private and public, will facilitate entry into the health care system. Health insurance can protect individuals and families from forgoing needed medical services and from the burden of large medical bills. Reforms under the law also are expected to lower health care costs and enhance the quality of care.
Numerator: 

Number of persons under age 65 years who report coverage by any type of public or private health insurance

Denominator: 

Number of persons under age 65 years

Comparable Healthy People 2010 Objective: 
Retained from HP2010 objective
Questions Used to Obtain the National Baseline Data: 

    From the 2008 National Health Interview Survey:

    [NUMERATOR:]

    What kind of health insurance or health care coverage [do you/does ALIAS] have? INCLUDE those that pay for only one type of service (nursing home care, accidents, or dental care). EXCLUDE private plans that only provide cash while hospitalized.

    1. Private health insurance
    2. Medicare
    3. Medigap
    4. Medicaid
    5. SCHIP (CHIP/Children’s Health Insurance Program)
    6. Military health care (TRICARE/VA/CHAMP-VA)
    7. Indian Health Service
    8. State-sponsored health plan
    9. Other government program
    10. Single Service plan (e.g., dental, vision, prescription)
    11. No coverage of any type
    12. Refused
    13. Don’t know
Data Collection Frequency: 
Annual
Leading Health Indicator:
Methodology Notes: 

    Health Care coverage is defined as having any type of health insurance or Health Care plan, including those obtained by employment, direct purchase, and government programs such as Medicare, Medi-Gap, Medicaid, military healthcare/VA, CHAMPUS/TRICARE/CHAMP-VA, Children’s Health Insurance Program (CHIP) and other state-sponsored or government-sponsored health plans. Private plans that only provide cash while hospitalized or only pay for one type of service (e.g., nursing home care, accidents, dental care) are excluded. Persons with Indian Health Service coverage only are considered to have no coverage.

Trend Issues: 
Beginning with 2018, the American Community Survey questions are no longer available in the NHIS. As a result, tabulated data by disability are discontinued after 2017.

References

Additional resources about the objective

  1. National Center for Health Statistics. Health, United States, 2010: With Special Feature on Death and Dying. Hyattsville, MD. 2010.