Vital Signs: Health Insurance Coverage and Health Care Utilization -- United States, 2006-2009 and January-March 2010

Fox, J. B.; Richards, C. L.
November 2010
MMWR: Morbidity & Mortality Weekly Report;11/12/2010, Vol. 59 Issue 44, p1448
Background: he increasing number of persons in the United States with no health insurance has implications both for individual health and societal costs. Because of cost concerns, millions of uninsured persons forgo some needed health care, which can lead to poorer health and potentially to greater medical expenditures in the long term. Methods: CDC analyzed data from the National Health Interview Survey (NHIS) for 2006, 2007, 2008, and 2009 and early release NHIS data from the first quarter of 2010 to determine the number of persons without health insurance or with gaps in coverage and to assess whether lack of insurance coverage was associated with increased levels of forgone health care. Data were analyzed further by demographic characteristics, family income level, and selected chronic conditions. Results: In the first quarter of 2010, an estimated 59.1 million persons had no health insurance for at least part of the year before their interview, an increase from 58.7 million in 2009 and 56.4 million in 2008. Of the 58.7 million in 2009, 48.6 million (82.8%) were aged 18-64 years. Among persons aged 18-64 years with family incomes two to three times the federal poverty level (approximately $43,000-$65,000 for a family of four in 2009), 9.7 million (32.1%) were uninsured for at least part of the preceding year. Persons aged 18-64 years with no health insurance during the preceding year were seven times as likely (27.6% versus 4.0%) as those continuously insured to forgo needed health care because of cost. Among persons aged 18-64 years with diabetes mellitus, those who had no health insurance during the preceding year were six times as likely (47.5% versus 7.7%) to forgo needed medical care as those who were continuously insured. Conclusions: An increasing number of persons in the United States, including those at middle income levels, have had periods with no health insurance coverage in recent years, which is associated with increased levels of forgone health care. Persons aged 18-64 years with chronic conditions and without consistent health insurance coverage are much more likely to forgo needed medical care than persons with the same conditions and continuous coverage. Implications for Public Health Practice: Increasing the number of persons with continuous health insurance coverage can reduce the number of occasions that persons forgo needed health care, which can reduce complications from illness and avoidable long-term expenditures.


Related Articles

  • A Sick Business. ParreƱas, Juno // Lesbian News;Oct2009, Vol. 35 Issue 3, p28 

    The author comments on private health insurance in the U.S. According to the author, buying private health insurance in the country was full of deception. He mentioned that he has to pay medical bills of 1,800 U.S. dollars or above in order to be reimbursed by the insurance. He asserted that...

  • Avoid Claim Rejections by Checking Practitioner Specialty Code.  // Part B Insider;Jul2012, Vol. 13 Issue 23, pp177 

    The article offers tips on how patients can avoid a host of billing problems in the U.S. It notes that oftentimes physicians assigned to the wrong specialties in Medicare systems are the reasons behind such problems. It suggests to change the specialty codes in the contractor's system by...

  • FROM THE ACADEMY. Recalibrating to meet the nation's health care demands. Herman, Lawrence // JAAPA: Journal of the American Academy of Physician Assistants (;Jun2013, Vol. 26 Issue 6, p9 

    No abstract available.

  • NEW PAYMENT MODELS SHOULD REWARD QUALITY. LEE, K. J. // Medical Economics;11/25/2013, Vol. 90 Issue 22, p8 

    The author describes a hybrid healthcare payment model that incorporates both pay-for-performance and fee-for-service in the U.S. For the first payment under the hybrid reimbursement system, all claims would be paid at a rate, hypothetically, 60 percent of the maximum allowable fee within one...

  • Is a Trojan horse lurking behind transparency push? Riner, Dr. Myles // Modern Healthcare;6/2/2014, Vol. 44 Issue 22, p27 

    A letter to the editor is presented in response to the article "Health insurance giants to make payment data accessible to public" in the May 14, 2014 issue.

  • How Are the Bills Paid?  // Time;2/8/1954, Vol. 63 Issue 6, p59 

    The article presents figures based on a sampling survey of U.S. families on voluntary health insurance presented by Kenneth Williamson of the Health Information Foundation. For medical and dental services and goods, U.S. citizens have paid 10.2 billion U.S. dollars. It was also found that...

  • MIP on the radar: the new drive to end Medicaid fraud. Fusto, John // hfm (Healthcare Financial Management);Jun2008, Vol. 62 Issue 6, p76 

    The article focuses on Medicaid Integrity Program (MIP) launched by the U.S. Centers for Medicare and Medicaid Services (CMS). It informs that the program is aimed to prevent Medicaid fraud and abuse and it will come into effect from end of 2008 or early 2009. It mentions that CMS is contracting...

  • Issue Brief.  // HSC Issue Briefs: A Primer on Understanding Health Care Cost Tre;Dec1996, Issue 5, p1 

    The article presents a discussion of understanding the representation of numbers in health care cost trends, adapted from the article "Tracking Health Care Costs" by Paul B. Ginsburg and Jeremy D. Pickreign. Discussed are examples of databases on medical care cost in the U.S. Also explained are...

  • the right moves for success with Medicare. Garrison, Garri L.; Little, D. Wayne // hfm (Healthcare Financial Management);Jun2008, Vol. 62 Issue 6, p61 

    The article offers suggestions on Medicare payments in the U.S. It informs the adoption of Medicare severity diagnosis-related groups (MS-DRGs) by the Centers for Medicare and Medicaid Services (CMS) which is altering the Medicare payments in the U.S. It mentions that hospitals can take certain...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics