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Trends in the Uninsured: Impact and Implications of the Current Economic Environment

Trends in the Uninsured: Impact and Implications of the Current Economic Environment. Samuel Zuvekas, Ph.D. Senior Economist Agency for Healthcare Research and Quality. Implications of Being Uninsured. Access to care Health outcomes Financial impact for families and individuals

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Trends in the Uninsured: Impact and Implications of the Current Economic Environment

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  1. Trends in the Uninsured: Impact and Implications of the Current Economic Environment Samuel Zuvekas, Ph.D. Senior Economist Agency for Healthcare Research and Quality

  2. Implications of Being Uninsured • Access to care • Health outcomes • Financial impact for families and individuals • Burden on the delivery system

  3. Access Problems • No regular or usual source of care • Difficulties and delays in getting care • Health care use

  4. Percent of under 65 Population with No Usual Source of Care Source: Weinick, Zuvekas & Drilea, MEPS Research Findings #3

  5. Percent of Families Experiencing Difficulties, Delays, or Unmet Need Source: Weinick, Zuvekas & Drilea, MEPS Research Findings #3

  6. Health Outcomes • Preventive care • Care for chronic conditions (e.g. diabetes, hypertension, HIV/AIDS) • Process vs. Outcomes • IOM Report

  7. Preventive Care Services Source: Taylor, Cohen, & Machlin (2001)

  8. Financial Impact • Pay out of pocket, no insurance discounts • Financial burden relative to income • Catastrophic illnesses

  9. Percent of Families with High Out of Pocket Burden* *Greater than 20 percent of family income Source: Taylor, Cohen, & Machlin (2001)

  10. Burden on the Delivery System • Charitable care • Public financing • Cost-shifting • Inefficient use

  11. Percent of under 65 Population with No Usual Source of Care Source: Zuvekas and Weinick (1999)

  12. Percent of Children Under 18 with No Usual Source of Care Source: McCormick et al (2000)

  13. Access Problems of the Insured • Incomplete coverage • Non-financial barriers • Disparities

  14. Effects of Health Insurance and Income on Health Disparities Usual Source of Care Any Ambulatory Care Source: Weinick, Zuvekas, & Cohen (2000)

  15. Health Care Spending in the under 65 Population, 1996 Source: Cohen, Machlin, Zuvekas, et al., MEPS Research Findings #12

  16. Health Care Spending for Children Aged 17 and Younger, 1996 Source: McCormick et al. (2001)

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