Exhibit 1. The Number of Uninsured Adults Dropped to 29 Million in 2014,
Down from 37 Million in 2010
Adults ages 19–64
2001
2003
2005
2010
2012
2014
Uninsured now
15%
24 million
17%
30 million
18%
32 million
20%
37 million
19%
36 million
16%
29 million
Insured now
85%
138 million
83%
142 million
82%
141 million
80%
147 million
81%
148 million
84%
154 million
Source: The Commonwealth Fund Biennial Health Insurance Surveys (2001, 2003, 2005, 2010, 2012, and 2014).
Exhibit 2. Young Adults Have Made the Greatest Gains in Coverage
of Any Age Group
Percent of adults ages 19–64 who are uninsured
50
2001
40
2003
30
20
15
17 18
22
20 19
24
2005
2010
2012
2014
26 27
23
19 20
19
16
22
15
17
12
9
10
11 10
13 13
0
Total
Ages 19–34
Ages 35–49
Source: The Commonwealth Fund Biennial Health Insurance Surveys (2001, 2003, 2005, 2010, 2012, and 2014).
Ages 50–64
11
Exhibit 3. People with Incomes Under $48,000 for a Family of Four
Experienced the Largest Declines in Uninsured Rates
Percent of adults ages 19–64
2001
50
2003
2005
39
40
34
30
30
20
2010
2012
2014
36
32
24
15
17 18
20 19
16
10
6
7
9
7
9
0
Total
<200% FPL
<$47,100
Note: FPL refers to federal poverty level. Income levels are for a family of four in 2013.
Source: The Commonwealth Fund Biennial Health Insurance Surveys (2001, 2003, 2005, 2010, 2012, and 2014).
200% FPL or more
$47,100+
7
Exhibit 4. Uninsured Rates Declined Among Whites, Blacks, and Latinos in 2014
Percent of adults ages 19–64
50
2010
2012
2014
39
40
40
34
30
24
20
20
19
20
16
15
18
14
10
10
0
Total
Non-Hispanic White
Source: The Commonwealth Fund Biennial Health Insurance Surveys (2010, 2012, and 2014).
Black
Latino
Exhibit 5. The Number of Adults Reporting Not Getting Needed Care
Because of Cost Declined in 2014 for the First Time Since 2003
Percent of adults ages 19–64
2003
2005
2010
2012
2014
Had a medical problem,
did not visit doctor or clinic
22%
38 million
24%
41 million
26%
49 million
29%
53 million
23%
42 million
Did not fill a prescription
23%
39 million
25%
43 million
26%
48 million
27%
50 million
19%
35 million
Skipped recommended test,
treatment, or follow-up
19%
32 million
20%
34 million
25%
47 million
27%
49 million
19%
35 million
Did not get needed specialist care
13%
22 million
17%
30 million
18%
34 million
20%
37 million
13%
23 million
37%
63 million
37%
64 million
41%
75 million
43%
80 million
36%
66 million
In the past 12 months:
Any of the above access problems
Source: The Commonwealth Fund Biennial Health Insurance Surveys (2003, 2005, 2010, 2012, and 2014).
Exhibit 6. Uninsured Adults Report Cost-Related Problems
Getting Needed Care at Twice the Rate of Insured Adults
Percent of adults ages 19–64 who had any of four access problems* in past year because of cost
Total
Insured all year
Uninsured during the year
75
59
57
50
55
45
36
28
33
25
29
25
0
Total
<200% FPL
<$47,100
200% FPL or more
$47,100+
Notes: FPL refers to federal poverty level. Income levels are for a family of four in 2013.
* Did not fill a prescription; did not see a specialist when needed; skipped recommended medical test, treatment, or follow-up; had a medical
problem but did not visit doctor or clinic.
Source: The Commonwealth Fund Biennial Health Insurance Survey (2014).
Exhibit 7. The Number of Adults Reporting Medical Bill Problems
Declined in 2014 for the First Time Since 2005
Percent of adults ages 19–64
2005
2010
2012
2014
Had problems paying or unable to pay
medical bills
23%
39 million
29%
53 million
30%
55 million
23%
43 million
Contacted by a collection agency about medical bills*
21%
36 million
23%
42 million
22%
41 million
20%
37 million
Contacted by collection agency for unpaid
medical bills
13%
22 million
16%
30 million
18%
32 million
15%
27 million
Contacted by a collection agency because of
billing mistake
7%
11 million
5%
9 million
4%
7 million
4%
8 million
14%
24 million
17%
31 million
16%
29 million
14%
26 million
Any of three bill problems
(does not include billing mistake)
28%
48 million
34%
62 million
34%
63 million
29%
53 million
Medical bills being paid off over time
21%
37 million
24%
44 million
26%
48 million
22%
40 million
Any of three bill problems or medical debt
34 %
58 million
40%
73 million
41%
75 million
35%
64 million
In the past 12 months:
Had to change way of life to pay bills
* Subtotals may not sum to total: respondents who answered “don’t know” or refused are included in the distribution but not reported.
Source: The Commonwealth Fund Biennial Health Insurance Surveys (2005, 2010, 2012, and 2014).
Exhibit 8. Uninsured Adults Reported Having Medical Bill Problems
at Higher Rates Than Did Insured Adults
Percent of adults ages 19–64 who had medical bill problems or accrued medical debt*
75
Total
Insured all year
54
51
50
Uninsured during the year
44
43
35
29
34
30
27
25
0
Total
<200% FPL
<$47,100
200% FPL or more
$47,100+
Notes: FPL refers to federal poverty level. Income levels are for a family of four in 2013.
* Had problems paying medical bills, contacted by a collection agency for unpaid bills, had to change way of life in order to pay medical bills,
or has outstanding medical debt.
Source: The Commonwealth Fund Biennial Health Insurance Survey (2014).
Exhibit 9. Uninsured Adults Are Less Likely to Have a Regular Source of Care, 2014
Percent of adults ages 19–64
Total
100
88
75
94
88
71
Insured all year
Uninsured during the year
93
77
79
71
51
50
43
49
26
25
0
Regular source of care
Blood pressure checked
Cholesterol checked
Seasonal flu shot
Notes: Blood pressure checked in past two years (in past year if has hypertension or high blood pressure); cholesterol checked in past five years
(in past year if has hypertension, heart disease, or high cholesterol); seasonal flu shot in past 12 months.
Source: The Commonwealth Fund Biennial Health Insurance Survey (2014).
Exhibit 10. Uninsured Adults Have Lower Rates of Cancer Screening Tests, 2014
Percent of adults
Total
100
75
75
Insured all year
Uninsured during the year
80
70
61
56
75
61
49
50
32
25
0
Received Pap test
Received colon cancer screening
Received mammogram
Notes: Pap test in past three years for females ages 21–64; colon cancer screening in past five years for adults ages 50–64; and
mammogram in past two years for females ages 40–64.
Source: The Commonwealth Fund Biennial Health Insurance Survey (2014).
Exhibit 11. Among Adults with Incomes Below $24,000 for a Family of Four,
the Uninsured Rate Is Lowest in States That Expanded Medicaid
Percent of adults ages 19–64 with incomes <100% FPL who are uninsured
50
40
2012
2014
37
44
35
30
27
30
19
20
10
0
Total
Expanded Medicaid
Did not expand Medicaid
Note: FPL refers to federal poverty level. 26 states and DC had expanded eligibility for their state Medicaid program and begun enrolling individuals by
July 2014: AR, AZ, CA, CO, CT, DC, DE, HI, IA, IL, KY, MA, MD, MI, MN, ND, NH, NJ, NM, NV, NY, OH, OR, RI, VT, WA, WV.
All other states were counted as not expanding Medicaid. AK and HI were not included in the survey sample.
Source: The Commonwealth Fund Biennial Health Insurance Surveys (2012 and 2014).
Exhibit 12. Uninsured Rates Have Dropped in Both States with State-Based Marketplaces and
Those with Federally Facilitated Marketplaces
Percent of adults ages 19–64
50
2012
2014
40
30
20
19
16
17
20
13
23
17
20
14
9
10
0
Total
State-based
marketplace
Federally
facilitated
marketplace
State expanded
State did not
Medicaid
expand Medicaid
Federally facilitated marketplace
Note: The following 16 states and DC have state-based marketplaces: CA, CO, CT, DC, HI, ID, KY, MA, MD, MN, NM, NV, NY, OR, RI, VT, WA.
All other states have federally facilitated marketplaces. 26 states and DC had expanded eligibility for their state Medicaid program and begun enrolling
individuals by July 2014: AR, AZ, CA, CO, CT, DC, DE, HI, IA, IL, KY, MA, MD, MI, MN, ND, NH, NJ, NM, NV, NY, OH, OR, RI, VT, WA, WV. All other states
were counted as not expanding Medicaid. AK and HI were not included in the survey sample.
Source: The Commonwealth Fund Biennial Health Insurance Surveys (2012 and 2014).
Exhibit 13. Nearly Half of the Remaining Uninsured Have Incomes That Would Make Them
Eligible for Expanded Medicaid
Age
19–34
42%
Income
35–49
34%
<133% FPL
49%
State Medicaid Decision
133%–399%
FPL
35%
50–64
24%
Refused
11%
Expanded
Medicaid
39%
Did not expand
Medicaid
61%
400% FPL or
more
5%
29 million uninsured adults ages 19 to 64
Notes: FPL refers to federal poverty level. Segments may not sum to 100 percent because of rounding. 26 states and DC had expanded eligibility for
their state Medicaid program and begun enrolling individuals by July 2014: AR, AZ, CA, CO, CT, DC, DE, HI, IA, IL, KY, MA, MD, MI, MN, ND, NH, NJ,
NM, NV, NY, OH, OR, RI, VT, WA, WV. All other states were counted as not expanding Medicaid. AK and HI were not included in the survey sample.
Source: The Commonwealth Fund Biennial Health Insurance Survey (2014).