module 8: access to health services: multiple … · module 8: access to health services . part 2:...
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MODULE 8: ACCESS TO HEALTH SERVICES: MULTIPLE PERSPECTIVES
Access to Health Services: Multiple Perspectives
Walter Tsou, MD, MPH Adjunct Professor, University of Pennsylvania
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Module 8: Access to Health Services
Part 2: Health Insurance Coverage
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Health Insurance Coverage • Most health care providers will not see you
without insurance % with and without insurance Acceptance of insurance Insurance benefits ACA expands coverage
• Emergency room triage and stabilize
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48 Million Uninsured
Source: US Census, 2013
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45,000 Adult Deaths Annually Due to Lack of health insurance
NY Times, Sept. 18, 2009 American Journal of Public Health, 2009
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% Uninsured by Age, 2011
Income, Poverty, and Health Insurance Coverage in the United States: 2011
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% Uninsured by Race/Ethnicity, 2011
15%
20%
17%
30%
0%
5%
10%
15%
20%
25%
30%
35%
White Black Asian Hispanic
Income, Poverty, and Health Insurance Coverage in the United States: 2011
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Uninsured Rate by Household Income,1999-2011
Income, Poverty, and Health Insurance Coverage in the United States: 2011
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78% of the Uninsured Work, Full or PT
62% 16%
22%
1 FT Worker
Part Time
Kaiser Family Foundation based on Current Population Survey, 2011
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48 State Estimate of % Uninsured
Small Area Health Insurance Estimates, 2010, US Census
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Many Specialists Won’t See Kids With Medicaid
Bisgaier J, Rhodes KV. N Engl J Med 2011;364:2324-2333
Kids Specialty Clinics Accept Public Insurance Less Often
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HP2020 goal: Increase the proportion of persons with medical insurance
Baseline 2008 – 83.2% Target 2020 – 100% Similar goals in development include: • Dental Insurance • Prescription Drug Plans • Clinical Preventive Services
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Summary of Health Insurance Coverage
• Insurance coverage is an important factor in seeing a health care provider
• There are millions of people without insurance • The uninsured are higher in young, working
poor, minorities, and southern and western states
• Not all insurance is accepted by providers • These coverage gaps can and do lead to health
disparities