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Insurance – Uninsured Adults

The lack of health insurance is considered a key driver of health status.

This indicator reports the percentage of adults age 18 to 64 without health insurance coverage. This indicator is relevant because lack of insurance is a primary barrier to healthcare access including regular primary care, specialty care, and other health services that contributes to poor health status.

Source

Source Description

The Small Area Health Insurance Estimates (SAHIE) program was created to develop model-based estimates of health insurance coverage for counties and states. It is currently the only dataset providing complete health-insurance coverage estimates. The models predict state and county-level insurance estimates for total populations, as well as population groups defined by age, sex, race, and income.
The SAHIE program models health insurance coverage by combining survey data with population estimates and administrative records. SAHIE estimates are a product of the US Census Bureau with funding from the Centers for Disease Control and Prevention.
The SAHIE health insurance models use data from the following sources:

  • American Community Survey
  • Internal Revenue Service: Federal Tax Returns
  • Supplemental Nutrition Assistance Program (SNAP): Participation Records
  • County Business Patterns
  • Medicaid and Children’s Health Insurance Program (CHIP): Participation Records
  • US Decennial Census

Methodology

Counts of the number of persons without medical insurance are modelled for the Small Area Income and Health Insurance Estimates (SAHIE) datasets by the Census Bureau using both survey and census data. In this reporting platform, indicator percentages are summarized from the SAHIE estimates based on the following formula:

Percentage = SUM [Uninsured Population] / SUM [Total Population] * 100

For more information about the data used in these estimates, please visit the Small Area Health Insurance Estimates website and view the provided Data Inputs page.

Data Breakouts Available

  • Uninsured Population Age 18 – 64, Percent by Year, 2013 through 2022
  • Uninsured Population Age 18 – 64 by Race / Ethnicity, Percent
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