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Health Indicator Report of Health Insurance Coverage

Most people need medical care at some time in their lives. Medical care is often quite expensive and is becoming more expensive. Health insurance covers all or some costs of care and protects people from very high expenses. Persons with health insurance are more likely than persons without health insurance to have a regular source of primary health care and to have routine preventive care. Persons without coverage have often delay seeking needed care and find services difficult to afford.

No Health Insurance Coverage by Ethnicity, Utah, 2013

Notes

Health insurance is defined as including private coverage, Medicaid, Medicare, and other government programs.   [[br]] [[br]] Age-adjusted to the U.S. 2000 standard population using 6 age-adjustment age groups.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health

Data Interpretation Issues

Estimates of the uninsured in Utah are currently calculated using a set of state-added questions included on the Utah Behavioral Risk Factor Surveillance System (BRFSS). Formerly these questions were asked on two state-based surveys - the Utah Healthcare Access Survey (UHAS) and the Utah Health Status Survey (HSS). Since 2011 the BRFSS has included both landline and cell phone telephone interviews as well as an updated weighting methodology. For more information, please see: [http://health.utah.gov/opha/publications/brfss/Raking/Raking%20impact%202011.pdf]. Compared with state surveys in Utah, the U.S. Current Population Survey (CPS) has historically yielded higher estimates of the Utah population with no health insurance coverage. easons may include difference in question wording, data weighting, and data imputation for missing values. For a thorough discussion of why state health insurance estimates differ from those produced by the U.S. Census Bureau, please refer to the State Health Access Data Assistance Center (SHADAC) publication 'Comparing Federal Government Surveys that Count the Uninsured: 2014' at [http://www.shadac.org/publications/comparing-federal-government-surveys-count-uninsured-2014]. Starting in 2008, the American Community Survey (ACS) has also included a question about health insurance coverage. The ACS has a larger sample size and may yield more accurate estimates of health insurance coverage. However, because there are only seven years of data from this survey so far, this indicator will continue to include historical national numbers from the CPS.

Definition

The percentage of persons without health insurance coverage.

Numerator

Number of persons in the survey sample who lacked health insurance coverage.

Denominator

Total number of persons in the survey sample.

Healthy People Objective AHS-1.1:

Increase the proportion of persons with medical insurance
U.S. Target: 100 percent

Other Objectives

One of Utah's 42 Community Health Indicators One of the Centers for Disease Control and Prevention (CDC), National Center for Chronic Disease Prevention and Health Promotion, Chronic Disease Indicators.

How Are We Doing?

In 2014, an estimated 303,500 Utahns (10.3%) were without health insurance coverage. This is not quite a statistically significant difference from the previous year's rate of 11.6%.

How Do We Compare With the U.S.?

In 2014, the ACS estimate for uninsured Utahns was 12.5% while the national estimate was 11.7% making Utah's rate of uninsured similar to the national rate, according to the ACS. As noted above, the Utah BRFSS data puts the Utah uninsured rate lower at 10.3% in 2014. There is not a comparable national estimate of the uninsured from the BRFSS because the questions used to estimate insurance coverage are considered "state-added" questions and are specific to Utah.

What Is Being Done?

The Utah Department of Health administers programs to improve access to care, such as Medicaid, Children's Health Insurance Program (CHIP), the Primary Care Network (PCN), and Utah's Premium Partnership for Health Insurance (UPP). The Department also works to improve the "safety net" for persons who lack health insurance. This is done through primary care grants to rural areas and clinics for children with disabilities. Local health departments provide preventive services such as immunizations and screenings at low or no cost to eligible persons who cannot afford them.

Available Services

MEDICAID: In the Salt Lake City area, call (801) 538-6155.[[br]] In Utah, Idaho, Wyoming, Colorado, New Mexico, Arizona, and Nevada, call toll-free 1-800-662-9651.[[br]] From other states, call 1-801-538-6155.[[br]] Medicaid Customer Service staff are available to take inquiries. Call the Health Resource Line: 1-888-222-2542 for information on CHIP and the PCN.[[br]] CHIP: Children's Health Insurance Program (for children 0-18)[[br]] Or visit the CHIP website at [http://health.utah.gov/chip/] PCN: Utah Primary Care Network (for low-income adults)[[br]] [http://health.utah.gov/pcn/] UPP: Utah's Premium Partnership for Health Insurance[[br]] phone: 1-888-222-2542 or visit [http://www.health.utah.gov/upp]

Health Program Information

Concerns about rising health care costs and the affordability of health care insurance lead to enactment of the Patient Protection and Affordable Care Act (ACA) in 2010. In Utah, citizens can sign up for health insurance through the federal exchange or through Utah's exchange, Avenue H, if they work for a participating small business. Utah Governor Gary Herbert, the Utah Department of Health, and the Utah Legislature have been in ongoing discussions regarding potential alternatives to Medicaid expansion to help low-income Utahns obtain health insurance. No resolution has yet been reached.
Page Content Updated On 12/31/2015, Published on 01/04/2016
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Sun, 07 February 2016 5:52:46 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Mon, 4 Jan 2016 09:26:18 MST