Who are The uninsured?
- DISPARITIESData on demographics; health coverage, access, and utilization; and health status by race and ethnicity provides insight into the status of health disparities and changes since implementation of the ACA.
- Key FactsThis issue brief describes how coverage has changed in recent years, examines the characteristics of the uninsured population, and summarizes the access and financial implications of not having coverage.
- Issue BriefA KFF analysis of administrative data suggests that relatively few Americans have lost job-based health insurance amid the economic chaos of the pandemic — and that many who did likely found a safety net in coverage through Medicaid or the Affordable Care Act’s individual market.
- Expanding MedicaidNationally, 2.2 million poor uninsured adults were in the ACA “coverage gap” in 2019 in states that had not expanded Medicaid. They earned too much to be eligible for Medicaid but not enough to qualify for Marketplace premium tax credits. Three-quarters of them reside in just four states: Texas, Florida, Georgia and North Carolina.
New & Noteworthy
- Underserved PopulationsCommunity health centers play a key role in the pandemic, especially in communities with high poverty and high health needs. They’ve adopted new models of care, responded to medical and nonmedical needs, and moved care into new locations and configurations.
- COVID-19Nearly 28 million people in the U.S. lack health insurance. They will likely face unique barriers accessing COVID-19 testing and treatment. And those who contract COVID-19 and need medical care will likely receive large medical bills, even if they have low incomes and are unable to pay.
- CoronavirusThe Department of Health and Human Services program to pay for care for uninsured Americans with COVID-19 has been in place for about five months, but limits on who is eligible may be leaving some patients with large bills.
- OpioidsMore than 7 in 10 community health centers saw an increase in patients with opioid use disorder from 2018 to 2019. Evidence suggests overdoses are rising during the pandemic. Health centers have boosted services and are major source of medication-assisted treatment, but still face challenges meeting the demand.
Percent of adults who reported being without insurance in 2017.
Percent of uninsured adults who report delaying and/or going without medical care due to costs, 2017.
Percent of uninsured adults who worry about paying medical bills for normal care, 2017.
Percent of all insured adults who report delaying and/or going without medical care due to costs, 2017.