Insurance coverage

Read it this way Both the all-ages line (10.3% to 7.6%) and the working-age-adult line (14.7% to 10.9%) fall every year with no reversal, confirming the record-low uninsured rate is a sustained multi-year trend. The gap between the two lines, adults consistently higher than the all-ages figure, reflects that children have separate coverage pathways this chart doesn't break out. Use this chart to see where coverage breaks down, enrollment, affordability, or provider access, and why the recommendation treats card-to-care conversion as the outcome rather than insured status alone.

NCHS, NHIS Health Insurance Coverage Early Release, 2023 · 2023 · source

Read it this way Both age groups moved the wrong direction from 2022 to 2024, with children under 6 rising slightly more (4.3 to 5.3%) than children under 19 overall (5.1 to 6.0%). Two data points can't confirm a new multi-year trend by themselves, only that the direction reversed between these two years. Use this chart to see where coverage breaks down, enrollment, affordability, or provider access, and why the recommendation treats card-to-care conversion as the outcome rather than insured status alone.

Georgetown University Center for Children and Families (analysis of Census ACS) · 2024 · source

Read it this way States shaded darkest, led by Texas at 16.8%, run more than double the 8.2% national benchmark, while Massachusetts at 2.8% is roughly a sixth of Texas's rate. This is a single-year snapshot, so it can't show whether a state's uninsured rate is improving or worsening over time. Use this chart to see where coverage breaks down, enrollment, affordability, or provider access, and why the recommendation treats card-to-care conversion as the outcome rather than insured status alone.

KFF State Health Facts, Health Insurance Coverage of the Total Population · 2024 · source

Read it this way The Hispanic uninsured rate (24.8%) is more than three times the White rate (6.8%) and more than five times the Asian rate (4.4%), so coverage gaps by race and ethnicity are large even after the overall uninsured rate hit a record low. This is a national aggregate, so it can't show how much of the gap traces to income or state of residence versus race itself. Use this chart to see where coverage breaks down, enrollment, affordability, or provider access, and why the recommendation treats card-to-care conversion as the outcome rather than insured status alone.

NCHS, NHIS Health Insurance Coverage Early Release, 2023 · 2023 · source

Read it this way Uninsured rates fall sharply as income rises, from 20.2% below the poverty line to 4.3% at 400% of it or more, nearly a fivefold difference between the bottom and top bands. Income bands here are self-contained categories, so this chart can't show how income and the race and ethnicity gap shown alongside it interact for any individual. Use this chart to see where coverage breaks down, enrollment, affordability, or provider access, and why the recommendation treats card-to-care conversion as the outcome rather than insured status alone.

NCHS, NHIS Health Insurance Coverage Early Release, 2023 · 2023 · source

Read it this way More than two in three of the 25.2 million people disenrolled during the unwinding lost coverage for a paperwork reason, not because anyone determined they were ineligible. That split is the direct evidence behind the recommendation to expand automatic renewals, though it doesn't show how many of the 69% procedurally disenrolled were actually still eligible. Use this chart to see where coverage breaks down, enrollment, affordability, or provider access, and why the recommendation treats card-to-care conversion as the outcome rather than insured status alone.

KFF, As Medicaid Unwinding Concludes, 25 Million Lost Coverage · 2024 · source

Read it this way Montana's disenrollment rate (57%) is nearly five times North Carolina's (12%), showing the unwinding's impact varied enormously by state administration, not just by national eligibility rules. As the caveat notes, only these six states had a source-confirmed rate at collection, so this can't be read as a ranking of all 50 states. Use this chart to see where coverage breaks down, enrollment, affordability, or provider access, and why the recommendation treats card-to-care conversion as the outcome rather than insured status alone.

Caveat KFF's full 50-state tracker is a live table. Only these six states had a discrete, source-confirmed rate at collection. Others are omitted rather than estimated.

KFF, Medicaid Enrollment and Unwinding Tracker · 2024 · source

Read it this way The uninsured bar is several times taller than the insured bar on every measure, most sharply for having no usual source of care (40.6% vs 9.1%), showing lacking any coverage is a much bigger barrier than the type of coverage a person has. The insured comparator switches definitions across measures (all insured versus privately insured only), so read the exact multiples as directional, not precise. Use this chart to see where coverage breaks down, enrollment, affordability, or provider access, and why the recommendation treats card-to-care conversion as the outcome rather than insured status alone.

NCHS NHIS, via Healthy People 2030 (AHS-04, AHS-06, AHS-07) · 2023 · source

Read it this way The cost barrier eased from 8.5% to 6.8% between 2019 and 2022 but has been flat since, showing the improvement stalled rather than continuing. This tracks all ages combined and doesn't break out whether the plateau looks different for insured versus uninsured people. Use this chart to see where coverage breaks down, enrollment, affordability, or provider access, and why the recommendation treats card-to-care conversion as the outcome rather than insured status alone.

NCHS NHIS, via Healthy People 2030 (AHS-04) · 2023 · source

Read it this way Medicaid acceptance (73.7%) trails Medicare (89%) and private insurance (91%) by 15 to 17 points, so a Medicaid card still buys measurably less access to a new physician than other coverage types. As the caveat notes, the Medicaid figure is from 2014 to 2017 while Medicare and private are 2019, so the true gap today could be narrower or wider. Use this chart to see where coverage breaks down, enrollment, affordability, or provider access, and why the recommendation treats card-to-care conversion as the outcome rather than insured status alone.

Caveat Payer figures come from different survey years (Medicaid 2014 to 2017, Medicare and private 2019).

MACPAC and KFF, Physician Acceptance of New Patients by Payer · 2019 · source

Read it this way States shaded darkest, like Rhode Island at 0.52 and New Jersey at 0.61, pay Medicaid physicians roughly half the Medicare rate, while Montana (1.32) and Alaska (1.3) pay Medicaid physicians more than Medicare. Tennessee has no value because it runs Medicaid fully through managed care, so its absence from the map isn't a data gap. Use this chart to see where coverage breaks down, enrollment, affordability, or provider access, and why the recommendation treats card-to-care conversion as the outcome rather than insured status alone.

KFF State Health Facts, Medicaid-to-Medicare Fee Index (Urban Institute) · 2024 · source