NQS Priority: Care Affordability
Lack of Usual Source of Care for Financial or Insurance Reasons
People without a usual source of care who indicate a financial or insurance reason for not having a source of care, by race/ethnicity and by insurance among Hispanics, 2002-2012
Right Graph (Hispanics):
Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2012.
Denominator: Civilian noninstitutionalized population without a usual source of care.
Note: For this measure, lower rates are better.
- Importance: High-quality health care is facilitated by having a regular provider, but some Americans may not be able to afford one.
- Overall Rate: In 2012, 20.2% of people without a usual source of care indicated a financial or insurance reason for not having a source of care.
- The overall percentage worsened from 2002 to 2010 and then leveled off.
- The percentage worsened among Blacks and Hispanics.
- Groups With Disparities: In all years, the percentage of people without a usual source of care who indicated a financial or insurance reason for not having a source of care was higher:
- Among Hispanics compared with Whites.
- Among uninsured Hispanics compared with privately insured Hispanics.
- Among publicly insured Hispanics compared with privately insured Hispanics (except in 2004).
AHRQ Health Care Innovations in Reducing Costs
- Location: Long Beach, California.
- Intervention: Instituted TeleSalud, a 24-hour bilingual advice line that provides callers with direct access to a registered nurse who can address their health and interpreter needs in their preferred language.
- Outcomes: Significantly increased the number of calls coming from Spanish-speaking members and has helped members to make wiser choices, leading to fewer emergency department visits and significant cost savings.
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