New York City Has a Higher Percentage of Uninsured than Does New York State or the Nation

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1 New York City Has a Higher Percentage of Uninsured than Does New York State or the Nation Percent uninsured 3 28% 19% 19% 1 National* New York State* New York City* *Source: March 1996 Current Population Survey. Adults Ages 18-64

2 New York City Adults Are More Likely to Be Uninsured, on Medicaid, and Less Likely to Have Private Coverage Other private 6% Uninsured 28% Medicare 3% Medicaid 19% Other private 8% Uninsured 19% Medicare 3% Medicaid 8% Employer 44% Employer 63% Adults Ages 18-64, New York City Adults Ages 18-64, National Note: Totals may differ due to rounding. The Kaiser/Commonwealth 1997 National Survey of Health Insurance

3 New York City s Uninsured Are Uninsured for Long Periods of Time Length of time uninsured 8 77% 6 4 8% 9% 6 months or less 7-18 months 19 or more months Uninsured Adults Ages 18-64

4 Most Uninsured New Yorkers Have Low Incomes and Work Above 25 of poverty Below 10 of poverty 42% Part time 16% Self-employed 16% Worker family member 7% of poverty 33% Unsure 5% Full time 3 Not working 31% Poverty Status Employment Status Uninsured Adults Ages 18-64

5 Minorities Are More Likely to Be Uninsured Percent uninsured % 27% 36% 29% White Black Hispanic Asian American Adults Ages % Other* *Other includes Native American or Alaska native, mixed race, some other race, or not sure.

6 Working Increases the Risk of Being Uninsured for Adults in Low Wage Families % 23% 51% Working family Uninsured Medicaid Private or other 9% 55% 35% No worker in family 54% 1 36% Working family 26% 38% 26% No worker in family Below 10 of Poverty of Poverty Adults Ages 18-64

7 Managed Care Is Becoming a Major Source of Care for New Yorkers Percent enrolled in managed care 8 75% % 29% Total Insured Private Medicare Medicaid All Adults, by Primary Insurance Source

8 The Uninsured Are Two to Three Times More Likely to Have Problems with Access to Health Care Percent of adults 6 Insured Uninsured 53% 4 19% 7% 14% Did not get needed care Difficult to get medical care Adults Ages 18-64

9 Uninsured New Yorkers Lack Primary Care Percent of adults 8 7 Insured Uninsured % No regular doctor Adults Ages % 38% No doctor visit in the past 12 months

10 Older Uninsured Men and Women Are Less Likely to Receive Preventive Care Insured 58% 33% No mammogram Uninsured 75% 41% No prostate exam Adults Ages 50-64

11 Uninsured Adults Rate Access to Health Care Negatively Percent rating access as fair or poor 5 Insured Uninsured 4 36% 36% 36% 3 27% 22% 44% 1 Access to specialists Advice by phone Adults Ages Care on nights and weekends

12 Minorities Are More Likely to Report Difficulty Getting Needed Health Care Percent saying it is extremely, very, or somewhat difficult to get needed care 4 38% 3 28% 27% 19% 3 1 Asian White Black Hispanic American Other* Adults Ages *Other includes Native American or Alaska native, mixed race,some other race, or not sure.

13 The Uninsured Rate Health Care More Negatively Percent rating care as fair or poor 4 39% % Care overall 14% 29% Amount doctor cares 22% Insured 35% Amount of time spent with doctor Uninsured 4 23% Doctor overall Adults Ages 18-64

14 Minorities Are More Likely to Rate Health Care Negatively Percent rating care as fair or poor % 29% 28% 24% White Black Hispanic Asian American 34% Other* Adults Ages *Other includes Native American or Alaska native, mixed race,some other race, or not sure.

15 The Uninsured Have Problems Paying Medical Bills % Total Insured Uninsured 31% 27% 13% 14% 9% Problems paying bills Serious problems paying bills Adults Ages 18-64

16 The Uninsured Are at Greater Risk for High Out-of-Pocket Costs Percent with high out-of-pocket costs in the past year 3 29% $501-$1000 >$ % 16% 18%* 12% 1 9% 13% 7% Total Uninsured Insured *Totals may differ due to rounding. Adults Ages 18-64

17 Uninsured New Yorkers Often Do Not Get the Care They Need and Have Problems Paying Bills Percent who did not get needed care and/or had bill problems in past year Insured Uninsured 4 38% 3 31% 1 7% 19% 13% 18% Did not get needed care Had bill problems Adults Ages Did not get needed care or had bill problems

18 New Yorkers Living in Poverty Are at High Risk for Health Care Access and Cost Problems Percent not getting needed care and/or having bill problems in past year % 44% Below 10 of poverty 25% of poverty Insured Adults Ages % 34% 14% Uninsured Above 25 of poverty

19 Children Living in New York City Are at Greater Risk of Being Uninsured 15% 1 14% 12% 17% 5% National* New York State* New York City* Uninsured Children as a Percent of All Children, 1996 *Source: March 1996 Current Population Survey.

20 Most Uninsured New York City Children Live in Working, Two-Parent Families Percent of uninsured children % 62% 4 28% 37% Not working Working Single Two-parent Family Employment Status Family Structure

21 Uninsured Children Are at Nearly Three Times the Risk of Health Care Access Barriers Percent of children Insured % 1 1 Uninsured 7% 19% No physician visit in the past 12 months No regular doctor Difficult to get care

22 Uninsured Children Are Less Likely to Receive Preventive Care Percent of children not receiving a check-up or immunization in the past year 3 29% 13% 19% 1 7% Total Insured Private Medicaid Uninsured

23 New York City s Uninsured Have Somewhat Better Health Care Access than the Nation s Uninsured Percent of adults 6 New York City 55% 53% National 51% 4 19% 3 32% Did not get needed care Put off or postponed care Uninsured Adults Ages The Kaiser/Commonwealth 1997 National Survey of Health Insurance Difficult to get care

24 Public Hospitals Are a Major Source of Care for the Uninsured Percent of hospital patients admitted to public hospitals 5 48% % 28% 8% 13% Total Uninsured Medicaid Medicare Private

25 Emergency Rooms Serve Uninsured New Yorkers and the Medicaid Population Percent using emergency room 5 47% % 24% 25% 1 Total Uninsured Medicaid Medicare Private Adults Age 18 or Older

26 The Uninsured and Medicaid Beneficiaries Rely on Public Hospital Emergency Rooms Percent using public emergency room 1 7% 11% 14% 4% 4% Total Uninsured Medicaid Medicare Private Adults Age 18 or Older

27 Widespread Support for Public Hospitals Exists, Regardless of Insurance Coverage Percent saying that selling or closing NYC public hospitals is a bad thing % 58% 64% 57% 57% 4 Total Uninsured Medicaid Medicare Private New York City Adults Age 18 or Older

28 Medicaid Serves a Sicker Population Excellent Good Fair Poor Medicaid 23% 35% 26% 15% Private 36% 47% 15% 2% 25% 5 75% 10 Self-Reported Health Status, Adults Ages 18-64

29 Medicaid Is a Critical Source of Insurance for Low Income Children Percent of children 10 75% 56% 5 Uninsured Medicaid Private or other 23% 69% 51% 89% 25% 28% 17% 26% All children Below 10 of poverty 16% 15% of poverty 6% 5% Above 25 of poverty

30 Medicaid Beneficiaries Are More Likely to Rate Access and Care as Fair or Poor Percent rating fair or poor Private Waiting time for appointment 25% 37% Medicaid Doctor overall 12% Access to care during off hours 34% 41% Adults Ages 18-64