New Yorkers struggle with high healthcare costs and support government solutions. A survey found over half of New York adults faced healthcare affordability burdens in the past year, including being uninsured, delaying care due to costs, and struggling to pay medical bills. Most were worried about affording future healthcare costs. Support for government action to lower costs and increase access was high across political parties. New Yorkers reported the highest affordability burdens in New York City and support a range of policies like lowering drug and hospital prices.
Single Payer Systems: Equity in Access to Caresoder145
Presentation by Lynn Blewett at "The True Workings of Single Payer Systems: Lessons or Warnings for U.S. Reform' conference sponsored by the Journal of Health Politics Policy and Law, May 10 2008.
Economic Impact on Minnesota's Health Care Delivery Systemsoder145
Presentation by Lynn Blewett to the Minnesota State Legislature at a joint meeting of the health care and human services finance and policy committees in Saint Paul, MN, February 10 2009.
Single Payer Systems: Equity in Access to Caresoder145
Presentation by Lynn Blewett at "The True Workings of Single Payer Systems: Lessons or Warnings for U.S. Reform' conference sponsored by the Journal of Health Politics Policy and Law, May 10 2008.
Economic Impact on Minnesota's Health Care Delivery Systemsoder145
Presentation by Lynn Blewett to the Minnesota State Legislature at a joint meeting of the health care and human services finance and policy committees in Saint Paul, MN, February 10 2009.
Meghan Hoyer: "Will the Silver Tsunami Send Medicare into the Red?" 12.17.15reportingonhealth
Meghan Hoyer's slides from the Center for Health Journalism webinar "Will the Silver Tsunami Send Medicare into the Red?" 12.17.15
http://www.centerforhealthjournalism.org/content/will-silver-tsunami-send-medicare-red
Understanding the vocabulary of health insurance helps in selecting and using coverage effectively. eHealthInsurance commissioned a national study to determine public awareness of select health insurance terminology and the specifics of health insurance coverage. Americans admit to a health insurance vocabulary deficit.
Only a fourth (23%) feel they are very sure of what the terminology used in their health insurance policy actually means.
A third are somewhat sure of what the terminology actually means (32%).
One-fourth are not very sure (13%) or have no idea (10%) what the terminology used in their health insurance policy means.
One-fifth report they don’t have health insurance (21%).
The public demonstrates its lack of familiarity with health insurance terminology by not knowing what some of the key abbreviations stand for.
Only one-third of Americans (36%) can volunteer that HMO stands for health maintenance organization.
Only one-fifth (20%) recall that PPO stands for Preferred Provider Organization.
Only one out of nine (11%) recalls that HSA stands for Health Savings Account.
When asked how sure they were with some of the specifics of their health insurance policy, most people said they were very sure of the amount of their co-payment (61%), but half or fewer were very sure they knew the amounts of other basic elements of their coverage:
Half said they were very sure of what they paid for their health insurance premiums (50%).
45% were very sure of their annual deductible.
41% were very sure of the level of their plan’s co-insurance.
35% were very sure of their maximum annual out-of-pocket costs.
For each of these items, one-fifth indicated that the questions were not relevant since they did not have health insurance (21%).
Effect of State Regulations on Health Insurance PremiumseHealth , Inc.
Overall, these results provide solid evidence that the state-level regulations of health insurance are correlated with higher premiums. The regression model estimates that the presence of health plan liability laws increases monthly premiums by $21.84. Laws that give subscribers direct access to specialists increase monthly premiums by $31.15. Provider due process laws increase premiums by
$16.62. Finally, each additional mandated benefit increases premiums by $0.75. All of these findings achieve statistical significance.
Assessing U.S. and International Experience with Health Reform and Implications for the Future by W. David Helms, Ph.D, President and CEO, Academy Health
Meghan Hoyer: "Will the Silver Tsunami Send Medicare into the Red?" 12.17.15reportingonhealth
Meghan Hoyer's slides from the Center for Health Journalism webinar "Will the Silver Tsunami Send Medicare into the Red?" 12.17.15
http://www.centerforhealthjournalism.org/content/will-silver-tsunami-send-medicare-red
Understanding the vocabulary of health insurance helps in selecting and using coverage effectively. eHealthInsurance commissioned a national study to determine public awareness of select health insurance terminology and the specifics of health insurance coverage. Americans admit to a health insurance vocabulary deficit.
Only a fourth (23%) feel they are very sure of what the terminology used in their health insurance policy actually means.
A third are somewhat sure of what the terminology actually means (32%).
One-fourth are not very sure (13%) or have no idea (10%) what the terminology used in their health insurance policy means.
One-fifth report they don’t have health insurance (21%).
The public demonstrates its lack of familiarity with health insurance terminology by not knowing what some of the key abbreviations stand for.
Only one-third of Americans (36%) can volunteer that HMO stands for health maintenance organization.
Only one-fifth (20%) recall that PPO stands for Preferred Provider Organization.
Only one out of nine (11%) recalls that HSA stands for Health Savings Account.
When asked how sure they were with some of the specifics of their health insurance policy, most people said they were very sure of the amount of their co-payment (61%), but half or fewer were very sure they knew the amounts of other basic elements of their coverage:
Half said they were very sure of what they paid for their health insurance premiums (50%).
45% were very sure of their annual deductible.
41% were very sure of the level of their plan’s co-insurance.
35% were very sure of their maximum annual out-of-pocket costs.
For each of these items, one-fifth indicated that the questions were not relevant since they did not have health insurance (21%).
Effect of State Regulations on Health Insurance PremiumseHealth , Inc.
Overall, these results provide solid evidence that the state-level regulations of health insurance are correlated with higher premiums. The regression model estimates that the presence of health plan liability laws increases monthly premiums by $21.84. Laws that give subscribers direct access to specialists increase monthly premiums by $31.15. Provider due process laws increase premiums by
$16.62. Finally, each additional mandated benefit increases premiums by $0.75. All of these findings achieve statistical significance.
Assessing U.S. and International Experience with Health Reform and Implications for the Future by W. David Helms, Ph.D, President and CEO, Academy Health
CHAPTER IV- DATA AND ANALYSISIntroductionBased on the collecJinElias52
CHAPTER IV- DATA AND ANALYSIS
Introduction
Based on the collected data from the previous chapter, the information supports the first hypothesis that: The introduction of healthcare under the Affordable Care Act (Obamacare) increased the percentage of low-income American households with health insurance by 70%. The data also support the second hypothesis that: The introduction of healthcare under the Affordable Care Act (Obamacare) increased the percentage of ethnic and racial minority households in the United States with health increased by 20%. Finally, the data support the last hypothesis of the study that: The introduction of healthcare under the Affordable Care Act (Obamacare) increased the percentage of ethnic and racial minority households in the United States with health insurance by 20%.
The paper examines the difference in health care coverage in the underrepresented American households before and after the implementation of the Affordable Care by analyzing the data from six different sources. The policy was enacted to primarily expand American’s access to insurance and improve the quality of health care services that American citizens get access to. As such, the reform has resulted in a significant impact regarding the health status of different groups living in America, especially among the minorities. Besides, the introduction of the reform has, over the years, been associated with a reduction in disparities in the U.S health care system.
Notably, before A.C.A, various groups of color had limited access to health insurance coverage which adversely affected their health care conditions. Similarly, individuals from low-income families also experienced this effect. In this regard, the paper aims at answering a question that: Has the introduction of healthcare under the Affordable Care Act (Obamacare) increased the percentages of minority and lower-and middle-class households with health insurance significantly?
The paper implements the statistical procedure used in the articles identified and whose data have been included in the research. In this regard, the paper depends on more than one method for analyzing data that will be used in answering the research questions. Additionally, the chapter explores data presented in all the articles and analyzed them to determine whether they support, partially support, or reject the hypotheses.
Hypothesis #1
The first hypothesis that the paper is focused on is: The introduction of healthcare under the Affordable Care Act (Obamacare) increased the percentage of low-income American households with health insurance by 70%.
One of the research articles that the paper uses in testing the hypothesis outlined above is the study by Sommers et al. (2017). Based on the methods used by the researchers, the study found that 72 percent of the respondents living in Kentucky were affected with chronic conditions, 69 percent in Arkansas, and 55 percent in Texas. According to the results, the disease prevalen ...
According to this idea that gender is socially constructed, answer.docxronak56
According to this idea that gender is socially constructed, answer the following questions:
1. What does it mean to be a man in the U.S.? What does it mean to be a woman?
2. From what institutions do we learn these gender roles?
3. How do these clips demonstrate the ways in which gender is socially constructed in the U.S.? Do the concepts discussed in the clips resonate with you? Why or why not?
In Persepolis, the main character Marji struggles to define her identity as an Iranian woman in a changing society.
· What roles are depicted for women in Iranian society in the film? How do they change over time?
· How does Persepolis demonstrate the ways in which gender and identity are influenced in many ways, by different processes across cultures? How are gender roles in Iran similar, or different to gender in the U.S.?
· What are some of the stereotypes that exist about Muslim women and how does Abu-Lughod in “Do Muslim Women Need Saving” and Persepolis complicate these stereotypes?
Answer the following questions 2 full pages
Running head: MAJOR HEALTH CARE PROBLEMS IN THE U.S. 1
Major Health Care Problems in the U.S.
Jane Doe
ID: 1212121
MAJOR HEALTH CARE PROBLEMS IN THE U.S. 2
Major Health Care Problems in the US
Problem statement: High and continuously rising cost of health care has been and still is one of
the biggest challenges affecting the Health Care system in United States.
Methods of Examining the Problem
Both qualitative and quantitative research methods should be used to fully understand the
issue of high cost of care in the US. Quantitative methods like surveys and experimentations will
aid in estimating the prevalence, magnitude and frequency of the problem in different regions.
On the other hand, qualitative methods like case studies and observation will help describe the
extent and complexity of the issue. The two approaches need to work in complementation to
obtain a clear understanding of this menace.
Surveys, as a quantitative research method, is one of the most effective in the social
research and present a more viable method of examining the cost of health in the country. They
involve asking of questions in the form of questionnaires and interviews. Questionnaires are
written questions to which the response can be open ended or multiple-choice format. This
would be used to gain information about cost within determinants that are of
disagree/neutral/agree nature. An example is if patients are contented with the cost of services
they get or they deem the cost of cover worthy. Interviews, the researcher discussing issues with
the respondents, are to be used to gain more details on already known aspects of the system. This
may include gathering information to inform policies, administration and use of technology to
minimize the cost of care.
Since health cost in the US is not a new challenge and there have been studies about it,
qualitative methods like .
The healthcare industry is rapidly shifting – and not just in spending – but also in the method in which doctors, clinics and hospitals interact with patients. Consumers are turning to digital for various health related inquiries, with more than 60% of consumers 45+ spending up to five hours a week researching online. From finding information about medical conditions or drugs to communicating with doctors and the rest of the healthcare community, digital has become a way of life for today’s consumers. And pharma and healthcare marketers are taking notice.
How the Affordable Care Act (ACA) and Medicaid Expansion Impacted Access, Cos...Chelsea Dade, MS
This paper presentation summarizes finding from the literature for my final paper in HLTHCOMM 410: The U.S. Healthcare System during Fall 2017. The presentation focuses on how the Affordable Care Act (ACA) and Medicaid expansion impacted access, quality, and cost of care, as well as population health, for the newly eligible group of non-elderly adults.
Obamacare, Trump Care or no care? The debate about who pays to keep America healthy rages on with no end in sight. It might even become a huge talking point in the next presidential election, as some are pushing for Medicare-for-all coverage. Confused? I know I am. Here is the first of a series of summaries about US health care.
Observations on the needs for, the contents of, and many of the practical effects of the Affordable care Act or Obamacare. Understanding its benefits and shortcomings
New CDC data find that 1 in 7 people in 2018 reported trouble with paying medical bills, a figure that represents a dip since 2011. Here’s more:
•Overall trends: In 2011, nearly 20% of people reported having trouble with medical bills in the year prior to being surveyed, but that dropped to 14% of respondents in 2018.
•Demographics: Females, Black individuals, and those aged 17 and under were most likely to be in families who had trouble paying bills.
•Insurance status: Those under the age of 65 who were uninsured had the most difficulty with health bills. Those aged 65-74 were most likely to report trouble paying bills if they had both Medicare and Medicaid. Among the oldest adults — ages 75 and older — having Medicare only was associated with medical billing problems.
Expanding Access to Healthcare in Texas - Robert Greenwald, J.D.OneVoiceTexas
Robert Greenwald, J.D., Director of the Center for Health Law and Policy Innovation at Harvard Law School, looks at turning the Affordable Care Act challenges into Opportunities at the June 4, 2014 Designing Healthcare in Texas conference. (Hosts: One Voice Texas, Harris County Healthcare Alliance, Rice University Kinder Institute)
According to The Unheard Third 2015, our annual survey New York City residents, New Yorkers see college education as the key to getting ahead, and affordability as the key to getting more young people to college.
Wide support now seen across income, gender, and party, with sharp increase in support among Republicans. Findings from The Unheard Third 2015 survey of New York City Residents.
The Community Service Society’s Fast Analysis of the 2014 New York City Housing and Vacancy Survey. On June 2, 2015, the U.S. Census Bureau released detailed data from the 2014 version of its New York City Housing and Vacancy Survey, a survey of 18,000 New Yorkers
conducted every three years under contract with the New York City Department of Housing Preservation and Development. CSS has conducted a preliminary analysis of the results to shed light on the important housing issues facing the New York state legislature this year, including the renewal of rent control, rent stabilization, and the 421-a development tax subsidy.
The entry is becoming the barrier to economic mobility for low-income New Yorkers. This presentation shows, through data collected by the Community Service Society's annual Unheard Third Survey, the hardship faced by low-income New Yorkers in paying for public transportation, and the clear support among residents for a plan to provide discounted fares for low-wage workers.
Results from The Unheard Third, an annual survey conducted by the Community Service Society in New York City. Support for a statewide paid family leave insurance program has grown significantly since we first asked the question in 2005.
More from Community Service Society of New York (11)
Trauma Outpatient Center is a comprehensive facility dedicated to addressing mental health challenges and providing medication-assisted treatment. We offer a diverse range of services aimed at assisting individuals in overcoming addiction, mental health disorders, and related obstacles. Our team consists of seasoned professionals who are both experienced and compassionate, committed to delivering the highest standard of care to our clients. By utilizing evidence-based treatment methods, we strive to help our clients achieve their goals and lead healthier, more fulfilling lives.
Our mission is to provide a safe and supportive environment where our clients can receive the highest quality of care. We are dedicated to assisting our clients in reaching their objectives and improving their overall well-being. We prioritize our clients' needs and individualize treatment plans to ensure they receive tailored care. Our approach is rooted in evidence-based practices proven effective in treating addiction and mental health disorders.
We are one of the top Massage Spa Ajman Our highly skilled, experienced, and certified massage therapists from different corners of the world are committed to serving you with a soothing and relaxing experience. Luxuriate yourself at our spas in Sharjah and Ajman, which are indeed enriched with an ambiance of relaxation and tranquility. We could confidently claim that we are one of the most affordable Spa Ajman and Sharjah as well, where you can book the massage session of your choice for just 99 AED at any time as we are open 24 hours a day, 7 days a week.
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Gemma Wean- Nutritional solution for Artemiasmuskaan0008
GEMMA Wean is a high end larval co-feeding and weaning diet aimed at Artemia optimisation and is fortified with a high level of proteins and phospholipids. GEMMA Wean provides the early weaned juveniles with dedicated fish nutrition and is an ideal follow on from GEMMA Micro or Artemia.
GEMMA Wean has an optimised nutritional balance and physical quality so that it flows more freely and spreads readily on the water surface. The balance of phospholipid classes to- gether with the production technology based on a low temperature extrusion process improve the physical aspect of the pellets while still retaining the high phospholipid content.
GEMMA Wean is available in 0.1mm, 0.2mm and 0.3mm. There is also a 0.5mm micro-pellet, GEMMA Wean Diamond, which covers the early nursery stage from post-weaning to pre-growing.
INFECTION OF THE BRAIN -ENCEPHALITIS ( PPT)blessyjannu21
Neurological system includes brain and spinal cord. It plays an important role in functioning of our body. Encephalitis is the inflammation of the brain. Causes include viral infections, infections from insect bites or an autoimmune reaction that affects the brain. It can be life-threatening or cause long-term complications. Treatment varies, but most people require hospitalization so they can receive intensive treatment, including life support.
International Cancer Survivors Day is celebrated during June, placing the spotlight not only on cancer survivors, but also their caregivers.
CANSA has compiled a list of tips and guidelines of support:
https://cansa.org.za/who-cares-for-cancer-patients-caregivers/
This document is designed as an introductory to medical students,nursing students,midwives or other healthcare trainees to improve their understanding about how health system in Sri Lanka cares children health.
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardso...rightmanforbloodline
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
PET CT beginners Guide covers some of the underrepresented topics in PET CTMiadAlsulami
This lecture briefly covers some of the underrepresented topics in Molecular imaging with cases , such as:
- Primary pleural tumors and pleural metastases.
- Distinguishing between MPM and Talc Pleurodesis.
- Urological tumors.
- The role of FDG PET in NET.
Can coffee help me lose weight? Yes, 25,422 users in the USA use it for that ...nirahealhty
The South Beach Coffee Java Diet is a variation of the popular South Beach Diet, which was developed by cardiologist Dr. Arthur Agatston. The original South Beach Diet focuses on consuming lean proteins, healthy fats, and low-glycemic index carbohydrates. The South Beach Coffee Java Diet adds the element of coffee, specifically caffeine, to enhance weight loss and improve energy levels.
KEY Points of Leicester travel clinic In London doc.docxNX Healthcare
In order to protect visitors' safety and wellbeing, Travel Clinic Leicester offers a wide range of travel-related health treatments, including individualized counseling and vaccines. Our team of medical experts specializes in getting people ready for international travel, with a particular emphasis on vaccines and health consultations to prevent travel-related illnesses. We provide a range of travel-related services, such as health concerns unique to a trip, prevention of malaria, and travel-related medical supplies. Our clinic is dedicated to providing top-notch care, keeping abreast of the most recent recommendations for vaccinations and travel health precautions. The goal of Travel Clinic Leicester is to keep you safe and well-rested no matter what kind of travel you choose—business, pleasure, or adventure.
LGBTQ+ Adults: Unique Opportunities and Inclusive Approaches to CareVITASAuthor
This webinar helps clinicians understand the unique healthcare needs of the LGBTQ+ community, primarily in relation to end-of-life care. Topics include social and cultural background and challenges, healthcare disparities, advanced care planning, and strategies for reaching the community and improving quality of care.
Under Pressure : Kenneth Kruk's StrategyKenneth Kruk
Kenneth Kruk's story of transforming challenges into opportunities by leading successful medical record transitions and bridging scientific knowledge gaps during COVID-19.
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
Deep Leg Vein Thrombosis occurs when a blood clot forms in one or more of the deep veins in the legs. These clots can impede blood flow, leading to severe complications.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Hub Altarum data brief no. 37 - New York healthcare affordability
1. New Yorkers Struggle to Afford High Healthcare Costs; Support a
Range of Government Solutions Across Party Lines
Nationally, consumer worry about healthcare affordability is well documented but now—for the first
time—a new survey reveals how affordability concerns and ideas for action play out in New York.
A survey of more than 980 New York adults, conducted from Dec. 20, 2018 to Jan. 2, 2019, found that:
• More than half (52%) experienced healthcare affordability burdens in the past year;
• Even more (76%) are worried about affording healthcare in the future; and
• Across party lines, they express strong support for government-led solutions.
A Range of Healthcare Affordability Burdens
Like many Americans, New Yorkers currently experience hardship due to high healthcare costs. All
told, 52% of New York adults experienced one or more of the following healthcare affordability
burdens in the prior 12 months:
1.) Being Uninsured Due to High Premium Costs
• 51% of uninsured adults cited “too expensive” as the major reason for not having coverage, far
exceeding other reasons like “don’t need it” and “don’t know how to get it.”
2.) Delaying or Foregoing Healthcare Due to Cost
Nearly half (45%) of all New York adults who needed healthcare during the year encountered one or
more cost related barriers to getting that care:
• 31%—Delayed going to the doctor or having a procedure done
• 29%—Skipped a recommended medical test or treatment
• 26%—Avoided going to the doctor or having a procedure done altogether
• 23%—Cut pills in half or skipped doses of medicine
• 21%—Did not fill a prescription
• 17%—Had problems accessing mental healthcare
Moreover, cost was by far the most frequently cited reason for not getting needed medical care,
exceeding a host of other barriers like transportation, difficulty getting an appointment, lack of
childcare, and other reasons.
Of the various types of medical bills, the ones most frequently associated with an affordability barrier
included doctor visits, dental, and prescriptions, likely reflecting the frequency with which New York
adults seek these services—or, in the case of dental, lower rates of coverage for these services.
Results from Altarum's Consumer Healthcare Experience State Survey
DATA BRIEF NO. 37 | MARCH 2019
2. DATA BRIEF NO. 36 • MARCH 2019 PAGE 2
HEALTHCARE VALUE HUB
Figure 1
Somewhat or Very Worried About Health Insurance
Source: 2018-2019 Poll of New York Adults, Ages 18+, Altarum Healthcare Value Hub's Consumer Healthcare Experience State Survey
100%
80%
60%
40%
20%
0
Will Lose Health Insurance Will Not Be Able to Afford Health Insurance
Employer-Based
Coverage
MedicarePrivate Coverage
Purchased by Individual
Military CoverageMedicaid
44%
66% 67%
52%55%
32%
78%
53% 53%
33%
3.) Struggling to Pay Medical Bills
In other cases, New Yorkers got the care they needed but then struggled to pay the resulting bill.
More than one-third (35%) of New York adults experienced one or more of these struggles while
paying off medical bills:
• 15%—Used up all or most of their savings
• 13%—Unable to pay for basic necessities like food, heat, or housing
• 12%—Contacted by a collection agency
• 9%—Borrowed money or got a loan or another mortgage on their home
• 7%—Racked up large amounts of credit card debt
• 6%—Placed on a long-term payment plan
High Levels of Worry About Affording Healthcare in the Future
In even greater numbers, New York adults worry about affording healthcare in the future.
Overall, more than three-fourths (76%) reported being “worried” or “very worried” about affording
some aspect of healthcare in the future, including:
• 66%—Cost of nursing home and home care services
• 63%—Medical costs when elderly
• 62%—Cost of a serious illness or accident
• 57%—Prescription drug costs
In addition, most respondents (64%) were “worried” or “very worried” about not being able to
afford health insurance in the future. The greatest concern was among those that buy private health
coverage as individuals—over three-fourths of those adults were worried (see Figure 1). In addition,
individual market enrollees and those on Medicaid were worried about losing their coverage.
3. DATA BRIEF NO. 36 • MARCH 2019 PAGE 3
HEALTHCARE VALUE HUB
Healthcare Affordability Concerns by Income
Worries about affording healthcare go far up the income ladder. While lower-income households (less
than $50K/year) have the highest levels of worry, two-thirds of high-income households (more than
$100K/year) have healthcare affordability worries (see Table 1).
Less than $50K $50K-$100K More than $100K
Worry About Affording Medical Costs when Elderly 69% 65% 52%
Worry About Affording Nursing Home and Home Care Services 67% 68% 61%
Overall: Had One or More Healthcare Affordaility Worries 82% 79% 67%
Source: 2018-2019 Poll of New York Adults, Ages 18+, Altarum Healthcare Value Hub's Consumer Healthcare Experience State Survey
Table 1
Worry About Affording Healthcare, by Household Income
Middle-income households ($50K-$99K/year) report the highest levels of healthcare burdens during the
past 12 months: avoiding needed care and/or struggling to pay their medical bills (see Figures 2 and 3).
Higher Income
(More than $100K)
100%
80%
60%
40%
20%
0
47%
38%
50%
Figure 2
New York Adults Who Needed Healthcare but Encountered One or More Cost-Related Barrier
Source: 2018-2019 Poll of New York Adults, Ages 18+, Altarum Healthcare Value Hub, Altarum's Consumer Healthcare Experience State Survey
Lower Income
(Less than $50K)
Middle Income
($50K-$100K)
100%
80%
60%
40%
20%
0
33% 32%
42%
Figure 3
New York Adults Who Experienced One or More Struggles to Pay Medical Bills
Source: 2018-2019 Poll of New York Adults, Ages 18+, Altarum Healthcare Value Hub, Altarum's Consumer Healthcare Experience State Survey
Lower Income
(Less than $50K)
Higher Income
(More than $100K)
Middle Income
($50K-$100K)
4. HEALTHCARE VALUE HUB
DATA BRIEF NO. 36 • MARCH 2019 PAGE 4
Healthcare Affordability Concerns by Insurance Type
Compared to publicly insured residents (those with Medicaid, Medicare, Tri-care and Veterans coverage),
New York adults with private insurance from their employer or purchased on their own through the
individual market report somewhat higher rates of worry and affordability burdens (see Figure 4).
Healthcare Affordability Concerns by Region
The survey also revealed regional differences in how New York experiences healthcare affordability
burdens. Responses were mapped into the regions in Table 2
Figure 4
Percent of New York Adults Facing Struggles, Barriers and Worries to Healthcare, by Insurance Type
Public Coverage Privately Insured
Note: This summary excludes those without insurance.
Source: 2018-2019 Poll of New York Adults, Ages 18+, Altarum Healthcare Value Hub, Altarum's Consumer Healthcare Experience State Survey.
Worried about affording healthcare in the future
Expressed one or more struggles to pay their medical bill
Needed healthcare but encountered one or more cost
related barrier to care
0% 20% 40% 60% 80% 100%
74%
79%
43%
33%
47%
38%
Region Percent of State Population Median Income
New York City Boroughs 43% $59,071
Long Island 14% $98,988
Upstate New York 42% $62,713
Note: New York Boroughs include Bronx, Kings, New York, Queens, and Richmond counties. Long Island includes Nassau and Suffolk counties.
Source: Population and Income from U.S. Census Bureau; Income is a weighted average of 2017 median income by county.
The New York City Boroughs reported the greatest rate of healthcare affordability burdens—59%
of adults experienced one or more of the three types of burdens described above. In contrast, Long
Island and Upstate New York were almost 10 percentage points lower (see Figure 5).
Perhaps reflecting these high rates of healthcare affordability burdens, residents of the New York
City Boroughs also reported starkly higher levels for specific healthcare worries:
• Worry about affording medical costs for the elderly spiked at 67% in the New York City Boroughs
region, compared to 54% in the Long Island region.
• Worry about affording the cost of a serious illness or accident spiked at 65% in the New York
City Boroughs region, compared to 57% in the Long Island region.
Table 2
New York Regional Demographics
5. HEALTHCARE VALUE HUB
DATA BRIEF NO. 36 • MARCH 2019 PAGE 5
But overall levels of worry about any healthcare burden was high across regions, ranging from 72% to
79%.
Additional detail and regional reports are available at: www.healthcarevaluehub.org/New York-2019-
Healthcare-Survey/
Dissatisfaction with the Health System and Support for Change
In light of these healthcare affordability concerns, it is not surprising that New Yorkers were extremely
dissatisfied with the health system. Statewide:
• Just 32% agreed or strongly agreed with the statement “We have a great healthcare system in the U.S.,”
• While 72% agreed or strongly agreed “the system needs to change.”
The survey asked about both personal and governmental actions to address healthcare system
problems.
Personal Actions
New Yorkers do see a role for themselves in addressing healthcare affordability. When asked to rank
the top three personal actions would be most effective in addressing the affordability of healthcare
(out of ten options), top vote getters were:
• 62%—Taking better care of their personal health
• 39%—Write or call my STATE representative asking them to take action
• 35%—Write or call my FEDERAL representative asking them to take action
• 37%—Research treatments myself, before going to the doctor
Respondents do see a role for themselves in solving problems. They reported actions they have
already taken, like researching the cost of drug beforehand (43%), as well as actions they should be
taking—66% believe that switching from a brand to a generic drug if given a chance is one of the top
things they can do personally to address affordability
100%
80%
60%
40%
20%
0
48% 45%
59%
Figure 5
Percent of New York Adults with Any Healthcare Affordability Burden in the Past Year
Source: 2018-2019 Poll of New York Adults, Ages 18+, Altarum Healthcare Value Hub, Altarum's Consumer Healthcare Experience State Survey
Long Island Upstate New YorkNew York City Boroughs
6. HEALTHCARE VALUE HUB
DATA BRIEF NO. 36 • MARCH 2019 PAGE 6
Government Actions
But far and away, New York residents see government as the key stakeholder that needs to act to
address health system problems. Moreover, addressing healthcare problems trumps other issues that
New Yorkers want their elected representatives to work on.
At the beginning of the survey, respondents were asked what issues the government should address in
the upcoming year. Healthcare was the most frequently cited issue, far exceeding eight other options.
The top vote getters were:
• 62%—Healthcare
• 43%—Taxes
• 39%—Economy/Joblessness
When asked about the top three healthcare priorities the government should work on, top vote
getters were:
• 46%—addressing high healthcare costs including prescription drugs;
• 34%—getting health insurance to those who cannot afford coverage; and
• 31%—preserving consumer protections like: you can’t be denied coverage or charged more if you
have a pre-existing medical condition.
Of more than 20 options, New Yorkers believe the problem causing high healthcare costs is unfair
prices charged by powerful industry stakeholders.
• 69%—Insurance companies charging too much money
• 69%—Hospitals charging too much money
• 68%—Drug companies charging too much money
• 56%—Some well-known or large hospitals or doctor groups using their influence to get higher
payments from insurance companies
When it comes to tackling costs, respondents endorsed a number of strategies, including:
• 93%—Make it easy to switch insurers if a health plan drops your doctor
• 90%—Require hospitals and doctors to provide up front patient cost estimates
• 90%—Require insurers to provide upfront cost estimates to consumers
Support for Action Across Party Lines
What is remarkable about the findings is high support for change regardless of the respondent’s
political affiliation (see Table 3).
The high burden of healthcare affordability, along with high levels of support for change, suggest that
elected leaders and other stakeholders need to make addressing this consumer burden a top priority.
Annual surveys can help assess whether or not progress is being made.
7. HEALTHCARE VALUE HUB
DATA BRIEF NO. 36 • MARCH 2019 PAGE 7
Selected Survey Questions Total
Generally speaking, do you think of yourself as…
Republican Democrat Neither
Do you agree we have a great healthcare system in the U.S.? 32% 49% 29% 21%
Do you agree the U.S. healthcare system needs to change? 72% 62% 77% 72%
Major reason for rising healthcare costs: Drug companies
charging too much money
68% 65% 69% 68%
Major reason for rising healthcare costs: Hospitals
charging too much money
69% 68% 71% 68%
The government should make it easy to switch insurers if a
health plan drops your doctor
93% 91% 95% 90%
The government should require hospitals and doctors to
provide up front patient cost estimates
90% 88% 91% 90%
The government should require insurers to provide up front
patient cost estimates
90% 88% 93% 88%
Source: 2018-2019 Poll of New York Adults, Ages 18+, Altarum Healthcare Value Hub, Altarum's Consumer Healthcare Experience State Survey
Table 3
Percent Who Agreed/Strongly Agreed, by Political Affiliation