Lack of Usual Source of Care Due to Cost
People without a usual source of care who indicate a financial or insurance reason for not having a source of care, by race, 2002-2013, and by insurance, Blacks, 2013
Left Chart:
| Race | 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Total | 15.6 | 16.3 | 14.8 | 16.0 | 17.0 | 18.0 | 17.6 | 21.1 | 21.2 | 19.9 | 20.2 | 24 |
| White | 15.9 | 16.3 | 14.7 | 16.3 | 18.1 | 19.0 | 18.1 | 22.2 | 21.8 | 20.0 | 20.5 | 24.5 |
| Black | 13.1 | 15.7 | 14.8 | 13.0 | 15.0 | 14.6 | 17.1 | 18.8 | 18.8 | 19.5 | 21.7 | 25.8 |
| Asian | 15.4 | 16.9 | 11.1 | 18.0 | 8.5 | 12.5 | 9.7 | 12.5 | 18.8 | 19.1 | 15.6 | 18.6 |
Right Chart (Insurance, Blacks, 2013):
- Private - 13.1.
- Public - 16.9.
- Uninsured - 48.8.
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 2013, 24% of people without a usual source of care indicated a financial or insurance reason for not having a source of care.
- Trends: The percentage worsened overall (15.6% to 24%) and among Blacks (13.1% to 25.8%) and Whites (15.9% to 24.5%).
- Groups With Disparities: In 2013, 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 uninsured Blacks (48.8%) compared with Blacks with private insurance (13.1%).
AHRQ Health Care Innovations in Reducing Costs
Methodist Le Bonheur Healthcare
- Location: Memphis, Tennessee.
- Intervention: The Congregational Health Network, a partnership between Methodist Le Bonheur Healthcare and 512 congregations in Memphis, supports the transition from hospital to home for church members. A hospital-employed navigator visits the patient to determine his or her needs and then works with a church-based volunteer liaison to arrange postdischarge services and facilitate the transition to the community.
- Outcomes: Reduced mortality, health care costs and charges, inpatient utilization, readmission rates, and time to readmission. Increased referrals to home health and hospice care and improved satisfaction with hospital care.
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