<?xml version="1.0" encoding="ISO-8859-1"?>

<INDICATOR name="HlthIns">
	<NAME>HlthIns</NAME>
	<DESCRIPTION>insurance, coverage, insured, uninsured, health insurance, insurance coverage, uninsurance, no insurance</DESCRIPTION>
	<DEFAULT_INDICATOR_VIEW_NAME>HlthIns.UT_US_ACS</DEFAULT_INDICATOR_VIEW_NAME>
	<TITLE>Health Insurance Coverage</TITLE>
	<DEFINITION>The percentage of persons without health insurance coverage</DEFINITION>
	<NUMERATOR>Number of persons in the survey sample who lacked health insurance coverage</NUMERATOR>
	<DENOMINATOR>Total number of persons in the survey sample</DENOMINATOR>
	<DATA_NOTE>Health insurance is defined as including private coverage, Medicaid, Medicare, and other government programs</DATA_NOTE>
	<DATA_ISSUES>Estimates of the uninsured in Utah are currently calculated using a set of state-added questions included on the Utah Behavioral Risk Factor Surveillance System (BRFSS). Formerly these questions were asked on two state-based surveys - the Utah Healthcare Access Survey (UHAS) and the Utah Health Status Survey (HSS). 

Since 2011 the BRFSS has included both landline and cell phone telephone interviews as well as an updated weighting methodology. For more information, please see: [https://ibis.health.utah.gov/pdf/opha/resource/brfss/RakingImpact2011.pdf].

Compared with state surveys in Utah, the U.S. Current Population Survey (CPS) and the American Community Survey (ACS) have historically yielded higher estimates of the Utah population with no health insurance coverage. Reasons may include differences in question-wording, data weighting, and data imputation for missing values. For a thorough discussion of why state health insurance estimates differ from those produced by the U.S. Census Bureau, please refer to the State Health Access Data Assistance Center (SHADAC) publication 'Comparing Federal Government Surveys that Count the Uninsured: 2016' at [http://www.shadac.org/publications/comparing-federal-government-surveys-count-uninsured-2016].</DATA_ISSUES>
	<DATA_SOURCE_DATE>10/22/2021</DATA_SOURCE_DATE>
	<WHY_IMPORTANT>Most people need medical care at some time in their lives. Medical care is often quite expensive and is becoming more expensive. Health insurance covers all or some costs of care and protects people from very high expenses.

Persons with health insurance are more likely than persons without health insurance to have a regular source of primary health care and to have routine preventive care. Persons without coverage often have delayed seeking needed care and find services difficult to afford.</WHY_IMPORTANT>
	<HEALTHY_PEOPLE_OBJECTIVE_NAME>AHS-1.1</HEALTHY_PEOPLE_OBJECTIVE_NAME>
	<HOW_DOING>In 2020, an estimated 383,500 (11.8%) of Utahns were without health insurance coverage. (BRFSS data)</HOW_DOING>
	<STATE_VS_US>In 2020, the ACS estimate for uninsured Utahns was 9.7%* while the national ACS estimate was 9.2%*. At 11.8% in 2020, the Utah BRFSS data was less than the ACS Utah uninsured rate. The slight variation of the estimate of the uninsured from the BRFSS are because the questions used to estimate insurance coverage are considered 'state-added' questions and are specific to Utah.

*2020 ACS figures are yet to be released.</STATE_VS_US>
	<WHAT_DOING>The Utah Department of Health administers programs to improve access to care, such as Medicaid, Children's Health Insurance Program (CHIP), and Utah's Premium Partnership for Health Insurance (UPP). The Department also works to improve the "safety net" for persons who lack health insurance. This is done through primary care grants to rural areas and clinics for children with disabilities. Local health departments provide preventive services such as immunizations and screenings at low or no cost to eligible persons who cannot afford them.</WHAT_DOING>
	<OTHER_PROGRAM_INFORMATION>Concerns about rising health care costs and the affordability of health care insurance led to the enactment of the Patient Protection and Affordable Care Act (ACA) in 2010. In Utah, citizens can sign up for health insurance through the federal exchange or through the Utah exchange, Avenue H, if they work for a participating small business.</OTHER_PROGRAM_INFORMATION>
	<SERVICES_AVAILABLE_TO_PUBLIC>MEDICAID: In the Salt Lake City area, call (801) 538-6155.[[br]]
In Utah, Idaho, Wyoming, Colorado, New Mexico, Arizona, and Nevada, call toll-free (800) 662-9651.[[br]]
From other states, call (801) 538-6155.[[br]]
Medicaid Customer Service staff are available to take inquiries.

CHIP: Children's Health Insurance Program (for children 0-18)[[br]]
Call  (877) KIDS-NOW (543-7669) [[br]]or visit the CHIP website at [http://chip.health.utah.gov/]

UPP: Utah's Premium Partnership for Health Insurance[[br]]
(888) 222-2542 or visit [http://medicaid.utah.gov/upp/]</SERVICES_AVAILABLE_TO_PUBLIC>
	<ORG_UNIT_NAME>DEFAULT</ORG_UNIT_NAME>
	<OWNER_USER_ID>adillingham@utah.gov</OWNER_USER_ID>
	<STATUS_CODE>A</STATUS_CODE>
	<STATUS_DATE>01/13/2022</STATUS_DATE>
	<NOTE>Detail modified by: sonda@utah.gov, 10/22/2021
Updated 10/22/21 SO
Updated 10/13/20 LMM and MH
Updated 2/13/20 LMM
Updated 10/30/19 LMM
Updated 12/18/18 LMM
Updated 11/6/17 Navina Forsythe</NOTE>
	<SORT_ORDER>3</SORT_ORDER>
	<ACTIVE_FLAG>x</ACTIVE_FLAG>
	<MODIFIED_DATE>01/13/2022</MODIFIED_DATE>
	<MODIFIED_DESCRIPTION>Status changed by: vlund@utah.gov</MODIFIED_DESCRIPTION>
	<PUBLISHED_DATE>01/13/2022</PUBLISHED_DATE>
	<HEALTHY_PEOPLE_OBJECTIVE name="AHS-1.1">
		<NAME>AHS-1.1</NAME>
		<TITLE>Increase the proportion of persons with medical insurance</TITLE>
		<FOCUS_AREA_NAME>AHS</FOCUS_AREA_NAME>
		<OBJECTIVE_NUMBER>AHS-1.1</OBJECTIVE_NUMBER>
		<DESCRIPTION>Increase the proportion of persons with medical insurance</DESCRIPTION>
		<US_TARGET>100 percent</US_TARGET>
		<SORT_ORDER>2</SORT_ORDER>
		<MODIFIED_DATE>08/15/2011</MODIFIED_DATE>
		<ACTIVE_FLAG>x</ACTIVE_FLAG>
	</HEALTHY_PEOPLE_OBJECTIVE>
	<DATA_SOURCES/>
	<RELATIONS>
		<RELATION name="PopChar">
			<NAME>PopChar</NAME>
			<TITLE>Relevant Population Characteristics</TITLE>
			<TEXT>Age, income, and poverty level may affect a person's ability to obtain health insurance.</TEXT>
			<RELATED_INDICATORS>
				<RELATED_INDICATOR>
					<NAME>AgeDistPop</NAME>
					<TITLE>Utah Population Characteristics: Age Distribution of the Population</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>AgeDistPop.Ut_US</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>HHInc</NAME>
					<TITLE>Utah Population Characteristics: Household Income</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>HHInc.UT_US</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>Pov</NAME>
					<TITLE>Utah Population Characteristics: Poverty, All Persons</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>Pov.UT_US</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
			</RELATED_INDICATORS>
		</RELATION>
		<RELATION name="SystemFactors">
			<NAME>SystemFactors</NAME>
			<TITLE>Health Care System Factors</TITLE>
			<TEXT>Health insurance coverage is an important part of the health care system. Persons without coverage find it difficult to afford health care, and often delay or fail to obtain necessary care. Dental and mental health care are especially fragile elements of health care coverage.

Health plan "report cards" are constructed for managed care plans by the UDOH Office of Health Care Statistics, using information collected from surveys of persons who had those health insurance plans.  

Persons who lack coverage are more likely to be hospitalized for ambulatory care sensitive conditions (those conditions most effectively treated in outpatient settings).

The Utah Department of Health manages Medicaid, Children's Health Insurance Program (CHIP), the Primary Care Network (PCN), and Utah's Premium Partnership for Health Insurance, all of which are designed to provide coverage or pay for services for persons who lack private health insurance coverage.</TEXT>
			<RELATED_INDICATORS>
				<RELATED_INDICATOR>
					<NAME>CAHPSAccCar</NAME>
					<TITLE>Managed Care (CAHPS) Survey: Patient Rating of Experience with Getting Needed Care</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>CAHPSAccCar.Adult</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>CAHPSCusSer</NAME>
					<TITLE>Managed Care (CAHPS) Survey: Experience with Customer Service</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>CAHPSCusSer.Adult</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>CAHPSHeaPlaRat</NAME>
					<TITLE>Managed Care (CAHPS) Survey: Patient Ratings of Health Plan Experience</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>CAHPSHeaPlaRat.Adult</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>CAHPSQuaCar</NAME>
					<TITLE>Managed Care (CAHPS) Survey: Patient Rating of Health Care Experience</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>CAHPSQuaCar.Adult</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>CosBarHtlhCar</NAME>
					<TITLE>Cost as a Barrier to Health Care</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>CosBarHtlhCar.UT_US</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>HEDISHbA1c</NAME>
					<TITLE>HEDIS (Healthcare Effectiveness Data and Information Set) Measures: Diabetes Care - Hemoglobin A1c (A1C)</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>HEDISHbA1c.Year</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>MedCHIPPen</NAME>
					<TITLE>Uninsured Children</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>MedCHIPPen.CHIPElig</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>MedExpSerCat</NAME>
					<TITLE>Medical Assistance Expenditures</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>MedExpSerCat.Year</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>MedInfl</NAME>
					<TITLE>Medicaid Inflation</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>MedInfl.HospCare</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>PriProvUsuPl</NAME>
					<TITLE>Personal Doctor or Health Care Provider</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>PriProvUsuPl.Age_Sex</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>RouDenBRFS</NAME>
					<TITLE>Routine Dental Health Care Visits</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>RouDenBRFS.Ut_Reg_US</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>RouMedCarVis</NAME>
					<TITLE>Routine Medical Care Visits</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>RouMedCarVis.AgeSex</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
			</RELATED_INDICATORS>
		</RELATION>
		<RELATION name="RiskFactors">
			<NAME>RiskFactors</NAME>
			<TITLE>Risk Factors</TITLE>
			<TEXT>There is an association between poverty and lack of insurance.</TEXT>
			<RELATED_INDICATORS>
				<RELATED_INDICATOR>
					<NAME>Pov</NAME>
					<TITLE>Utah Population Characteristics: Poverty, All Persons</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>Pov.UT_US</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
			</RELATED_INDICATORS>
		</RELATION>
	</RELATIONS>
	<INDICATOR_VIEWS>
		<INDICATOR_VIEW>
			<NAME>HlthIns.UT_US_ACS</NAME>
			<TITLE>No Health Insurance Coverage,</TITLE>
			<SUB_TITLE>Utah and U.S. ACS and BRFSS Estimates,</SUB_TITLE>
			<PERIOD_TITLE>2008-2020</PERIOD_TITLE>
			<Y_TITLE>Crude Percentage of Persons</Y_TITLE>
		</INDICATOR_VIEW>
		<INDICATOR_VIEW>
			<NAME>HlthIns.UT_US_ACS_Kids</NAME>
			<TITLE>No Health Insurance Coverage,</TITLE>
			<SUB_TITLE>Utah and U.S. ACS and BRFSS Estimates, Children Aged 0-17,</SUB_TITLE>
			<PERIOD_TITLE>2008-2016 and Children Aged 0-18, 2017-2019</PERIOD_TITLE>
			<Y_TITLE>Percentage of Children</Y_TITLE>
		</INDICATOR_VIEW>
		<INDICATOR_VIEW>
			<NAME>HlthIns.HSS</NAME>
			<TITLE>No Health Insurance Coverage</TITLE>
			<SUB_TITLE>by Survey Year, Utah,</SUB_TITLE>
			<PERIOD_TITLE>1986, 1991, 1996, 2001, 2003-2019</PERIOD_TITLE>
			<Y_TITLE>Crude Percentage of Persons</Y_TITLE>
		</INDICATOR_VIEW>
		<INDICATOR_VIEW>
			<NAME>HlthIns.AgeSex</NAME>
			<TITLE>No Health Insurance Coverage</TITLE>
			<SUB_TITLE>by Age and Sex, Utah,</SUB_TITLE>
			<PERIOD_TITLE>2020</PERIOD_TITLE>
			<Y_TITLE>Percentage of Persons</Y_TITLE>
		</INDICATOR_VIEW>
		<INDICATOR_VIEW>
			<NAME>HlthIns.LHD</NAME>
			<TITLE>No Health Insurance Coverage</TITLE>
			<SUB_TITLE>by Local Health District, All Ages and Ages 19-64, Utah,</SUB_TITLE>
			<PERIOD_TITLE>2020</PERIOD_TITLE>
			<Y_TITLE>Crude Percentage of Persons</Y_TITLE>
		</INDICATOR_VIEW>
		<INDICATOR_VIEW>
			<NAME>HlthIns.LHD_AA</NAME>
			<TITLE>No Health Insurance Coverage</TITLE>
			<SUB_TITLE>by Local Health District, Age-adjusted, Utah,</SUB_TITLE>
			<PERIOD_TITLE>2019</PERIOD_TITLE>
			<Y_TITLE>Age-adjusted Percentage of Persons</Y_TITLE>
		</INDICATOR_VIEW>
		<INDICATOR_VIEW>
			<NAME>HlthIns.SA</NAME>
			<TITLE>No Health Insurance Coverage</TITLE>
			<SUB_TITLE>by Utah Small Area,</SUB_TITLE>
			<PERIOD_TITLE>2015-2019</PERIOD_TITLE>
			<Y_TITLE>Age-adjusted Percentage of Persons</Y_TITLE>
		</INDICATOR_VIEW>
		<INDICATOR_VIEW>
			<NAME>HlthIns.Race</NAME>
			<TITLE>No Health Insurance Coverage</TITLE>
			<SUB_TITLE>by Race, Utah,</SUB_TITLE>
			<PERIOD_TITLE>2020</PERIOD_TITLE>
			<Y_TITLE>Age-adjusted Percentage of Persons</Y_TITLE>
		</INDICATOR_VIEW>
		<INDICATOR_VIEW>
			<NAME>HlthIns.Eth</NAME>
			<TITLE>No Health Insurance Coverage</TITLE>
			<SUB_TITLE>by Ethnicity, Utah,</SUB_TITLE>
			<PERIOD_TITLE>2019</PERIOD_TITLE>
			<Y_TITLE>Age-adjusted Percentage of Persons</Y_TITLE>
		</INDICATOR_VIEW>
		<INDICATOR_VIEW>
			<NAME>HlthIns.Emp</NAME>
			<TITLE>No Health Insurance Coverage</TITLE>
			<SUB_TITLE>by Employment Status, Utahns Ages 19-64,</SUB_TITLE>
			<PERIOD_TITLE>2019</PERIOD_TITLE>
			<Y_TITLE>Crude Percentage of Persons Aged 19-64</Y_TITLE>
		</INDICATOR_VIEW>
		<INDICATOR_VIEW>
			<NAME>HlthIns.Inc</NAME>
			<TITLE>No Health Insurance Coverage</TITLE>
			<SUB_TITLE>by Income Category, Utah,</SUB_TITLE>
			<PERIOD_TITLE>2019</PERIOD_TITLE>
			<Y_TITLE>Age-adjusted Percentage of Persons</Y_TITLE>
		</INDICATOR_VIEW>
		<INDICATOR_VIEW>
			<NAME>HlthIns.UT_US</NAME>
			<TITLE>No Health Insurance Coverage,</TITLE>
			<SUB_TITLE>Utah and U.S. UHAS and CPS Estimates,</SUB_TITLE>
			<PERIOD_TITLE>1988-2008</PERIOD_TITLE>
			<Y_TITLE>Crude Percentage of Persons</Y_TITLE>
		</INDICATOR_VIEW>
		<INDICATOR_VIEW>
			<NAME>HlthIns.UT_USKids</NAME>
			<TITLE>No Health Insurance Coverage,</TITLE>
			<SUB_TITLE>Utah and U.S. UHAS, and CPS Estimates, Children 0-17,</SUB_TITLE>
			<PERIOD_TITLE>1988-2008</PERIOD_TITLE>
			<Y_TITLE>Percentage of Children</Y_TITLE>
		</INDICATOR_VIEW>
	</INDICATOR_VIEWS>
</INDICATOR>
