NC Strategic Scorecard
1.3.1 Health Insurance

Target: At least 90% of citizens are covered by health insurance
Actual: 83% are covered
US Rank 2004: 35th (down from 28th in 1995)
SE Rank 2004: 7th (down from 4th in 1995)
SE Region: AL FL GA KY MS NC SC TN VA WV   Updated 3/18/2006

 

Primary Performance Indicator


Percent Population Covered by Health Insurance

 Performance Trend:
Declining
The trend depicts the degree to which actual performance has approached the target in recent years.
Comments
The percent of population covered by health insurance in NC has declined since 1994, while the nation’s coverage percentage has only marginally improved.
NC’s comparative ranking in health insurance coverage has fallen in the last decade, both nationally and regionally.
NC has the 7th lowest health insurance coverage ratio in the SE region.
  Definition (What Is Being Measured)
Percent of population who are covered by public or private health insurance at some time during the year
Source: US Bureau of Census, Current Population Survey and Historical Health Insurance Tables; rankings from Morgan Quitno; US Bureau of Census, Current Population Survey, March 2004, and Historical Health Insurance Tables ; rankings from Morgan Quitno.
Relevance (Why This Is Important)
Health insurance ensures greater access to quality health care, both critical care and preventative services. Quality health care not only improves the overall health of our population, but reduces health care costs (associated with unplanned or urgent care) and enhances workforce productivity. Children without health insurance are particularly vulnerable to illnesses and other problems.
 
Other Highlights
North Carolina
Since 2000, NC’s uninsured population has increased faster than in all but six states, but it could have been worse.
According to the NC Child Advocacy Institute, the percent of NC’s children lacking health insurance actually declined from 13.2% in 1998 to 11.9% in 2003.
As state officials have resisted federal efforts to curtail public programs and their coverage, NC’s Medicaid enrollment has increased by 30% and its Children’s Health Insurance Program (CHIP) enrollment by over 100%.
In lieu of NC’s commitment to such public health insurance programs as Medicaid and Health Choice, the number of uninsured persons would have increased even more.
 
Southeast Region
Tennessee, a leader among states with its innovative TennCare program, dropped 323,000 low-income adults from its program in early 2005.
National
In 2003, 15.6% of the US population lacked health insurance coverage, and prospects for improvement look bleak. From 1999 to 2003, the national health insurance coverage rate dropped by nearly 6%, yet health care costs and health insurance costs continue to escalate at a disturbing rate. Since 2001, the cost of health coverage grew by 50%. For the past two decades, health care costs in the US have grown at a 9% annual pace, higher than the inflation rate. About 12% of the national gross domestic product is spend on health care.
Global
  Data Links
US Dept. of Health and Human Services, National Center for Health Statistics
United Health Foundation, America's Health, State Health Rankings

 
Kaiser Family Foundation, Kaiser Commission on Medicaid and the Uninsured

North Carolina Child Advocacy Institute
Goal 3.1: Ensure access to good health care