Chartbook on Care Affordability

• This chartbook includes:
  • Summary of trends across measures of Care Affordability from the QDR.
  • Figures illustrating select measures of Care Affordability.
• Introduction and Methods contains information about methods used in the chartbook.
• Appendixes include information about measures and data.
• A Data Query tool (http://nhqrnet.ahrq.gov/inhqrdr/data/query) provides access to all data tables.

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Care Affordability Trends

• Few measures of Care Affordability can be tracked over time.
• Two measures of Care Affordability showed worsening over time from 2002 to 2010:
  • People who indicate a financial or insurance reason for not having a usual source of care.
  • People unable to get or delayed in getting needed medical care, dental care, or prescription medicines due to financial or insurance reasons.
• No measures of Care Affordability:
  • Achieved 95% performance and were removed from the reports this year.
  • Improved quickly, defined as an average annual rate of change greater than 10% per year.
  • Showed elimination or widening of disparities.

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Measures of Care Affordability

• This chartbook tracks measures of Care Affordability through 2012 and 2013, overall and for populations defined by:
  • Age.
  • Race, ethnicity.
  • Income, education, insurance.
  • Number of chronic conditions.
• Measures of Care Affordability include:
  • Access problems due to health care costs.
  • Inefficient care due to use of services associated with more harm than benefit.

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