Detailed Tables for the 2015 Massachusetts Health Insurance Survey

December 2015

Note: Tables with shaded cells indicate sample sizes too small for analysis

List of Tables
Section A: Population Characteristics

A.1-1: Demographic, Health and Socioeconomic Characteristics of the Massachusetts Population in 2015, Overa

A.1-2: Demographic, Health and Socioeconomic Characteristics of the Massachusetts Population in 2015, Overa

A.1-3: Demographic, Health and Socioeconomic Characteristics of the Massachusetts Population in 2015, Overa

A.1-4: Demographic, Health and Socioeconomic Characteristics of the Massachusetts Population in 2015, Overa

A.1-5: Demographic, Health and Socioeconomic Characteristics of the Massachusetts Population in 2015, Overa

A.1-6: Demographic, Health and Socioeconomic Characteristics of the Massachusetts Population in 2015, Overa

A.1-7: Demographic, Health and Socioeconomic Characteristics of the Massachusetts Population in 2015, Overa

Section B: Health Insurance Coverage and Uninsurance

B.1-1: Health Insurance Coverage in Massachusetts in 2015, Overall and by Age
B.1-2: Health Insurance Coverage in Massachusetts in 2015, Overall and by Gender
B.1-3: Health Insurance Coverage in Massachusetts in 2015, Overall and by Race/Ethnicity
B.1-4: Health Insurance Coverage in Massachusetts in 2015, Overall and by Health/Disability Status
B.1-5: Health Insurance Coverage in Massachusetts in 2015, Overall and by Family Income
B.1-6: Health Insurance Coverage in Massachusetts in 2015, Overall and by Region
B.2-1: Uninsurance Rate in Massachusetts in 2015, Overall and by Age
B.2-2: Uninsurance Rate in Massachusetts in 2015, Overall and by Gender
B.2-3: Uninsurance Rate in Massachusetts in 2015, Overall and by Race/Ethnicity
B.2-4: Uninsurance Rate in Massachusetts in 2015, Overall and by Health/Disability Status
B.2-5: Uninsurance Rate in Massachusetts in 2015, Overall and by Family Income
B.2-6: Uninsurance Rate in Massachusetts in 2015, Overall and by Region

B.3-1: Type of Health Insurance Coverage Among the Massachusetts Population with Health Insurance Coverage

B.3-2: Type of Health Insurance Coverage Among the Massachusetts Population with Health Insurance Coverage
Gender

B.3-3: Type of Health Insurance Coverage Among the Massachusetts Population with Health Insurance Coverage
Race/Ethnicity

B.3-4: Type of Health Insurance Coverage Among the Massachusetts Population with Health Insurance Coverage
Health/Disability Status

B.3-5: Type of Health Insurance Coverage Among the Massachusetts Population with Health Insurance Coverage
Family Income

B.3-6: Type of Health Insurance Coverage Among the Massachusetts Population with Health Insurance Coverage
Region

Section C: Health Care Access and Use

C.1-1: Health Care Access and Use in Massachusetts in 2015, Overall and by Age
C.1-2: Health Care Access and Use in Massachusetts in 2015, Overall and by Gender
C.1-3: Health Care Access and Use in Massachusetts in 2015, Overall and by Race/Ethnicity
C.1-4: Health Care Access and Use in Massachusetts in 2015, Overall and by Health/Disability Status
C.1-5: Health Care Access and Use in Massachusetts in 2015, Overall and by Family Income
C.1-6: Health Care Access and Use in Massachusetts in 2015, Overall and by Region
C.1-7: Health Care Access and Use in Massachusetts in 2015, Overall and by Health Insurance Status

C.2-1: Use of Specialists, Mental Health Care, Dental Care and Prescription Drugs in Massachusetts in 2015, Ove

C.2-2: Use of Specialists, Mental Health Care, Dental Care and Prescription Drugs in Massachusetts in 2015, Ove

C.2-3: Use of Specialists, Mental Health Care, Dental Care and Prescription Drugs in Massachusetts in 2015, Ove

C.2-4: Use of Specialists, Mental Health Care, Dental Care and Prescription Drugs in Massachusetts in 2015, Ove

C.2-5: Use of Specialists, Mental Health Care, Dental Care and Prescription Drugs in Massachusetts in 2015, Ove

C.2-6: Use of Specialists, Mental Health Care, Dental Care and Prescription Drugs in Massachusetts in 2015, Ove

C.2-7: Use of Specialists, Mental Health Care, Dental Care and Prescription Drugs in Massachusetts in 2015, Ove
C.3-1: Hospital and Emergency Department Use and Difficulties Getting Health Care in Massachusetts in 2015,
C.3-2: Hospital and Emergency Department Use and Difficulties Getting Health Care in Massachusetts in 2015,
C.3-3: Hospital and Emergency Department Use and Difficulties Getting Health Care in Massachusetts in 2015,
C.3-4: Hospital and Emergency Department Use and Difficulties Getting Health Care in Massachusetts in 2015,

C.3-5: Hospital and Emergency Department Use and Difficulties Getting Health Care in Massachusetts in 2015,
C.3-6: Hospital and Emergency Department Use and Difficulties Getting Health Care in Massachusetts in 2015,
C.3-7: Hospital and Emergency Department Use and Difficulties Getting Health Care in Massachusetts in 2015,

C.4-1: Type of Emergency Department Use Among Individuals Who Had a Emergency Department Visit in the P
Age

C.4-2: Type of Emergency Department Use Among Individuals Who Had a Emergency Department Visit in the P
Gender

C.4-3: Type of Emergency Department Use Among Individuals Who Had a Emergency Department Visit in the P
Race/Ethnicity

C.4-4: Type of Emergency Department Use Among Individuals Who Had a Emergency Department Visit in the P
Health/Disability Status

C.4-5: Type of Emergency Department Use Among Individuals Who Had a Emergency Department Visit in the P
Family Income

C.4-6: Type of Emergency Department Use Among Individuals Who Had a Emergency Department Visit in the P
Region

C.4-7: Type of Emergency Department Use Among Individuals Who Had a Emergency Department Visit in the P
Health Insurance Status
C.5-1: Health Care Provider Choice in Massachusetts in 2015, Overall and by Age
C.5-2: Health Care Provider Choice in Massachusetts in 2015, Overall and by Gender
C.5-3: Health Care Provider Choice in Massachusetts in 2015, Overall and by Race/Ethnicity
C.4-4: Health Care Provider Choice in Massachusetts in 2015, Overall and by Health/Disability Status
C.5-5: Health Care Provider Choice in Massachusetts in 2015, Overall and by Family Income
C.5-6: Health Care Provider Choice in Massachusetts in 2015, Overall and by Region
C.5-7: Health Care Provider Choice in Massachusetts in 2015,Overall and by Health Insurance Status

Section D: Health Care Affordability

D.1-1: Health Care Affordability in Massachusetts in 2015, Overall and by Age
D.1-2: Health Care Affordability in Massachusetts in 2015, Overall and by Gender
D.1-3: Health Care Affordability in Massachusetts in 2015, Overall and by Race/Ethnicity
D.1-4: Health Care Affordability in Massachusetts in 2015, Overall and by Health/Disability Status
D.1-5: Health Care Affordability in Massachusetts in 2015, Overall and by Family Income
D.1-6: Health Care Affordability in Massachusetts in 2015, Overall and by Region

D.1-7: Health Care Affordability in Massachusetts in 2015, Overall and by Insurance Status
D.2-1: Health Care Affordability in Massachusetts in 2015, Overall and by Age
D.2-2: Health Care Affordability in Massachusetts in 2015, Overall and by Gender
D.2-3: Health Care Affordability in Massachusetts in 2015, Overall and by Race/Ethnicity
D.2-4: Health Care Affordability in Massachusetts in 2015, Overall and by Health/Disability Status
D.2-5: Health Care Affordability in Massachusetts in 2015, Overall and by Family Income
D.2-6: Health Care Affordability in Massachusetts in 2015, Overall and by Region
D.2-7: Health Care Affordability in Massachusetts in 2015, Overall and by Insurance Status
D.3-1: Health Care Affordability in Massachusetts in 2015, Overall and by Age
D.3-2: Health Care Affordability in Massachusetts in 2015, Overall and by Gender
D.3-3: Health Care Affordability in Massachusetts in 2015, Overall and by Race/Ethnicity
D.3-4: Health Care Affordability in Massachusetts in 2015, Overall and by Health/Disability Status
D.3-5: Health Care Affordability in Massachusetts in 2015, Overall and by Family Income
D.3-6: Health Care Affordability in Massachusetts in 2015, Overall and by Region
D.3-7: Health Care Affordability in Massachusetts in 2015, Overall and by Insurance Status
D.4-1: Health Care Affordability in Massachusetts in 2015, Overall and by Age
D.4-2: Health Care Affordability in Massachusetts in 2015, Overall and by Gender
D.4-3: Health Care Affordability in Massachusetts in 2015, Overall and by Race/Ethnicity
D.4-4: Health Care Affordability in Massachusetts in 2015, Overall and by Health/Disability Status
D.4-5: Health Care Affordability in Massachusetts in 2015, Overall and by Family Income
D.4-6: Health Care Affordability in Massachusetts in 2015, Overall and by Region
D.4-7: Health Care Affordability in Massachusetts in 2015, Overall and by Insurance Status
D.5-1: Strategies Used to Lower Health Care Spending in Massachusetts in 2015, Overall and by Age
D.5-2: Strategies Used to Lower Health Care Spending in Massachusetts in 2015, Overall and by Gender
D.5-3: Strategies Used to Lower Health Care Spending in Massachusetts in 2015, Overall and by Race/Ethnicity

D.5-4: Strategies Used to Lower Health Care Spending in Massachusetts in 2015, Overall and by Health/Disabilit
D.5-5: Strategies Used to Lower Health Care Spending in Massachusetts in 2015, Overall and by Family Income

D.5-6: Strategies Used to Lower Health Care Spending in Massachusetts in 2015, Overall and by Region

D.5-7: Strategies Used to Lower Health Care Spending in Massachusetts in 2015, Overall and by Health Insuran

Section E: Out of Pocket Spending and Long Term Care (Extra tables)
E.1-1: Ratio of Out of Pocket Spending to Income in 2015, Overall and by Age
E.1-2: Ratio of Out of Pocket Spending to Income in 2015, Overall and by Gender
E.1-3: Ratio of Out of Pocket Spending to Income in 2015, Overall and by Race/Ethnicity
E.1-4: Ratio of Out of Pocket Spending to Income in 2015, Overall and by Health/Disability Status
E.1-5: Ratio of Out of Pocket Spending to Income in 2015, Overall and by Family Income
E.1-6: Ratio of Out of Pocket Spending to Income in 2015, Overall and by Region
E.1-7: Ratio of Out of Pocket Spending to Income in 2015, Overall and by Insurance Status

E.2-1: Percent of Age 50+ Massachusetts Residents who have Long Term Care Insurance in 2015, Overall and by

E.2-2: Percent of Age 50+ Massachusetts Residents who have Long Term Care Insurance in 2015, Overall and by

E.2-3: Percent of Age 50+ Massachusetts Residents who have Long Term Care Insurance in 2015, Overall and by

E.2-4: Percent of Age 50+ Massachusetts Residents who have Long Term Care Insurance in 2015, Overall and by

E.2-5: Percent of Age 50+ Massachusetts Residents who have Long Term Care Insurance in 2015, Overall and by

E.2-6: Percent of Age 50+ Massachusetts Residents who have Long Term Care Insurance in 2015, Overall and by

E.2-7: Percent of Age 50+ Massachusetts Residents who have Long Term Care Insurance in 2015, Overall and by

Table A.1-1: Demographic, Health and Socioeconomic Characteristics of the Massachusetts

Population in 2015, Overall and by Age Groups
Non-elderly
Elderly
Children (0- Adults (19 Adults (65
18)
to 64)
and older)

Total
Population

Age (%)
Child (0 to 18)

100%

0%

0%

21.8%

Non-elderly adult (19 to 64)

0%

100%

0%

63.3%

Elderly adult (65 and older)

0%

0%

100%

14.8%

50.5%

51.0%

57.1%

51.8%

White, non-Hispanic

67.1%

76.8%

88.2%

76.4%

Black, non-Hispanic

8.2%

6.7%

5.3%

6.8%

Other/multiple races, non-Hispanic

7.7%

5.1%

2.1%

5.2%

Hispanic

17.0%

11.4%

4.4%

11.6%

U.S. citizen (%)

97.6%

90.1%

96.8%

92.7%

Language at home is English (%)

94.1%

94.8%

97.4%

95.1%

Very good or excellent

83.6%

57.7%

45.7%

61.6%

Good

11.4%

24.7%

30.6%

22.7%

5.0%

17.6%

23.8%

15.8%

14.7%

27.8%

39.2%

26.6%

Female (%)
Race/Ethnicity (%)

Health status (%)

Fair or poor
Activities are limited by health problem (%)
Family type1 (%)
Single-parent family with children

34.4%

9.2%

0.2%

13.3%

Two-parent family with children

63.8%

24.6%

1.5%

29.7%

Married couple, no children

0.9%

18.7%

42.8%

18.4%

Single individual, no children2

0.9%

47.5%

55.6%

38.5%

Highest educational attainment of adults in family 1 (%)

Less than high school

4.2%

7.2%

8.8%

6.8%

High school graduate or GED

18.1%

20.5%

24.8%

20.6%

Some college

13.3%

14.6%

17.1%

14.7%

4 year college degree or more

64.4%

57.6%

49.3%

57.9%

No workers

14.3%

21.9%

71.6%

27.6%

One or more workers

85.7%

78.1%

28.4%

72.4%

At or below 138% FPL

25.0%

26.7%

23.4%

25.9%

138-299% FPL

25.6%

22.9%

31.3%

24.8%

300-399% FPL

9.8%

10.8%

11.2%

10.6%

39.5%

39.6%

34.0%

38.7%

56.9%

50.7%

68.8%

54.8%

Western MA

9.6%

13.0%

12.6%

12.2%

Central MA

11.8%

11.1%

11.6%

11.3%

Northeast MA

25.7%

19.9%

21.9%

21.4%

Metro West

10.9%

9.5%

10.8%

10.0%

Metro Boston

21.8%

25.7%

19.2%

23.9%

Metro South

12.8%

12.3%

11.6%

12.3%

Southcoast

4.6%

5.1%

5.8%

5.1%

Cape and Islands

2.7%

3.3%

6.5%

3.7%

621

3,057

1,324

5,002

Work status of adults in family1 (%)

Family income relative to the Federal Poverty Level

(FPL)1(%)

400% FPL or more

Residence is owned or being bought by household (%)
Region (%)

Sample size
Source: 2015 Massachusetts Health Insurance Survey

Families are defined based on the household members who typically would be included in the target person's
health insurance unit (HIU).
1

Table A.1-2: Demographic, Health and Socioeconomic Characteristics of the

Massachusetts Population in 2015, Overall and by Gender

Male

Female

Total
Population

Child (0 to 18)

22.4%

21.3%

21.8%

Non-elderly adult (19 to 64)

64.4%

62.4%

63.3%

Elderly adult (65 and older)

13.2%

16.3%

14.8%

0.0%

100.0%

51.8%

White, non-Hispanic

77.0%

75.8%

76.4%

Black, non-Hispanic

7.2%

6.5%

6.8%

Other/multiple races, non-Hispanic

5.2%

5.3%

5.2%

Hispanic

10.7%

12.4%

11.6%

U.S. citizen (%)

91.5%

93.9%

92.7%

Language at home is English (%)

95.3%

94.9%

95.1%

Very good or excellent

63.3%

59.9%

61.6%

Good

22.7%

22.9%

22.8%

Fair or poor

13.9%

17.2%

15.6%

25.2%

28.0%

26.6%

Single-parent family with children

11.2%

15.3%

13.3%

Two-parent family with children

29.3%

30.2%

29.7%

Married couple, no children

18.3%

18.6%

18.4%

Single individual, no children

41.3%

35.9%

38.5%

Age (%)

Female (%)
Race/Ethnicity (%)

Health status (%)

Activities are limited by health problem (%)

Family type1 (%)

Highest educational attainment of adults in family 1 (%)

Less than high school

6.2%

7.4%

6.8%

High school graduate or GED

22.9%

18.5%

20.6%

Some college

15.9%

13.5%

14.7%

4 year college degree or more

54.9%

60.6%

57.9%

No workers

25.4%

29.7%

27.6%

One or more workers

74.6%

70.3%

72.4%

At or below 138% FPL

24.8%

26.9%

25.9%

138-299% FPL

26.1%

23.5%

24.8%

300-399% FPL

10.6%

10.7%

10.6%

400% FPL or more

38.5%

38.9%

38.7%

54.1%

55.3%

54.8%

Western MA

12.5%

11.9%

12.2%

Central MA

11.0%

11.6%

11.3%

Northeast MA

22.0%

20.9%

21.4%

9.3%

10.7%

10.0%

Metro Boston

23.2%

24.6%

23.9%

Metro South

13.1%

11.6%

12.3%

Southcoast

5.1%

5.1%

5.1%

Cape and Islands

3.8%

3.6%

3.7%

2,290

2,712

5,002

Work status of adults in family1 (%)

Family Income relative to the Federal Poverty Level

(FPL)1(%)

Residence is owned or being bought by household (%)

Region (%)

Metro West

Sample size

Source: 2015 Massachusetts Health Insurance Survey

1
Families are defined based on the household members who typically would be included in the
target person's health insurance unit (HIU).

Table A.1-3: Demographic, Health and Socioeconomic Characteristics of the Massachusetts Population in
2015, Overall and by Race/Ethnicity Groups
Other/Multip
White, non- Black, nonle Race,
Hispanic
Hispanic non-Hispanic

Hispanic

Total
Population

Age (%)
Child (0 to 18)

19.2%

26.3%

32.2%

32.0%

21.8%

Non-elderly adult (19 to 64)

63.7%

62.1%

61.9%

62.4%

63.3%

Elderly adult (65 and older)

17.1%

11.7%

5.9%

5.6%

14.8%

51.5%

49.3%

52.3%

55.7%

51.8%

Female (%)
Race/Ethnicity (%)
White, non-Hispanic

100.0%

0.0%

0.0%

0.0%

76.4%

Black, non-Hispanic

0.0%

100.0%

0.0%

0.0%

6.8%

Other/multiple races, non-Hispanic

0.0%

0.0%

100.0%

0.0%

5.2%

Hispanic

0.0%

0.0%

0.0%

100%

11.6%

U.S. citizen (%)

97.0%

87.1%

78.6%

74.6%

92.7%

100.0%

100.0%

100.0%

57.4%

95.1%

Very good or excellent

63.4%

49.3%

71.8%

52.2%

61.6%

Good

22.4%

32.5%

17.7%

22.3%

22.8%

Fair or poor

14.3%

18.3%

10.5%

25.5%

15.6%

26.9%

28.7%

23.4%

25.2%

26.6%

Language at home is English (%)

Health status (%)

Activities are limited by health problem (%)

Family type1 (%)
Single-parent family with children

9.5%

23.6%

20.1%

29.9%

13.3%

Two-parent family with children

30.5%

24.9%

39.5%

23.2%

29.7%

Married couple, no children

20.7%

7.2%

10.9%

13.1%

18.4%

Single individual, no children

39.3%

44.3%

29.6%

33.8%

38.5%

Highest educational attainment of adults in family 1 (%)

Less than high school

3.3%

7.7%

5.2%

29.9%

6.8%

High school graduate or GED

19.6%

28.9%

11.9%

26.6%

20.6%

Some college

14.3%

20.9%

10.9%

15.5%

14.7%

4 year college degree or more

62.8%

42.5%

72.0%

28.0%

57.9%

No workers

27.2%

25.8%

23.4%

33.2%

27.6%

One or more workers

72.8%

74.2%

76.6%

66.8%

72.4%

At or below 138% FPL

19.9%

37.4%

25.6%

58.8%

25.9%

138-299% FPL

24.6%

27.9%

22.3%

24.9%

24.8%

300-399% FPL

11.5%

9.9%

7.7%

6.3%

10.6%

400% FPL or more

44.0%

24.8%

44.3%

10.0%

38.7%

62.5%

30.7%

46.8%

21.1%

54.8%

Western MA

13.2%

8.6%

5.7%

11.0%

12.2%

Central MA

11.8%

5.7%

8.4%

12.8%

11.3%

Northeast MA

21.5%

11.6%

27.0%

24.3%

21.4%

Metro West

10.7%

6.5%

12.7%

6.1%

10.0%

Metro Boston

20.5%

43.1%

29.8%

32.4%

23.9%

Metro South

12.9%

20.5%

9.3%

4.9%

12.3%

Southcoast

5.2%

2.7%

4.9%

6.3%

5.1%

Cape and Islands

4.2%

1.3%

2.2%

2.1%

3.7%

Sample size

3917

291

270

524

5002

Work status of adults in family1 (%)

Family Income relative to the Federal Poverty Level

(FPL)1(%)

Residence is owned or being bought by household (%)

Region (%)

Source: 2015 Massachusetts Health Insurance Survey

1
Families are defined based on the household members who typically would be included in the target person's
health insurance unit (HIU).

Table A.1-4: Demographic, Health and Socioeconomic Characteristics of the Massachusetts

Population in 2015, Overall and by Health/Disability Status
Good, Very
Good, or
Excellent
Fair or Poor
Health and Health or an
No Activity
Activity
Limitation Limitation

Fair or Poor
Health and
an Activity
Limitation

Total
Population

Age (%)
Child (0 to 18)

26.5%

14.8%

5.9%

21.8%

Non-elderly adult (19 to 64)

61.8%

64.7%

70.6%

63.3%

Elderly adult (65 and older)

11.8%

20.5%

23.5%

14.8%

50.5%

53.5%

57.2%

51.8%

White, non-Hispanic

77.6%

72.8%

75.8%

76.4%

Black, non-Hispanic

6.2%

9.2%

6.0%

6.8%

Other/multiple races, non-Hispanic

5.7%

4.0%

4.4%

5.2%

Hispanic

10.5%

13.9%

13.8%

11.6%

U.S. citizen (%)

92.2%

92.9%

96.0%

92.7%

Language at home is English (%)

96.1%

92.9%

92.3%

95.1%

Very good or excellent

79.9%

32.7%

0.0%

61.6%

Good

20.1%

43.7%

0.0%

22.8%

0.0%

23.6%

100.0%

15.6%

0.0%

77.1%

100.0%

26.6%

Single-parent family with children

14.1%

13.3%

8.5%

13.3%

Two-parent family with children

35.7%

19.3%

11.5%

29.7%

Married couple, no children

18.6%

17.3%

19.6%

18.4%

Single individual, no children

31.6%

50.1%

60.3%

38.5%

Female (%)
Race/Ethnicity (%)

Health status (%)

Fair or poor
Activities are limited by health problem (%)
Family type1 (%)

Highest educational attainment of adults in family1 (%)

Less than high school

4.5%

10.3%

15.1%

6.8%

High school graduate or GED

17.7%

23.8%

33.6%

20.6%

Some college

13.1%

18.3%

17.6%

14.7%

4 year college degree or more

64.8%

47.6%

33.7%

57.9%

No workers

18.2%

41.1%

62.3%

27.6%

One or more workers

81.8%

58.9%

37.7%

72.4%

At or below 138% FPL

19.0%

35.8%

50.5%

25.9%

138-299% FPL

23.5%

28.0%

26.9%

24.8%

300-399% FPL

11.7%

8.5%

7.6%

10.6%

400% FPL or more

45.8%

27.7%

15.0%

38.7%

59.2%

48.7%

38.0%

54.8%

Western MA

10.4%

16.1%

16.1%

12.2%

Central MA

10.7%

12.0%

14.2%

11.3%

Northeast MA

21.4%

21.1%

22.7%

21.4%

Metro West

10.7%

7.4%

10.5%

10.0%

Metro Boston

26.1%

22.0%

13.5%

23.9%

Metro South

12.3%

11.6%

13.8%

12.3%

Southcoast

4.8%

5.7%

6.0%

5.1%

Cape and Islands

3.6%

4.1%

3.3%

3.7%

Sample size

3,263

1,111

628

5,002

Work status of adults in family1 (%)

Family Income relative to the Federal Poverty Level

(FPL)1(%)

Residence is owned or being bought by household (%)

Region (%)

Source: 2015 Massachusetts Health Insurance Survey

Families are defined based on the household members who typically would be included in the target person's
health insurance unit (HIU).
1

Table A.1-5: Demographic, Health and Socioeconomic Characteristics of the Massachusetts Population in
Family
Family
2015, Overall and by Family Income Groups
Family
Income
Income
Family
Income At
Between
Between
Income At
or Below
138 and
300 and
or Above
138% of the 299% of the 399% of the 400% of the
Federal
Federal
Federal
Federal
Poverty
Poverty
Poverty
Poverty
Total
Level
Level
Level
Level
Population
Age (%)
Child (0 to 18)

21.1%

22.6%

20.3%

22.3%

21.8%

Non-elderly adult (19 to 64)

65.4%

58.6%

64.1%

64.7%

63.3%

Elderly adult (65 and older)

13.4%

18.8%

15.6%

13.0%

14.8%

53.9%

49.2%

52.1%

52.1%

51.8%

White, non-Hispanic

58.6%

76.0%

83.0%

86.7%

76.4%

Black, non-Hispanic

9.8%

7.7%

6.3%

4.4%

6.8%

Other/multiple races, non-Hispanic

5.2%

4.7%

3.8%

6.0%

5.2%

Hispanic

26.3%

11.6%

6.9%

3.0%

11.6%

U.S. citizen (%)

89.1%

93.6%

91.4%

95.0%

92.7%

Language at home is English (%)

85.6%

95.7%

99.0%

99.9%

95.1%

Very good or excellent

43.9%

58.8%

65.3%

74.1%

61.6%

Good

26.5%

23.3%

22.9%

20.0%

22.8%

Fair or poor

29.6%

18.0%

11.8%

5.9%

15.6%

41.4%

28.8%

20.1%

17.2%

26.6%

Single-parent family with children

24.3%

17.2%

8.2%

5.0%

13.3%

Two-parent family with children

13.5%

21.2%

39.9%

43.3%

29.7%

9.7%

14.8%

19.5%

26.2%

18.4%

52.4%

46.9%

32.4%

25.5%

38.5%

Female (%)
Race/Ethnicity (%)

Health status (%)

Activities are limited by health problem (%)

Family type1 (%)

Married couple, no children

Single individual, no children
Highest educational attainment of adults in family1 (%)
Less than high school

19.0%

5.6%

2.5%

0.6%

6.8%

High school graduate or GED

35.1%

30.3%

13.2%

6.9%

20.6%

Some college

20.9%

20.6%

17.3%

6.0%

14.7%

4 year college degree or more

25.0%

43.5%

67.0%

86.5%

57.9%

55.3%

32.0%

14.7%

9.9%

27.6%

44.7%

68.0%

85.3%

90.1%

72.4%

Work status of adults in family1 (%)

No workers
One or more workers
Family Income relative to the Federal Poverty Level
(FPL)1(%)
At or below 138% FPL

100.0%

0.0%

0.0%

0.0%

25.9%

138-299% FPL

0.0%

100.0%

0.0%

0.0%

24.8%

300-399% FPL

0.0%

0.0%

100.0%

0.0%

10.6%

400% FPL or more

0.0%

0.0%

0.0%

100.0%

38.7%

23.4%

44.8%

63.2%

79.8%

54.8%

Western MA

15.8%

13.1%

14.0%

8.8%

12.2%

Central MA

13.7%

12.2%

8.4%

10.0%

11.3%

Northeast MA

20.8%

21.5%

21.1%

22.0%

21.4%

5.9%

10.2%

8.9%

13.0%

10.0%

Metro Boston

22.1%

21.0%

25.0%

26.7%

23.9%

Metro South

10.1%

12.3%

14.6%

13.2%

12.3%

Southcoast

7.6%

6.5%

4.5%

2.7%

5.1%

Cape and Islands

4.1%

3.3%

3.5%

3.7%

3.7%

Sample size

1,140

1,154

552

2,156

5,002

Residence is owned or being bought by household (%)

Region (%)

Metro West

Source:
Massachusetts
Health
Insurancemembers
Survey who typically would be included in the target person's health
Families2015
are defined
based on
the household
insurance unit (HIU).
1

10

Table A.1-6: Demographic, Health and Socioeconomic Characteristics of the Massachusetts Population in 2015, Overall and by Region

Western MA Central MA

Northeast
MA

Metro West

Metro
Boston

Metro South Southcoast

Cape and
Islands

Total
Population

Age (%)
Child (0 to 18)

17.1%

22.7%

26.2%

23.9%

20.0%

22.8%

19.6%

16.1%

21.8%

Non-elderly adult (19 to 64)

67.6%

62.1%

58.7%

60.2%

68.1%

63.2%

63.5%

57.4%

63.3%

Elderly adult (65 and older)

15.3%

15.2%

15.1%

15.9%

11.9%

14.0%

16.9%

26.4%

14.8%

50.6%

53.0%

50.6%

55.2%

53.3%

48.9%

52.0%

50.5%

51.8%

White, non-Hispanic

82.3%

79.6%

76.6%

81.9%

65.5%

80.2%

77.2%

87.6%

76.4%

Black, non-Hispanic

4.8%

3.4%

3.7%

4.4%

12.3%

11.3%

3.6%

2.4%

6.8%

Other/multiple races, non-Hispanic

2.4%

3.9%

6.6%

6.6%

6.5%

4.0%

5.0%

3.2%

5.2%

Hispanic

10.5%

13.1%

13.1%

7.1%

15.7%

4.6%

14.2%

6.7%

11.6%

U.S. citizen (%)

96.3%

96.2%

93.4%

97.2%

85.3%

94.9%

93.0%

95.1%

92.7%

Language at home is English (%)

96.2%

96.4%

93.4%

99.0%

90.9%

99.3%

94.4%

99.9%

95.1%

Very good or excellent

53.6%

54.0%

62.7%

69.8%

66.1%

63.4%

49.8%

62.9%

61.6%

Good

25.8%

28.2%

20.6%

17.9%

21.3%

21.0%

31.9%

25.6%

22.8%

Fair or poor

20.6%

17.9%

16.7%

12.3%

12.6%

15.6%

18.2%

11.5%

15.6%

35.1%

31.1%

26.3%

25.4%

18.9%

28.1%

30.2%

30.5%

26.6%

Single-parent family with children

11.9%

16.4%

15.6%

12.5%

12.8%

9.6%

15.4%

11.0%

13.3%

Two-parent family with children

25.3%

27.5%

34.3%

41.1%

24.2%

34.2%

25.0%

22.1%

29.7%

Married couple, no children

17.9%

21.2%

17.9%

17.8%

18.7%

16.9%

15.9%

22.7%

18.4%

Single individual, no children

44.8%

34.9%

32.1%

28.6%

44.4%

39.3%

43.7%

44.3%

38.5%

Female (%)
Race/Ethnicity (%)

Health status (%)

Activities are limited by health

problem (%)
Family type1 (%)

Highest educational attainment of

adults in family1 (%)
Less than high school

8.0%

5.9%

6.9%

1.9%

8.3%

5.3%

11.3%

7.5%

6.8%

High school graduate or GED

23.3%

28.5%

21.5%

15.0%

17.1%

17.7%

31.1%

16.1%

20.6%

Some college

16.7%

18.0%

12.0%

12.5%

10.9%

19.9%

19.8%

18.9%

14.7%

4 year college degree or more

52.0%

47.5%

59.6%

70.7%

63.6%

57.1%

37.8%

57.5%

57.9%

No workers

66.4%

64.3%

74.4%

78.1%

74.7%

77.3%

63.9%

70.2%

27.6%

One or more workers

33.6%

35.7%

25.6%

21.9%

25.3%

22.7%

36.1%

29.8%

72.4%

At or below 138% FPL

33.4%

31.2%

25.1%

15.2%

23.9%

21.2%

38.7%

28.6%

25.9%

138-299% FPL

26.5%

26.6%

24.8%

25.2%

21.7%

24.8%

31.5%

22.2%

24.8%

300-399% FPL

12.2%

7.9%

10.5%

9.5%

11.1%

12.6%

9.4%

10.1%

10.6%

400% FPL or more

27.9%

34.3%

39.7%

50.2%

43.3%

41.4%

20.4%

39.1%

38.7%

59.9%

57.7%

57.7%

68.1%

41.0%

60.3%

41.4%

64.4%

54.8%

Work status of adults in family1 (%)

Family Income relative to the Federal

Poverty Level (FPL)1(%)

Residence is owned or being bought by

Region (%)
Western MA

100.0%

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

12.2%

Central MA

0.0%

100.0%

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

11.3%

Northeast MA

0.0%

0.0%

100.0%

0.0%

0.0%

0.0%

0.0%

0.0%

21.4%

Metro West

0.0%

0.0%

0.0%

100.0%

0.0%

0.0%

0.0%

0.0%

10.0%

Metro Boston

0.0%

0.0%

0.0%

0.0%

100.0%

0.0%

0.0%

0.0%

23.9%

Metro South

0.0%

0.0%

0.0%

0.0%

0.0%

100.0%

0.0%

0.0%

12.3%

Southcoast

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

100.0%

0.0%

5.1%

Cape and Islands

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

100.0%

3.7%

798

666

903

393

1,047

537

310

348

5,002

Sample size

Source: 2015 Massachusetts Health Insurance Survey

Families are defined based on the household members who typically would be included in the target person's health insurance unit (HIU).

11

Table A.1-7: Demographic, Health and Socioeconomic Characteristics of the Massachusetts

Population in 2015, Overall and by Health Insurance Status
Always
Ever
Insured
Uninsured Uninsured
Over the
Over the at the Time
Past 12
Past 12
of the
Total
Months
Months
Survey
Population

Age (%)
Child (0 to 18)

23.2%

4.9%

9.4%

21.8%

Non-elderly adult (19 to 64)

61.0%

90.6%

87.3%

63.3%

Elderly adult (65 and older)

15.8%

4.4%

3.3%

14.8%

52.7%

49.7%

33.2%

51.8%

White, non-Hispanic

77.2%

70.0%

64.4%

76.4%

Black, non-Hispanic

6.9%

6.2%

5.4%

6.8%

Other/multiple races, non-Hispanic

5.3%

4.5%

5.4%

5.2%

Hispanic

10.7%

19.3%

24.8%

11.6%

U.S. citizen (%)

93.5%

92.2%

75.6%

92.7%

Language at home is English (%)

95.8%

89.9%

81.8%

95.1%

Very good or excellent

62.2%

58.5%

48.9%

61.6%

Good

22.5%

22.1%

30.2%

22.8%

Fair or poor

15.3%

19.4%

20.8%

15.6%

26.6%

32.5%

20.3%

26.6%

Single-parent family with children

13.4%

10.2%

15.7%

13.3%

Two-parent family with children

31.3%

10.1%

15.9%

29.7%

Married couple, no children

18.6%

18.3%

12.7%

18.4%

Single individual, no children

36.7%

61.4%

55.8%

38.5%

Female (%)
Race/Ethnicity (%)

Health status (%)

Activities are limited by health problem (%)

Family type1 (%)

Highest educational attainment of adults in family1 (%)

Less than high school

6.3%

12.1%

12.1%

6.8%

High school graduate or GED

19.6%

28.1%

36.6%

20.6%

Some college

14.2%

15.8%

24.5%

14.7%

4 year college degree or more

59.8%

44.1%

26.8%

57.9%

No workers

27.9%

29.5%

18.1%

27.6%

One or more workers

72.1%

70.5%

81.9%

72.4%

At or below 138% FPL

24.2%

44.4%

45.6%

25.9%

138-299% FPL

24.6%

24.3%

29.7%

24.8%

300-399% FPL

10.7%

8.8%

9.8%

10.6%

400% FPL or more

40.5%

22.5%

14.9%

38.7%

56.6%

33.1%

34.7%

54.8%

Western MA

12.1%

9.6%

19.3%

12.2%

Central MA

11.4%

7.4%

13.1%

11.3%

Northeast MA

21.9%

20.4%

10.1%

21.4%

Metro West

10.2%

11.3%

3.7%

10.0%

Metro Boston

23.6%

28.4%

25.7%

23.9%

Metro South

12.1%

8.9%

20.5%

12.3%

Southcoast

5.0%

7.1%

5.1%

5.1%

Cape and Islands

3.6%

7.0%

2.5%

3.7%

Work status of adults in family1 (%)

Family Income relative to the Federal Poverty Level

(FPL)1(%)

Residence is owned or being bought by household (%)

Region (%)

Sample size
4,699
173
130
5,002
Source: 2015 Massachusetts Health Insurance Survey
1
Families are defined based on the household members who typically would be included in the target person's
health insurance unit (HIU).

12

Table B.1-1: Health Insurance Coverage in Massachusetts in 2015, Overall and by Age

Children (0
to 18)

Non-elderly
Adults (19
to 64)

Elderly
Adults (65
and older)

Total
Population

1,450,479

4,056,645

992,293

6,499,417

98.4%

95.0%

99.2%

96.4%

Lower

96.0%

93.6%

98.0%

95.4%

Upper

99.4%

96.1%

99.7%

97.1%

621

3,057

1,324

5,002

1,473,367

4,175,529

996,583

6,645,479

Outcome
Population size (000s)
Insured at the time of
the survey

Percent
95% CI [
Sample size
Population size (000s)

Percent
Insured at any time in
the past 12 months
95% CI [

100.0%

97.8%

99.6%

98.5%

Lower

99.9%

96.8%

98.7%

97.9%

Upper

100.0%

98.4%

99.9%

99.0%

621

3,057

1,324

5,002

1,243

181,852

10,870

193,965

Sample size
Population size (000s)
Insured for less than Percent
6 months in the past
95% CI [
12 months

0.1%

4.3%

1.1%

2.9%

Lower

0.0%

3.2%

0.4%

2.2%

Upper

0.4%

5.6%

2.7%

3.7%

621

3,057

1,324

5,002

1,472,394

4,089,574

989,476

6,551,443

99.9%

95.7%

98.9%

97.1%

Lower

99.6%

94.4%

97.3%

96.3%

Upper

100.0%

96.8%

99.6%

97.8%

621

3,057

1,324

5,002

1,435,608

3,792,783

980,630

6,209,020

Sample size
Population size (000s)
Insured for 6 months Percent
or more in the past
95% CI [
12 months
Sample size
Population size (000s)
Percent
Always insured in the
past 12 months
95% CI [

97.4%

88.8%

98.0%

92.0%

Lower

95.1%

86.9%

96.4%

90.7%

Upper

98.6%

90.5%

98.9%

93.2%

621

3,057

1,324

5,002

14,872

263,862

11,663

290,397

1.0%

6.2%

1.2%

4.3%

0.5%

4.9%

0.5%

3.5%

2.1%

7.7%

2.7%

5.3%

621

3,057

1,324

5,002

Population size (000s)

Insured at the time of Percent
the survey and
Lower
insured for 2 years or 95% CI [
Upper
more
Sample size

1,422,907

3,675,123

968,450

6,066,479

96.6%

86.0%

96.8%

89.9%

94.0%

84.0%

94.4%

88.5%

98.0%

87.9%

98.2%

91.2%

621

3,057

1,324

5,002

Population size (000s)

1,383,541

3,367,095

954,562

5,705,198

93.9%

78.8%

95.4%

84.6%

91.0%

76.5%

93.0%

82.9%

95.9%

81.0%

97.0%

86.1%

621

3,057

1,324

5,002

67,607

774,708

77,958

920,274

4.6%

18.1%

7.8%

13.6%

3.0%

16.2%

5.9%

12.3%

7.0%

20.3%

10.3%

15.2%

621

3,057

1,324

5,002

43,136

981,877

228,465

1,253,478

Sample size
Population size (000s)
Insured at the time of Percent
the survey and ever
Lower
uninsured in the past 95% CI [
Upper
12 months
Sample size

Insured at the time of Percent

the survey and
Lower
insured for 5 years or 95% CI [
Upper
more
Sample size
Population size (000s)
Made a transition and Percent
transitioned to
Lower
current coverage
95% CI [
Upper
from uninsurance*
Sample size
Made a transition and
transitioned to
current coverage
from some other type
of health insurance
coverage*

Population size (000s)

Percent
95% CI [
Sample size

2.9%

23.0%

22.8%

18.6%

Lower

1.7%

20.9%

19.6%

17.1%

Upper

5.0%

25.3%

26.5%

20.2%

621

3,057

1,324

5,002

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.
* The population asked this question has changed since 2014. In 2015, those who had insurance for all of the past 12 months and were never uninsured were not asked the question.

13

Table B.1-2: Health Insurance Coverage in Massachusetts in 2015, Overall

and by Gender

Outcome
Population size (000s)
Percent
Insured at the time of
the survey
95% CI [

97.7%

96.4%

93.3%

96.5%

95.4%

Upper

96.2%

98.4%

97.1%

2,290

2,712

5,002

3,170,083

3,475,396

6,645,479

97.6%

99.4%

98.5%

Lower

96.4%

98.8%

97.9%

Upper

98.4%

99.7%

99.0%

2,290

2,712

5,002

125,022

68,943

193,965

Sample size
Population size (000s)

3.8%

2.0%

2.9%

Lower

2.8%

1.3%

2.2%

Upper

5.3%

3.1%

3.7%

2,290

2,712

5,002

3,123,903

3,427,540

6,551,443

96.2%

98.0%

97.1%

Lower

94.7%

96.9%

96.3%

Upper

97.2%

98.7%

97.8%

2,290

2,712

5,002

2,933,679

3,275,341

6,209,020

Sample size
Population size (000s)
Insured for 6 months Percent
or more in the past
95% CI [
12 months
Sample size
Population size (000s)
Percent
Always insured in the
past 12 months
95% CI [

Total
Population
6,499,417

94.9%

Population size (000s)

Insured for less than Percent

6 months in the past
95% CI [
12 months

Female
3,414,762

Lower

Sample size
Percent
Insured at any time in
the past 12 months
95% CI [

Male
3,084,655

90.3%

93.7%

92.0%

Lower

88.3%

91.9%

90.7%

Upper

92.0%

95.1%

93.2%

2,290

2,712

5,002

150,976

139,421

290,397

4.6%

4.0%

4.3%

3.5%

2.9%

3.5%

6.1%

5.5%

5.3%

2,290

2,712

5,002

Population size (000s)

Insured at the time of Percent
the survey and
Lower
insured for 2 years or 95% CI [
Upper
more
Sample size

2,872,558

3,193,921

6,066,479

88.4%

91.3%

89.9%

86.3%

89.4%

88.5%

90.3%

93.0%

91.2%

2,290

2,712

5,002

Population size (000s)

2,667,835

3,037,363

5,705,198

82.1%

86.9%

84.6%

79.6%

84.7%

82.9%

84.4%

88.8%

86.1%

2,290

2,712

5,002

505,054

415,220

920,274

15.5%

11.9%

13.6%

13.5%

10.1%

12.3%

17.8%

13.9%

15.2%

2,290

2,712

5,002

628,948

624,531

1,253,478

Sample size
Population size (000s)
Insured at the time of Percent
the survey and ever
Lower
uninsured in the past 95% CI [
Upper
12 months
Sample size

Insured at the time of Percent

the survey and
Lower
insured for 5 years or 95% CI [
Upper
more
Sample size
Population size (000s)
Made a transition and Percent
transitioned to
Lower
current coverage
95% CI [
Upper
from uninsurance*
Sample size
Made a transition and
transitioned to
current coverage
from some other type
of health insurance
coverage*

Population size (000s)

Percent
95% CI [
Sample size

19.4%

17.9%

18.6%

Lower

17.1%

15.9%

17.1%

Upper

21.9%

20.0%

20.2%

2,290

2,712

5,002

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.
* The population asked this question has changed since 2014. In 2015, those who had insurance for all of the past 12 months and were never uninsured were not asked the question.

14

Table B.1-3: Health Insurance Coverage in Massachusetts in 2015, Overall and by Race/Ethnicty

Outcome
Population size (000s)
Percent
Insured at the time of
the survey
95% CI [

Total
Population
6,499,417

97.1%

96.2%

92.2%

96.4%

93.6%

89.9%

88.5%

95.4%

Upper

97.8%

98.7%

98.7%

94.8%

97.1%

3,917

291

270

524

5,002

5,096,445

454,257

345,178

749,599

6,645,479

98.9%

99.1%

97.8%

95.9%

98.5%

Lower

98.2%

95.9%

89.2%

93.1%

97.9%

Upper

99.3%

99.8%

99.6%

97.7%

99.0%

3,917

291

270

524

5,002

133,507

9,722

12,069

38,666

193,965

Population size (000s)

2.6%

2.1%

3.4%

4.9%

2.9%

Lower

1.9%

0.8%

1.1%

3.1%

2.2%

Upper

3.6%

5.6%

10.3%

7.9%

3.7%

3,917

291

270

524

5,002

5,019,154

448,713

341,001

742,575

6,551,443

97.4%

97.9%

96.6%

95.1%

97.1%

Lower

96.4%

94.4%

89.7%

92.1%

96.3%

Upper

98.1%

99.2%

98.9%

96.9%

97.8%

3,917

291

270

524

5,002

4,794,470

426,454

326,239

661,857

6,209,020

Sample size
Population size (000s)

Sample size
Population size (000s)
Percent
Always insured in the
past 12 months
95% CI [

Hispanic
720,169

95.8%

Sample size

Insured for 6 months Percent

or more in the past
95% CI [
12 months

Other/Multiple
Race, NonHispanic
339,779

96.9%

Population size (000s)

Insured for less than Percent

6 months in the past
95% CI [
12 months

Black, nonHispanic
445,151

Lower

Sample size
Percent
Insured at any time in
the past 12 months
95% CI [

White, nonHispanic
4,994,318

93.0%

93.0%

92.4%

84.7%

92.0%

Lower

91.6%

88.2%

86.2%

79.3%

90.7%

Upper

94.3%

96.0%

95.9%

88.9%

93.2%

3,917

291

270

524

5,002

199,848

18,696

13,540

58,312

290,397

3.9%

4.1%

3.8%

7.5%

4.3%

3.0%

2.0%

1.8%

4.4%

3.5%

5.0%

8.3%

7.9%

12.4%

5.3%

3,917

291

270

524

5,002

Population size (000s)

Insured at the time of Percent
the survey and
Lower
insured for 2 years or 95% CI [
Upper
more
Sample size

4,701,855

413,402

317,337

633,886

6,066,479

91.3%

90.2%

89.9%

81.1%

89.9%

89.7%

84.4%

83.3%

75.5%

88.5%

92.6%

94.0%

94.1%

85.7%

91.2%

3,917

291

270

524

5,002

Population size (000s)

4,476,209

364,111

294,502

570,377

5,705,198

86.9%

79.4%

83.4%

73.0%

84.6%

85.1%

71.8%

75.9%

67.0%

82.9%

88.5%

85.4%

88.9%

78.3%

86.1%

3,917

291

270

524

5,002

664,038

82,182

29,596

144,458

920,274

12.9%

17.9%

8.4%

18.5%

13.6%

11.4%

12.6%

5.1%

14.0%

12.3%

14.6%

24.8%

13.5%

24.1%

15.2%

3,917

291

270

524

5,002

975,169

89,480

54,375

134,455

1,253,478

Sample size
Population size (000s)
Insured at the time of Percent
the survey and ever
Lower
uninsured in the past 95% CI [
Upper
12 months
Sample size

Insured at the time of Percent

the survey and
Lower
insured for 5 years or 95% CI [
Upper
more
Sample size
Population size (000s)
Made a transition and Percent
transitioned to
Lower
current coverage
95% CI [
Upper
from uninsurance*
Sample size
Made a transition and
transitioned to
current coverage
from some other type
of health insurance
coverage*

Population size (000s)

Percent
95% CI [
Sample size

18.9%

19.5%

15.4%

17.2%

18.6%

Lower

17.2%

13.5%

10.0%

12.9%

17.1%

Upper

20.8%

27.3%

22.9%

22.6%

20.2%

3,917

291

270

524

5,002

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.
* The population asked this question has changed since 2014. In 2015, those who had insurance for all of the past 12 months and were never uninsured were not asked the question.

15

Table B.1-4: Health Insurance Coverage in Massachusetts in 2015, Overall and by

Health/Disability Status
Good, Very
Good, or
Excellent
Fair or Poor Fair or Poor
Health and Health or an Health and
No Activity
Activity
an Activity
Total
Outcome
Limitation Limitation
Limitation Population
Population size (000s)
4,471,446 1,314,933
713,037
6,499,417
Percent
Insured at the time of
the survey
95% CI [

96.5%

94.9%

97.9%

96.4%

Lower

95.3%

92.2%

96.0%

95.4%

Upper

97.4%

96.7%

98.9%

97.1%

3,263

1,111

628

5,002

4,568,156

1,357,977

719,346

6,645,479

Sample size
Population size (000s)
Percent
Insured at any time in
the past 12 months
95% CI [

98.6%

98.1%

98.7%

98.5%

Lower

97.9%

96.0%

97.0%

97.9%

Upper

99.1%

99.1%

99.5%

99.0%

3,263

1,111

628

5,002

115,075

58,411

20,479

193,965

Sample size
Population size (000s)
Insured for less than Percent
6 months in the past
95% CI [
12 months

2.5%

4.2%

2.8%

2.9%

Lower

1.8%

2.6%

1.5%

2.2%

Upper

3.5%

6.9%

5.2%

3.7%

3,263

1,111

628

5,002

4,516,742

1,326,546

708,155

6,551,443

97.5%

95.8%

97.2%

97.1%

Lower

96.5%

93.1%

94.8%

96.3%

Upper

98.2%

97.4%

98.5%

97.8%

3,263

1,111

628

5,002

4,289,397

1,244,827

674,797

6,209,020

Sample size
Population size (000s)
Insured for 6 months Percent
or more in the past
95% CI [
12 months
Sample size
Population size (000s)
Percent
Always insured in the
past 12 months
95% CI [

92.6%

89.9%

92.6%

92.0%

Lower

91.0%

86.6%

89.1%

90.7%

Upper

94.0%

92.5%

95.1%

93.2%

3,263

1,111

628

5,002

182,050

70,107

38,240

290,397

3.9%

5.1%

5.2%

4.3%

3.0%

3.3%

3.2%

3.5%

5.2%

7.6%

8.6%

5.3%

3,263

1,111

628

5,002

Population size (000s)

Insured at the time of Percent
the survey and
Lower
insured for 2 years or 95% CI [
Upper
more
Sample size

4,195,821

1,221,357

649,302

6,066,479

90.6%

88.2%

89.1%

89.9%

88.8%

84.7%

85.0%

88.5%

92.1%

91.0%

92.2%

91.2%

3,263

1,111

628

5,002

Population size (000s)

3,971,859

1,131,609

601,730

5,705,198

85.8%

81.7%

82.6%

84.6%

83.7%

77.8%

77.7%

82.9%

87.5%

85.1%

86.6%

86.1%

3,263

1,111

628

5,002

569,617

220,897

129,760

920,274

12.3%

15.9%

17.8%

13.6%

10.7%

12.9%

14.0%

12.3%

14.1%

19.5%

22.3%

15.2%

3,263

1,111

628

5,002

794,920

247,813

210,745

1,253,478

Sample size
Population size (000s)
Insured at the time of Percent
the survey and ever
Lower
uninsured in the past 95% CI [
Upper
12 months
Sample size

Insured at the time of Percent

the survey and
Lower
insured for 5 years or 95% CI [
Upper
more
Sample size
Population size (000s)
Made a transition and Percent
transitioned to
Lower
current coverage
95% CI [
Upper
from uninsurance*
Sample size
Made a transition and
transitioned to
current coverage
from some other type
of health insurance
coverage*

Population size (000s)

Percent
95% CI [
Sample size

17.2%

17.9%

28.9%

18.6%

Lower

15.3%

15.0%

23.8%

17.1%

Upper

19.2%

21.1%

34.7%

20.2%

3,263

1,111

628

5,002

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.
* The population asked this question has changed since 2014. In 2015, those who had insurance for all of the past 12 months and were never uninsured were not asked the question.

16

Familyand by Family
Table B.1-5: Health Insurance Coverage in Massachusetts Family
in 2015, Overall
Family
Income
Income
Family
Income Groups
Income At
Between
Between
Income At
or Below
138 and
300 and
or Above
138% of the 299% of the 399% of the 400% of the
Federal
Federal
Federal
Federal
Poverty
Poverty
Poverty
Poverty
Total
Outcome
Level
Level
Level
Level
Population
Population size (000s)
1,632,473 1,597,932
692,447
2,576,565 6,499,417
Percent
Insured at the time of
the survey
95% CI [

93.6%

95.6%

96.6%

98.6%

96.4%

Lower

90.9%

93.3%

93.5%

97.6%

95.4%

Upper

95.5%

97.2%

98.3%

99.2%

97.1%

1,140

1,154

552

2,156

5,002

1,703,023

1,635,349

707,658

2,599,450

6,645,479

Sample size
Population size (000s)
Percent
Insured at any time in
the past 12 months
95% CI [

97.6%

97.9%

98.8%

99.5%

98.5%

Lower

95.9%

96.4%

95.7%

98.4%

97.9%

Upper

98.6%

98.8%

99.7%

99.8%

99.0%

1,140

1,154

552

2,156

5,002

88,586

58,636

16,873

29,870

193,965

Sample size
Population size (000s)
Insured for less than Percent
6 months in the past
95% CI [
12 months

5.1%

3.5%

2.4%

1.1%

2.9%

Lower

3.5%

2.2%

1.0%

0.5%

2.2%

Upper

7.3%

5.6%

5.6%

2.4%

3.7%

1,140

1,154

552

2,156

5,002

1,656,120

1,612,324

699,593

2,583,406

6,551,443

94.9%

96.5%

97.6%

98.9%

97.1%

Lower

92.7%

94.4%

94.4%

97.6%

96.3%

Upper

96.5%

97.8%

99.0%

99.5%

97.8%

1,140

1,154

552

2,156

5,002

1,498,554

1,529,472

665,872

2,515,122

6,209,020

Sample size
Population size (000s)
Insured for 6 months Percent
or more in the past
95% CI [
12 months
Sample size
Population size (000s)
Percent
Always insured in the
past 12 months
95% CI [

85.9%

91.5%

92.9%

96.2%

92.0%

Lower

82.4%

88.6%

89.1%

94.6%

90.7%

Upper

88.8%

93.7%

95.5%

97.4%

93.2%

1,140

1,154

552

2,156

5,002

133,919

68,460

26,575

61,442

290,397

7.7%

4.1%

3.7%

2.4%

4.3%

5.6%

2.6%

2.0%

1.4%

3.5%

10.4%

6.3%

6.7%

3.9%

5.3%

1,140

1,154

552

2,156

5,002

Population size (000s)

Insured at the time of Percent
the survey and
Lower
insured for 2 years or 95% CI [
Upper
more
Sample size

1,428,770

1,490,524

656,065

2,491,121

6,066,479

81.9%

89.2%

91.6%

95.3%

89.9%

78.1%

86.2%

87.3%

93.5%

88.5%

85.1%

91.6%

94.5%

96.6%

91.2%

1,140

1,154

552

2,156

5,002

Population size (000s)

1,303,810

1,351,009

620,341

2,430,037

5,705,198

74.7%

80.9%

86.6%

93.0%

84.6%

70.8%

77.0%

81.5%

91.0%

82.9%

78.3%

84.2%

90.4%

94.5%

86.1%

1,140

1,154

552

2,156

5,002

350,210

266,132

84,535

219,397

920,274

20.1%

15.9%

11.8%

8.4%

13.6%

16.9%

12.9%

8.5%

6.7%

12.3%

23.6%

19.5%

16.2%

10.4%

15.2%

1,140

1,154

552

2,156

5,002

360,332

310,091

148,844

434,212

1,253,478

Sample size
Population size (000s)
Insured at the time of Percent
the survey and ever
Lower
uninsured in the past 95% CI [
Upper
12 months
Sample size

Insured at the time of Percent

the survey and
Lower
insured for 5 years or 95% CI [
Upper
more
Sample size
Population size (000s)
Made a transition and Percent
transitioned to
Lower
current coverage
95% CI [
Upper
from uninsurance*
Sample size
Made a transition and
transitioned to
current coverage
from some other type
of health insurance
coverage*

Population size (000s)

Percent
95% CI [
Sample size

20.7%

18.6%

20.8%

16.6%

18.6%

Lower

17.3%

15.5%

16.3%

14.6%

17.1%

Upper

24.4%

22.1%

26.2%

18.9%

20.2%

1,140

1,154

552

2,156

5,002

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.
* The population asked this question has changed since 2014. In 2015, those who had insurance for all of the past 12 months and were never uninsured were not asked the question.

17

Table B.1-6: Health Insurance Coverage in Massachusetts in 2015, Overall and by

Region

Outcome
Population size (000s)
Percent
Insured at the time of
the survey
95% CI [

Cape and
Islands
241,475

Total
Population
6,499,417

95.8%

98.3%

98.7%

96.1%

93.9%

96.4%

97.5%

96.4%

91.3%

96.2%

96.9%

94.0%

90.1%

91.1%

95.0%

95.4%

Upper

96.8%

98.0%

99.2%

99.4%

97.4%

96.4%

98.6%

98.8%

97.1%

798

666

903

393

1,047

537

310

348

5,002

804,488

745,889

1,439,009

673,810

1,583,163

814,370

338,744

246,005

6,645,479

97.7%

97.6%

99.5%

99.7%

98.2%

98.1%

98.1%

99.4%

98.5%

Lower

94.0%

94.5%

98.5%

99.0%

96.7%

95.1%

94.1%

98.3%

97.9%

Upper

99.1%

99.0%

99.8%

99.9%

99.0%

99.3%

99.4%

99.8%

99.0%

798

666

903

393

1,047

537

310

348

5,002

31,348

24,223

28,027

17,216

44,433

25,543

10,004

13,169

193,965

Population size (000s)

3.8%

3.2%

1.9%

2.5%

2.8%

3.1%

2.9%

5.3%

2.9%

Lower

1.8%

1.6%

1.0%

1.1%

1.6%

1.5%

1.1%

2.0%

2.2%

Upper

7.9%

6.2%

3.8%

5.9%

4.7%

6.0%

7.3%

13.2%

3.7%

798

666

903

393

1,047

537

310

348

5,002

792,328

739,688

1,418,644

658,844

1,568,081

804,250

335,212

234,397

6,551,443

96.2%

96.8%

98.1%

97.5%

97.2%

96.9%

97.1%

94.7%

97.1%

Lower

92.1%

93.8%

96.2%

94.1%

95.3%

94.0%

92.7%

86.8%

96.3%

Upper

98.2%

98.4%

99.0%

98.9%

98.4%

98.5%

98.9%

98.0%

97.8%

798

666

903

393

1,047

537

310

348

5,002

750,768

709,588

1,362,669

632,808

1,464,226

754,251

312,914

221,797

6,209,020

Sample size
Population size (000s)

Sample size
Population size (000s)
Percent
Always insured in the
past 12 months
95% CI [

Metro South Southcoast

779,420
332,727

89.9%

Sample size

Insured for 6 months Percent

or more in the past
95% CI [
12 months

Metro
Metro West
Boston
666,963
1,549,193

94.2%

Population size (000s)

Insured for less than Percent

6 months in the past
95% CI [
12 months

Northeast
MA
1,421,740

Lower

Sample size
Percent
Insured at any time in
the past 12 months
95% CI [

Western MA Central MA
776,115
731,783

91.1%

92.9%

94.2%

93.6%

90.8%

90.9%

90.6%

89.6%

92.0%

Lower

86.8%

88.6%

91.3%

89.7%

87.4%

86.7%

84.7%

82.0%

90.7%

Upper

94.2%

95.6%

96.2%

96.1%

93.3%

93.9%

94.4%

94.2%

93.2%

798

666

903

393

1,047

537

310

348

5,002

25,347

22,196

59,071

34,155

84,966

25,169

19,813

19,679

290,397

3.1%

2.9%

4.1%

5.1%

5.3%

3.0%

5.7%

7.9%

4.3%

1.7%

1.6%

2.5%

2.8%

3.3%

1.6%

3.1%

3.8%

3.5%

5.4%

5.1%

6.6%

8.9%

8.4%

5.6%

10.5%

16.0%

5.3%

798

666

903

393

1,047

537

310

348

5,002

Population size (000s)

Insured at the time of Percent
the survey and
Lower
insured for 2 years or 95% CI [
Upper
more
Sample size

742,876

696,443

1,323,473

621,177

1,433,950

733,770

301,244

213,546

6,066,479

90.2%

91.2%

91.5%

91.9%

88.9%

88.4%

87.3%

86.3%

89.9%

85.8%

86.8%

88.2%

87.7%

85.4%

83.8%

80.7%

78.1%

88.5%

93.3%

94.2%

93.9%

94.7%

91.7%

91.9%

91.8%

91.7%

91.2%

798

666

903

393

1,047

537

310

348

5,002

Population size (000s)

686,529

656,554

1,239,275

596,725

1,365,166

678,502

280,939

201,508

5,705,198

83.3%

85.9%

85.7%

88.3%

84.7%

81.8%

81.4%

81.4%

84.6%

78.5%

81.1%

81.7%

83.2%

80.9%

76.4%

73.8%

73.2%

82.9%

87.3%

89.7%

88.9%

92.0%

87.8%

86.1%

87.2%

87.5%

86.1%

798

666

903

393

1,047

537

310

348

5,002

87,392

89,059

235,850

62,096

223,390

132,806

42,124

47,557

920,274

10.6%

11.7%

16.3%

9.2%

13.9%

16.0%

12.2%

19.2%

13.6%

7.8%

8.6%

13.0%

6.1%

10.9%

12.1%

8.0%

12.8%

12.3%

14.3%

15.6%

20.2%

13.6%

17.5%

20.8%

18.1%

27.9%

15.2%

798

666

903

393

1,047

537

310

348

5,002

193,681

143,376

260,353

124,221

265,422

146,437

72,813

47,175

1,253,478

Sample size
Population size (000s)
Insured at the time of Percent
the survey and ever
Lower
uninsured in the past 95% CI [
Upper
12 months
Sample size

Insured at the time of Percent

the survey and
Lower
insured for 5 years or 95% CI [
Upper
more
Sample size
Population size (000s)
Made a transition and Percent
transitioned to
Lower
current coverage
95% CI [
Upper
from uninsurance*
Sample size
Made a transition and
transitioned to
current coverage
from some other type
of health insurance
coverage*

Population size (000s)

Percent
95% CI [
Sample size

23.5%

18.8%

18.0%

18.4%

16.5%

17.6%

21.1%

19.1%

18.6%

Lower

19.3%

15.0%

14.7%

13.6%

13.5%

13.4%

14.5%

14.1%

17.1%

Upper

28.4%

23.2%

21.8%

24.4%

19.9%

22.8%

29.6%

25.3%

20.2%

798

666

903

393

1,047

537

310

348

5,002

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.
* The population asked this question has changed since 2014. In 2015, those who had insurance for all of the past 12 months and were never uninsured were not asked the question.

18

Table B.2-1: Uninsurance Rate in Massachusetts in 2015, Overall and by Age

Children (0
to 18)
23,158

Non-elderly
Adults (19
to 64)
214,780

Elderly
Adults (65
and older)
8,053

Total
Population
245,991

1.6%

5.0%

0.8%

3.6%

Lower

0.6%

3.9%

0.3%

2.9%

Upper

4.0%

6.4%

2.0%

4.6%

621

3,057

1,324

5,002

38,029

478,643

19,716

536,388

2.6%

11.2%

2.0%

8.0%

Lower

1.4%

9.5%

1.1%

6.8%

Upper

4.9%

13.1%

3.6%

9.3%

621

3,057

1,324

5,002

31,911

246,518

11,931

290,360

Outcome
Population size (000s)
Percent
Uninsured at the time
of the survey
95% CI [
Sample size
Population size (000s)
Uninsured at any
time in the past 12
months

Percent
95% CI [
Sample size
Population size (000s)

Percent
Uninsured for less
than 6 months in the
95% CI [
past 12 months

2.2%

5.8%

1.2%

4.3%

Lower

1.0%

4.6%

0.5%

3.5%

Upper

4.4%

7.3%

2.9%

5.3%

Sample size

621

3,057

1,324

5,002

1,243

222,707

12,032

235,982

0.1%

5.2%

1.2%

3.5%

Lower

0.0%

4.1%

0.5%

2.8%

Upper

0.4%

6.6%

2.7%

4.4%

621

3,057

1,324

5,002

Population size (000s)

Uninsured for 6
months or more in
the past 12 months

Percent
95% CI [
Sample size
Population size (000s)

Always uninsured in
the past 12 months

270

95,897

3,762

99,929

0.02%

2.2%

0.4%

1.5%

Lower

0.00%

1.6%

0.1%

1.0%

Upper

0.1%

3.2%

1.3%

2.1%

621

3,057

1,324

5,002

22,888

118,884

4,291

146,063

1.6%

2.8%

0.4%

2.2%

0.6%

2.0%

0.1%

1.6%

Percent
95% CI [
Sample size

Population size (000s)

Uninsured at the time Percent
of the survey and
Lower
ever insured in the
95% CI [
Upper
past 12 months
Sample size
Population size (000s)
Percent
Uninsured for 2 years
or more
95% CI [

3.9%

1.7%

3.0%

621

3,057

1,324

5,002

1,034

58,725

1,863

61,622

0.1%

1.4%

0.2%

0.9%

Lower

0.0%

0.9%

0.0%

0.6%

Upper

0.5%

2.1%

0.8%

1.4%

Sample size

621

3,057

1,324

5,002

1,034

19,828

1,054

21,915

0.1%

0.5%

0.1%

0.3%

Lower

0.0%

0.2%

0.0%

0.2%

Upper

0.5%

0.9%

0.7%

0.6%

621

3,057

1,324

5,002

Population size (000s)

Percent
Uninsured for 5 Years
or more
95% CI [

4.0%

Sample size
Population size (000s)
Among the uninsured, Percent
a reason for
Lower
uninsurance is related 95% CI [
Upper
to costs of coverage
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

19

132,219

145,769

61.6%

59.3%

48.9%

47.0%

72.8%

70.4%

116

130

Table B.2-2: Uninsurance Rate in Massachusetts in 2015, Overall and by

Gender

Male
164,270

Female
81,721

Total
Population
245,991

5.1%

2.3%

3.6%

Lower

3.8%

1.6%

2.9%

Upper

6.7%

3.5%

4.6%

2,290

2,712

5,002

315,246

221,142

536,388

9.7%

6.3%

8.0%

Lower

8.0%

4.9%

6.8%

Upper

11.7%

8.1%

9.3%

2,290

2,712

5,002

138,846

151,514

290,360

Outcome
Population size (000s)
Percent
Uninsured at the time
of the survey
95% CI [
Sample size
Population size (000s)
Uninsured at any
time in the past 12
months

Percent
95% CI [
Sample size
Population size (000s)

Percent
Uninsured for less
than 6 months in the
95% CI [
past 12 months

4.3%

4.3%

4.3%

Lower

3.2%

3.1%

3.5%

Upper

5.7%

5.9%

5.3%

Sample size

2,290

2,712

5,002

159,522

76,461

235,982

4.9%

2.2%

3.5%

Lower

3.7%

1.4%

2.8%

Upper

6.5%

3.3%

4.4%

2,290

2,712

5,002

78,841

21,087

99,929

2.4%

0.6%

1.5%

1.6%

0.3%

1.0%

Population size (000s)

Uninsured for 6
months or more in
the past 12 months

Percent
95% CI [
Sample size
Population size (000s)

Always uninsured in
the past 12 months

Percent
95% CI [

Lower
Upper

3.6%

1.2%

2.1%

2,290

2,712

5,002

Population size (000s)

Uninsured at the time Percent
of the survey and
Lower
ever insured in the
95% CI [
Upper
past 12 months
Sample size

85,429

60,634

146,063

2.6%

1.7%

2.2%

1.7%

1.1%

1.6%

4.0%

2.8%

3.0%

2,290

2,712

5,002

Population size (000s)

46,898

14,724

61,622

Sample size

Percent
Uninsured for 2 years
or more
95% CI [

1.4%

0.4%

0.9%

Lower

0.9%

0.2%

0.6%

Upper

2.3%

0.9%

1.4%

Sample size

2,290

2,712

5,002

16,625

5,290

21,915

0.5%

0.2%

0.3%

Lower

0.3%

0.0%

0.2%

Upper

1.0%

0.5%

0.6%

2,290

2,712

5,002

108,867

36,902

145,769

66.3%

45.2%

59.3%

51.7%

27.6%

47.0%

78.3%

64.0%

70.4%

80

50

130

Population size (000s)

Percent
Uninsured for 5 Years
or more
95% CI [
Sample size
Population size (000s)
Among the uninsured, Percent
a reason for
Lower
uninsurance is related 95% CI [
Upper
to costs of coverage
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

20

Table B.2-3: Uninsurance Rate in Massachusetts in 2015, Overall and by Race/Ethnicity

Outcome
Population size (000s)
Percent
Uninsured at the time
of the survey
95% CI [

3.8%

7.8%

3.6%

1.3%

1.3%

5.2%

2.9%

Upper

4.2%

6.4%

10.1%

11.5%

4.6%

3,917

291

270

524

5,002

358,192

31,980

26,832

119,384

536,388

7.0%

7.0%

7.6%

15.3%

8.0%

Lower

5.7%

4.0%

4.1%

11.1%

6.8%

Upper

8.4%

11.8%

13.8%

20.7%

9.3%

3,917

291

270

524

5,002

180,939

22,258

12,530

74,633

290,360

3.5%

4.9%

3.5%

9.6%

4.3%

Lower

2.7%

2.5%

1.7%

6.1%

3.5%

Upper

4.6%

9.1%

7.3%

14.7%

5.3%

3,917

291

270

524

5,002

175,202

9,722

12,417

38,641

235,982

3.4%

2.1%

3.5%

4.9%

3.5%

Lower

2.6%

0.8%

1.1%

3.1%

2.8%

Upper

4.5%

5.6%

10.3%

7.9%

4.4%

Population size (000s)

Percent

Sample size
Population size (000s)
Percent
95% CI [
Sample size
Population size (000s)
Always uninsured in
the past 12 months

Percent
95% CI [

Total
Population
245,991

2.9%

Sample size

Uninsured for 6
months or more in
the past 12 months

Hispanic
61,072

2.2%

Percent

Uninsured for less

than 6 months in the
95% CI [
past 12 months

Other/Multiple
Race, nonHispanic
13,292

3.1%

Population size (000s)

95% CI [

Black, nonHispanic
13,284

Lower

Sample size
Uninsured at any
time in the past 12
months

White, nonHispanic
158,344

3,917

291

270

524

5,002

56,216

4,177

7,893

31,642

99,929

1.1%

0.9%

2.2%

4.1%

1.5%

Lower

0.7%

0.2%

0.4%

2.3%

1.0%

Upper

1.8%

4.1%

10.8%

6.9%

2.1%

Sample size
Population size (000s)
Uninsured at the time Percent
of the survey and
Lower
ever insured in the
95% CI [
Upper
past 12 months
Sample size

3,917

291

270

524

5,002

102,128

9,107

5,399

29,430

146,063

2.0%

2.0%

1.5%

3.8%

2.2%

1.3%

0.8%

0.6%

2.1%

1.6%

3.0%

5.1%

3.6%

6.8%

3.0%

3,917

291

270

524

5,002

37,628

3,008

2,478

18,508

61,622

0.7%

0.7%

0.7%

2.4%

0.9%

Lower

0.4%

0.1%

0.2%

1.2%

0.6%

Upper

1.3%

4.5%

2.6%

4.7%

1.4%

Sample size

3,917

291

270

524

5,002

Population size (000s)

7,552

14,363

21,915

0.1%

0.0%

0.0%

1.8%

0.3%

Lower

0.1%

0.0%

0.0%

0.8%

0.2%

Upper

0.3%

0.0%

0.0%

4.2%

0.6%

3,917

291

270

524

5,002

Population size (000s)

Percent

Uninsured for 2 years

or more
95% CI [

Percent

Uninsured for 5 Years

or more
95% CI [
Sample size

Population size (000s)

Among the uninsured, Percent
a reason for
Lower
uninsurance is related 95% CI [
Upper
to costs of coverage
Sample size

104,418

145,769

65.9%

59.3%

49.1%

47.0%

79.5%

70.4%

78

130

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

21

Table B.2-4: Uninsurance Rate in Massachusetts in 2015, Overall and by

Health/Disability Status

Outcome
Population size (000s)
Percent
Uninsured at the time
of the survey
95% CI [

Good, Very
Good, or
Excellent
Fair or Poor
Health and Health or an
No Activity
Activity
Limitation Limitation
160,371
70,023
3.5%

5.1%

2.1%

3.6%

2.6%

3.3%

1.1%

2.9%

Upper

4.7%

7.8%

4.0%

4.6%

Population size (000s)

3,263

1,111

628

5,002

342,421

140,130

53,837

536,388

7.4%

10.1%

7.4%

8.0%

6.0%

7.5%

4.9%

6.8%

Percent
95% CI [

Lower
Upper

9.0%

13.4%

10.9%

9.3%

3,263

1,111

628

5,002

189,944

70,369

30,047

290,360

4.1%

5.1%

4.1%

4.3%

3.1%

3.3%

2.3%

3.5%

Sample size
Population size (000s)
Percent

Uninsured for less

than 6 months in the
95% CI [
past 12 months

Lower
Upper

5.4%

7.7%

7.3%

5.3%

3,263

1,111

628

5,002

141,765

66,721

27,497

235,982

3.1%

4.8%

3.8%

3.5%

Lower

2.2%

3.1%

2.1%

2.8%

Upper

4.2%

7.5%

6.6%

4.4%

3,263

1,111

628

5,002

63,662

26,979

9,287

99,929

Sample size
Population size (000s)
Uninsured for 6
months or more in
the past 12 months

Percent
95% CI [

Total
Population
245,991

Lower

Sample size
Uninsured at any
time in the past 12
months

Fair or Poor
Health and
an Activity
Limitation
15,597

Sample size
Population size (000s)

1.4%

1.9%

1.3%

1.5%

Lower

0.9%

0.9%

0.5%

1.0%

Upper

2.1%

4.0%

3.0%

2.1%

3,263

1,111

628

5,002

Population size (000s)

Uninsured at the time Percent
of the survey and
Lower
ever insured in the
95% CI [
Upper
past 12 months
Sample size

96,709

43,044

6,310

146,063

2.1%

3.1%

0.9%

2.2%

1.4%

1.8%

0.3%

1.6%

3.1%

5.4%

2.3%

3.0%

3,263

1,111

628

5,002

Population size (000s)

43,962

12,430

5,230

61,622

0.9%

0.9%

0.7%

0.9%

Lower

0.6%

0.4%

0.2%

0.6%

Upper

1.6%

2.1%

2.4%

1.4%

3,263

1,111

628

5,002

15,763

3,251

2,901

21,915

0.3%

0.2%

0.4%

0.3%

Lower

0.2%

0.1%

0.1%

0.2%

Upper

0.7%

1.0%

2.8%

0.6%

3,263

1,111

628

Always uninsured in
the past 12 months

Percent
95% CI [
Sample size

Percent

Uninsured for 2 years

or more
95% CI [
Sample size

Population size (000s)

Percent

Uninsured for 5 Years

or more
95% CI [
Sample size

Population size (000s)

5,002

99,428

145,769

62.0%

59.3%

46.2%

47.0%

75.6%

70.4%

85

130

Among the uninsured, Percent

a reason for
Lower
uninsurance is related 95% CI [
Upper
to costs of coverage
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

22

Table B.2-5: Uninsurance Rate in Massachusetts in 2015, Overall

by Family Income
Family and Family
Groups
Family
Income
Income
Family
Income At
Between
Between
Income At
or Below
138 and
300 and
or Above
138% of the 299% of the 399% of the 400% of the
Federal
Federal
Federal
Federal
Poverty
Poverty
Poverty
Poverty
Total
Outcome
Level
Level
Level
Level
Population
Population size (000s)
112,232
73,028
24,019
36,711
245,991
Percent
Uninsured at the time
of the survey
95% CI [

Lower
Upper

Sample size
Population size (000s)
Uninsured at any
time in the past 12
months

Percent
95% CI [

1.4%

3.6%

1.7%

0.8%

2.9%

9.1%

6.7%

6.5%

2.4%

4.6%

1,140

1,154

552

2,156

5,002

246,151

141,488

50,595

98,154

536,388

14.1%

8.5%

7.1%

3.8%

8.0%
6.8%

11.2%

6.3%

4.5%

2.6%

17.6%

11.4%

10.9%

5.4%

9.3%

1,140

1,154

552

2,156

5,002

133,726

62,117

35,149

59,369

290,360

7.7%

3.7%

4.9%

2.3%

4.3%

Lower

5.4%

2.5%

2.9%

1.4%

3.5%

Upper

10.7%

5.6%

8.3%

3.6%

5.3%

Sample size
Population size (000s)
Percent
95% CI [

3.4%

2.8%

Upper

Population size (000s)

Uninsured for 6
months or more in
the past 12 months

4.4%

4.5%

Lower

Sample size
Percent
Uninsured for less
than 6 months in the
95% CI [
past 12 months

6.4%

Lower
Upper

1,140

1,154

552

2,156

5,002

107,278

71,936

16,873

39,896

235,982

6.1%

4.3%

2.4%

1.5%

3.5%

4.4%

2.7%

1.0%

0.8%

2.8%

8.5%

6.7%

5.6%

2.8%

4.4%

1,140

1,154

552

2,156

5,002

41,683

35,611

8,809

13,826

99,929

2.4%

2.1%

1.2%

0.5%

1.5%

Lower

1.4%

1.2%

0.3%

0.2%

1.0%

Upper

4.1%

3.6%

4.3%

1.6%

2.1%

1,140

1,154

552

2,156

5,002

Population size (000s)

Uninsured at the time Percent
of the survey and
Lower
ever insured in the
95% CI [
Upper
past 12 months
Sample size

70,550

37,417

15,211

22,885

146,063

4.0%

2.2%

2.1%

0.9%

2.2%

2.5%

1.1%

0.9%

0.5%

1.6%

6.5%

4.4%

4.7%

1.6%

3.0%

1,140

1,154

552

2,156

5,002

Population size (000s)

30,818

25,745

1,911

3,148

61,622

1.8%

1.5%

0.3%

0.1%

0.9%

1.0%

0.8%

0.1%

0.0%

0.6%

Sample size
Population size (000s)
Always uninsured in
the past 12 months

Percent
95% CI [
Sample size

Percent
Uninsured for 2 years
or more
95% CI [

Lower

3.2%

2.9%

0.9%

0.5%

1.4%

Sample size

Upper

1,140

1,154

552

2,156

5,002

Population size (000s)

9,805

8,794

617

2,699

21,915

0.6%

0.5%

0.1%

0.1%

0.3%

Lower

0.2%

0.2%

0.0%

0.0%

0.2%

Upper

1.3%

1.6%

0.3%

0.5%

0.6%

1,140

1,154

552

2,156

5,002

Percent

Uninsured for 5 Years

or more
95% CI [
Sample size

Population size (000s)

Among the uninsured, Percent
a reason for
Lower
uninsurance is related 95% CI [
Upper
to costs of coverage
Sample size

63,075

145,769

56.2%

59.3%

37.6%

47.0%

73.2%

70.4%

56

130

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

23

Table B.2-6: Uninsurance Rate in Massachusetts in 2015, Overall and by Region

Outcome
Population size (000s)
Percent
Uninsured at the time
of the survey
95% CI [

1.3%

3.9%

6.1%

3.6%

2.5%

3.6%

0.8%

0.6%

2.6%

3.6%

1.4%

1.2%

2.9%

Upper

10.1%

8.7%

3.8%

3.1%

6.0%

9.9%

8.9%

5.0%

4.6%

798

666

903

393

1,047

537

310

348

5,002

72,908

54,323

84,002

43,253

148,288

75,541

32,303

25,770

536,388

8.9%

7.1%

5.8%

6.4%

9.2%

9.1%

9.4%

10.4%

8.0%

Lower

5.8%

4.4%

3.8%

3.9%

6.7%

6.1%

5.6%

5.8%

6.8%

Upper

13.2%

11.4%

8.7%

10.3%

12.6%

13.3%

15.3%

18.0%

9.3%

798

666

903

393

1,047

537

310

348

5,002

40,878

20,508

40,903

25,202

99,323

36,738

19,377

7,431

290,360

5.0%

2.7%

2.8%

3.7%

6.2%

4.4%

5.6%

3.0%

4.3%

Lower

2.9%

1.0%

1.7%

1.9%

4.0%

2.6%

2.8%

1.3%

3.5%

Upper

8.4%

6.8%

4.8%

7.1%

9.3%

7.3%

11.0%

6.9%

5.3%

798

666

903

393

1,047

537

310

348

5,002

33,720

32,337

41,685

19,608

46,330

32,314

11,650

18,339

235,982

4.1%

4.2%

2.9%

2.9%

2.9%

3.9%

3.4%

7.4%

3.5%

Lower

2.0%

2.4%

1.5%

1.3%

1.7%

2.2%

1.4%

3.4%

2.8%

Upper

8.1%

7.5%

5.5%

6.2%

4.8%

6.9%

7.7%

15.2%

4.4%

798

666

903

393

1,047

537

310

348

5,002

19,187

18,022

7,662

2,250

29,351

15,422

6,473

1,561

99,929

2.3%

2.4%

0.5%

0.3%

1.8%

1.9%

1.9%

0.6%

1.5%

Lower

0.9%

1.0%

0.2%

0.1%

1.0%

0.7%

0.6%

0.2%

1.0%

Upper

6.0%

5.5%

1.5%

1.0%

3.3%

4.9%

5.9%

1.7%

2.1%

798

666

903

393

1,047

537

310

348

5,002

28,373

14,106

17,269

6,847

33,971

34,950

6,017

4,530

146,063

3.4%

1.8%

1.2%

1.0%

2.1%

4.2%

1.7%

1.8%

2.2%

1.6%

0.5%

0.4%

0.4%

1.1%

2.3%

0.4%

0.7%

1.6%

7.1%

6.7%

3.4%

2.8%

3.9%

7.5%

7.3%

4.4%

3.0%

798

666

903

393

1,047

537

310

348

5,002

6,113

13,751

6,145

1,388

22,848

2,358

6,473

2,546

61,622

0.7%

1.8%

0.4%

0.2%

1.4%

0.3%

1.9%

1.0%

0.9%

Lower

0.2%

0.6%

0.1%

0.1%

0.7%

0.1%

0.6%

0.4%

0.6%

Upper

2.3%

5.1%

1.3%

0.8%

2.8%

0.9%

5.9%

2.4%

1.4%

798

666

903

393

1,047

537

310

348

5,002

5,844

2,433

3,851

1,388

6,728

1,054

617

21,915

0.7%

0.3%

0.3%

0.2%

0.4%

0.0%

0.3%

0.2%

0.3%

Lower

0.2%

0.1%

0.1%

0.1%

0.1%

0.0%

0.0%

0.1%

0.2%

Upper

2.3%

1.3%

1.2%

0.8%

1.5%

0.0%

2.1%

1.0%

0.6%

798

666

903

393

1,047

537

310

348

5,002

Population size (000s)

Percent

Sample size
Population size (000s)
Percent
95% CI [
Sample size
Population size (000s)
Uninsured at the time Percent
of the survey and
Lower
ever insured in the
95% CI [
Upper
past 12 months
Sample size
Population size (000s)
Percent

Uninsured for 2 years

or more
95% CI [
Sample size

Population size (000s)

Percent

Uninsured for 5 Years

or more
95% CI [

Total
Population
245,991

1.7%

Sample size

Always uninsured in
the past 12 months

Cape and
Islands
6,091

2.0%

Population size (000s)

95% CI [

Metro South Southcoast

50,372
12,490

4.2%

Sample size

Uninsured for 6
months or more in
the past 12 months

Metro
Boston
63,322

3.2%

Percent

Percent
Uninsured for less
than 6 months in the
95% CI [
past 12 months

Metro West
9,097

5.8%

Population size (000s)

95% CI [

Northeast
MA
24,931

Lower

Sample size
Uninsured at any
time in the past 12
months

Western MA Central MA
47,561
32,128

Sample size
Population size (000s)
Among the uninsured, Percent
a reason for
Lower
uninsurance is related 95% CI [
Upper
to costs of coverage
Sample size

145,769
59.3%
47.0%
70.4%
130

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

24

Table B.3-1: Reported Type of Health Insurance Coverage Among the Massachusetts
Population with Health Insurance Coverage at the Time of the Survey in 2015, Overall
and by Age

Children (0
to 18)
25,791

Non-elderly
Adults (19
to 64)
380,156

Elderly
Adults (65
and older)
553,953

Total
Population
959,900

1.8%

9.4%

55.8%

14.8%

Lower

0.9%

8.0%

52.0%

13.6%

Upper

3.4%

10.9%

59.6%

16.1%

613

2,941

1,318

4,872

920,146

2,419,164

398,759

3,738,069

63.4%

59.6%

40.2%

57.5%

Lower

58.3%

57.0%

36.5%

55.5%

Upper

68.3%

62.2%

44.0%

59.5%

613

2,941

1,318

4,872

350,191

694,229

21,195

1,065,615

24.1%

17.1%

2.1%

16.4%

Lower

19.9%

15.1%

0.9%

14.8%

Upper

28.9%

19.4%

4.8%

18.2%

613

2,941

1,318

4,872

150,062

520,902

12,893

683,857

10.3%

12.8%

1.3%

10.5%

Lower

7.6%

11.1%

0.7%

9.2%

Upper

14.0%

14.8%

2.4%

12.0%

613

2,941

1,318

4,872

4,289

42,194

5,492

51,975

0.3%

1.0%

0.6%

0.8%

Lower

0.1%

0.7%

0.1%

0.5%

Upper

1.1%

1.6%

2.1%

1.2%

613

2,941

1,318

4,872

Outcome
Population size (000s)
Percent
Medicare

95% CI [
Sample size

Population size (000s)

Employer-sponsored
Insurance

Percent
95% CI [
Sample size
Population size (000s)

Percent
MassHealth,
ConnectorCare or
other public coverage 95% CI [
Sample size

Population size (000s)

Private non-group
coverage, including
Connector Health
Plan

Percent
95% CI [
Sample size
Population size (000s)

Other coverage or
coverage type not
reported

Percent
95% CI [
Sample size

Source: 2015 Massachusetts Health Insurance Survey

25

Table B.3-2: Reported Type of Health Insurance Coverage Among the

Massachusetts Population with Health Insurance Coverage at the Time of
the Survey in 2015, Overall and by Gender

Male
426,835

Female
533,065

Total
Population
959,900

13.8%

15.6%

14.8%

Lower

12.2%

13.9%

13.6%

Upper

15.7%

17.5%

16.1%

2,210

2,662

4,872

1,801,282

1,936,787

3,738,069

58.4%

56.7%

57.5%

Lower

55.4%

53.9%

55.5%

Upper

61.4%

59.5%

59.5%

2,210

2,662

4,872

500,455

565,160

1,065,615

16.2%

16.6%

16.4%

Lower

14.0%

14.3%

14.8%

Upper

18.8%

19.1%

18.2%

2,210

2,662

4,872

325,879

357,978

683,857

10.6%

10.5%

10.5%

Lower

8.7%

8.8%

9.2%

Upper

12.8%

12.5%

12.0%

2,210

2,662

4,872

30,203

21,772

51,975

1.0%

0.6%

0.8%

Lower

0.6%

0.4%

0.5%

Upper

1.7%

1.1%

1.2%

2,210

2,662

4,872

Outcome
Population size (000s)
Percent
Medicare

95% CI [
Sample size

Population size (000s)

Employer-sponsored
Insurance

Percent
95% CI [
Sample size
Population size (000s)

Percent
MassHealth,
ConnectorCare or
other public coverage 95% CI [
Sample size

Population size (000s)

Private non-group
coverage, including
Connector Health
Plan

Percent
95% CI [
Sample size
Population size (000s)

Other coverage or
coverage type not
reported

Percent
95% CI [
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

26

Table B.3-3: Reported Type of Health Insurance Coverage Among the Massachusetts Population
with Health Insurance Coverage in 2015, Overall and by Race/Ethnicity

Outcome
Population size (000s)
Percent
Medicare

95% CI [

8.6%

11.6%

14.8%

11.0%

4.9%

8.9%

13.6%

Upper

17.1%

22.2%

14.7%

15.0%

16.1%

3,839

284

258

491

4,872

3,105,334

216,676

196,049

220,010

3,738,069

62.2%

48.7%

57.7%

30.5%

57.5%

Lower

59.9%

40.4%

48.3%

25.0%

55.5%

Upper

64.4%

57.0%

66.6%

36.8%

59.5%

Population size (000s)

491

4,872

324,949

1,065,615

22.9%

18.2%

45.1%

16.4%

16.6%

11.3%

38.6%

14.8%

Upper

13.4%

30.7%

28.1%

51.8%

18.2%

3,839

284

258

491

4,872

493,475

55,337

43,527

91,518

683,857

9.9%

12.4%

12.8%

12.7%

10.5%

Lower

8.5%

7.6%

7.7%

8.6%

9.2%

Upper

11.5%

19.6%

20.6%

18.4%

12.0%

3,839

284

258

491

4,872

41,915

1,096

8,964

51,975

0.8%

0.2%

2.6%

0.0%

0.8%

0.5%

0.0%

1.0%

0.0%

0.5%

1.3%

1.7%

6.7%

0.0%

1.2%

3,839

284

258

491

4,872

Sample size
Population size (000s)
Percent

Sample size

258
61,935

10.0%

Percent

95% CI [

284
101,801

11.6%

Population size (000s)

Other coverage or
coverage type not
reported

3,839
576,931

Lower

Sample size

95% CI [

Total
Population
959,900

15.8%

Sample size

Private non-group
coverage, including
Connector Health
Plan

Hispanic
83,692

14.2%

Percent

Percent
MassHealth,
ConnectorCare or
other public coverage 95% CI [

Other/Multiple
Race, nonHispanic
29,303

15.6%

Population size (000s)

95% CI [

Black, nonHispanic
70,241

Lower

Sample size

Employer-sponsored
Insurance

White, nonHispanic
776,663

Lower
Upper

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

27

Table B.3-4: Reported Type of Health Insurance Coverage Among the Massachusetts
Population with Health Insurance Coverage at the Time of the Survey in 2015, Overall
and by Health/Disability Status
Good, Very
Good, or
Excellent
Fair or Poor Fair or Poor
Health and Health or an Health and
No Activity
Activity
an Activity
Total
Outcome
Limitation Limitation
Limitation Population
Population size (000s)
352,294
330,539
277,067
959,900
Percent
Medicare

95% CI [

7.9%

25.1%

38.9%

14.8%

Lower

6.9%

21.7%

33.4%

13.6%

Upper

9.0%

28.9%

44.6%

16.1%

3,178

1,079

615

4,872

2,943,478

586,430

208,161

3,738,069

65.8%

44.6%

29.2%

57.5%

Lower

63.3%

40.2%

24.2%

55.5%

Upper

68.3%

49.1%

34.8%

59.5%

Sample size
Population size (000s)
Employer-sponsored
Insurance

Percent
95% CI [
Sample size

3,178

1,079

615

4,872

641,632

258,695

165,288

1,065,615

14.3%

19.7%

23.2%

16.4%

Lower

12.4%

16.1%

18.4%

14.8%

Upper

16.5%

23.8%

28.7%

18.2%

3,178

1,079

615

4,872

506,531

123,802

53,524

683,857

11.3%

9.4%

7.5%

10.5%

Lower

9.7%

6.9%

5.0%

9.2%

Upper

13.2%

12.8%

11.2%

12.0%

3,178

1,079

615

4,872

27,511

15,467

8,996

51,975

0.6%

1.2%

1.3%

0.8%

Lower

0.3%

0.6%

0.5%

0.5%

Upper

1.1%

2.3%

3.3%

1.2%

3,178

1,079

615

4,872

Population size (000s)

Percent
MassHealth,
ConnectorCare or
other public coverage 95% CI [
Sample size
Population size (000s)
Private non-group
coverage, including
Connector Health
Plan

Percent
95% CI [
Sample size
Population size (000s)

Other coverage or
coverage type not
reported

Percent
95% CI [
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

28

Table B.3-5: Reported Type of Health Insurance Coverage Among the Massachusetts
Population with Health Insurance Coverage at the Time ofFamily
the SurveyFamily
in 2015, Overall
and by Family Income Groups
Family
Income
Income
Family
Income At
Between
Between
Income At
or Below
138 and
300 and
or Above
138% of the 299% of the 399% of the 400% of the
Federal
Federal
Federal
Federal
Poverty
Poverty
Poverty
Poverty
Total
Outcome
Level
Level
Level
Level
Population
Population size (000s)
422,523
318,509
65,190
153,678
959,900
Percent
Medicare

95% CI [

25.9%

19.9%

9.4%

6.0%

14.8%

Lower

22.6%

17.1%

7.0%

5.0%

13.6%

Upper

29.5%

23.1%

12.6%

7.1%

16.1%

1,084

1,119

539

2,130

4,872

264,849

736,944

524,513

2,211,763

3,738,069

16.2%

46.1%

75.7%

85.8%

57.5%

Lower

13.1%

41.7%

70.3%

83.7%

55.5%

Upper

19.9%

50.6%

80.5%

87.7%

59.5%

1,084

1,119

539

2,130

4,872

689,112

280,321

36,700

59,481

1,065,615

42.2%

17.5%

5.3%

2.3%

16.4%

Lower

37.9%

14.2%

2.7%

1.4%

14.8%

Upper

46.7%

21.5%

10.0%

3.9%

18.2%

1,084

1,119

539

2,130

4,872

237,553

243,015

58,928

144,362

683,857

14.6%

15.2%

8.5%

5.6%

10.5%

Lower

11.5%

12.1%

5.7%

4.4%

9.2%

Upper

18.2%

19.0%

12.6%

7.2%

12.0%

1,084

1,119

539

2,130

4,872

18,436

19,143

7,115

7,281

51,975

1.1%

1.2%

1.0%

0.3%

0.8%

Lower

0.6%

0.5%

0.4%

0.1%

0.5%

Upper

2.1%

2.7%

2.3%

0.6%

1.2%

1,084

1,119

539

2,130

4,872

Sample size
Population size (000s)
Employer-sponsored
Insurance

Percent
95% CI [
Sample size
Population size (000s)
Percent

MassHealth,
ConnectorCare or
other public coverage 95% CI [
Sample size

Population size (000s)

Private non-group
coverage, including
Connector Health
Plan

Percent
95% CI [
Sample size
Population size (000s)

Other coverage or
coverage type not
reported

Percent
95% CI [
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

29

Table B.3-6: Reported Type of Health Insurance Coverage Among the Massachusetts
Population with Health Insurance Coverage at the Time of the Survey in 2015, Overall
and by Region

Outcome
Population size (000s)
Percent
Medicare

95% CI [

12.9%

10.7%

14.2%

21.6%

24.1%

14.8%

10.5%

9.5%

8.8%

10.7%

15.5%

18.8%

13.6%

Upper

21.9%

23.9%

15.8%

17.3%

13.1%

18.6%

29.3%

30.3%

16.1%

779

652

889

385

1,013

513

303

338

4,872

394,550

398,868

826,037

438,123

956,669

483,346

135,593

104,884

3,738,069

50.8%

54.5%

58.1%

65.7%

61.8%

62.0%

40.8%

43.4%

57.5%

Lower

45.6%

49.0%

53.3%

58.9%

57.2%

56.0%

32.9%

35.3%

55.5%

Upper

56.0%

59.9%

62.8%

71.9%

66.1%

67.7%

49.1%

52.0%

59.5%

779

652

889

385

1,013

513

303

338

4,872

124,301

133,390

213,158

70,911

291,094

111,290

92,012

29,460

1,065,615

16.0%

18.2%

15.0%

10.6%

18.8%

14.3%

27.7%

12.2%

16.4%

Lower

12.3%

14.1%

11.5%

6.6%

15.1%

10.3%

20.2%

7.5%

14.8%

Upper

20.5%

23.3%

19.3%

16.7%

23.1%

19.4%

36.5%

19.2%

18.2%

779

652

889

385

1,013

513

303

338

4,872

106,427

51,779

189,187

70,580

131,130

68,193

21,256

45,305

683,857
10.5%

Population size (000s)

Percent

13.7%

7.1%

13.3%

10.6%

8.5%

8.7%

6.4%

18.8%

Lower

9.9%

4.8%

10.1%

7.0%

6.3%

6.0%

3.2%

11.2%

9.2%

Upper

18.6%

10.3%

17.4%

15.6%

11.4%

12.5%

12.3%

29.7%

12.0%

Sample size
Population size (000s)
Percent
95% CI [
Sample size

Total
Population
959,900

12.9%

Sample size

Other coverage or
coverage type not
reported

Cape and
Islands
58,189

15.1%

Population size (000s)

95% CI [

Metro South Southcoast

110,857
71,942

19.1%

Sample size

Private non-group
coverage, including
Connector Health
Plan

Metro
Boston
166,406

15.3%

Percent

Percent
MassHealth,
ConnectorCare or
other public coverage 95% CI [

Metro West
86,253

18.4%

Population size (000s)

95% CI [

Northeast
MA
183,891

Lower

Sample size

Employer-sponsored
Insurance

Western MA Central MA
142,553
139,810

779

652

889

385

1,013

513

303

338

4,872

8,284

7,937

9,468

1,096

3,894

5,734

11,925

3,638

51,975

1.1%

1.1%

0.7%

0.2%

0.3%

0.7%

3.6%

1.5%

0.8%

Lower

0.5%

0.4%

0.3%

0.0%

0.1%

0.3%

1.1%

0.5%

0.5%

Upper

2.5%

3.0%

1.4%

1.2%

0.6%

2.0%

11.2%

4.3%

1.2%

779

652

889

385

1,013

513

303

338

4,872

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

30

Table C.1-1: Health Care Access and Use in Massachusetts in 2015, Overall and by Age
Non-elderly
Elderly
Children (0 Adults (19 Adults (65
Total
Outcome
to 18)
to 64)
and older) Population
Population size (000s)
Has a usual source of Percent
health care
(excluding the
95% CI [
emergency room)

1,441,236

3,609,063

952,361

6,002,660

97.8%

84.5%

95.2%

89.0%

Lower

96.0%

82.3%

93.1%

87.5%

Upper

98.8%

86.4%

96.7%

90.3%

Sample size

621

3,057

1,324

5,002

1,408,293

3,559,981

940,491

5,908,765

95.6%

83.3%

94.0%

87.6%

Lower

93.2%

81.2%

91.7%

86.1%

Upper

97.1%

85.3%

95.7%

88.9%

Population size (000s)

Had a visit to a
general doctor or
specialist in the past
12 months

Percent
95% CI [
Sample size

621

3,057

1,324

5,002

1,393,691

3,340,073

901,826

5,635,589

94.6%

78.2%

90.2%

83.5%

Lower

91.8%

75.9%

87.5%

81.9%

Upper

96.4%

80.3%

92.3%

85.0%

621

3,057

1,324

5,002

565,540

1,580,409

402,829

2,548,779

38.4%

37.0%

40.3%

37.8%

Lower

33.5%

34.5%

36.7%

35.8%

Upper

43.5%

39.5%

44.0%

39.8%

621

3,057

1,324

5,002

Population size (000s)

Had a visit to a
general doctor, nurse Percent
practioner,
Lower
physician's assistant 95% CI [
or midwife in the past
Upper
12 months
Sample size

1,410,364

3,626,317

942,556

5,979,237

95.7%

84.9%

94.2%

88.6%

92.9%

82.9%

92.4%

87.2%

97.4%

86.7%

95.7%

89.9%

621

3,057

1,324

5,002

Had a visit to a
general doctor, nurse
practitioner,
physician's assistant
or midwife for
preventive care in the
past 12 months

Population size (000s)

1,270,793

2,919,274

813,481

5,003,548

Among those
receiving care from a
general doctor, nurse
practitioner,
physician's assistant
or midwife in past 12
months, quality of
care was good, very
good or excellent

Population size (000s)

Among those
receiving care from a
general doctor, nurse
practitioner,
physician's assistant
or midwife in past 12
months, quality of
care was fair or poor

Population size (000s)

Population size (000s)

Percent
Had a visit to a
general doctor in the
95% CI [
past 12 months
Sample size
Population size (000s)
Had a visit to a nurse Percent
practitioner,
physicians assistant,
or midwife in the past 95% CI [
12 months
Sample size

Percent
95% CI [

86.2%

68.3%

81.3%

74.2%

Lower

82.1%

65.8%

78.2%

72.3%

Upper

89.5%

70.8%

84.1%

76.0%

621

3,057

1,324

5,002

1,383,291

3,274,009

888,295

5,545,595

Sample size

Percent
95% CI [

97.3%

93.2%

95.4%

94.5%

Lower

94.3%

91.6%

93.5%

93.4%

Upper

98.7%

94.4%

96.7%

95.4%

597

2,599

1,235

4,431

38,998

240,372

43,272

322,643

2.7%

6.8%

4.6%

5.5%

Lower

1.3%

5.6%

3.3%

4.6%

Upper

5.7%

8.4%

6.5%

6.6%

597

2,599

1,235

4,431

Sample size

Percent
95% CI [
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

31

Table C.1-2: Health Care Access and Use in Massachusetts in 2015, Overall
and by Gender
Male

Female

Total
Population

2,808,729

3,193,931

6,002,660

86.5%

91.3%

89.0%

Lower

84.1%

89.4%

87.5%

Upper

88.5%

93.0%

90.3%

2,290

2,712

5,002

2,732,841

3,175,924

5,908,765

Outcome
Population size (000s)
Has a usual source of Percent
health care
(excluding the
95% CI [
emergency room)
Sample size
Population size (000s)
Had a visit to a
general doctor or
specialist in the past
12 months

Percent
95% CI [

84.1%

90.8%

87.6%

Lower

81.8%

88.9%

86.1%

Upper

86.2%

92.5%

88.9%

Sample size

2,290

2,712

5,002

2,617,352

3,018,237

5,635,589

80.6%

86.3%

83.5%

Lower

78.1%

84.1%

81.9%

Upper

82.8%

88.3%

85.0%

2,290

2,712

5,002

1,117,224

1,431,555

2,548,779

34.4%

40.9%

37.8%

Lower

31.6%

38.2%

35.8%

Upper

37.3%

43.8%

39.8%

2,290

2,712

5,002

Population size (000s)

Had a visit to a
general, doctor, nurse Percent
practioner,
Lower
physician's assistant 95% CI [
or midwife in the past
Upper
12 months
Sample size

2,753,490

3,225,747

5,979,237

84.8%

92.3%

88.6%

82.5%

90.5%

87.2%

86.8%

93.7%

89.9%

2,290

2,712

5,002

Population size (000s)

2,338,540

2,665,008

5,003,548

Population size (000s)

Percent
Had a visit to a
general doctor in the
95% CI [
past 12 months
Sample size
Population size (000s)
Had a visit to a nurse Percent
practitioner,
physicians assistant,
or midwife in the past 95% CI [
12 months
Sample size

Had a visit to a
general doctor, nurse
practitioner,
physician's assistant
or midwife for
preventive care in the
past 12 months
Among those
receiving care from a
general doctor, nurse
practitioner,
physician's assistant
or midwife in past 12
months, quality of
care was good, very
good or excellent
Among those
receiving care from a
general doctor, nurse
practitioner,
physician's assistant
or midwife in past 12
months, quality of
care was fair or poor

Percent
95% CI [

72.0%

76.2%

74.2%

Lower

69.2%

73.6%

72.3%

Upper

74.6%

78.7%

76.0%

Sample size

2,290

2,712

5,002

2,554,918

2,990,677

5,545,595

94.5%

94.5%

94.5%

Lower

92.7%

93.0%

93.4%

Upper

95.8%

95.8%

95.4%

1,946

2,485

4,431

150,124

172,518

322,643

5.5%

5.5%

5.5%

Lower

4.2%

4.2%

4.6%

Upper

7.3%

7.0%

6.6%

1,946

2,485

4,431

Population size (000s)

Percent
95% CI [
Sample size
Population size (000s)
Percent
95% CI [
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

32

Table C.1-3: Health Care Access and Use in Massachusetts in 2015, Overall and by Race/Ethnicity

White, nonHispanic

Outcome
Population size (000s)
Has a usual source of Percent
health care
(excluding the
95% CI [
emergency room)

639,227

6,002,660

90.5%

88.0%

84.3%

81.8%

89.0%

Lower

88.8%

81.3%

76.1%

76.3%

87.5%

Upper

91.9%

92.6%

90.1%

86.3%

90.3%

3,917

291

270

524

5,002

4,582,261

387,151

289,589

649,764

5,908,765

88.9%

84.5%

82.0%

83.2%

87.6%

Lower

87.3%

77.4%

73.1%

78.0%

86.1%

Upper

90.4%

89.6%

88.4%

87.3%

88.9%

Sample size

3,917

291

270

524

5,002

4,383,008

366,305

265,143

621,133

5,635,589

85.1%

79.9%

75.1%

79.5%

83.5%

Lower

83.3%

72.5%

66.2%

74.2%

81.9%

Upper

86.7%

85.7%

82.3%

84.0%

85.0%

Population size (000s)

Sample size
Population size (000s)
Had a visit to a nurse Percent
practitioner,
physicians assistant,
or midwife in the past 95% CI [
12 months

270

524

5,002

129,638

302,666

2,548,779

41.8%

36.7%

38.7%

37.8%

35.1%

34.1%

28.7%

32.8%

35.8%

Upper

39.7%

49.9%

45.6%

45.0%

39.8%

Had a visit to a
general doctor, nurse Percent
practioner,
Lower
physician's assistant 95% CI [
or midwife in the past
Upper
12 months
Sample size

3,917

291

270

524

5,002

4,619,590

408,235

297,300

654,112

5,979,237

89.7%

89.0%

84.2%

83.7%

88.6%

88.1%

83.2%

75.8%

78.7%

87.2%

91.0%

93.0%

90.1%

87.7%

89.9%

3,917

291

270

524

5,002

3,838,463

338,672

249,174

577,240

5,003,548

74.5%

73.9%

70.6%

73.9%

74.2%

72.4%

65.7%

61.7%

67.7%

72.3%

76.5%

80.7%

78.1%

79.2%

76.0%

3,917

291

270

524

5,002

4,313,447

363,561

262,623

605,964

5,545,595

95.1%

92.0%

91.8%

93.3%

94.5%

Lower

93.9%

86.2%

85.6%

87.7%

93.4%

Upper

96.0%

95.5%

95.5%

96.5%

95.4%

3,515

249

224

443

4,431

224,293

31,667

23,388

43,295

322,643

Population size (000s)

Had a visit to a
general doctor, nurse Percent
practitioner,
Lower
physician's assistant
95% CI [
or midwife for
Upper
preventive care in the
past 12 months
Sample size
Among those
receiving care from a
general doctor, nurse
practitioner,
physician's assistant
or midwife in past 12
months, quality of
care was good, very
good or excellent

Population size (000s)

Among those
receiving care from a
general doctor, nurse
practitioner,
physician's assistant
or midwife in past 12
months, quality of
care was fair or poor

Population size (000s)

Percent

Sample size

Percent

Sample size

291
191,591

37.4%

Population size (000s)

95% CI [

3,917
1,924,884

Lower

Sample size

95% CI [

Total
Population

297,742

Percent

Percent
Had a visit to a
general doctor in the
95% CI [
past 12 months

Hispanic

403,576

Population size (000s)

95% CI [

Other/Multiple
Race, nonHispanic

4,662,115

Sample size

Had a visit to a
general doctor or
specialist in the past
12 months

Black, nonHispanic

4.9%

8.0%

8.2%

6.7%

5.5%

Lower

4.0%

4.5%

4.5%

3.5%

4.6%

Upper

6.1%

13.8%

14.4%

12.3%

6.6%

3,515

249

224

443

4,431

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

33

Table C.1-4: Health Care Access and Use in Massachusetts in 2015, Overall and by
Health/Disability Status
Good, Very
Good, or
Excellent
Fair or Poor Fair or Poor
Health and Health or an Health and
No Activity
Activity
an Activity
Total
Outcome
Limitation Limitation
Limitation Population
Population size (000s)
Has a usual source of Percent
health care
(excluding the
95% CI [
emergency room)

4,105,912

1,246,138

650,610

6,002,660

88.6%

90.0%

89.3%

89.0%

Lower

86.7%

86.8%

85.3%

87.5%

Upper

90.3%

92.4%

92.3%

90.3%

Sample size

3,263

1,111

628

5,002

3,964,501

1,263,835

680,429

5,908,765

85.6%

91.3%

93.4%

87.6%

Lower

83.7%

88.5%

89.1%

86.1%

Upper

87.3%

93.4%

96.1%

88.9%

Population size (000s)

Had a visit to a
general doctor or
specialist in the past
12 months

Percent
95% CI [
Sample size

3,263

1,111

628

5,002

3,783,042

1,204,870

647,678

5,635,589

81.7%

87.0%

88.9%

83.5%

Lower

79.6%

83.8%

84.3%

81.9%

Upper

83.6%

89.6%

92.2%

85.0%

3,263

1,111

628

5,002

1,532,573

621,571

394,635

2,548,779

33.1%

44.9%

54.2%

37.8%

Lower

30.7%

40.5%

48.5%

35.8%

Upper

35.5%

49.3%

59.7%

39.8%

3,263

1,111

628

5,002

Population size (000s)

Had a visit to a
general doctor, nurse Percent
practioner,
Lower
physician's assistant 95% CI [
or midwife in the past
Upper
12 months
Sample size

4,025,389

1,270,025

683,823

5,979,237

86.9%

91.7%

93.9%

88.6%

85.0%

89.1%

91.0%

87.2%

88.6%

93.7%

95.8%

89.9%

3,263

1,111

628

5,002

Population size (000s)

3,381,306

1,053,219

569,023

5,003,548

73.0%

76.0%

78.1%

74.2%

Lower

70.6%

71.9%

73.1%

72.3%

Upper

75.2%

79.8%

82.4%

76.0%

3,263

1,111

628

5,002

3,807,561

1,155,887

582,147

5,545,595

96.6%

92.5%

85.9%

94.5%

Lower

95.3%

89.8%

81.3%

93.4%

Upper

97.6%

94.5%

89.5%

95.4%

2,829

1,019

583

4,431

132,910

94,055

95,677

322,643

Population size (000s)

Percent
Had a visit to a
general doctor in the
95% CI [
past 12 months
Sample size
Population size (000s)
Had a visit to a nurse Percent
practitioner,
physicians assistant,
or midwife in the past 95% CI [
12 months
Sample size

Had a visit to a
general doctor, nurse
practitioner,
physician's assistant
or midwife for
preventive care in the
past 12 months
Among those
receiving care from a
general doctor, nurse
practitioner,
physician's assistant
or midwife in past 12
months, quality of
care was good, very
good or excellent
Among those
receiving care from a
general doctor, nurse
practitioner,
physician's assistant
or midwife in past 12
months, quality of
care was fair or poor

Percent
95% CI [
Sample size
Population size (000s)
Percent
95% CI [
Sample size
Population size (000s)
Percent
95% CI [

3.4%

7.5%

14.1%

5.5%

Lower

2.4%

5.5%

10.5%

4.6%

Upper

4.7%

10.2%

18.7%

6.6%

2,829

1,019

583

4,431

Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

34

Table C.1-5: Health Care Access and Use in MassachusettsFamily

in 2015, Overall
Family and by
Family Income Groups
Family
Income
Income
Family
Income At
Between
Between
Income At
or Below
138 and
300 and
or Above
138% of the 299% of the 399% of the 400% of the
Federal
Federal
Federal
Federal
Poverty
Poverty
Poverty
Poverty
Total
Outcome
Level
Level
Level
Level
Population
Population size (000s)
Has a usual source of Percent
health care
(excluding the
95% CI [
emergency room)

1,437,463

1,449,878

681,521

2,433,797

6,002,660

82.4%

86.8%

95.1%

93.1%

89.0%

Lower

78.7%

83.1%

92.4%

91.3%

87.5%

Upper

85.6%

89.7%

96.9%

94.6%

90.3%

Sample size

1,140

1,154

552

2,156

5,002

1,459,570

1,441,637

612,031

2,395,526

5,908,765

83.7%

86.3%

85.4%

91.7%

87.6%

Lower

80.1%

82.9%

80.3%

89.8%

86.1%

Upper

86.7%

89.1%

89.4%

93.2%

88.9%

1,140

1,154

552

2,156

5,002

1,385,750

1,370,178

595,443

2,284,218

5,635,589

79.4%

82.0%

83.1%

87.4%

83.5%

Lower

75.7%

78.3%

77.9%

85.2%

81.9%

Upper

82.7%

85.2%

87.3%

89.3%

85.0%

1,140

1,154

552

2,156

5,002

766,276

669,378

238,746

874,379

2,548,779

43.9%

40.1%

33.3%

33.5%

37.8%

Lower

39.7%

35.8%

27.9%

30.7%

35.8%

Upper

48.2%

44.5%

39.3%

36.3%

39.8%

1,140

1,154

552

2,156

5,002

1,501,345

1,455,172

620,393

2,402,326

5,979,237

86.1%

87.1%

86.6%

91.9%

88.6%

Lower

82.9%

83.7%

81.7%

90.1%

87.2%

Upper

88.7%

89.8%

90.3%

93.5%

89.9%

1,140

1,154

552

2,156

5,002

Population size (000s)

Had a visit to a
general doctor, nurse Percent
practitioner,
physician's assistant
Lower
95% CI [
or midwife for
Upper
preventive care in the
past 12 months
Sample size

1,221,279

1,235,651

530,452

2,016,166

5,003,548

70.0%

73.9%

74.0%

77.2%

74.2%

65.8%

69.9%

68.4%

74.4%

72.3%

73.9%

77.6%

79.0%

79.7%

76.0%

1,140

1,154

552

2,156

5,002

Among those
receiving care from a
general doctor, nurse
practitioner,
physician's assistant
or midwife in past 12
months, quality of
care was good, very
good or excellent

Population size (000s)

1,356,641

1,350,385

561,806

2,276,762

5,545,595

Among those
receiving care from a
general doctor, nurse
practitioner,
physician's assistant
or midwife in past 12
months, quality of
care was fair or poor

Population size (000s)

Population size (000s)

Had a visit to a
general doctor or
specialist in the past
12 months

Percent
95% CI [
Sample size
Population size (000s)

Percent
Had a visit to a
general doctor in the
95% CI [
past 12 months
Sample size

Population size (000s)

Had a visit to a nurse Percent
practitioner,
physicians assistant,
or midwife in the past 95% CI [
12 months
Sample size
Population size (000s)
Had a visit to a
general doctor, nurse Percent
practioner,
physician's assistant
95% CI [
or midwife in the past
12 months
Sample size

Percent
95% CI [

92.0%

94.6%

90.9%

96.9%

94.5%

Lower

89.2%

92.0%

86.1%

95.6%

93.4%

Upper

94.2%

96.4%

94.2%

97.8%

95.4%

978

1,008

486

1,959

4,431

117,190

76,381

56,051

73,021

322,643

8.0%

5.4%

9.1%

3.1%

5.5%

Lower

5.8%

3.6%

5.8%

2.2%

4.6%

Upper

10.8%

8.0%

13.9%

4.4%

6.6%

978

1,008

486

1,959

4,431

Sample size

Percent
95% CI [
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

35

Table C.1-6: Health Care Access and Use in Massachusetts in 2015, Overall and by
Region

Outcome

Western MA Central MA
Population size (000s)

Has a usual source of Percent

health care
(excluding the
95% CI [
emergency room)

586,385

1,443,583

711,817

301,095

225,555

6,002,660

91.5%

86.7%

89.5%

85.8%

87.2%

91.1%

89.0%

Lower

84.5%

84.6%

88.3%

80.2%

86.4%

80.3%

80.1%

84.6%

87.5%

Upper

92.0%

92.1%

93.9%

91.3%

92.0%

89.9%

92.0%

95.0%

90.3%

798

666

903

393

1,047

537

310

348

5,002

727,701

672,846

1,278,018

599,797

1,410,701

701,645

304,180

213,877

5,908,765

88.3%

88.1%

88.3%

88.7%

87.5%

84.6%

88.1%

86.4%

87.6%

Lower

84.3%

83.5%

84.8%

83.4%

84.3%

79.4%

81.2%

78.9%

86.1%

Upper

91.5%

91.5%

91.1%

92.5%

90.1%

88.6%

92.7%

91.5%

88.9%

798

666

903

393

1,047

537

310

348

5,002

689,640

645,122

1,216,416

581,906

1,335,493

672,485

288,584

205,943

5,635,589

83.7%

84.4%

84.1%

86.1%

82.8%

81.0%

83.6%

83.2%

83.5%

Lower

79.5%

79.6%

80.2%

80.8%

79.2%

75.8%

76.2%

75.7%

81.9%

Upper

87.2%

88.3%

87.3%

90.1%

86.0%

85.4%

89.0%

88.7%

85.0%

Sample size
Population size (000s)

666

903

393

1,047

537

310

348

5,002

273,344

587,484

231,840

589,866

311,143

121,846

110,987

2,548,779

39.1%

35.8%

40.6%

34.3%

36.6%

37.5%

35.3%

44.8%

37.8%

34.2%

30.8%

36.0%

28.2%

32.3%

32.0%

27.9%

36.4%

35.8%

Upper

44.3%

41.1%

45.4%

41.0%

41.1%

43.3%

43.5%

53.6%

39.8%

798

666

903

393

1,047

537

310

348

5,002

729,535

667,289

1,302,549

607,675

1,433,747

710,615

307,680

220,146

5,979,237

88.6%

87.4%

90.0%

89.9%

88.9%

85.6%

89.1%

88.9%

88.6%

Lower

84.6%

82.8%

86.7%

85.5%

85.9%

80.6%

82.4%

82.8%

87.2%

Upper

91.6%

90.9%

92.6%

93.1%

91.4%

89.5%

93.5%

93.1%

89.9%

Population size (000s)

Sample size
Population size (000s)

Had a visit to a
general doctor, nurse Percent
practitioner,
physician's assistant
Lower
95% CI [
or midwife for
Upper
preventive care in the
past 12 months
Sample size

Population size (000s)

Percent
95% CI [

798
322,271

Lower

Sample size

Among those
receiving care from a
general doctor, nurse
practitioner,
physician's assistant
or midwife in past 12
months, quality of
care was good, very
good or excellent

Total
Population

1,324,028

Population size (000s)

Had a visit to a
general doctor, nurse Percent
practioner,
physician's assistant
95% CI [
or midwife in the past
12 months

Cape and
Islands

88.9%

Sample size

Had a visit to a nurse Percent

practitioner,
physicians assistant,
or midwife in the past 95% CI [
12 months

Metro South Southcoast

679,158

Percent

Percent
Had a visit to a
general doctor in the
95% CI [
past 12 months

Metro
Boston

88.8%

Population size (000s)

95% CI [

Metro West

731,039

Sample size

Had a visit to a
general doctor or
specialist in the past
12 months

Northeast
MA

798

666

903

393

1,047

537

310

348

5,002

585,591

563,653

1,125,858

516,572

1,167,749

574,632

276,884

192,608

5,003,548

71.1%

73.8%

77.8%

76.4%

72.4%

69.3%

80.2%

77.8%

74.2%

65.9%

68.5%

73.7%

70.6%

68.1%

63.1%

73.1%

70.8%

72.3%

75.8%

78.5%

81.5%

81.4%

76.4%

74.8%

85.8%

83.5%

76.0%

798

666

903

393

1,047

537

310

348

5,002

667,989

621,546

1,225,500

579,237

1,303,837

666,396

280,914

200,177

5,545,595

93.5%

94.2%

95.6%

96.2%

94.2%

93.7%

94.2%

92.6%

94.5%

Lower

90.6%

91.1%

93.1%

92.7%

91.0%

89.4%

89.3%

86.9%

93.4%

Upper

95.6%

96.2%

97.2%

98.1%

96.3%

96.3%

96.9%

96.0%

95.4%

Sample size
Population size (000s)

Among those
receiving care from a
general doctor, nurse Percent
practitioner,
Lower
physician's assistant
95% CI [
or midwife in past 12
Upper
months, quality of
care was fair or poor Sample size

706

602

814

346

908

472

273

310

4,431

46,454

38,478

56,342

22,755

80,764

44,598

17,314

15,939

322,643

6.5%

5.8%

4.4%

3.8%

5.8%

6.3%

5.8%

7.4%

5.5%

4.4%

3.8%

2.8%

1.9%

3.7%

3.7%

3.1%

4.0%

4.6%

9.4%

8.9%

6.9%

7.3%

9.0%

10.6%

10.7%

13.1%

6.6%

706

602

814

346

908

472

273

310

4,431

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

36

Table C.1-7: Health Care Access and Use in Massachusetts in 2015, Overall and by
Insurance Status
Always
Ever
Insured
Uninsured Uninsured
Over the
Over the at the Time
Past 12
Past 12
of the
Total
Outcome
Months
Months
Survey
Population
Population size (000s)
Has a usual source of Percent
health care
(excluding the
95% CI [
emergency room)

5,700,672

201,416

100,572

6,002,660

92.0%

66.8%

40.9%

89.0%

Lower

90.6%

55.5%

29.9%

87.5%

Upper

93.1%

76.4%

52.8%

90.3%

4,699

173

130

5,002

5,573,808

219,195

115,762

5,908,765

89.9%

72.7%

47.1%

87.6%

Lower

88.5%

62.2%

35.5%

86.1%

Upper

91.2%

81.2%

59.0%

88.9%

4,699

173

130

5,002

5,337,703

197,488

100,399

5,635,589

Sample size
Population size (000s)
Had a visit to a
general doctor or
specialist in the past
12 months

Percent
95% CI [
Sample size
Population size (000s)

Percent
Had a visit to a
general doctor in the
95% CI [
past 12 months

86.1%

65.5%

40.8%

83.5%

Lower

84.6%

54.8%

29.6%

81.9%

Upper

87.5%

74.8%

53.1%

85.0%

Sample size

4,699

173

130

5,002

2,414,026

92,865

41,888

2,548,779

38.9%

30.8%

17.0%

37.8%

Lower

36.9%

21.8%

9.8%

35.8%

Upper

41.1%

41.5%

28.0%

39.8%

4,699

173

130

5,002

Population size (000s)

Had a visit to a
general doctor, nurse Percent
practioner,
Lower
physician's assistant 95% CI [
or midwife in the past
Upper
12 months
Sample size

5,652,459

209,910

116,867

5,979,237

91.2%

69.6%

47.5%

88.6%

89.9%

59.0%

35.9%

87.2%

92.3%

78.5%

59.4%

89.9%

4,699

173

130

5,002

Population size (000s)

4,760,890

161,840

80,817

5,003,548

Population size (000s)

Had a visit to a nurse Percent
practitioner,
physicians assistant,
or midwife in the past 95% CI [
12 months
Sample size

Had a visit to a
general doctor, nurse
practitioner,
physician's assistant
or midwife for
preventive care in the
past 12 months
Among those
receiving care from a
general doctor, nurse
practitioner,
physician's assistant
or midwife in past 12
months, quality of
care was good, very
good or excellent
Among those
receiving care from a
general doctor, nurse
practitioner,
physician's assistant
or midwife in past 12
months, quality of
care was fair or poor

Percent
95% CI [

76.8%

53.7%

32.9%

74.2%

Lower

74.9%

43.0%

22.4%

72.3%

Upper

78.6%

64.0%

45.3%

76.0%

Sample size
Population size (000s)

4,699

173

130

5,002

5,265,068

182,274

98,252

5,545,595

Percent
95% CI [

94.8%

87.2%

94.1%

94.5%

Lower

93.7%

73.4%

82.7%

93.4%

Upper

95.7%

94.4%

98.1%

95.4%

4,258

121

52

4,431

289,796

26,670

6,177

322,643

5.2%

12.8%

5.9%

5.5%

Sample size
Population size (000s)
Percent
95% CI [

Lower

4.3%

5.6%

1.9%

4.6%

Upper

6.3%

26.6%

17.3%

6.6%

4,258

121

52

4,431

Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

37

Table C.2-1: Health Care Access and use in Massachusetts in

2015, Overall and by Age
Nonelderly
Elderly
Children Adults (19 Adults (65
Total
to 64) and older) Population
Outcome
(0 to 18)
Population size
522,966
###
682,326
###
(000s)
Percent
35.5%
48.4%
68.2%
48.5%
Had a visit to a
specialist in the
Lower
30.7%
45.8%
64.5%
46.5%
past 12 months 95% CI [
Upper
40.6%
51.0%
71.7%
50.6%
Sample size
Population size
(000s)
Percent

Among those
receiving care
from a specialist
Lower
in the past 12
months, quality 95% CI [ Upper
of care was
good, very good,
Sample size
or excellent
Population size
Among those
(000s)
receiving care
Percent
from a specialist
in the past 12
Lower
months, quality 95% CI [
Upper
of care was fair
or poor
Sample size
Population size
(000s)
Had a visit to a
Percent
mental health
professional in
Lower
95% CI [
the past 12
Upper
months
Sample size
Population size
Among those
(000s)
receiving care
Percent
from a mental
health
Lower
professional in
95% CI [
the past 12
Upper
months, quality
of care was
good, very good, Sample size
or excellent
Population size
Among those
(000s)
receiving care
Percent
from a mental
Lower
health
95% CI [
professional in
Upper
the past 12
months, quality
of care was fair Sample size
or poor
Population size
(000s)
Percent
Had a visit for
dental care in
Lower
the past 12
95% CI [
months
Upper
Sample size
Population size
(000s)
Percent

Took one or
more
prescription
Lower
drugs in the past 95% CI [
Upper
12 months
Sample size

621

3,057

1,324

5,002

486,607

###

659,233

###

93.0%

92.3%

96.8%

93.4%

86.4%

89.9%

95.0%

91.6%

96.6%

94.2%

98.0%

94.8%

208

1,622

937

2,767

36,359

158,785

21,573

216,717

7.0%

7.7%

3.2%

6.6%

3.4%

5.8%

2.0%

5.2%

13.6%

10.1%

5.0%

8.4%

208

1,622

937

2,767

264,171

851,031

91,114

###

17.9%

19.9%

9.1%

17.9%

14.2%

17.9%

7.2%

16.3%

22.3%

22.1%

11.4%

19.6%

621

3,057

1,324

5,002

233,580

740,153

81,371

1,055,104

89.4%

87.3%

90.5%

88.0%

77.6%

82.9%

80.3%

84.3%

95.3%

90.7%

95.7%

90.9%

102

576

123

801

27,768

107,762

8,583

144,112

10.6%

12.7%

9.5%

12.0%

4.7%

9.3%

4.3%

9.1%

22.4%

17.1%

19.7%

15.7%

102

576

123

801

###

###

624,639

###

84.2%

68.3%

62.4%

70.9%

80.0%

65.8%

58.5%

69.0%

87.6%

70.6%

66.2%

72.7%

621

3,057

1,324

5,002

728,665

###

898,090

###

49.4%

66.9%

89.8%

66.5%

44.3%

64.4%

87.2%

64.5%

54.6%

69.4%

91.9%

68.5%

621

3,057

1,324

5,002

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

38

Table C.2-2: Health Care Access and Use in Massachusetts in 2015, Overall
and by Gender

Male

Female

Total
Population

1,389,414

1,883,055

3,272,468

42.8%

53.9%

48.5%

Lower

39.9%

51.0%

46.5%

Upper

45.7%

56.7%

50.6%

2,290

2,712

5,002

1,266,269

1,785,062

3,051,331

91.3%

94.9%

93.4%

88.1%

92.7%

91.6%

93.8%

96.4%

94.8%

Outcome
Population size (000s)
Had a visit to a
specialist in the past
12 months

Percent
95% CI [
Sample size

Population size (000s)

Among those
receiving care from a Percent
specialist in the past
Lower
12 months, quality of
95% CI [
care was good, very
Upper
good, or excellent
Sample size

1,159

1,608

2,767

120,067

96,650

216,717

8.7%

5.1%

6.6%

Lower

6.2%

3.6%

5.2%

Upper

11.9%

7.3%

8.4%

1,159

1,608

2,767

500,138

706,178

1,206,316

Population size (000s)

Among those
Percent
receiving care from a
specialist in the past
12 months, quality of 95% CI [
care was fair or poor
Sample size
Population size (000s)
Had a visit to a
mental health
professional in the
past 12 months

Percent
95% CI [

15.4%

20.2%

17.9%

Lower

13.3%

17.9%

16.3%

Upper

17.7%

22.7%

19.6%

2,290

2,712

5,002

445,687

701,901

1,199,217

89.6%

86.8%

88.0%

Lower

84.5%

81.3%

84.3%

Upper

93.2%

90.9%

90.9%

329

472

801

51,629

92,484

144,112

10.4%

13.2%

12.0%

6.8%

9.1%

9.1%

15.5%

18.7%

15.7%

329

472

801

2,179,083

2,601,216

4,780,299

67.1%

74.4%

70.9%

Lower

64.2%

71.9%

69.0%

Upper

69.8%

76.8%

72.7%

2,290

2,712

5,002

1,935,455

2,551,008

4,486,462

59.6%

73.0%

66.5%

Lower

56.5%

70.3%

64.5%

Upper

62.6%

75.4%

68.5%

2,290

2,712

5,002

Sample size
Among those
receiving care from a
mental health
professional in the
past 12 months,
quality of care was
good, very good, or
excellent

Population size (000s)

Percent
95% CI [
Sample size

Population size (000s)

Among those
receiving care from a Percent
mental health
Lower
professional in the
95% CI [
past 12 months,
Upper
quality of care was
fair or poor
Sample size
Population size (000s)
Percent
Had a visit for dental
care in the past 12
95% CI [
months
Sample size
Population size (000s)
Took one or more
prescription drugs in
the past 12 months

Percent
95% CI [
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

39

Table C.2-3: Health Care Access and Use in Massachusetts in 2015, Overall and by Race/Ethnicity

White, nonHispanic

Outcome
Population size (000s)
Had a visit to a
specialist in the past
12 months

136,264

309,508

3,272,468

42.1%

38.6%

39.6%

48.5%

Lower

48.8%

34.3%

30.7%

33.7%

46.5%

Upper

53.5%

50.3%

47.1%

45.8%

50.6%

3,917

291

270

524

5,002

2,476,900

165,984

123,013

285,434

3,051,331

94.2%

86.3%

90.3%

92.2%

93.4%

92.2%

74.5%

78.4%

85.6%

91.6%

95.7%

93.1%

96.0%

95.9%

94.8%

2,268

131

124

244

2,767

153,036

26,356

13,251

24,074

216,717

5.8%

13.7%

9.7%

7.8%

6.6%

Lower

4.3%

6.9%

4.0%

4.1%

5.2%

Upper

7.8%

25.5%

21.6%

14.4%

8.4%

2,268

131

124

244

2,767

920,634

79,895

54,580

151,207

1,206,316

17.9%

17.4%

15.5%

19.4%

17.9%

Lower

16.1%

12.0%

10.1%

15.0%

16.3%

Upper

19.8%

24.7%

22.9%

24.7%

19.6%

3,917

291

270

524

5,002

800,291

145,448

1,055,104

87.6%

96.2%

88.0%

Lower

83.1%

90.8%

84.3%

Upper

91.1%

98.5%

90.9%

605

108

801

113,244

5,759

144,112

12.4%

3.8%

12.0%

8.9%

1.5%

9.1%

16.9%

9.2%

15.7%

605

108

801

Population size (000s)

Sample size
Population size (000s)
Percent
95% CI [
Sample size
Among those
receiving care from a
mental health
professional in the
past 12 months,
quality of care was
good, very good, or
excellent

Population size (000s)

Percent
95% CI [
Sample size

Population size (000s)

Among those
receiving care from a Percent
mental health
Lower
professional in the
95% CI [
past 12 months,
Upper
quality of care was
fair or poor
Sample size
Population size (000s)

3,768,338

310,590

202,635

498,735

4,780,299

73.1%

67.8%

57.4%

63.8%

70.9%

Lower

71.0%

59.5%

48.1%

57.6%

69.0%

Upper

75.1%

75.0%

66.2%

69.7%

72.7%

3,917

291

270

524

5,002

3,572,197

266,888

161,887

485,491

4,486,462

69.3%

58.2%

45.9%

62.1%

66.5%

Lower

67.0%

49.8%

37.3%

55.9%

64.5%

Upper

71.5%

66.2%

54.7%

68.0%

68.5%

3,917

291

270

524

5,002

Percent

Had a visit for dental

care in the past 12
95% CI [
months
Sample size

Population size (000s)

Took one or more
prescription drugs in
the past 12 months

Percent
95% CI [
Sample size

Total
Population

192,912

Population size (000s)

Among those
receiving care from a Percent
specialist in the past
Lower
12 months, quality of 95% CI [
care was good, very
Upper
good, or excellent
Sample size

Had a visit to a
mental health
professional in the
past 12 months

Hispanic

51.1%

Sample size

Among those
Percent
receiving care from a
specialist in the past
12 months, quality of 95% CI [
care was fair or poor

Other/Multiple
Race, nonHispanic

2,633,785

Percent
95% CI [

Black, nonHispanic

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

40

Table C.2-4: Health Care Access and Use in Massachusetts in 2015, Overall and by
Health/Disability Status
Good, Very
Good, or
Excellent
Fair or Poor
Health and Health or an
No Activity
Activity
Limitation Limitation

Outcome
Population size (000s)

882,511

565,034

3,272,468

39.4%

63.7%

77.5%

48.5%

Lower

37.0%

59.4%

72.3%

46.5%

Upper

41.9%

67.8%

82.1%

50.6%

3,263

1,111

628

5,002

1,719,773

844,495

487,063

3,051,331

94.4%

95.7%

86.3%

93.4%

Lower

91.8%

93.4%

80.4%

91.6%

Upper

96.3%

97.2%

90.6%

94.8%

95% CI [
Sample size
Population size (000s)

Among those
Percent
receiving care from a
specialist in the past
12 months, quality of
95% CI [
care was good, very
good, or excellent
Sample size

1,510

759

498

2,767

101,303

38,016

77,398

216,717

5.6%

4.3%

13.7%

6.6%

Lower

3.7%

2.8%

9.4%

5.2%

Upper

8.2%

6.6%

19.6%

8.4%

1,510

759

498

2,767

486,367

396,536

323,413

1,206,316

Population size (000s)

Percent
Among those
receiving care from a
specialist in the past
12 months, quality of 95% CI [
care was fair or poor
Sample size
Population size (000s)
Had a visit to a
mental health
professional in the
past 12 months

Percent

10.5%

28.6%

44.4%

17.9%

Lower

9.0%

24.8%

38.6%

16.3%

Upper

12.2%

32.7%

50.3%

19.6%

95% CI [
Sample size
Population size (000s)

Among those
receiving care from a
Percent
mental health
professional in the
Lower
past 12 months,
95% CI [
quality of care was
Upper
good, very good, or
excellent
Sample size

Population size (000s)

Among those
Percent
receiving care from a
mental health
Lower
professional in the
95% CI [
past 12 months,
Upper
quality of care was
fair or poor
Sample size

Percent
Had a visit for dental
care in the past 12
months
95% CI [

3,263

1,111

628

5,002

436,543

342,337

276,224

1,055,104

90.9%

86.3%

85.7%

88.0%

83.5%

79.4%

79.1%

84.3%

95.1%

91.2%

90.5%

90.9%

298

271

232

801

43,885

54,199

46,028

144,112

9.1%

13.7%

14.3%

12.0%

4.9%

8.8%

9.5%

9.1%

16.5%

20.6%

20.9%

15.7%

298

271

232

801

3,458,440

922,767

399,092

4,780,299

74.7%

66.6%

54.8%

70.9%

Lower

72.3%

62.5%

49.1%

69.0%

Upper

76.9%

70.6%

60.3%

72.7%

3,263

1,111

628

5,002

2,619,258

1,186,567

680,638

4,486,462

Population size (000s)

Sample size
Population size (000s)
Percent
Took one or more
prescription drugs in
the past 12 months

Total
Population

1,824,924

Percent
Had a visit to a
specialist in the past
12 months

Fair or Poor
Health and
an Activity
Limitation

56.5%

85.7%

93.4%

66.5%

Lower

54.0%

82.4%

90.3%

64.5%

Upper

59.1%

88.4%

95.6%

68.5%

3,263

1,111

628

5,002

95% CI [
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

41

Table C.2-5: Health Care Access and Use in Massachusetts in 2015, Overall and by Family Income
Groups
Family Income Family Income Family Income Family Income
At or Below
Between 138
Between 300
At or Above
138% of the
and 299% of
and 399% of
400% of the
Federal Poverty the Federal
the Federal Federal Poverty
Total
Level
Poverty Level Poverty Level
Level
Population

Outcome
Population size (000s)

799,917

804,636

328,275

1,339,641

3,272,468

45.8%

48.2%

45.8%

51.3%

48.5%

Lower

41.6%

43.8%

39.9%

48.2%

46.5%

Upper

50.1%

52.5%

51.9%

54.3%

50.6%

1,140

1,154

552

2,156

5,002

735,311

735,903

309,646

1,270,471

3,051,331

92.0%

91.5%

94.3%

95.1%

93.4%

Lower

88.1%

86.4%

90.8%

92.3%

91.6%

Upper

94.7%

94.7%

96.5%

96.9%

94.8%

Percent
Had a visit to a
specialist in the past
12 months

95% CI [
Sample size
Population size (000s)

Among those
Percent
receiving care from a
specialist in the past
12 months, quality of
95% CI [
care was good, very
good, or excellent
Sample size

596

622

301

1,248

2,767

64,034

68,733

18,629

65,322

216,717

8.0%

8.5%

5.7%

4.9%

6.6%

Lower

5.3%

5.3%

3.5%

3.1%

5.2%

Upper

11.9%

13.6%

9.2%

7.7%

8.4%

596

622

301

1,248

2,767

498,434

283,131

96,711

328,040

1,206,316

28.6%

16.9%

13.5%

12.6%

17.9%

Lower

24.9%

13.9%

9.5%

10.6%

16.3%

Upper

32.6%

20.5%

18.8%

14.8%

19.6%

1,140

1,154

552

2,156

5,002

432,938

258,681

73,207

290,278

1,055,104

86.9%

91.4%

75.7%

90.4%

88.0%

80.2%

85.5%

55.1%

83.3%

84.3%

91.5%

95.0%

88.8%

94.7%

90.9%

320

177

62

242

801

65,496

24,450

23,503

30,664

144,112

13.1%

8.6%

24.3%

9.6%

12.0%

Population size (000s)

Percent
Among those
receiving care from a
specialist in the past
12 months, quality of 95% CI [
care was fair or poor
Sample size
Population size (000s)
Had a visit to a
mental health
professional in the
past 12 months

Percent
95% CI [
Sample size

Population size (000s)

Among those
receiving care from a
Percent
mental health
professional in the
Lower
past 12 months,
95% CI [
quality of care was
Upper
good, very good, or
excellent
Sample size
Population size (000s)
Among those
Percent
receiving care from a
mental health
Lower
professional in the
95% CI [
past 12 months,
Upper
quality of care was
fair or poor
Sample size
Population size (000s)
Percent
Had a visit for dental
care in the past 12
months
95% CI [

5.0%

11.2%

5.3%

9.1%

14.5%

44.9%

16.7%

15.7%

320

177

62

242

801

987,703

1,118,147

524,312

2,150,138

4,780,299

56.6%

66.9%

73.2%

82.3%

70.9%

Lower

52.3%

62.8%

67.6%

79.7%

69.0%

Upper

60.8%

70.8%

78.1%

84.6%

72.7%

1,140

1,154

552

2,156

5,002

1,251,836

1,093,566

468,479

1,672,582

4,486,462

71.8%

65.4%

65.4%

64.0%

66.5%

Lower

67.7%

61.0%

59.4%

60.8%

64.5%

Upper

75.5%

69.6%

70.9%

67.0%

68.5%

1,140

1,154

552

2,156

5,002

Sample size
Population size (000s)
Percent
Took one or more
prescription drugs in
the past 12 months

8.5%
19.8%

95% CI [
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

42

Table C.2-6: Health Care Access and Use in Massachusetts in 2015, Overall and by
Region

Outcome

Western MA Central MA
Population size (000s)
Percent

Had a visit to a
specialist in the past
12 months

Metro
Boston

Metro South Southcoast

Cape and
Islands

Total
Population

398,663

377,627

712,007

341,180

766,172

389,929

151,399

135,491

3,272,468

48.4%

49.4%

49.2%

50.5%

47.5%

47.0%

43.9%

54.7%

48.5%

43.2%

44.0%

44.5%

43.7%

43.0%

41.2%

35.9%

46.0%

46.5%

Upper

53.6%

54.9%

54.0%

57.2%

52.0%

52.9%

52.2%

63.1%

50.6%

95% CI [

Population size (000s)

Among those
Percent
receiving care from a
specialist in the past
12 months, quality of
95% CI [
care was good, very
good, or excellent

666

903

393

1,047

537

310

348

5,002

342,271

659,953

331,898

704,660

377,147

139,945

124,959

3,051,331

92.9%

90.6%

92.9%

97.6%

92.1%

96.9%

92.4%

92.5%

93.4%

86.9%

84.3%

87.5%

94.0%

87.1%

92.8%

85.4%

86.6%

91.6%

Upper

96.3%

94.6%

96.0%

99.1%

95.2%

98.7%

96.2%

95.9%

94.8%

Population size (000s)

Percent
Among those
receiving care from a
specialist in the past
12 months, quality of 95% CI [
care was fair or poor

798
370,499

Lower

Sample size

443

373

495

221

552

286

170

227

2,767

28,165

35,357

50,713

8,117

60,524

12,211

11,454

10,177

216,717

7.1%

9.4%

7.1%

2.4%

7.9%

3.1%

7.6%

7.5%

6.6%

Lower

3.7%

5.4%

4.0%

0.9%

4.8%

1.3%

3.8%

4.1%

5.2%

Upper

13.1%

15.7%

12.5%

6.0%

12.9%

7.2%

14.6%

13.4%

8.4%

443

373

495

221

552

286

170

227

2,767

158,605

146,578

261,377

110,252

292,749

134,414

62,402

39,939

1,206,316

19.3%

19.2%

18.1%

16.3%

18.2%

16.2%

18.1%

16.1%

17.9%

Lower

15.4%

15.0%

14.6%

11.8%

14.9%

12.3%

11.9%

11.2%

16.3%

Upper

23.8%

24.2%

22.2%

22.0%

21.9%

21.1%

26.6%

22.7%

19.6%

798

666

903

393

1,047

537

310

348

5,002

143,997

110,614

237,360

93,248

267,057

107,949

59,988

34,890

1,055,104

90.8%

75.5%

90.8%

85.5%

91.2%

84.0%

96.1%

87.4%

88.0%

82.9%

58.8%

82.5%

71.4%

82.9%

69.8%

88.8%

71.4%

84.3%

95.2%

86.9%

95.4%

93.3%

95.7%

92.3%

98.7%

95.0%

90.9%

Sample size
Population size (000s)
Percent
95% CI [
Sample size
Population size (000s)
Among those
receiving care from a
Percent
mental health
professional in the
Lower
past 12 months,
95% CI [
quality of care was
Upper
good, very good, or
excellent
Sample size
Population size (000s)
Among those
Percent
receiving care from a
mental health
Lower
professional in the
95% CI [
past 12 months,
Upper
quality of care was
fair or poor
Sample size

Percent
Had a visit for dental
care in the past 12
months
95% CI [

132

113

147

60

177

73

49

50

801

14,607

35,964

24,017

15,844

25,692

20,525

2,414

5,049

144,112

9.2%

24.5%

9.2%

14.5%

8.8%

16.0%

3.9%

12.6%

12.0%

4.8%

13.1%

4.6%

6.7%

4.3%

7.7%

1.3%

5.0%

9.1%

17.1%

41.2%

17.5%

28.6%

17.1%

30.2%

11.2%

28.6%

15.7%

132

113

147

60

177

73

49

50

801

554,112

542,100

1,081,662

520,618

1,089,480

598,076

223,362

170,889

4,780,299

67.3%

71.0%

74.8%

77.0%

67.6%

72.1%

64.7%

69.0%

70.9%

Lower

62.1%

66.0%

70.5%

70.1%

63.1%

66.7%

56.5%

60.3%

69.0%

Upper

72.0%

75.5%

78.6%

82.7%

71.7%

76.9%

72.1%

76.6%

72.7%

798

666

903

393

1,047

537

310

348

5,002

587,427

528,901

956,683

418,468

1,055,733

537,369

233,775

168,108

4,486,462

71.3%

69.2%

66.1%

61.9%

65.5%

64.8%

67.7%

67.9%

66.5%

Lower

66.2%

63.8%

61.3%

54.8%

61.1%

58.6%

59.1%

58.9%

64.5%

Upper

75.9%

74.2%

70.6%

68.5%

69.6%

70.5%

75.3%

75.8%

68.5%

798

666

903

393

1,047

537

310

348

5,002

Population size (000s)

Sample size
Population size (000s)
Percent
Took one or more
prescription drugs in
the past 12 months

Metro West

Lower

Sample size

Had a visit to a
mental health
professional in the
past 12 months

Northeast
MA

95% CI [
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

43

Table C.2-7: Health Care Access and Use in Massachusetts in 2015, Overall and by
Insurance Status
Always
Ever
Insured
Uninsured Uninsured
Over the
Over the at the Time
Past 12
Past 12
of the
Total
Outcome
Months
Months
Survey
Population
Population size (000s)

3,085,190

123,867

58,991

3,268,048

49.8%

41.3%

24.0%

48.5%

Lower

48.0%

32.0%

15.7%

46.8%

Upper

52.3%

52.8%

35.4%

50.9%

4,699

173

130

5,002

2,889,387

107,580

54,364

3,051,331

93.7%

86.9%

92.2%

93.4%

Lower

91.8%

74.7%

74.8%

91.6%

Upper

95.1%

93.7%

97.9%

94.8%

2,663

71

33

2,767

195,802

16,287

4,628

216,717

6.3%

13.1%

7.8%

6.6%

Lower

4.9%

6.3%

2.1%

5.2%

Upper

8.2%

25.3%

25.2%

8.4%

2,663

71

33

2,767

1,122,158

62,111

22,047

1,206,316

18.1%

20.6%

9.0%

17.9%

Lower

16.5%

13.6%

3.5%

16.3%

Upper

19.9%

30.0%

21.3%

19.6%

4,699

173

130

5,002

Among those
receiving care from a
Percent
mental health
professional in the
Lower
past 12 months,
95% CI [
quality of care was
Upper
good, very good, or
excellent
Sample size

993,944

51,046

10,114

1,055,104

89.1%

82.2%

45.9%

88.0%

85.6%

59.2%

11.4%

84.3%

91.9%

93.6%

84.8%

90.9%

762

31

801

Population size (000s)

Among those
receiving care from a Percent
mental health
professional in the
Lower
past 12 months,
95% CI [
quality of care was
Upper
fair or poor
Sample size

121,115

11,065

11,932

144,112

10.9%

17.8%

54.1%

12.0%

8.1%

6.4%

15.2%

9.1%

14.4%

40.8%

88.6%

15.7%

762

31

801

4,553,556

127,358

99,384

4,780,299

73.5%

42.2%

40.4%

70.9%

Lower

71.6%

32.3%

29.4%

69.0%

Upper

75.3%

52.8%

52.4%

72.7%

4,699

173

130

5,002

4,201,188

183,662

101,613

4,486,462

67.8%

60.9%

41.3%

66.5%

Lower

65.7%

50.2%

30.2%

64.5%

Upper

69.8%

70.7%

53.4%

68.5%

4,699

173

130

5,002

Had a visit to a
specialist in the past
12 months

Percent
95% CI [
Sample size
Population size (000s)

Among those
receiving care from a Percent
specialist in the past
12 months, quality of
care was good, very 95% CI [
good, or excellent
Sample size

Population size (000s)

Among those
Percent
receiving care from a
specialist in the past
12 months, quality of 95% CI [
care was fair or poor
Sample size
Population size (000s)
Had a visit to a
mental health
professional in the
past 12 months

Percent
95% CI [
Sample size
Population size (000s)

Population size (000s)

Had a visit for dental
care in the past 12
months

Percent
95% CI [
Sample size
Population size (000s)

Took one or more

prescription drugs in
the past 12 months

Percent
95% CI [
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

44

Table C.3-1: Hospital and Emergency Department Use and Difficulties Getting Health Care in
Massachusetts in 2015, Overall and by Age

Children (0
to 18)
513,866

Non-elderly
Adults (19
to 64)
1,390,328

Elderly
Adults (65
and older)
360,118

Total
Population
2,264,312

34.9%

32.6%

36.0%

33.6%

Lower

30.0%

30.2%

32.4%

31.6%

Upper

40.1%

35.1%

39.8%

35.6%

621

3,057

1,324

5,002

241,212

721,267

185,195

1,147,675

Outcome
Population size (000s)
Percent
Any emergency room visit in
the past 12 months
95% CI [
Sample size
Population size (000s)
More than one emergency
room visit in the past 12
months

Percent
95% CI [

16.4%

16.9%

18.5%

17.0%

Lower

12.7%

15.0%

15.5%

15.5%

Upper

20.8%

19.0%

22.0%

18.7%

621

3,057

1,324

5,002

129,267

748,502

68,090

945,858

Sample size
Population size (000s)
Told doctor's office or clinic
did not accept health
insurance type in the past
12 months

Percent
95% CI [

8.8%

17.5%

6.8%

14.0%

Lower

6.2%

15.5%

4.7%

12.6%

Upper

12.2%

19.7%

9.7%

15.6%

621

3,057

1,324

5,002

139,265

735,987

71,401

946,653

Sample size
Population size (000s)
Told doctor's office or clinic
was not accepting new
patients in the past 12
months

Percent
95% CI [

9.5%

17.3%

7.1%

14.0%

Lower

6.8%

15.3%

5.1%

12.6%

Upper

13.0%

19.4%

9.9%

15.6%

621

3,057

1,324

5,002

255,678

1,011,121

140,356

1,407,155

17.4%

23.7%

14.0%

20.9%

13.6%

21.5%

11.7%

19.2%

21.8%

26.0%

16.7%

22.7%

621

3,057

1,324

5,002

Sample size
Population size (000s)
Unable to get an
Percent
appointment with a health
Lower
provider as soon as needed 95% CI [
Upper
in the past 12 months
Sample size
Source: 2015 Massachusetts Health Insurance Survey
Notes: CI is confidence interval.

45

Table C.3-2: Hospital and Emergency Department Use and Difficulties Getting
Health Care in Massachusetts in 2015, Overall and by Gender

Male
1,072,610

Female
1,191,702

Total
Population
2,264,312

33.1%

34.1%

33.6%

Lower

30.2%

31.4%

31.6%

Upper

36.0%

36.9%

35.6%

2,290

2,712

5,002

547,201

600,473

1,147,675

16.9%

17.2%

17.0%

Lower

14.6%

15.1%

15.5%

Upper

19.3%

19.5%

18.7%

2,290

2,712

5,002

386,615

559,243

945,858

11.9%

16.0%

14.0%

Lower

10.1%

13.8%

12.6%

Upper

14.1%

18.4%

15.6%

2,290

2,712

5,002

387,716

558,937

946,653

11.9%

16.0%

14.0%

Lower

10.0%

13.9%

12.6%

Upper

14.1%

18.3%

15.6%

2,290

2,712

5,002

606,547

800,608

1,407,155

18.7%

22.9%

20.9%

16.4%

20.5%

19.2%

21.2%

25.5%

22.7%

2,290

2,712

5,002

Outcome
Population size (000s)
Percent
Any emergency room visit in
the past 12 months
95% CI [
Sample size
Population size (000s)
More than one emergency
room visit in the past 12
months

Percent
95% CI [
Sample size
Population size (000s)

Told doctor's office or clinic

did not accept health
insurance type in the past
12 months

Percent
95% CI [
Sample size
Population size (000s)

Told doctor's office or clinic

was not accepting new
patients in the past 12
months

Percent
95% CI [
Sample size

Population size (000s)

Unable to get an
Percent
appointment with a health
Lower
provider as soon as needed 95% CI [
Upper
in the past 12 months
Sample size
Source: 2015 Massachusetts Health Insurance Survey
Notes: CI is confidence interval.

46

Table C.3-3: Hospital and Emergency Department Use and Difficulties Getting Health Care in
Massachusetts in 2015, Overall and by Race/Ethnicity

Outcome
Population size (000s)
Percent
Any emergency room visit in
the past 12 months
95% CI [

46.3%

28.1%

50.8%

33.6%

28.1%

38.1%

21.0%

44.5%

31.6%

Upper

32.5%

54.6%

36.7%

57.1%

35.6%

3,917

291

270

524

5,002

751,390

110,223

45,953

240,108

1,147,675

14.6%

24.0%

13.0%

30.8%

17.0%

Lower

12.9%

17.6%

8.3%

25.4%

15.5%

Upper

16.4%

31.9%

19.9%

36.7%

18.7%

3,917

291

270

524

5,002

666,447

66,424

35,499

177,489

945,858

12.9%

14.5%

10.1%

22.8%

14.0%

Lower

11.3%

9.7%

6.4%

17.6%

12.6%

Upper

14.8%

21.2%

15.4%

28.9%

15.6%

3,917

291

270

524

5,002

721,490

49,544

34,011

141,609

946,653

14.0%

10.8%

9.6%

18.2%

14.0%

Lower

12.4%

6.8%

6.1%

13.7%

12.6%

Upper

15.9%

16.7%

14.8%

23.7%

15.6%

3,917

291

270

524

5,002

1,009,405

114,779

61,862

221,109

1,407,155

19.6%

25.0%

17.5%

28.4%

20.9%

17.7%

18.8%

12.6%

22.8%

19.2%

21.6%

32.5%

23.9%

34.7%

22.7%

3,917

291

270

524

5,002

Percent

Sample size
Population size (000s)
Told doctor's office or clinic
did not accept health
insurance type in the past
12 months

Percent
95% CI [
Sample size
Population size (000s)

Told doctor's office or clinic

was not accepting new
patients in the past 12
months

Percent
95% CI [

Total
Population
2,264,312

30.2%

Population size (000s)

95% CI [

Hispanic
396,076

Lower

Sample size
More than one emergency
room visit in the past 12
months

Other/Multipl
White, non- Black, non- e Race, nonHispanic
Hispanic
Hispanic
1,556,724
212,145
99,367

Sample size
Population size (000s)
Unable to get an
Percent
appointment with a health
Lower
provider as soon as needed 95% CI [
Upper
in the past 12 months
Sample size
Source: 2015 Massachusetts Health Insurance Survey
Notes: CI is confidence interval.

47

Table C.3-4: Hospital and Emergency Department Use and Difficulties Getting Health Care in
Massachusetts in 2015, Overall and by Health/Disability Status
Good, Very
Good, or
Excellent
Fair or Poor
Health and Health or an
No Activity
Activity
Limitation Limitation
1,227,160
611,533

Outcome
Population size (000s)
Percent
Any emergency room visit in
the past 12 months
95% CI [

26.5%

44.2%

58.5%

33.6%

Lower

24.3%

39.8%

52.7%

31.6%

Upper

28.9%

48.6%

64.0%

35.6%

Sample size

3,263

1,111

628

5,002

483,457

384,587

279,631

1,147,675

10.4%

27.8%

38.4%

17.0%

Lower

8.9%

23.7%

33.0%

15.5%

Upper

12.2%

32.2%

44.1%

18.7%

3,263

1,111

628

5,002

510,006

269,757

166,096

945,858

11.0%

19.5%

22.8%

14.0%

Lower

9.4%

16.0%

18.5%

12.6%

Upper

12.9%

23.6%

27.8%

15.6%

3,263

1,111

628

5,002

544,677

241,510

160,466

946,653

11.8%

17.4%

22.0%

14.0%

Lower

10.1%

14.2%

17.6%

12.6%

Upper

13.7%

21.2%

27.3%

15.6%

3,263

1,111

628

5,002

778,420

389,038

239,697

1,407,155

16.8%

28.1%

32.9%

20.9%

14.9%

24.2%

27.7%

19.2%

18.9%

32.4%

38.6%

22.7%

3,263

1,111

628

5,002

Population size (000s)

More than one emergency
room visit in the past 12
months

Percent
95% CI [
Sample size
Population size (000s)

Told doctor's office or clinic

did not accept health
insurance type in the past
12 months

Percent
95% CI [
Sample size
Population size (000s)

Told doctor's office or clinic

was not accepting new
patients in the past 12
months

Percent
95% CI [

Fair or Poor
Health and
an Activity
Total
Limitation Population
425,619
2,264,312

Sample size
Population size (000s)
Unable to get an
Percent
appointment with a health
Lower
provider as soon as needed 95% CI [
Upper
in the past 12 months
Sample size
Source: 2015 Massachusetts Health Insurance Survey
Notes: CI is confidence interval.

48

Family
Family
Table C.3-5: Hospital and Emergency Department Use and Difficulties Getting Health Care in
Family
Income
Income
Family
Massachusetts in 2015, Overall and by Family Income Groups
Income At
Between
Between
Income At
or Below
138 and
300 and
or Above
138% of the 299% of the 399% of the 400% of the
Federal
Federal
Federal
Federal
Poverty
Poverty
Poverty
Poverty
Total
Outcome
Level
Level
Level
Level
Population
Population size (000s)
766,617
663,057
223,825
610,812
2,264,312
Percent
Any emergency room visit in
the past 12 months
95% CI [

44.0%

39.7%

31.2%

23.4%

33.6%

Lower

39.8%

35.4%

25.7%

20.9%

31.6%

Upper

48.3%

44.1%

37.4%

26.1%

35.6%

1,140

1,154

552

2,156

5,002

495,695

357,451

62,260

232,268

1,147,675

28.5%

21.4%

8.7%

8.9%

17.0%

Lower

24.7%

17.9%

6.0%

7.3%

15.5%

Upper

32.5%

25.4%

12.4%

10.8%

18.7%

1,140

1,154

552

2,156

5,002

353,606

324,145

85,510

182,597

945,858

20.3%

19.4%

11.9%

7.0%

14.0%

Lower

17.0%

15.9%

8.6%

5.5%

12.6%

Upper

24.1%

23.4%

16.4%

8.8%

15.6%

1,140

1,154

552

2,156

5,002

302,321

269,263

92,357

282,713

946,653

17.4%

16.1%

12.9%

10.8%

14.0%

Lower

14.2%

13.0%

9.2%

9.0%

12.6%

Upper

21.0%

19.9%

17.7%

13.0%

15.6%

1,140

1,154

552

2,156

5,002

415,041

385,298

163,562

443,254

1,407,155

23.8%

23.1%

22.8%

17.0%

20.9%

20.3%

19.4%

17.6%

14.8%

19.2%

27.7%

27.2%

29.1%

19.3%

22.7%

1,140

1,154

552

2,156

5,002

Sample size
Population size (000s)
More than one emergency
room visit in the past 12
months

Percent
95% CI [
Sample size
Population size (000s)

Told doctor's office or clinic

did not accept health
insurance type in the past
12 months

Percent
95% CI [
Sample size
Population size (000s)

Told doctor's office or clinic

was not accepting new
patients in the past 12
months

Percent
95% CI [
Sample size

Population size (000s)

Unable to get an
Percent
appointment with a health
Lower
provider as soon as needed 95% CI [
Upper
in the past 12 months
Sample size
Source: 2015 Massachusetts Health Insurance Survey
Notes: CI is confidence interval.

49

Table C.3-6: Hospital and Emergency Department Use and Difficulties Getting Health Care in
Massachusetts in 2015, Overall and by Region

Outcome
Population size (000s)
Percent
Any emergency room visit in
the past 12 months
95% CI [

Total
Population
2,264,312

33.5%

27.4%

31.5%

30.4%

37.7%

37.6%

33.6%

29.0%

21.9%

27.4%

25.3%

29.8%

29.5%

31.6%

Upper

40.7%

47.5%

38.3%

33.5%

36.0%

36.0%

46.4%

46.5%

35.6%

798

666

903

393

1,047

537

310

348

5,002

150,965

174,803

221,872

104,388

245,235

119,257

84,042

47,112

1,147,675

18.3%

22.9%

15.4%

15.4%

15.2%

14.4%

24.5%

19.1%

17.0%

Lower

14.4%

18.3%

12.2%

11.1%

12.1%

10.7%

17.6%

12.8%

15.5%

Upper

23.0%

28.2%

19.2%

21.1%

18.9%

19.1%

33.0%

27.5%

18.7%

798

666

903

393

1,047

537

310

348

5,002

174,329

108,604

207,011

86,885

177,423

127,158

35,303

29,146

945,858

Percent

21.2%

14.2%

14.3%

12.9%

11.0%

15.3%

10.3%

11.8%

14.0%

Lower

16.7%

10.4%

11.0%

8.9%

8.2%

11.4%

7.0%

7.4%

12.6%

Upper

26.4%

19.1%

18.4%

18.2%

14.5%

20.2%

14.8%

18.5%

15.6%

798

666

903

393

1,047

537

310

348

5,002

156,785

150,864

181,223

88,225

192,116

95,850

43,975

37,616

946,653

Sample size
Population size (000s)
Percent
95% CI [

Cape and
Islands
92,638

36.5%

Population size (000s)

Told doctor's office or clinic

was not accepting new
patients in the past 12
months

Metro South Southcoast

252,275
129,570

41.9%

Percent

95% CI [

Metro
Boston
508,485

30.6%

Sample size
Told doctor's office or clinic
did not accept health
insurance type in the past
12 months

Metro West
184,932

35.5%

Population size (000s)

95% CI [

Northeast
MA
484,090

Lower

Sample size
More than one emergency
room visit in the past 12
months

Western MA Central MA
292,258
320,065

19.0%

19.8%

12.5%

13.0%

11.9%

11.6%

12.8%

15.3%

14.0%

Lower

14.8%

15.4%

9.6%

9.1%

9.1%

8.1%

8.4%

9.6%

12.6%

Upper

24.1%

25.0%

16.3%

18.4%

15.4%

16.2%

19.0%

23.4%

15.6%

798

666

903

393

1,047

537

310

348

5,002

224,519

158,033

291,976

107,593

362,942

149,288

63,891

48,912

1,407,155

27.3%

20.7%

20.2%

15.9%

22.5%

18.0%

18.6%

19.9%

20.9%

22.3%

16.6%

16.5%

12.0%

18.8%

13.7%

13.3%

13.1%

19.2%

32.8%

25.5%

24.5%

20.8%

26.7%

23.3%

25.4%

28.9%

22.7%

798

666

903

393

1,047

537

310

348

5,002

Sample size
Population size (000s)
Unable to get an
Percent
appointment with a health
Lower
provider as soon as needed 95% CI [
Upper
in the past 12 months
Sample size
Source: 2015 Massachusetts Health Insurance Survey
Notes: CI is confidence interval.

50

Table C.3-7: Health Care Access and Use in Massachusetts in

Status
Always
Insured
Over the
Past 12
Outcome
Months
Population size (000s)
2,061,292
Percent
Any emergency room visit in
the past 12 months
95% CI [

39.3%

33.6%

Lower

31.3%

26.4%

28.2%

31.6%

Upper

35.3%

46.3%

51.6%

35.6%

4,699

173

130

5,002

1,030,078

67,384

50,213

1,147,675

16.6%

22.4%

20.6%

17.0%

Lower

15.1%

14.9%

12.1%

15.5%

Upper

18.3%

32.4%

32.8%

18.7%

4,699

173

130

5,002

816,888

73,180

55,790

945,858

Percent

Sample size
Population size (000s)
Told doctor's office or clinic
did not accept health
insurance type in the past
12 months

Percent
95% CI [

13.2%

24.4%

22.9%

14.0%

Lower

11.7%

15.8%

13.5%

12.6%

Upper

14.8%

35.7%

36.1%

15.6%

4,699

173

130

5,002

827,867

64,932

53,854

946,653

Sample size
Population size (000s)
Told doctor's office or clinic
was not accepting new
patients in the past 12
months

Percent
95% CI [

Uninsured
at the Time
of the
Total
Survey
Population
95,740
2,264,312

35.7%

Population size (000s)

95% CI [

Ever
Uninsured
Over the
Past 12
Months
107,280

33.3%

Sample size
More than one emergency
room visit in the past 12
months

2015, Overall and by Insurance

13.4%

21.6%

22.1%

14.0%

Lower

11.9%

13.3%

12.9%

12.6%

Upper

14.9%

33.2%

35.3%

15.6%

4,699

173

130

5,002

1,232,608

85,801

88,746

1,407,155

19.9%

28.6%

36.4%

20.9%

18.2%

20.1%

25.0%

19.2%

21.7%

38.9%

49.5%

22.7%

4,699

173

130

5,002

Sample size
Population size (000s)
Unable to get an
Percent
appointment with a health
Lower
provider as soon as needed 95% CI [
Upper
in the past 12 months
Sample size
Source: 2015 Massachusetts Health Insurance Survey
Notes: CI is confidence interval.

51

Table C.4-1: Type of Emergency Department Use Among Individuals Who Had a Emergency
Department Visit in the Past 12 Months in Massachusetts in 2015, Overall and by Age

Outcome
Population size (000s)
Most recent emergency
Percent
room visit in past 12 months
Lower
was for a non-emergency
95% CI [
1
Upper
condition
Sample size
Most recent emergency
room visit in past 12 months
was because unable to get
an appointment at a
doctor's office or clinic as
soon as needed

Population size (000s)

Percent
95% CI [

Children (0
to 18)
264,713

Non-elderly
Adults (19
to 64)
498,266

Elderly
Adults (65
and older)
92,081

Total
Population
855,059

51.8%

36.3%

25.9%

38.2%

42.5%

32.0%

20.7%

34.7%

61.0%

40.8%

32.0%

41.8%

106

338

110

554

164,705

289,166

41,460

495,331

62.2%

58.0%

45.0%

57.9%

Lower

49.4%

50.5%

33.4%

51.9%

Upper

73.5%

65.2%

57.2%

63.7%

106

338

110

554

217,991

348,087

55,099

621,176

82.3%

69.9%

59.8%

72.6%

71.8%

62.7%

46.4%

67.2%

89.5%

76.2%

71.9%

77.5%

106

338

110

554

Sample size

Population size (000s)

Most recent emergency
room visit in past 12 months Percent
was because needed care
Lower
after normal operating hours 95% CI [
Upper
at the doctor's office or
clinic
Sample size
Source: 2015 Massachusetts Health Insurance Survey
Notes: CI is confidence interval.

52

Table C4-2: Type of Emergency Department Use Among Individuals Who Had a
Emergency Department Visit in the Past 12 Months in Massachusetts in 2015,
Overall and by Gender

Male
411,167

Female
443,892

Total
Population
855,059

38.6%

37.8%

38.2%

33.5%

33.0%

34.7%

43.9%

42.9%

41.8%

259

295

554

216,800

278,532

495,331

52.7%

62.7%

57.9%

Lower

44.1%

54.5%

51.9%

Upper

61.2%

70.3%

63.7%

259

295

554

294,220

326,956

621,176

71.6%

73.7%

72.6%

63.4%

66.1%

67.2%

78.5%

80.0%

77.5%

259

295

554

Outcome
Population size (000s)
Most recent emergency
Percent
room visit in past 12 months
Lower
was for a non-emergency
95% CI [
Upper
condition1
Sample size
Most recent emergency
room visit in past 12 months
was because unable to get
an appointment at a
doctor's office or clinic as
soon as needed

Population size (000s)

Percent
95% CI [
Sample size

Population size (000s)

Most recent emergency
room visit in past 12 months Percent
was because needed care
Lower
after normal operating hours 95% CI [
Upper
at the doctor's office or
clinic
Sample size
Source: 2015 Massachusetts Health Insurance Survey
Notes: CI is confidence interval.

A non-emergency condition is one that the respondent thought could have been treated by
a regular doctor if one had been available.
1

53

Table C.4-3: Type of Emergency Department Use Among Individuals Who Had a Emergency
Department Visit in the Past 12 Months in Massachusetts in 2015, Overall and by
Race/Ethnicity

Outcome
Population size (000s)
Most recent emergency
Percent
room visit in past 12 months
Lower
was for a non-emergency
95% CI [
1
Upper
condition
Sample size

Other/Multip
White, non- Black, nonle Race,
Hispanic
Hispanic non-Hispanic
519,497
72,779

Hispanic
223,061

Total
Population
855,059

33.8%

34.7%

57.0%

38.2%

29.6%

24.0%

48.2%

34.7%

38.1%

47.1%

65.4%

41.8%

327

51

143

554

Most recent emergency

room visit in past 12 months Percent
was because unable to get
Lower
an appointment at a
95% CI [
Upper
doctor's office or clinic as
soon as needed
Sample size

312,610

34,521

125,110

495,331

60.2%

47.4%

56.1%

57.9%

52.2%

29.3%

44.2%

51.9%

67.6%

66.2%

67.3%

63.7%

327

51

143

554

Population size (000s)

Most recent emergency
room visit in past 12 months Percent
was because needed care
Lower
after normal operating hours 95% CI [
Upper
at the doctor's office or
clinic
Sample size

372,359

55,089

165,610

621,176

71.7%

75.7%

74.2%

72.6%

64.5%

55.3%

63.2%

67.2%

77.9%

88.7%

82.8%

77.5%

327

51

143

554

Population size (000s)

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.
A non-emergency condition is one that the respondent thought could have been treated by a regular
doctor if one had been available.
1

54

Table C.4-4: Type of Emergency Department Use Among Individuals Who Had a Emergency
Department Visit in the Past 12 Months in Massachusetts in 2015, Overall and by
Health/Disability Status
Good, Very
Good, or
Excellent
Fair or Poor
Health and Health or an
No Activity
Activity
Limitation Limitation
488,183
221,145

Outcome
Population size (000s)
Most recent emergency
Percent
room visit in past 12 months
Lower
was for a non-emergency
95% CI [
1
Upper
condition
Sample size
Most recent emergency
room visit in past 12 months
was because unable to get
an appointment at a
doctor's office or clinic as
soon as needed

Total
Population
855,059

40.4%

36.5%

34.4%

38.2%

35.4%

30.0%

27.3%

34.7%

45.5%

43.5%

42.4%

41.8%

302

151

101

554

263,124

145,113

87,095

495,331

53.9%

65.6%

59.8%

57.9%

Lower

45.8%

54.7%

44.9%

51.9%

Upper

61.8%

75.1%

73.0%

63.7%

302

151

101

554

350,571

164,631

105,975

621,176

71.8%

74.4%

72.7%

72.6%

64.4%

63.7%

59.0%

67.2%

78.2%

82.9%

83.2%

77.5%

302

151

101

554

Population size (000s)

Percent
95% CI [

Fair or Poor
Health and
an Activity
Limitation
145,731

Sample size

Population size (000s)

Most recent emergency
room visit in past 12 months Percent
was because needed care
Lower
after normal operating hours 95% CI [
Upper
at the doctor's office or
clinic
Sample size
Source: 2015 Massachusetts Health Insurance Survey
Notes: CI is confidence interval.

A non-emergency condition is one that the respondent thought could have been treated by a regular
doctor if one had been available.
1

55

Table C.4-5: Type of Emergency Department Use Among Individuals Who Had a Emergency
Department Visit in the Past 12 Months in Massachusetts in 2015, Overall and by Family
Family
Family
Income Groups
Family
Income
Income
Family
Income At
Between
Between
Income At
or Below
138 and
300 and
or Above
138% of the 299% of the 399% of the 400% of the
Federal
Federal
Federal
Federal
Poverty
Poverty
Poverty
Poverty
Total
Outcome
Level
Level
Level
Level
Population
Population size (000s)
339,426
226,462
92,173
196,998
855,059
Most recent emergency
Percent
44.8%
34.5%
41.7%
32.6%
38.2%
room visit in past 12 months
Lower
38.5%
28.0%
30.5%
27.0%
34.7%
was for a non-emergency
95% CI [
1
Upper
51.3%
41.6%
53.7%
38.8%
41.8%
condition
Sample size
Population size (000s)

Most recent emergency

room visit in past 12 months Percent
was because unable to get
Lower
an appointment at a
95% CI [
Upper
doctor's office or clinic as
soon as needed
Sample size

Population size (000s)

Most recent emergency

room visit in past 12 months Percent
was because needed care
Lower
after normal operating hours 95% CI [
Upper
at the doctor's office or
clinic
Sample size

206

138

53

157

554

201,065

139,790

46,601

107,876

495,331

59.2%

61.7%

50.6%

54.8%

57.9%

49.3%

49.6%

32.0%

43.6%

51.9%

68.5%

72.5%

68.9%

65.4%

63.7%

206

138

53

157

554

243,806

158,173

67,403

151,794

621,176

71.8%

69.8%

73.1%

77.1%

72.6%

62.9%

58.5%

53.6%

66.2%

67.2%

79.3%

79.2%

86.5%

85.2%

77.5%

206

138

53

157

554

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.
A non-emergency condition is one that the respondent thought could have been treated by a regular
doctor if one had been available.
1

56

Table C.4-6: Type of Emergency Department Use Among Individuals Who Had a Emergency
Department Visit in the Past 12 Months in Massachusetts in 2015, Overall and by Region

Outcome
Population size (000s)
Most recent emergency
Percent
room visit in past 12 months
Lower
was for a non-emergency
95% CI [
Upper
condition1
Sample size
Most recent emergency
room visit in past 12 months
was because unable to get
an appointment at a
doctor's office or clinic as
soon as needed

Population size (000s)

Percent
95% CI [

Western MA Central MA
81,015
137,781

Northeast
MA
183,149

Metro West

Metro
Boston
200,732

Metro South Southcoast

94,626

Cape and
Islands

Total
Population
855,059

28.6%

43.4%

38.0%

39.7%

38.1%

38.2%

21.1%

34.6%

30.0%

31.9%

28.6%

34.7%

37.6%

52.6%

46.7%

48.1%

48.6%

41.8%

76

89

97

123

65

554

57,860

80,794

112,635

101,668

50,347

495,331

71.4%

58.6%

61.5%

50.6%

53.2%

57.9%

Lower

56.1%

43.6%

47.0%

38.1%

37.0%

51.9%

Upper

83.0%

72.2%

74.2%

63.1%

68.8%

63.7%

76

89

97

123

65

554

58,972

96,636

144,775

157,014

63,063

621,176

72.8%

70.1%

79.0%

78.2%

66.6%

72.6%

58.4%

56.6%

65.7%

67.8%

48.7%

67.2%

83.6%

80.9%

88.1%

85.9%

80.8%

77.5%

76

89

97

123

65

554

Sample size

Population size (000s)

Most recent emergency
room visit in past 12 months Percent
was because needed care
Lower
after normal operating hours 95% CI [
Upper
at the doctor's office or
clinic
Sample size
Source: 2015 Massachusetts Health Insurance Survey
Notes: CI is confidence interval.

A non-emergency condition is one that the respondent thought could have been treated by a regular
doctor if one had been available.
1

57

Table C.4-7: Health Care Access and Use in Massachusetts in

Status
Always
Insured
Over the
Past 12
Outcome
Months
Population size (000s)
777,590
Most recent emergency
Percent
38.1%
room visit in past 12 months
Lower
34.5%
was for a non-emergency
95% CI [
1
Upper
41.9%
condition
Sample size
518
Most recent emergency
room visit in past 12 months
was because unable to get
an appointment at a
doctor's office or clinic as
soon as needed

Population size (000s)

Ever
Uninsured
Over the
Past 12
Months

Uninsured
at the Time
of the
Survey

Total
Population
855,059
38.2%
34.7%
41.8%
554

462,884

495,331

59.5%

57.9%

Lower

53.4%

51.9%

Upper

65.4%

63.7%

518

554

565,077

621,176

72.7%

72.6%

67.0%

67.2%

77.7%

77.5%

518

554

Percent
95% CI [

2015, Overall and by Insurance

Sample size

Population size (000s)

Most recent emergency
room visit in past 12 months Percent
was because needed care
Lower
after normal operating hours 95% CI [
Upper
at the doctor's office or
clinic
Sample size
Source: 2015 Massachusetts Health Insurance Survey
Notes: CI is confidence interval.

A non-emergency condition is one that the respondent thought could have been treated by a regular
doctor if one had been available.
1

58

Table C.5-1: Health Care Provider Choice in Massachusetts in 2015, Overall and by Age

Children (0
to 18)
444,077

Non-elderly
Adults (19
to 64)
1,599,176

Elderly
Adults (65
and older)
165,322

Total
Population
2,208,575

30.1%

37.4%

16.5%

32.7%

Lower

25.5%

35.0%

13.9%

30.8%

Upper

35.2%

40.0%

19.5%

34.7%

Outcome
Information used in choosing
a doctor or other health care
provider includes state or
government agency or
internet websites

Population size (000s)

Percent
95% CI [
Sample size

621

3,057

1,324

5,002

351,250

1,379,103

251,679

1,982,032

23.8%

32.3%

25.2%

29.4%

Lower

19.8%

29.8%

21.7%

27.5%

Upper

28.4%

34.8%

29.0%

31.3%

621

3,057

1,324

5,002

1,294,784

3,197,973

775,398

5,268,155

87.9%

74.9%

77.5%

78.1%

84.3%

72.5%

74.0%

76.4%

90.7%

77.1%

80.7%

79.8%

Population size (000s)

Cost of care reported to be a
major factor in choosing a
doctor or other health care
provider

Percent
95% CI [
Sample size

Population size (000s)

Quality of care or provider
rating/ranking reported to be Percent
a major factor in choosing a
Lower
95% CI [
doctor or other health care
Upper
provider
Sample size
Cost and quality of care or
provider rating/ranking
reported to be major factors
in choosing a doctor or other
health care provider

621

3,057

1,324

5,002

336,845

1,127,125

199,567

1,663,537

22.9%

26.4%

19.9%

24.7%

Lower

18.9%

24.1%

16.9%

22.9%

Upper

27.4%

28.8%

23.4%

26.5%

621

3,057

1,324

5,002

Population size (000s)

Percent
95% CI [
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

59

Table C.5-2: Health Care Provider Choice in Massachusetts in 2015, Overall and by
Gender

Male
1,053,707

Female
1,154,867

Total
Population
2,208,575

32.4%

33.0%

32.7%

Lower

29.6%

30.4%

30.8%

Upper

35.4%

35.8%

34.7%

2,290

2,712

5,002

915,551

1,066,480

1,982,032

28.2%

30.5%

29.4%

Lower

25.5%

27.9%

27.5%

Upper

31.0%

33.3%

31.3%

2,290

2,712

5,002

2,366,244

2,901,911

5,268,155

72.8%

83.0%

78.1%

70.0%

80.8%

76.4%

75.4%

84.9%

79.8%

2,290

2,712

5,002

736,715

926,822

1,663,537

22.7%

26.5%

24.7%

Lower

20.2%

24.0%

22.9%

Upper

25.4%

29.2%

26.5%

2,290

2,712

5,002

Outcome
Information used in choosing
a doctor or other health care
provider includes state or
government agency or
internet websites

Population size (000s)

Percent
95% CI [
Sample size
Population size (000s)

Cost of care reported to be a

major factor in choosing a
doctor or other health care
provider

Percent
95% CI [
Sample size

Population size (000s)

Quality of care or provider
rating/ranking reported to be Percent
a major factor in choosing a
Lower
95% CI [
doctor or other health care
Upper
provider
Sample size
Cost and quality of care or
provider rating/ranking
reported to be major factors
in choosing a doctor or other
health care provider

Population size (000s)

Percent
95% CI [
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

60

Table C.5-3: Health Care Provider Choice in Massachusetts in 2015, Overall and by
Race/Ethnicity

Outcome
Information used in choosing
a doctor or other health care
provider includes state or
government agency or
internet websites

Population size (000s)

Percent
95% CI [

Hispanic
265,091

Total
Population
2,208,575

31.9%

34.1%

40.0%

33.9%

32.7%

Lower

29.7%

26.8%

31.8%

28.2%

30.8%

Upper

34.2%

42.2%

48.7%

40.2%

34.7%

3,917

291

270

524

5,002

1,356,339

171,971

103,226

350,496

1,982,032

Sample size
Population size (000s)

Cost of care reported to be a

major factor in choosing a
doctor or other health care
provider

Other/Multip
le Race,
White, non- Black, nonnonHispanic
Hispanic
Hispanic
1,646,275
156,126
141,083

Percent

26.3%

37.5%

29.2%

44.9%

29.4%

Lower

24.2%

30.0%

22.1%

38.7%

27.5%

Upper

28.5%

45.7%

37.6%

51.2%

31.3%

3,917

291

270

524

5,002

Population size (000s)

Quality of care or provider
rating/ranking reported to be Percent
a major factor in choosing a
Lower
95% CI [
doctor or other health care
Upper
provider
Sample size

4,030,355

344,103

280,565

613,131

5,268,155

78.2%

75.1%

79.5%

78.5%

78.1%

76.2%

67.0%

71.3%

73.1%

76.4%

80.1%

81.7%

85.8%

83.0%

79.8%

3,917

291

270

524

5,002

Population size (000s)

1,127,506

138,105

88,044

309,883

1,663,537

95% CI [
Sample size

Cost and quality of care or

provider rating/ranking
reported to be major factors
in choosing a doctor or other
health care provider

Percent
95% CI [

21.9%

30.1%

24.9%

39.7%

24.7%

Lower

19.9%

23.4%

18.3%

33.6%

22.9%

Upper

23.9%

37.9%

33.1%

46.1%

26.5%

3,917

291

270

524

5,002

Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

61

Table C.5-4: Health Care Provider Choice in Massachusetts in 2015, Overall and by
Health/Disability Status

Outcome
Information used in choosing
a doctor or other health care
provider includes state or
government agency or
internet websites

Population size (000s)

Percent

Good, Very
Good, or
Excellent
Fair or Poor
Health and Health or an
No Activity
Activity
Limitation Limitation
1,600,554
424,704

Fair or Poor
Health and
an Activity
Total
Limitation Population
183,317
2,208,575

34.6%

30.7%

25.2%

32.7%

Lower

32.1%

26.8%

20.6%

30.8%

Upper

37.1%

34.8%

30.4%

34.7%

3,263

1,111

628

5,002

1,251,845

445,095

285,091

1,982,032

27.0%

32.1%

39.1%

29.4%

Lower

24.8%

28.0%

33.6%

27.5%

Upper

29.4%

36.6%

44.9%

31.3%

3,263

1,111

628

5,002

Population size (000s)

Quality of care or provider
rating/ranking reported to be Percent
a major factor in choosing a
Lower
95% CI [
doctor or other health care
Upper
provider
Sample size

3,606,080

1,072,408

589,666

5,268,155

77.9%

77.4%

80.9%

78.1%

75.7%

73.6%

76.4%

76.4%

79.9%

80.8%

84.7%

79.8%

3,263

1,111

628

5,002

Population size (000s)

1,036,374

372,766

254,397

1,663,537

22.4%

26.9%

34.9%

24.7%

Lower

20.3%

23.0%

29.5%

22.9%

Upper

24.6%

31.2%

40.7%

26.5%

3,263

1,111

628

5,002

95% CI [
Sample size

Population size (000s)

Cost of care reported to be a
major factor in choosing a
doctor or other health care
provider

Percent
95% CI [
Sample size

Cost and quality of care or

provider rating/ranking
reported to be major factors
in choosing a doctor or other
health care provider

Percent
95% CI [
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

62

Table C.5-5: Health Care Provider Choice in Massachusetts in 2015, Overall and by Family
Family
Family
Income Groups
Family
Income
Income
Family
Income At
Between
Between
Income At
or Below
138 and
300 and
or Above
138% of the 299% of the 399% of the 400% of the
Federal
Federal
Federal
Federal
Poverty
Poverty
Poverty
Poverty
Total
Outcome
Level
Level
Level
Level
Population
Population size (000s)
512,567
558,807
209,890
927,310
2,208,575
Information used in choosing
Percent
29.4%
33.4%
29.3%
35.5%
32.7%
a doctor or other health care
provider includes state or
Lower
25.7%
29.3%
23.9%
32.5%
30.8%
95% CI [
government agency or
Upper
33.4%
37.9%
35.4%
38.6%
34.7%
internet websites
Sample size
1,140
1,154
552
2,156
5,002
Population size (000s)
Cost of care reported to be a
major factor in choosing a
doctor or other health care
provider

Percent
95% CI [

194,757

509,442

1,982,032

38.9%

35.9%

27.2%

19.5%

29.4%

34.7%

31.7%

22.1%

17.1%

27.5%

Upper

43.2%

40.2%

33.0%

22.1%

31.3%

1,140

1,154

552

2,156

5,002

1,258,192

1,294,357

551,013

2,164,592

5,268,155

72.1%

77.5%

76.9%

82.8%

78.1%

68.2%

73.6%

70.9%

80.4%

76.4%

75.7%

80.9%

82.0%

85.0%

79.8%

1,140

1,154

552

2,156

5,002

563,308

504,683

150,107

445,439

1,663,537

Population size (000s)

Quality of care or provider
rating/ranking reported to be Percent
a major factor in choosing a
Lower
95% CI [
doctor or other health care
Upper
provider
Sample size
Population size (000s)
Percent
95% CI [

599,314

Lower

Sample size

Cost and quality of care or

provider rating/ranking
reported to be major factors
in choosing a doctor or other
health care provider

678,519

32.3%

30.2%

21.0%

17.0%

24.7%

Lower

28.3%

26.3%

16.7%

14.8%

22.9%

Upper

36.5%

34.4%

26.0%

19.5%

26.5%

1,140

1,154

552

2,156

5,002

Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

63

Table C.5-6: Health Care Provider Choice in Massachusetts in 2015, Overall and by Region

Outcome
Information used in choosing
a doctor or other health care
provider includes state or
government agency or
internet websites

Population size (000s)

Percent
95% CI [

Metro South Southcoast

253,310
79,532

Cape and
Islands
75,465

Total
Population
2,208,575

33.5%

34.4%

38.3%

33.3%

30.5%

23.0%

30.5%

32.7%

28.5%

29.9%

31.8%

29.2%

25.2%

17.2%

23.0%

30.8%

Upper

35.7%

39.0%

39.1%

45.2%

37.7%

36.5%

30.1%

39.1%

34.7%

798

666

903

393

1,047

537

310

348

5,002

238,334

229,522

446,318

204,452

464,144

241,469

106,850

50,942

1,982,032

Percent

28.9%

30.0%

30.9%

30.2%

28.8%

29.1%

31.0%

20.6%

29.4%

Lower

24.4%

25.1%

26.6%

24.4%

24.7%

24.0%

23.7%

14.7%

27.5%

Upper

34.0%

35.5%

35.5%

36.8%

33.2%

34.8%

39.3%

28.1%

31.3%

798

666

903

393

1,047

537

310

348

5,002

601,611

605,283

1,178,284

532,224

1,269,809

625,426

276,081

179,436

5,268,155

73.0%

79.2%

81.4%

78.7%

78.7%

75.4%

80.0%

72.5%

78.1%

68.1%

74.7%

77.7%

72.7%

74.7%

69.6%

72.8%

63.5%

76.4%

77.4%

83.1%

84.7%

83.8%

82.3%

80.4%

85.7%

79.9%

79.8%

798

666

903

393

1,047

537

310

348

5,002

183,604

203,421

372,751

163,713

395,320

210,130

93,533

41,065

1,663,537

Population size (000s)

Quality of care or provider

rating/ranking reported to be Percent
a major factor in choosing a
Lower
95% CI [
doctor or other health care
Upper
provider
Sample size

Population size (000s)

Percent
95% CI [

Metro
Boston
536,486

25.9%

Sample size

Cost and quality of care or

provider rating/ranking
reported to be major factors
in choosing a doctor or other
health care provider

Metro West
258,615

30.6%

Sample size

95% CI [

Northeast
MA
497,009

Lower

Population size (000s)

Cost of care reported to be a
major factor in choosing a
doctor or other health care
provider

Western MA Central MA
252,011
256,147

22.3%

26.6%

25.8%

24.2%

24.5%

25.3%

27.1%

16.6%

24.7%

Lower

18.3%

21.8%

21.7%

18.9%

20.8%

20.5%

20.1%

11.4%

22.9%

Upper

26.8%

32.1%

30.3%

30.5%

28.7%

30.9%

35.5%

23.4%

26.5%

798

666

903

393

1,047

537

310

348

5,002

Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

64

Table C.5-7: Health Care Access and Use in Massachusetts in 2015, Overall and by Insurance
Status
Always
Ever
Insured
Uninsured Uninsured
Over the
Over the at the Time
Past 12
Past 12
of the
Total
Outcome
Months
Months
Survey
Population
Population size (000s)
2,032,775
88,051
87,749
2,208,575
Information used in choosing
Percent
32.8%
29.2%
35.7%
32.7%
a doctor or other health care
provider includes state or
Lower
30.8%
21.1%
25.0%
30.8%
95% CI [
government agency or
Upper
34.9%
38.9%
47.9%
34.7%
internet websites
Sample size
4,699
173
130
5,002
Population size (000s)

1,735,171

126,963

119,898

1,982,032

28.0%

42.1%

48.7%

29.4%

Lower

26.1%

32.0%

37.0%

27.5%

Upper

30.0%

52.9%

60.6%

31.3%

4,699

173

130

5,002

Population size (000s)

Quality of care or provider
rating/ranking reported to be Percent
a major factor in choosing a
Lower
95% CI [
doctor or other health care
Upper
provider
Sample size

4,899,566

211,577

157,012

5,268,155

79.1%

70.2%

63.8%

78.1%

77.3%

60.0%

51.7%

76.4%

80.7%

78.7%

74.4%

79.8%

4,699

173

130

5,002

Population size (000s)

1,493,729

87,682

82,127

1,663,537

24.1%

29.1%

33.4%

24.7%

Lower

22.3%

20.3%

23.2%

22.9%

Upper

26.0%

39.7%

45.4%

26.5%

4,699

173

130

5,002

Cost of care reported to be a

major factor in choosing a
doctor or other health care
provider

Percent
95% CI [
Sample size

Cost and quality of care or

provider rating/ranking
reported to be major factors
in choosing a doctor or other
health care provider

Percent
95% CI [
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

65

Table D.1-1: Health Care Affordability in Massachusetts in 2015, Overall and by Age

Children (0
to 18)
99,191

Non-elderly
Adults (19
to 64)
902,680

Elderly
Adults (65
and older)
140,828

Total
Population
1,142,699

6.7%

21.1%

14.1%

16.9%

4.6%

19.1%

11.2%

15.4%

9.8%

23.4%

17.5%

18.6%

621

3,057

1,324

5,002

Population size (000s)

Any unmet need for
Percent
doctor care in the
past 12 months
Lower
because of the cost of 95% CI [
Upper
care
Sample size

22,455

420,513

38,651

481,619

1.5%

9.8%

3.9%

7.1%

0.7%

8.4%

2.5%

6.2%

3.2%

11.5%

5.9%

8.2%

621

3,057

1,324

5,002

Population size (000s)

Any unmet need for
specialist care in the Percent
past 12 months
Lower
because of the cost of 95% CI [
Upper
care
Sample size

29,846

440,746

45,508

516,100

2.0%

10.3%

4.5%

7.7%

1.0%

8.8%

3.4%

6.6%

4.0%

12.0%

6.1%

8.8%

621

3,057

1,324

5,002

Population size (000s)

Any unmet need for
Percent
dental care in the
past 12 months
Lower
because of the cost of 95% CI [
Upper
care
Sample size

53,465

1,042,478

161,509

1,257,452

3.6%

24.4%

16.1%

18.6%

2.3%

22.2%

13.5%

17.1%

5.7%

26.8%

19.2%

20.3%

621

3,057

1,324

5,002

Population size (000s)

32,850

219,995

22,770

275,616

2.2%

5.2%

2.3%

4.1%

1.0%

4.1%

1.4%

3.3%

4.9%

6.5%

3.6%

5.1%

Outcome
Population size (000s)
Any unmet need for
Percent
health care in the
past 12 months
Lower
because of the cost of 95% CI [
Upper
care
Sample size

Any unmet need for

mental health care or Percent
counseling in the past
Lower
12 months because of 95% CI [
Upper
the cost of care
Sample size

621

3,057

1,324

5,002

49,280

523,467

97,541

670,288

3.3%

12.3%

9.8%

9.9%

Lower

2.1%

10.6%

7.3%

8.7%

Upper

5.4%

14.1%

12.9%

11.3%

Population size (000s)

Ever went without
prescription drugs in
the past 12 months
because of costs

Percent
95% CI [
Sample size
Population size (000s)

621

3,057

1,324

5,002

586,999

1,461,209

318,773

2,366,980

39.8%

34.2%

31.9%

35.1%

34.9%

31.9%

28.6%

33.2%

45.0%

36.6%

35.3%

37.0%

Out-of-pocket health Percent

care spending greater
Lower
than $1000 in the
95% CI [
Upper
past 12 months
Sample size
Population size (000s)

621

3,057

1,324

5,002

341,273

598,887

145,439

1,085,599

23.2%

14.0%

14.5%

16.1%

18.9%

12.4%

12.4%

14.6%

28.1%

15.8%

17.0%

17.7%

621

3,057

1,324

5,002

Out-of-pocket health Percent

care spending greater
Lower
than $3000 in the
95% CI [
Upper
past 12 months
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

66

Table D.1-2: Health Care Affordability in Massachusetts in 2015, Overall and

by Gender

Male
439,286

Female
703,412

Total
Population
1,142,699

13.5%

20.1%

16.9%

11.6%

17.9%

15.4%

15.7%

22.6%

18.6%

2,290

2,712

5,002

Population size (000s)

Any unmet need for
Percent
doctor care in the
past 12 months
Lower
because of the cost of 95% CI [
Upper
care
Sample size

196,040

285,579

481,619

6.0%

8.2%

7.1%

4.8%

6.8%

6.2%

7.6%

9.8%

8.2%

2,290

2,712

5,002

Population size (000s)

Any unmet need for
specialist care in the Percent
past 12 months
Lower
because of the cost of 95% CI [
Upper
care
Sample size

214,074

302,026

516,100

6.6%

8.6%

7.7%

5.3%

7.1%

6.6%

8.2%

10.4%

8.8%

2,290

2,712

5,002

Population size (000s)

Any unmet need for
Percent
dental care in the
past 12 months
Lower
because of the cost of 95% CI [
Upper
care
Sample size

587,830

669,622

1,257,452

18.1%

19.2%

18.6%

15.8%

17.1%

17.1%

20.6%

21.4%

20.3%

2,290

2,712

5,002

Population size (000s)

99,379

176,237

275,616

3.1%

5.0%

4.1%

2.2%

3.8%

3.3%

4.3%

6.6%

5.1%

Outcome
Population size (000s)
Any unmet need for
Percent
health care in the
past 12 months
Lower
because of the cost of 95% CI [
Upper
care
Sample size

Any unmet need for

mental health care or Percent
counseling in the past
Lower
12 months because of 95% CI [
Upper
the cost of care
Sample size

2,290

2,712

5,002

226,903

443,385

670,288

7.0%

12.7%

9.9%

Lower

5.6%

10.9%

8.7%

Upper

8.7%

14.8%

11.3%

Population size (000s)

Ever went without
prescription drugs in
the past 12 months
because of costs

Percent
95% CI [
Sample size
Population size (000s)

Out-of-pocket health Percent

care spending greater
Lower
than 1000 in the past 95% CI [
Upper
12 months
Sample size
Population size (000s)
Out-of-pocket health Percent
care spending greater
Lower
than 3000 in the past 95% CI [
Upper
12 months
Sample size

2,290

2,712

5,002

1,088,607

1,278,373

2,366,980

33.5%

36.6%

35.1%

30.8%

33.9%

33.2%

36.3%

39.3%

37.0%

2,290

2,712

5,002

486,880

598,719

1,085,599

15.0%

17.1%

16.1%

12.9%

15.1%

14.6%

17.3%

19.3%

17.7%

2,290

2,712

5,002

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

67

Table D.1-3: Health Care Affordability in Massachusetts in 2015, Overall and by Race/Ethnicity

Outcome
Population size (000s)
Any unmet need for
Percent
health care in the
past 12 months
Lower
because of the cost of 95% CI [
Upper
care
Sample size
Population size (000s)

Any unmet need for

Percent
doctor care in the
past 12 months
Lower
because of the cost of 95% CI [
Upper
care
Sample size

Population size (000s)

Any unmet need for

specialist care in the Percent
past 12 months
Lower
because of the cost of 95% CI [
Upper
care
Sample size

White, nonHispanic
831,786

Black, nonHispanic
96,746

Other/Multiple
Race, nonHispanic
37,828

Hispanic
176,339

Total
Population
1,142,699

16.1%

21.1%

10.7%

22.6%

16.9%

14.4%

15.2%

6.9%

17.9%

15.4%

18.0%

28.5%

16.3%

28.0%

18.6%

3,917

291

270

524

5,002

332,515

38,897

17,599

92,607

481,619

6.5%

8.5%

5.0%

11.9%

7.1%

5.4%

5.1%

2.6%

8.4%

6.2%

7.7%

13.7%

9.5%

16.4%

8.2%

3,917

291

270

524

5,002

365,689

44,100

15,242

91,069

516,100

7.1%

9.6%

4.3%

11.7%

7.7%

6.0%

6.0%

2.0%

8.2%

6.6%

8.4%

15.0%

8.9%

16.3%

8.8%

3,917

291

270

524

5,002

Population size (000s)

Any unmet need for
Percent
dental care in the
past 12 months
Lower
because of the cost of 95% CI [
Upper
care
Sample size

947,814

86,993

57,070

165,575

1,257,452

18.4%

19.0%

16.2%

21.2%

18.6%

16.7%

13.2%

10.7%

16.6%

17.1%

20.3%

26.5%

23.7%

26.6%

20.3%

3,917

291

270

524

5,002

Population size (000s)

226,998

14,648

6,995

26,975

275,616

4.4%

3.2%

2.0%

3.5%

4.1%

3.4%

1.5%

0.7%

2.1%

3.3%

5.6%

6.5%

5.4%

5.6%

5.1%

3,917

291

270

524

5,002

474,513

62,413

29,500

103,862

670,288
9.9%

Any unmet need for

mental health care or Percent
counseling in the past
Lower
12 months because of 95% CI [
Upper
the cost of care
Sample size

Population size (000s)

Ever went without
prescription drugs in
the past 12 months
because of costs

Percent
95% CI [

9.2%

13.6%

8.4%

13.3%

Lower

7.9%

9.1%

5.0%

9.5%

8.7%

Upper

10.7%

19.9%

13.6%

18.2%

11.3%

Sample size
Population size (000s)
Out-of-pocket health Percent
care spending greater
Lower
than $1000 in the
95% CI [
Upper
past 12 months
Sample size
Population size (000s)
Out-of-pocket health Percent
care spending greater
Lower
than $3000 in the
95% CI [
Upper
past 12 months
Sample size

3,917

291

270

524

5,002

2,027,289

108,242

101,349

130,100

2,366,980

39.3%

23.6%

28.7%

16.7%

35.1%

37.1%

17.3%

21.9%

12.7%

33.2%

41.6%

31.3%

36.6%

21.5%

37.0%

3,917

291

270

524

5,002

959,616

36,645

37,472

51,866

1,085,599

18.6%

8.0%

10.6%

6.6%

16.1%

16.8%

4.7%

6.6%

4.2%

14.6%

20.5%

13.4%

16.6%

10.3%

17.7%

3,917

291

270

524

5,002

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

68

Table D.1-4: Health Care Affordability in Massachusetts in 2015, Overall and by

Health/Disability Status

Outcome
Population size (000s)
Any unmet need for
Percent
health care in the
past 12 months
Lower
because of the cost of 95% CI [
Upper
care
Sample size
Population size (000s)

Any unmet need for

Percent
doctor care in the
past 12 months
Lower
because of the cost of 95% CI [
Upper
care
Sample size

Good, Very
Good, or
Excellent
Fair or Poor
Health and Health or an
No Activity
Activity
Limitation Limitation
518,143
333,973

Fair or Poor
Health and
an Activity
Total
Limitation Population
290,583
1,142,699

11.2%

24.1%

39.9%

16.9%

9.7%

20.3%

34.3%

15.4%

12.9%

28.3%

45.7%

18.6%

3,263

1,111

628

5,002

227,168

141,070

113,381

481,619

4.9%

10.2%

15.6%

7.1%

3.9%

7.8%

12.2%

6.2%

6.1%

13.2%

19.7%

8.2%

3,263

1,111

628

5,002

Population size (000s)

Any unmet need for
specialist care in the Percent
past 12 months
Lower
because of the cost of 95% CI [
Upper
care
Sample size

241,942

150,341

123,817

516,100

5.2%

10.9%

17.0%

7.7%

4.2%

8.5%

13.2%

6.6%

6.5%

13.8%

21.6%

8.8%

3,263

1,111

628

5,002

Population size (000s)

609,730

391,961

255,761

1,257,452

13.2%

28.3%

35.1%

18.6%

11.5%

24.4%

29.8%

17.1%

15.0%

32.5%

40.8%

20.3%

3,263

1,111

628

5,002

Population size (000s)

Any unmet need for
mental health care or Percent
counseling in the past
Lower
12 months because of 95% CI [
Upper
the cost of care
Sample size

107,114

86,075

82,427

275,616

2.3%

6.2%

11.3%

4.1%

1.6%

4.3%

7.9%

3.3%

3.4%

8.9%

15.9%

5.1%

3,263

1,111

628

5,002

Population size (000s)

285,240

191,774

193,274

670,288

6.2%

13.8%

26.5%

9.9%

5.0%

10.9%

21.6%

8.7%

Any unmet need for

Percent
dental care in the
past 12 months
Lower
because of the cost of 95% CI [
Upper
care
Sample size

Ever went without

prescription drugs in
the past 12 months
because of costs

Percent
95% CI [

Lower
Upper

7.5%

17.4%

32.1%

11.3%

3,263

1,111

628

5,002

1,609,081

502,574

255,325

2,366,980

34.7%

36.3%

35.0%

35.1%

32.4%

32.2%

29.8%

33.2%

37.1%

40.6%

40.6%

37.0%

Sample size
Population size (000s)
Out-of-pocket health Percent
care spending greater
Lower
than $1000 in the
95% CI [
Upper
past 12 months
Sample size
Population size (000s)

3,263

1,111

628

5,002

727,228

239,836

118,535

1,085,599

15.7%

17.3%

16.3%

16.1%

13.9%

14.2%

12.6%

14.6%

17.7%

21.0%

20.8%

17.7%

3,263

1,111

628

5,002

Out-of-pocket health Percent

care spending greater
Lower
than $3000 in the
95% CI [
Upper
past 12 months
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

69

Table D.1-5: Health Care Affordability in Massachusetts in 2015, Overall and by Family
Family
Family
Income Group
Family
Income
Income
Family
Income At
Between
Between
Income At
or Below
138 and
300 and
or Above
138% of the 299% of the 399% of the 400% of the
Federal
Federal
Federal
Federal
Poverty
Poverty
Poverty
Poverty
Total
Outcome
Level
Level
Level
Level
Population
Population size (000s)
444,299
346,371
105,443
246,586
1,142,699
Any unmet need for
Percent
25.5%
20.7%
14.7%
9.4%
16.9%
health care in the
past 12 months
Lower
21.9%
17.4%
11.2%
7.7%
15.4%
because of the cost of 95% CI [
Upper
29.4%
24.5%
19.1%
11.5%
18.6%
care
Sample size
1,140
1,154
552
2,156
5,002
Population size (000s)
Any unmet need for
Percent
doctor care in the
past 12 months
Lower
because of the cost of 95% CI [
Upper
care
Sample size

196,016

129,564

43,725

112,314

481,619

11.2%

7.8%

6.1%

4.3%

7.1%

8.9%

5.9%

4.1%

3.1%

6.2%

14.1%

10.2%

8.9%

5.9%

8.2%

1,140

1,154

552

2,156

5,002

Population size (000s)

Any unmet need for
specialist care in the Percent
past 12 months
Lower
because of the cost of 95% CI [
Upper
care
Sample size

172,977

181,236

42,075

119,812

516,100

9.9%

10.8%

5.9%

4.6%

7.7%
6.6%

7.7%

8.5%

4.0%

3.4%

12.7%

13.7%

8.5%

6.2%

8.8%

1,140

1,154

552

2,156

5,002

Population size (000s)

Any unmet need for
Percent
dental care in the
past 12 months
Lower
because of the cost of 95% CI [
Upper
care
Sample size

450,118

354,218

151,800

301,316

1,257,452

25.8%

21.2%

21.2%

11.5%

18.6%

22.3%

18.0%

16.5%

9.6%

17.1%

29.6%

24.8%

26.8%

13.8%

20.3%

1,140

1,154

552

2,156

5,002

Population size (000s)

87,756

98,750

13,942

75,167

275,616

5.0%

5.9%

1.9%

2.9%

4.1%

3.6%

4.0%

0.8%

1.9%

3.3%

Any unmet need for

mental health care or Percent
counseling in the past
Lower
12 months because of 95% CI [
Upper
the cost of care
Sample size

6.9%

8.7%

4.8%

4.4%

5.1%

1,140

1,154

552

2,156

5,002

279,452

184,694

61,659

144,484

670,288

16.0%

11.1%

8.6%

5.5%

9.9%

Lower

13.0%

8.8%

5.9%

4.2%

8.7%

Upper

19.6%

13.9%

12.4%

7.2%

11.3%

1,140

1,154

552

2,156

5,002

Population size (000s)

Out-of-pocket health Percent
care spending greater
Lower
than $1000 in the
95% CI [
Upper
past 12 months
Sample size

254,576

551,500

296,826

1,264,079

2,366,980

14.6%

33.0%

41.4%

48.4%

35.1%

11.8%

29.0%

35.6%

45.3%

33.2%

17.9%

37.3%

47.5%

51.4%

37.0%

1,140

1,154

552

2,156

5,002

Population size (000s)

108,199

260,234

123,534

593,632

1,085,599

6.2%

15.6%

17.2%

22.7%

16.1%

4.3%

12.4%

13.2%

20.3%

14.6%

8.9%

19.4%

22.2%

25.3%

17.7%

1,140

1,154

552

2,156

5,002

Population size (000s)

Ever went without
prescription drugs in
the past 12 months
because of costs

Percent
95% CI [
Sample size

Out-of-pocket health Percent

care spending greater
Lower
than $3000 in the
95% CI [
Upper
past 12 months
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

70

Table D.1-6: Health Care Affordability in Massachusetts in 2015, Overall and by Region

Outcome
Population size (000s)
Any unmet need for
Percent
health care in the
past 12 months
Lower
because of the cost of 95% CI [
Upper
care
Sample size

Western MA Central MA
205,889
143,860

Northeast
MA
210,425

Metro West
72,634

Metro
Boston
248,954

Metro South Southcoast

152,572
71,139

Cape and
Islands
37,226

Total
Population
1,142,699

25.0%

18.8%

14.5%

10.7%

15.4%

18.4%

20.6%

15.0%

16.9%

20.3%

14.7%

11.6%

7.4%

12.4%

14.2%

14.3%

10.1%

15.4%

30.4%

23.8%

18.1%

15.3%

19.1%

23.4%

28.8%

21.9%

18.6%

798

666

903

393

1,047

537

310

348

5,002

Population size (000s)

Any unmet need for
Percent
doctor care in the
past 12 months
Lower
because of the cost of 95% CI [
Upper
care
Sample size

72,066

59,995

97,829

24,973

123,879

63,689

24,071

15,117

481,619

8.7%

7.9%

6.8%

3.7%

7.7%

7.7%

7.0%

6.1%

7.1%

6.2%

5.4%

4.9%

1.9%

5.5%

5.1%

4.1%

3.6%

6.2%

12.2%

11.2%

9.3%

6.9%

10.6%

11.3%

11.7%

10.1%

8.2%

798

666

903

393

1,047

537

310

348

5,002

Population size (000s)

Any unmet need for
specialist care in the Percent
past 12 months
Lower
because of the cost of 95% CI [
Upper
care
Sample size

90,271

49,004

98,387

31,241

135,032

67,235

23,854

21,076

516,100

11.0%

6.4%

6.8%

4.6%

8.4%

8.1%

6.9%

8.5%

7.7%

8.0%

4.2%

4.9%

2.7%

6.1%

5.3%

4.1%

4.5%

6.6%

14.8%

9.7%

9.4%

7.7%

11.4%

12.2%

11.5%

15.5%

8.8%

798

666

903

393

1,047

537

310

348

5,002

Population size (000s)

Any unmet need for
Percent
dental care in the
past 12 months
Lower
because of the cost of 95% CI [
Upper
care
Sample size

198,435

139,688

253,865

75,628

282,072

188,508

78,293

40,964

1,257,452

24.1%

18.3%

17.5%

11.2%

17.5%

22.7%

22.7%

16.5%

18.6%

19.7%

14.3%

14.3%

8.0%

14.3%

18.1%

16.4%

11.6%

17.1%

29.0%

23.1%

21.4%

15.5%

21.3%

28.2%

30.5%

23.1%

20.3%

606

607

608

609

610

611

612

613

614

Population size (000s)

55,232

25,277

33,304

29,411

60,864

51,643

9,885

10,000

275,616

6.7%

3.3%

2.3%

4.4%

3.8%

6.2%

2.9%

4.0%

4.1%

3.8%

1.7%

1.4%

2.3%

2.4%

3.7%

1.2%

2.0%

3.3%

11.6%

6.5%

3.8%

8.0%

5.9%

10.3%

6.8%

7.9%

5.1%

798

666

903

393

1,047

537

310

348

5,002

136,979

96,149

110,941

42,871

132,215

84,024

51,521

15,589

670,288

16.6%

12.6%

7.7%

6.3%

8.2%

10.1%

14.9%

6.3%

9.9%

Lower

12.7%

9.1%

5.6%

3.9%

5.9%

7.1%

9.3%

3.9%

8.7%

Upper

21.5%

17.1%

10.4%

10.2%

11.2%

14.2%

23.0%

10.0%

11.3%

Any unmet need for

mental health care or Percent
counseling in the past
Lower
12 months because of 95% CI [
Upper
the cost of care
Sample size

Population size (000s)

Ever went without
prescription drugs in
the past 12 months
because of costs

Percent
95% CI [
Sample size
Population size (000s)

Out-of-pocket health Percent

care spending greater
Lower
than $1000 in the
95% CI [
Upper
past 12 months
Sample size
Population size (000s)
Out-of-pocket health Percent
care spending greater
Lower
than $3000 in the
95% CI [
Upper
past 12 months
Sample size

798

666

903

393

1,047

537

310

348

5,002

285,051

264,909

548,606

302,340

494,399

308,667

77,183

85,826

2,366,980

34.6%

34.7%

37.9%

44.7%

30.7%

37.2%

22.4%

34.7%

35.1%

29.8%

29.7%

33.5%

38.2%

26.8%

31.7%

16.4%

27.8%

33.2%

39.8%

40.0%

42.5%

51.4%

34.8%

43.0%

29.7%

42.3%

37.0%

798

666

903

393

1,047

537

310

348

5,002

139,050

122,685

240,642

156,259

223,439

127,506

26,905

49,115

1,085,599

16.9%

16.1%

16.6%

23.1%

13.9%

15.4%

7.8%

19.8%

16.1%

13.0%

12.3%

13.3%

17.9%

11.1%

11.7%

4.1%

14.5%

14.6%

21.7%

20.8%

20.6%

29.2%

17.2%

19.9%

14.5%

26.5%

17.7%

798

666

903

393

1,047

537

310

348

5,002

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

71

Table D.1-7: Health Care Access and Use in Massachusetts in 2015, Overall and by
Insurance Status
Always
Ever
Insured
Uninsured Uninsured
Over the
Over the at the Time
Past 12
Past 12
of the
Total
Outcome
Months
Months
Survey
Population
Population size (000s)
906,861
121,491
114,346
1,142,699
Any unmet need for
Percent
14.6%
40.3%
46.5%
16.9%
health care in the
past 12 months
Lower
13.2%
30.2%
35.0%
15.4%
because of the cost of 95% CI [
Upper
16.2%
51.2%
58.3%
18.6%
care
Sample size
4,699
173
130
5,002
Population size (000s)
Any unmet need for
Percent
doctor care in the
past 12 months
Lower
because of the cost of 95% CI [
Upper
care
Sample size

326,395

69,534

85,690

481,619

5.3%

23.1%

34.8%

7.1%

4.5%

15.3%

24.7%

6.2%

6.2%

33.2%

46.6%

8.2%

4,699

173

130

5,002

Population size (000s)

Any unmet need for
specialist care in the Percent
past 12 months
Lower
because of the cost of 95% CI [
Upper
care
Sample size

376,402

68,319

71,379

516,100

6.1%

22.7%

29.0%

7.7%

5.2%

14.9%

19.5%

6.6%

7.1%

32.9%

40.8%

8.8%

4,699

173

130

5,002

Population size (000s)

Any unmet need for
Percent
dental care in the
past 12 months
Lower
because of the cost of 95% CI [
Upper
care
Sample size

1,040,337

101,346

115,769

1,257,452

16.8%

33.6%

47.1%

18.6%

15.3%

24.7%

35.5%

17.1%

18.4%

43.9%

59.0%

20.3%

4,699

173

130

5,002

Population size (000s)

Any unmet need for
mental health care or Percent
counseling in the past
Lower
12 months because of 95% CI [
Upper
the cost of care
Sample size

206,163

37,850

31,602

275,616

3.3%

12.6%

12.8%

4.1%

2.6%

6.9%

6.8%

3.3%

4.3%

21.7%

22.9%

5.1%

4,699

173

130

5,002

Population size (000s)

556,335

58,804

55,149

670,288

9.0%

19.5%

22.4%

9.9%

Lower

7.8%

12.5%

13.9%

8.7%

Upper

10.3%

29.1%

34.0%

11.3%

4,699

173

130

5,002

Population size (000s)

Out-of-pocket health Percent
care spending greater
Lower
than $1000 in the
95% CI [
Upper
past 12 months
Sample size

2,243,743

52,023

71,214

2,366,980

36.2%

17.3%

28.9%

35.1%

34.2%

11.2%

18.8%

33.2%

38.2%

25.7%

41.7%

37.0%

4,699

173

130

5,002

Population size (000s)

1,031,586

24,679

29,334

1,085,599

16.6%

8.2%

11.9%

16.1%

15.1%

4.2%

5.5%

14.6%

18.3%

15.4%

24.0%

17.7%

4,699

173

130

5,002

Ever went without

prescription drugs in
the past 12 months
because of costs

Percent
95% CI [
Sample size

Out-of-pocket health Percent

care spending greater
Lower
than $3000 in the
95% CI [
Upper
past 12 months
Sample size

72

Table D.2-1: Health Care Affordability in Massachusetts in 2015, Overall and by Age

Children (0
to 18)
256,657

Non-elderly
Adults (19
to 64)
806,081

Elderly
Adults (65
and older)
83,449

Total
Population
1,146,187

17.4%

18.9%

8.3%

17.0%

Lower

13.7%

16.9%

6.5%

15.5%

Upper

21.9%

21.0%

10.6%

18.7%

621

3,057

1,324

5,002

Population size (000s)

Had problems paying Percent
medical bills for
Lower
emergency care in
95% CI [
Upper
last 12 months
Sample size

129,809

353,745

29,849

513,403

8.8%

8.3%

3.0%

7.6%

Population size (000s)

Outcome
Population size (000s)
Had problems paying Percent
medical bills in the
95% CI [
past 12 months
Sample size

Had problems paying

medical bills for ongoing care for chronic
condition/long-term
health problem in last
12 months

Percent

6.0%

7.0%

2.0%

6.5%

12.7%

9.8%

4.4%

8.9%

621

3,057

1,324

5,002

123,474

394,045

52,556

570,075

8.4%

9.2%

5.3%

8.5%

Lower

5.8%

7.9%

3.9%

7.4%

Upper

12.0%

10.8%

7.1%

9.7%

621

3,057

1,324

5,002

Population size (000s)

Had problems paying
Percent
medical bills for
medical test/surgical
Lower
procedure in last 12 95% CI [
Upper
months
Sample size

159,009

421,374

43,092

623,474

10.8%

9.9%

4.3%

9.2%

7.7%

8.4%

3.0%

8.0%

14.9%

11.5%

6.1%

10.6%

621

3,057

1,324

5,002

Population size (000s)

101,724

317,734

30,566

450,024

6.9%

7.4%

3.1%

6.7%

4.6%

6.2%

2.0%

5.7%

10.1%

9.0%

4.5%

7.8%

95% CI [
Sample size

Had problems paying Percent

medical bills for
Lower
dental care in last 12 95% CI [
Upper
months
Sample size
Population size (000s)
Had problems paying Percent
medical bills for
Lower
prescription drugs in 95% CI [
Upper
last 12 months
Sample size
Population size (000s)
Had problems paying Percent
medical bills for birth
Lower
of a child in last 12
95% CI [
Upper
months
Sample size
Population size (000s)
Had problems paying Percent
medical bills for
Lower
something else in last 95% CI [
Upper
12 months
Sample size

621

3,057

1,324

5,002

121,938

306,703

47,803

476,444

8.3%

7.2%

4.8%

7.1%

5.7%

6.0%

3.4%

6.0%

12.0%

8.6%

6.6%

8.3%

621

3,057

1,324

5,002

24,756

15,376

40,132

1.7%

0.4%

0.0%

0.6%

0.7%

0.2%

0.0%

0.3%

4.0%

0.7%

0.0%

1.1%

621

3,057

1,324

5,002

15,983

53,376

1,569

70,928

1.1%

1.2%

0.2%

1.1%

0.4%

0.8%

0.0%

0.7%

2.6%

1.9%

0.5%

1.5%

621

3,057

1,324

5,002

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

73

Table D.2-2: Health Care Affordability in Massachusetts in 2015, Overall and

by Gender

Male
514,905

Female
631,281

Total
Population
1,146,187

15.8%

18.1%

17.0%

Lower

13.7%

16.0%

15.5%

Upper

18.3%

20.4%

18.7%

2,290

2,712

5,002

Population size (000s)

Had problems paying Percent
medical bills for
Lower
emergency care in
95% CI [
Upper
last 12 months
Sample size

235,058

278,346

513,403

7.2%

8.0%

7.6%

5.7%

6.5%

6.5%

9.1%

9.7%

8.9%

2,290

2,712

5,002

Population size (000s)

204,876

250,932

490,088

8.0%

8.8%

8.5%

Outcome
Population size (000s)
Had problems paying Percent
medical bills in the
95% CI [
past 12 months
Sample size

Had problems paying

medical bills for ongoing care for chronic
condition/long-term
health problem in last
12 months

Percent
Lower

6.5%

7.4%

7.4%

Upper

9.9%

10.6%

9.7%

2,290

2,712

5,002

Population size (000s)

Had problems paying
Percent
medical bills for
medical test/surgical
Lower
procedure in last 12 95% CI [
Upper
months
Sample size

287,403

336,071

623,474

8.8%

9.6%

9.2%

2,290

2,712

5,002

Population size (000s)

209,587

240,437

450,024

6.5%

6.9%

6.7%

4.9%

5.6%

5.7%

8.4%

8.4%

7.8%

95% CI [
Sample size

Had problems paying Percent

medical bills for
Lower
dental care in last 12 95% CI [
Upper
months
Sample size
Population size (000s)
Had problems paying Percent
medical bills for
Lower
prescription drugs in 95% CI [
Upper
last 12 months
Sample size
Population size (000s)
Had problems paying Percent
medical bills for birth
Lower
of a child in last 12
95% CI [
Upper
months
Sample size
Population size (000s)
Had problems paying Percent
medical bills for
Lower
something else in last 95% CI [
Upper
12 months
Sample size

7.1%

8.0%

8.0%

10.9%

11.5%

10.6%

2,290

2,712

5,002

190,978

285,466

476,444

5.9%

8.2%

7.1%

4.5%

6.7%

6.0%

7.6%

9.9%

8.3%

2,290

2,712

5,002

25,840

14,292

40,132

0.8%

0.4%

0.6%

0.3%

0.2%

0.3%

1.8%

0.9%

1.1%

2,290

2,712

5,002

35,284

35,644

70,928

1.1%

1.0%

1.1%

0.6%

0.6%

0.7%

1.9%

1.7%

1.5%

2,290

2,712

5,002

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

74

Table D.2-3: Health Care Affordability in Massachusetts in 2015, Overall and by Race/Ethnicity

Outcome
Population size (000s)
Had problems paying Percent
medical bills in the
95% CI [
past 12 months

Black, nonHispanic
92,082

Other/Multiple
Race, nonHispanic
41,902

Hispanic
133,593

Total
Population
1,146,187

17.1%

20.1%

11.9%

17.1%

17.0%

Lower

15.3%

14.4%

8.0%

13.2%

15.5%

Upper

19.0%

27.2%

17.3%

21.9%

18.7%

Sample size
Population size (000s)
Had problems paying Percent
medical bills for
Lower
emergency care in
95% CI [
Upper
last 12 months
Sample size
Had problems paying
medical bills for ongoing care for chronic
condition/long-term
health problem in last
12 months

White, nonHispanic
878,610

Population size (000s)

Percent

3,917

291

270

524

5,002

381,926

47,576

15,299

68,602

513,403

7.4%

10.4%

4.3%

8.8%

7.6%

6.2%

6.5%

2.2%

6.0%

6.5%

8.9%

16.1%

8.2%

12.6%

8.9%

3,917

291

270

524

5,002

385,170

20,982

9,388

30,776

490,088

8.9%

8.0%

5.1%

7.1%

8.5%

Lower

7.6%

5.2%

3.1%

4.6%

7.4%

Upper

10.4%

12.2%

8.3%

10.9%

9.7%

3,917

291

270

524

5,002

Population size (000s)

Had problems paying
Percent
medical bills for
medical test/surgical
Lower
procedure in last 12 95% CI [
Upper
months
Sample size

494,171

41,413

24,203

63,688

623,474

9.6%

9.0%

6.9%

8.2%

9.2%

8.2%

5.5%

4.1%

5.5%

8.0%

11.2%

14.5%

11.2%

12.0%

10.6%

3,917

291

270

524

5,002

Population size (000s)

341,343

31,138

17,268

60,275

450,024

6.6%

6.8%

4.9%

7.7%

6.7%

5.5%

3.6%

2.5%

5.1%

5.7%

8.0%

12.6%

9.4%

11.6%

7.8%

3,917

291

270

524

5,002

Population size (000s)

Had problems paying Percent
medical bills for
Lower
prescription drugs in 95% CI [
Upper
last 12 months
Sample size

355,832

41,410

16,465

62,737

476,444

6.9%

9.0%

4.7%

8.0%

7.1%

5.7%

5.8%

2.5%

5.4%

6.0%

8.3%

13.9%

8.4%

11.8%

8.3%

3,917

291

270

524

5,002

Population size (000s)

Had problems paying Percent
medical bills for birth
Lower
of a child in last 12
95% CI [
Upper
months
Sample size

22,297

2,605

3,620

11,610

40,132

0.4%

0.6%

1.0%

1.5%

0.6%

0.2%

0.2%

0.2%

0.5%

0.3%

1.1%

1.7%

4.4%

4.1%

1.1%

3,917

291

270

524

5,002

Population size (000s)

Had problems paying Percent
medical bills for
Lower
something else in last 95% CI [
Upper
12 months
Sample size

52,802

10,177

5,402

2,546

70,928

1.0%

2.2%

1.5%

0.3%

1.1%

0.7%

0.8%

0.5%

0.1%

0.7%

1.6%

6.4%

4.6%

1.1%

1.5%

3,917

291

270

524

5,002

95% CI [
Sample size

Had problems paying Percent

medical bills for
Lower
dental care in last 12 95% CI [
Upper
months
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

75

Table D.2-4: Health Care Affordability in Massachusetts in 2015, Overall and by

Health/Disability Status

Outcome
Population size (000s)
Had problems paying Percent
medical bills in the
95% CI [
past 12 months

23.3%

31.9%

17.0%

Lower

11.1%

19.6%

26.7%

15.5%

Upper

14.6%

27.5%

37.5%

18.7%

Population size (000s)

Had problems paying Percent
medical bills for
Lower
emergency care in
95% CI [
Upper
last 12 months
Sample size

3,263

1,111

628

5,002

257,382

158,938

97,083

513,403

5.6%

11.5%

13.3%

7.6%

4.4%

8.8%

9.8%

6.5%

7.0%

14.9%

17.8%

8.9%

3,263

1,111

628

5,002

208,435

185,648

175,992

570,075

4.5%

13.4%

24.2%

8.5%

Lower

3.6%

10.5%

19.5%

7.4%

Upper

5.7%

17.0%

29.5%

9.7%

Population size (000s)

Percent
95% CI [

Fair or Poor
Health and
an Activity
Total
Limitation Population
232,208
1,146,187

12.8%

Sample size

Had problems paying

medical bills for ongoing care for chronic
condition/long-term
health problem in last
12 months

Good, Very
Good, or
Excellent
Fair or Poor
Health and Health or an
No Activity
Activity
Limitation Limitation
590,740
323,239

Sample size
Population size (000s)

Had problems paying

Percent
medical bills for
medical test/surgical
Lower
procedure in last 12 95% CI [
Upper
months
Sample size

3,263

1,111

628

5,002

349,649

159,664

114,162

623,474

7.5%

11.5%

15.7%

9.2%

6.3%

8.7%

11.8%

8.0%

9.1%

15.1%

20.5%

10.6%

3,263

1,111

628

5,002

Population size (000s)

Had problems paying Percent
medical bills for
Lower
dental care in last 12 95% CI [
Upper
months
Sample size

248,189

126,374

75,460

450,024

5.4%

9.1%

10.4%

6.7%

3,263

1,111

628

5,002

Population size (000s)

239,162

111,567

125,715

476,444

5.2%

8.1%

17.3%

7.1%

4.1%

5.8%

13.3%

6.0%

Had problems paying Percent

medical bills for
Lower
prescription drugs in 95% CI [
Upper
last 12 months
Sample size

4.3%

6.7%

7.2%

5.7%

6.7%

12.3%

14.7%

7.8%

6.5%

11.0%

22.0%

8.3%

3,263

1,111

628

5,002

Population size (000s)

Had problems paying Percent
medical bills for birth
Lower
of a child in last 12
95% CI [
Upper
months
Sample size

30,399

5,769

3,964

40,132

0.7%

0.4%

0.5%

0.6%

0.3%

0.2%

0.2%

0.3%

1.4%

1.1%

1.5%

1.1%

3,263

1,111

628

5,002

Population size (000s)

40,011

20,045

10,871

70,928

0.9%

1.4%

1.5%

1.1%

0.5%

0.7%

0.5%

0.7%

1.4%

2.9%

4.0%

1.5%

3,263

1,111

628

5,002

Had problems paying Percent

medical bills for
Lower
something else in last 95% CI [
Upper
12 months
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

76

Table D.2-5: Health Care Affordability in Massachusetts in 2015, Overall and by Family
Family
Family
Income Group
Family
Income
Income
Family
Income At
Between
Between
Income At
or Below
138 and
300 and
or Above
138% of the 299% of the 399% of the 400% of the
Federal
Federal
Federal
Federal
Poverty
Poverty
Poverty
Poverty
Total
Outcome
Level
Level
Level
Level
Population
Population size (000s)
342,674
408,265
141,954
253,293
1,146,187
Had problems paying Percent
medical bills in the
95% CI [
past 12 months

19.6%

24.4%

19.8%

Lower

16.6%

20.8%

Upper

23.1%

28.5%

Sample size
Population size (000s)
Had problems paying Percent
medical bills for
Lower
emergency care in
95% CI [
Upper
last 12 months
Sample size
Had problems paying
medical bills for ongoing care for chronic
condition/long-term
health problem in last
12 months

Population size (000s)

Percent

9.7%

17.0%

15.3%

7.9%

15.5%

25.3%

11.9%

18.7%

1,140

1,154

552

2,156

5,002

158,337

198,775

61,990

94,302

513,403

9.1%

11.9%

8.7%

3.6%

7.6%

7.0%

9.2%

5.6%

2.6%

6.5%

11.8%

15.3%

13.2%

5.0%

8.9%

1,140

1,154

552

2,156

5,002

181,575

206,839

68,853

112,808

570,075

10.4%

12.4%

9.6%

4.3%

8.5%
7.4%

Lower

8.2%

9.7%

6.5%

3.3%

Upper

13.1%

15.7%

14.1%

5.7%

9.7%

1,140

1,154

552

2,156

5,002

Population size (000s)

Had problems paying
Percent
medical bills for
medical test/surgical
Lower
procedure in last 12 95% CI [
Upper
months
Sample size

160,779

234,116

85,487

143,093

623,474

9.2%

14.0%

11.9%

5.5%

9.2%

7.0%

11.0%

8.5%

4.2%

8.0%

12.0%

17.7%

16.6%

7.1%

10.6%

1,140

1,154

552

2,156

5,002

Population size (000s)

107,550

166,905

59,446

116,123

450,024

6.2%

10.0%

8.3%

4.4%

6.7%

4.6%

7.5%

5.5%

3.2%

5.7%

95% CI [
Sample size

Had problems paying Percent

medical bills for
Lower
dental care in last 12 95% CI [
Upper
months
Sample size

8.2%

13.1%

12.4%

6.1%

7.8%

1,140

1,154

552

2,156

5,002

Population size (000s)

Had problems paying Percent
medical bills for
Lower
prescription drugs in 95% CI [
Upper
last 12 months
Sample size

186,720

160,157

47,774

81,793

476,444

10.7%

9.6%

6.7%

3.1%

7.1%

8.4%

7.2%

4.4%

2.2%

6.0%

13.6%

12.7%

10.1%

4.5%

8.3%

1,140

1,154

552

2,156

5,002

Population size (000s)

Had problems paying Percent
medical bills for birth
Lower
of a child in last 12
95% CI [
Upper
months
Sample size

9,191

18,693

1,773

10,475

40,132

0.5%

1.1%

0.2%

0.4%

0.6%

0.2%

0.5%

0.1%

0.1%

0.3%

1.5%

2.6%

1.0%

1.8%

1.1%

Population size (000s)

Had problems paying Percent
medical bills for
Lower
something else in last 95% CI [
Upper
12 months
Sample size

1,140

1,154

552

2,156

5,002

18,999

23,082

15,224

13,623

70,928

1.1%

1.4%

2.1%

0.5%

1.1%

0.5%

0.8%

0.8%

0.3%

0.7%

2.5%

2.4%

5.6%

1.0%

1.5%

1,140

1,154

552

2,156

5,002

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

77

Table D.2-6: Health Care Affordability in Massachusetts in 2015, Overall and by Region

Outcome
Population size (000s)
Had problems paying Percent
medical bills in the
95% CI [
past 12 months

Western MA Central MA
181,772
171,238

Northeast
MA
231,332

Metro West
87,012

Metro
Boston
213,944

Metro South Southcoast

181,701
48,826

Cape and
Islands
30,361

Total
Population
1,146,187

22.1%

22.4%

16.0%

12.9%

13.3%

21.9%

14.1%

12.3%

17.0%

Lower

17.6%

17.9%

12.8%

8.9%

10.4%

17.3%

9.5%

8.2%

15.5%

Upper

27.3%

27.7%

19.8%

18.3%

16.7%

27.4%

20.5%

18.0%

18.7%

798

666

903

393

1,047

537

310

348

5,002

83,812

84,614

85,451

30,586

105,050

84,638

25,706

13,546

513,403

10.2%

11.1%

5.9%

4.5%

6.5%

10.2%

7.4%

5.5%

7.6%

6.8%

7.5%

3.9%

2.6%

4.6%

7.1%

4.0%

2.9%

6.5%

14.9%

16.0%

8.8%

7.9%

9.1%

14.5%

13.4%

10.1%

8.9%

798

666

903

393

1,047

537

310

348

5,002

103,135

79,886

107,977

56,897

90,117

85,854

23,761

22,448

570,075

12.5%

10.5%

7.5%

8.4%

5.6%

10.3%

6.9%

9.1%

8.5%

Lower

9.0%

7.2%

5.5%

5.2%

3.8%

7.4%

4.0%

5.5%

7.4%

Upper

17.1%

15.0%

10.1%

13.4%

8.1%

14.3%

11.7%

14.6%

9.7%

798

666

903

393

1,047

537

310

348

5,002

Population size (000s)

Had problems paying
Percent
medical bills for
medical test/surgical
Lower
procedure in last 12 95% CI [
Upper
months
Sample size

87,215

104,887

117,950

57,695

118,907

98,585

23,290

14,945

623,474

10.6%

13.7%

8.2%

8.5%

7.4%

11.9%

6.7%

6.0%

9.2%

7.4%

9.9%

5.8%

5.4%

5.3%

8.4%

3.8%

3.8%

8.0%

14.9%

18.7%

11.4%

13.3%

10.2%

16.6%

11.7%

9.4%

10.6%

798

666

903

393

1,047

537

310

348

5,002

Population size (000s)

68,811

58,586

102,564

29,352

84,923

84,723

14,644

6,421

450,024

8.4%

7.7%

7.1%

4.3%

5.3%

10.2%

4.2%

2.6%

6.7%

5.9%

5.3%

5.0%

2.1%

3.4%

6.9%

1.9%

1.4%

5.7%

11.8%

11.0%

9.9%

8.6%

8.0%

14.9%

9.2%

4.9%

7.8%

798

666

903

393

1,047

537

310

348

5,002

Population size (000s)

Had problems paying Percent
medical bills for
Lower
prescription drugs in 95% CI [
Upper
last 12 months
Sample size

81,472

84,153

92,039

48,828

72,446

66,705

18,468

12,335

476,444

9.9%

11.0%

6.4%

7.2%

4.5%

8.0%

5.3%

5.0%

7.1%

7.1%

7.6%

4.3%

4.1%

2.9%

5.4%

2.8%

2.8%

6.0%

13.6%

15.8%

9.3%

12.5%

6.9%

11.9%

9.9%

8.7%

8.3%

798

666

903

393

1,047

537

310

348

5,002

Population size (000s)

Had problems paying Percent
medical bills for birth
Lower
of a child in last 12
95% CI [
Upper
months
Sample size

8,238

7,467

19,066

276

1,308

3,040

736

40,132

1.0%

1.0%

1.3%

0.0%

0.1%

0.4%

0.2%

0.0%

0.6%

0.2%

0.3%

0.5%

0.0%

0.0%

0.1%

0.0%

0.0%

0.3%

4.2%

3.2%

3.4%

0.3%

0.3%

1.0%

1.5%

0.0%

1.1%

798

666

903

393

1,047

537

310

348

5,002

Population size (000s)

Had problems paying Percent
medical bills for
Lower
something else in last 95% CI [
Upper
12 months
Sample size

4,703

12,284

9,255

2,657

18,001

14,881

7,855

1,291

70,928

0.6%

1.6%

0.6%

0.4%

1.1%

1.8%

2.3%

0.5%

1.1%

0.2%

0.5%

0.3%

0.1%

0.5%

0.7%

0.8%

0.2%

0.7%

1.9%

4.7%

1.6%

1.6%

2.3%

4.6%

6.2%

1.7%

1.5%

798

666

903

393

1,047

537

310

348

5,002

Sample size
Population size (000s)
Had problems paying Percent
medical bills for
Lower
emergency care in
95% CI [
Upper
last 12 months
Sample size
Had problems paying
medical bills for ongoing care for chronic
condition/long-term
health problem in last
12 months

Population size (000s)

Percent
95% CI [
Sample size

Had problems paying Percent

medical bills for
Lower
dental care in last 12 95% CI [
Upper
months
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

78

Table D.2-7: Health Care Affordability in Massachusetts in 2015, Overall and by

Insurance Status
Always
Ever
Insured
Uninsured Uninsured
Over the
Over the at the Time
Past 12
Past 12
of the
Total
Outcome
Months
Months
Survey
Population
Population size (000s)
999,058
67,370
79,759
1,146,187
Had problems paying Percent
medical bills in the
95% CI [
past 12 months

16.1%

22.3%

32.4%

17.0%

Lower

14.6%

15.0%

22.0%

15.5%

Upper

17.8%

31.9%

45.0%

18.7%

4,699

173

130

5,002

Population size (000s)

Had problems paying Percent
medical bills for
Lower
emergency care in
95% CI [
Upper
last 12 months
Sample size

412,489

38,612

62,302

513,403

6.7%

12.8%

25.3%

7.6%

5.6%

7.4%

15.5%

6.5%

7.8%

21.3%

38.5%

8.9%

4,699

173

130

5,002

Population size (000s)

510,244

27,310

32,522

570,075

Sample size

Had problems paying

medical bills for ongoing care for chronic
condition/long-term
health problem in last
12 months

Percent
95% CI [

8.2%

9.1%

13.2%

8.5%

Lower

7.1%

5.0%

6.5%

7.4%

Upper

9.5%

15.8%

25.1%

9.7%

Sample size
Population size (000s)

Had problems paying

Percent
medical bills for
medical test/surgical
Lower
procedure in last 12 95% CI [
Upper
months
Sample size

4,699

173

130

5,002

545,592

30,644

47,238

623,474

8.8%

10.2%

19.2%

9.2%

7.6%

5.7%

10.7%

8.0%

10.2%

17.4%

32.1%

10.6%

4,699

173

130

5,002

Population size (000s)

Had problems paying Percent
medical bills for
Lower
dental care in last 12 95% CI [
Upper
months
Sample size

426,888

12,292

10,844

450,024

6.9%

4.1%

4.4%

6.7%

5.8%

1.8%

1.8%

5.7%

8.1%

8.8%

10.2%

7.8%

4,699

173

130

5,002

Population size (000s)

Had problems paying Percent
medical bills for
Lower
prescription drugs in 95% CI [
Upper
last 12 months
Sample size

427,349

26,815

22,280

476,444

6.9%

8.9%

9.1%

7.1%

5.8%

4.6%

3.7%

6.0%

8.1%

16.4%

20.4%

8.3%

Population size (000s)

Had problems paying Percent
medical bills for birth
Lower
of a child in last 12
95% CI [
Upper
months
Sample size
Population size (000s)
Had problems paying Percent
for medical bills for
Lower
something else in the 95% CI [
Upper
last 12 months
Sample size

4,699

173

130

5,002

39,481

651

40,132

0.6%

0.2%

0.0%

0.6%

0.3%

0.0%

0.0%

0.3%

1.2%

1.5%

0.0%

1.1%

4,699

173

130

5,002

66,821

3,065

1,041

70,928

1.1%

1.0%

0.4%

1.1%

0.7%

0.2%

0.1%

0.7%

1.6%

4.8%

3.0%

1.5%

4,699

173

130

5,002

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

79

Table D.3-1: Health Care Affordability in Massachusetts in 2015, Overall and by Age

Children (0
to 18)
237,956

Non-elderly
Adults (19
to 64)
633,596

Elderly
Adults (65
and older)
86,874

Total
Population
958,427

16.1%

14.8%

8.7%

14.2%

Lower

12.6%

13.1%

6.8%

12.8%

Upper

20.5%

16.8%

11.0%

15.8%

621

3,057

1,324

5,002

131,484

342,823

33,631

507,938

8.9%

8.0%

3.4%

7.5%

Lower

6.3%

6.7%

2.3%

6.5%

Upper

12.6%

9.5%

4.8%

8.7%

621

3,057

1,324

5,002

6,151

16,184

4,874

27,209

0.4%

0.4%

0.5%

0.4%

Lower

0.1%

0.2%

0.2%

0.2%

Upper

2.9%

0.8%

1.5%

0.8%

621

3,057

1,324

5,002

173,090

432,301

39,810

645,201

11.7%

10.1%

4.0%

9.6%

Lower

8.6%

8.7%

2.8%

8.4%

Upper

15.9%

11.8%

5.6%

10.9%

621

3,057

1,324

5,002

Outcome
Population size (000s)
Cut back on savings Percent
or took money out of
95% CI [
savings account
Sample size
Population size (000s)
Borrowed money or
took on credit card
debt

Percent
95% CI [
Sample size
Population size (000s)
Percent

Declared bankruptcy

95% CI [
Sample size

Population size (000s)

Contacted by
collection agency
about debt for
medical bills

Percent
95% CI [
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

80

Table D.3-2: Health Care Affordability in Massachusetts in 2015, Overall and

by Gender

Male
414,658

Female
543,768

Total
Population
958,427

12.8%

15.6%

14.2%

Lower

10.8%

13.6%

12.8%

Upper

15.1%

17.8%

15.8%

2,290

2,712

5,002

193,377

314,561

507,938

6.0%

9.0%

7.5%

Lower

4.6%

7.5%

6.5%

Upper

7.7%

10.8%

8.7%

2,290

2,712

5,002

13,445

13,764

27,209

0.4%

0.4%

0.4%

Lower

0.2%

0.1%

0.2%

Upper

0.9%

1.2%

0.8%

2,290

2,712

5,002

272,127

373,074

645,201

8.4%

10.7%

9.6%

Lower

6.8%

8.9%

8.4%

Upper

10.2%

12.7%

10.9%

2,290

2,712

5,002

Outcome
Population size (000s)
Cut back on savings Percent
or took money out of
95% CI [
savings account
Sample size
Population size (000s)
Borrowed money or
took on credit card
debt

Percent
95% CI [
Sample size
Population size (000s)
Percent

Declared bankruptcy

95% CI [
Sample size

Population size (000s)

Contacted by
collection agency
about debt for
medical bills

Percent
95% CI [
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

81

Table D.3-3: Health Care Affordability in Massachusetts in 2015, Overall and by Race/Ethnicity

Outcome
Population size (000s)
Cut back on savings Percent
or took money out of
95% CI [
savings account

Total
Population
958,427

15.2%

12.8%

13.9%

14.2%

9.9%

8.5%

10.2%

12.8%

Upper

16.1%

22.5%

18.8%

18.6%

15.8%

Percent

3,917

291

270

524

5,002

394,015

37,091

21,470

55,362

507,938

7.6%

8.1%

6.1%

7.1%

7.5%

Lower

6.4%

4.6%

3.6%

4.5%

6.5%

Upper

9.1%

14.0%

10.1%

11.1%

8.7%

Sample size

3,917

291

270

524

5,002

Population size (000s)

5,572

2,569

363

18,705

27,209

0.1%

0.6%

0.1%

2.4%

0.4%

0.0%

0.1%

0.0%

1.0%

0.2%

95% CI [

Lower
Upper

0.2%

3.2%

0.7%

5.7%

0.8%

3,917

291

270

524

5,002

490,623

51,429

28,803

74,345

645,201

9.5%

11.2%

8.2%

9.5%

9.6%

Lower

8.1%

7.5%

4.8%

6.8%

8.4%

Upper

11.2%

16.5%

13.4%

13.1%

10.9%

3,917

291

270

524

5,002

Sample size
Population size (000s)
Contacted by
collection agency
about debt for
medical bills

Hispanic
108,589

12.6%

Percent
Declared bankruptcy

Other/Multiple
Race, nonHispanic
45,218

14.3%

Population size (000s)

95% CI [

Black, nonHispanic
69,515

Lower

Sample size
Borrowed money or
took on credit card
debt

White, nonHispanic
735,104

Percent
95% CI [
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

82

Table D.3-4: Health Care Affordability in Massachusetts in 2015, Overall and by

Health/Disability Status

Outcome
Population size (000s)
Cut back on savings Percent
or took money out of
95% CI [
savings account

25.0%

14.2%

Lower

9.8%

14.8%

20.2%

12.8%

Upper

13.2%

21.9%

30.4%

15.8%

3,263

1,111

628

5,002

269,534

143,763

94,641

507,938

Percent

5.8%

10.4%

13.0%

7.5%

Lower

4.7%

7.8%

9.7%

6.5%

Upper

7.2%

13.7%

17.3%

8.7%

3,263

1,111

628

5,002

15,565

5,847

5,797

27,209

0.3%

0.4%

0.8%

0.4%

Lower

0.1%

0.1%

0.3%

0.2%

Upper

0.9%

1.3%

2.2%

0.8%

3,263

1,111

628

5,002

358,509

165,196

121,496

645,201

7.7%

11.9%

16.7%

9.6%

Lower

6.4%

9.3%

12.8%

8.4%

Upper

9.4%

15.2%

21.4%

10.9%

3,263

1,111

628

5,002

Sample size
Population size (000s)
Percent
Declared bankruptcy

95% CI [
Sample size

Population size (000s)

Contacted by
collection agency
about debt for
medical bills

Percent
95% CI [
Sample size

Total
Population
958,427

18.1%

Population size (000s)

95% CI [

Fair or Poor
Health and
an Activity
Limitation
181,995

11.4%

Sample size
Borrowed money or
took on credit card
debt

Good, Very
Good, or
Excellent
Fair or Poor
Health and Health or an
No Activity
Activity
Limitation Limitation
525,825
250,607

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

83

Table D.3-5: Health Care Affordability in Massachusetts in 2015, Overall and by Family
Income Group
Family
Family
Family
Income
Income
Family
Income At
Between
Between
Income At
or Below
138 and
300 and
or Above
138% of the 299% of the 399% of the 400% of the
Federal
Federal
Federal
Federal
Poverty
Poverty
Poverty
Poverty
Total
Outcome
Level
Level
Level
Level
Population
Population size (000s)
223,990
357,808
130,648
245,981
958,427
Cut back on savings Percent
or took money out of
95% CI [
savings account

12.8%

21.4%

18.2%

9.4%

14.2%

Lower

10.3%

17.9%

13.9%

7.7%

12.8%

Upper

15.9%

25.5%

23.5%

11.4%

15.8%

1,140

1,154

552

2,156

5,002

131,066

175,251

72,581

129,040

507,938

7.5%

10.5%

10.1%

4.9%

7.5%

Lower

5.5%

7.9%

7.2%

3.8%

6.5%

Upper

10.2%

13.8%

14.2%

6.5%

8.7%

1,140

1,154

552

2,156

5,002

10,917

15,179

363

749

27,209

0.6%

0.9%

0.1%

0.0%

0.4%

0.2%

0.4%

0.0%

0.0%

0.2%

Sample size
Population size (000s)
Borrowed money or
took on credit card
debt

Percent
95% CI [
Sample size
Population size (000s)
Percent

Declared bankruptcy

95% CI [

Lower
Upper

1.6%

2.3%

0.4%

0.1%

0.8%

1,140

1,154

552

2,156

5,002

203,875

220,928

82,644

137,755

645,201

11.7%

13.2%

11.5%

5.3%

9.6%

Lower

9.1%

10.5%

8.0%

4.0%

8.4%

Upper

14.8%

16.6%

16.3%

6.9%

10.9%

1,140

1,154

552

2,156

5,002

Sample size
Population size (000s)
Contacted by
collection agency
about debt for
medical bills

Percent
95% CI [
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

84

Table D.3-6: Health Care Affordability in Massachusetts in 2015, Overall and by Region

Outcome
Population size (000s)
Cut back on savings Percent
or took money out of
95% CI [
savings account

11.7%

11.4%

18.5%

9.8%

10.5%

14.2%

10.8%

7.9%

8.8%

14.0%

6.2%

7.0%

12.8%

Upper

23.2%

21.9%

17.6%

16.9%

14.6%

24.1%

15.1%

15.4%

15.8%

798

666

903

393

1,047

537

310

348

5,002

73,650

78,516

113,588

39,868

90,290

82,139

14,836

15,050

507,938

8.9%

10.3%

7.9%

5.9%

5.6%

9.9%

4.3%

6.1%

7.5%

Lower

6.4%

7.0%

5.6%

3.4%

3.8%

6.5%

2.1%

3.4%

6.5%

Upper

12.4%

14.9%

10.8%

10.2%

8.1%

14.7%

8.8%

10.6%

8.7%

798

666

903

393

1,047

537

310

348

5,002

1,772

5,223

300

270

5,470

10,080

2,933

1,159

27,209

0.2%

0.7%

0.0%

0.0%

0.3%

1.2%

0.8%

0.5%

0.4%

Lower

0.0%

0.1%

0.0%

0.0%

0.1%

0.3%

0.2%

0.1%

0.2%

Upper

1.5%

3.3%

0.1%

0.3%

1.2%

4.3%

4.0%

1.5%

0.8%

798

666

903

393

1,047

537

310

348

5,002

99,893

102,354

137,797

33,332

122,975

103,120

28,520

17,210

645,201

12.1%

13.4%

9.5%

4.9%

7.6%

12.4%

8.3%

7.0%

9.6%

Lower

8.6%

9.6%

6.9%

2.9%

5.5%

9.1%

5.0%

4.0%

8.4%

Upper

16.8%

18.4%

13.0%

8.2%

10.4%

16.7%

13.3%

11.8%

10.9%

798

666

903

393

1,047

537

310

348

5,002

Sample size
Population size (000s)
Percent

Sample size

Total
Population
958,427

13.8%

Percent

95% CI [

Cape and
Islands
25,970

13.4%

Population size (000s)

Contacted by
collection agency
about debt for
medical bills

Metro South Southcoast

153,375
33,821

17.2%

Percent

95% CI [

Metro
Boston
183,493

14.2%

Sample size

Declared bankruptcy

Metro West
79,011

18.3%

Population size (000s)

95% CI [

Northeast
MA
200,306

Lower

Sample size
Borrowed money or
took on credit card
debt

Western MA Central MA
150,689
131,761

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

85

Table D.3-7: Health Care Access and Use in Massachusetts in 2015, Overall and by
Insurance Status
Always
Ever
Insured
Uninsured Uninsured
Over the
Over the at the Time
Past 12
Past 12
of the
Total
Outcome
Months
Months
Survey
Population
Population size (000s)
874,467
30,197
53,763
958,427
Cut back on savings Percent
or took money out of
95% CI [
savings account

14.1%

10.0%

21.9%

14.2%

Lower

12.6%

5.7%

13.5%

12.8%

Upper

15.7%

17.1%

33.3%

15.8%

4,699

173

130

5,002

474,686

10,358

22,894

507,938

7.7%

3.4%

9.3%

7.5%

Lower

6.6%

1.6%

3.8%

6.5%

Upper

8.9%

7.0%

21.1%

8.7%

4,699

173

130

5,002

20,613

633

5,963

27,209

0.3%

0.2%

2.4%

0.4%

Lower

0.1%

0.1%

0.7%

0.2%

Upper

0.7%

0.9%

7.8%

0.8%

4,699

173

130

5,002

548,367

34,824

62,010

645,201

8.8%

11.5%

25.2%

9.6%

Lower

7.7%

6.5%

15.4%

8.4%

Upper

10.2%

19.7%

38.4%

10.9%

4,699

173

130

5,002

Sample size
Population size (000s)
Borrowed money or
took on credit card
debt

Percent
95% CI [
Sample size
Population size (000s)
Percent

Declared bankruptcy

95% CI [
Sample size

Population size (000s)

Contacted by
collection agency
about debt for
medical bills

Percent
95% CI [
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

86

Table D.4-1: Health Care Affordability in Massachusetts in 2015, Overall and by Age

Children (0
to 18)
297,632

Non-elderly
Adults (19
to 64)
733,236

Elderly
Adults (65
and older)
97,319

Total
Population
1,128,187

20.2%

17.2%

9.7%

16.7%

Lower

16.3%

15.4%

7.7%

15.2%

Upper

24.8%

19.1%

12.2%

18.3%

621

3,057

1,324

5,002

139,914

388,283

60,780

588,977

9.5%

9.1%

6.1%

8.7%

Outcome
Population size (000s)
Have medical bills
that are being paid
off over time

Percent
95% CI [
Sample size
Population size (000s)

Have medical bills

that are being paid
off over time of less
than $2000

Percent
95% CI [

Lower

6.9%

7.8%

4.5%

7.7%

Upper

12.9%

10.6%

8.2%

9.9%

621

3,057

1,324

5,002

137,582

265,660

22,405

425,647

9.3%

6.2%

2.2%

6.3%

Lower

6.5%

5.1%

1.4%

5.3%

Upper

13.2%

7.5%

3.4%

7.4%

621

3,057

1,324

5,002

18,337

64,670

12,738

95,746

1.2%

1.5%

1.3%

1.4%

Lower

0.5%

1.0%

0.7%

1.0%

Upper

3.0%

2.2%

2.3%

1.9%

Sample size
Population size (000s)
Have medical bills
that are being paid
off over time of
$2000 to $8000

Percent
95% CI [
Sample size
Population size (000s)

Have medical bills

that are being paid
off over time of
$8000 or more

Percent
95% CI [
Sample size
Population size (000s)

Have medical bills

Percent
that are being paid
Lower
off over time from the 95% CI [
Upper
last year
Sample size
Population size (000s)
Have medical bills
Percent
that are being paid
Lower
off over time from
95% CI [
Upper
one to five years ago
Sample size
Population size (000s)

Have medical bills

Percent
that are being paid
off over time from
Lower
more than five years 95% CI [
Upper
ago
Sample size

Population size (000s)

Have had problems
paying mortgage,
rent or utility bills in
the past 12 months

Percent
95% CI [
Sample size

621

3,057

1,324

5,002

142,623

381,655

42,766

567,043

9.7%

8.9%

4.3%

8.4%

7.1%

7.6%

3.0%

7.3%

13.1%

10.5%

6.0%

9.6%

621

3,057

1,324

5,002

142,332

288,286

41,279

471,897

9.7%

6.7%

4.1%

7.0%

6.8%

5.7%

2.9%

6.0%

13.5%

8.0%

5.9%

8.1%

621

3,057

1,324

5,002

10,879

48,671

11,879

71,429

0.7%

1.1%

1.2%

1.1%

0.3%

0.7%

0.6%

0.7%

2.0%

1.8%

2.2%

1.5%

115

557

114

786

142,630

347,978

16,029

506,638

9.7%

8.1%

1.6%

7.5%

Lower

6.8%

6.9%

0.9%

6.4%

Upper

13.6%

9.6%

2.8%

8.7%

621

3,057

1,324

5,002

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

87

Table D.4-2: Health Care Affordability in Massachusetts in 2015, Overall and by

Gender

Male
494,081

Female
634,106

Total
Population
1,128,187

15.2%

18.1%

16.7%

Lower

13.1%

16.1%

15.2%

Upper

17.5%

20.4%

18.3%

2,290

2,712

5,002

241,215

347,762

588,977

7.4%

9.9%

8.7%

Outcome
Population size (000s)
Have medical bills
that are being paid
off over time

Percent
95% CI [
Sample size
Population size (000s)

Have medical bills

that are being paid
off over time of less
than $2000

Percent
95% CI [

Lower

6.0%

8.4%

7.7%

Upper

9.1%

11.8%

9.9%

2,290

2,712

5,002

208,592

217,055

425,647

6.4%

6.2%

6.3%

Lower

5.0%

5.0%

5.3%

Upper

8.3%

7.7%

7.4%

2,290

2,712

5,002

33,116

62,630

95,746

1.0%

1.8%

1.4%

Lower

0.7%

1.2%

1.0%

Upper

1.5%

2.7%

1.9%

Sample size
Population size (000s)
Have medical bills
that are being paid
off over time of
$2000 to $8000

Percent
95% CI [
Sample size
Population size (000s)

Have medical bills

that are being paid
off over time of
$8000 or more

Percent
95% CI [
Sample size
Population size (000s)

Have medical bills

Percent
that are being paid
Lower
off over time from the 95% CI [
Upper
last year
Sample size
Population size (000s)
Have medical bills
Percent
that are being paid
Lower
off over time from
95% CI [
Upper
one to five years ago
Sample size
Population size (000s)

Have medical bills

Percent
that are being paid
off over time from
Lower
more than five years 95% CI [
Upper
ago
Sample size

Population size (000s)

Have had problems
paying mortgage,
rent or utility bills in
the past 12 months

Percent
95% CI [
Sample size

2,290

2,712

5,002

226,094

340,950

567,043

7.0%

9.8%

8.4%

5.6%

8.2%

7.3%

8.7%

11.6%

9.6%

2,290

2,712

5,002

227,620

244,277

471,897

7.0%

7.0%

7.0%

5.6%

5.7%

6.0%

8.8%

8.6%

8.1%

2,290

2,712

5,002

29,209

42,219

71,429

0.9%

1.2%

1.1%

0.5%

0.8%

0.7%

1.7%

1.8%

1.5%

2,290

2,712

5,002

208,512

298,125

506,638

6.4%

8.5%

7.5%

Lower

5.0%

7.0%

6.4%

Upper

8.2%

10.3%

8.7%

2,290

2,712

5,002

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

88

Table D.4-3: Health Care Affordability in Massachusetts in 2015, Overall and by Race/Ethnicity

Outcome
Population size (000s)
Have medical bills
that are being paid
off over time

Percent
95% CI [

14.2%

14.5%

16.7%

11.6%

9.8%

10.8%

15.2%

Upper

19.2%

22.3%

20.3%

19.3%

18.3%

291

270

524

5,002

45,879

22,860

73,621

588,977

8.7%

10.0%

6.5%

9.4%

8.7%

7.4%

6.2%

4.0%

6.4%

7.7%

Upper

10.1%

15.8%

10.4%

13.6%

9.9%

Percent
Lower
Upper

Sample size
Population size (000s)
Percent
95% CI [

3,917
446,617

Lower

Population size (000s)

Have medical bills

that are being paid
off over time of
$8000 or more

Total
Population
1,128,187

16.2%

Percent

95% CI [

Hispanic
113,631

15.5%

Sample size
Have medical bills
that are being paid
off over time of
$2000 to $8000

Other/Multiple
Race, nonHispanic
50,244

17.3%

Population size (000s)

95% CI [

Black, nonHispanic
74,376

Lower

Sample size
Have medical bills
that are being paid
off over time of less
than $2000

White, nonHispanic
889,936

Lower
Upper

3,917

291

270

524

5,002

363,985

22,551

12,394

26,717

425,647

7.1%

4.9%

3.5%

3.4%

6.3%

5.9%

3.0%

1.5%

1.9%

5.3%

8.5%

8.1%

7.9%

6.2%

7.4%

3,917

291

270

524

5,002

72,952

2,390

9,149

11,255

95,746

1.4%

0.5%

2.6%

1.4%

1.4%

1.0%

0.2%

1.1%

0.6%

1.0%

2.1%

1.5%

6.1%

3.5%

1.9%

3,917

291

270

524

5,002

Population size (000s)

Have medical bills
Percent
that are being paid
Lower
off over time from the 95% CI [
Upper
last year
Sample size

454,195

32,815

20,796

59,238

567,043

8.8%

7.2%

5.9%

7.6%

8.4%
7.3%

Sample size

7.5%

4.3%

3.4%

4.9%

10.3%

11.7%

10.0%

11.6%

9.6%

3,917

291

270

524

5,002

Population size (000s)

Have medical bills
Percent
that are being paid
Lower
off over time from
95% CI [
Upper
one to five years ago
Sample size

369,711

33,563

18,557

50,066

471,897

7.2%

7.3%

5.3%

6.4%

7.0%

6.0%

4.3%

2.9%

4.1%

6.0%

8.6%

12.2%

9.4%

9.8%

8.1%

3,917

291

270

524

5,002

Population size (000s)

Have medical bills
Percent
that are being paid
off over time from
Lower
more than five years 95% CI [
Upper
ago
Sample size

59,648

4,443

5,050

2,288

71,429

1.2%

1.0%

1.4%

0.3%

1.1%

0.8%

0.3%

0.4%

0.1%

0.7%

1.7%

2.9%

4.9%

0.9%

1.5%

3,917

291

270

524

5,002

382,300

45,902

21,480

56,956

506,638

7.4%

10.0%

6.1%

7.3%

7.5%

Lower

6.2%

6.3%

3.3%

4.6%

6.4%

Upper

8.9%

15.5%

10.8%

11.4%

8.7%

3,917

291

270

524

5,002

Population size (000s)

Have had problems
paying mortgage,
rent or utility bills in
the past 12 months

Percent
95% CI [
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

89

Table D.4-4: Health Care Affordability in Massachusetts in 2015, Overall and by

Health/Disability Status

Outcome
Population size (000s)
Have medical bills
that are being paid
off over time

Percent
95% CI [

19.3%

20.8%

16.7%

Lower

13.5%

16.1%

16.8%

15.2%

Upper

17.3%

23.1%

25.5%

18.3%

Population size (000s)

Percent
95% CI [

Lower
Upper

Sample size
Population size (000s)
Have medical bills
that are being paid
off over time of
$2000 to $8000

Percent
95% CI [

Lower
Upper

7.9%

10.6%

10.5%

8.7%

6.6%

8.4%

7.6%

7.7%

9.4%

13.4%

14.4%

9.9%

3,263

1,111

628

5,002

284,620

97,507

43,520

425,647

6.1%

7.0%

6.0%

6.3%

5.0%

4.8%

3.9%

5.3%

9.0%

7.4%

628

5,002

53,520

14,677

27,549

95,746

1.2%

1.1%

3.8%

1.4%

Lower

0.7%

0.6%

2.4%

1.0%

Upper

1.9%

1.8%

6.0%

1.9%

Population size (000s)

Have medical bills
Percent
that are being paid
Lower
off over time from the 95% CI [
Upper
last year
Sample size
Population size (000s)
Have medical bills
Percent
that are being paid
Lower
off over time from
95% CI [
Upper
one to five years ago
Sample size
Population size (000s)

Have medical bills

Percent
that are being paid
off over time from
Lower
more than five years 95% CI [
Upper
ago
Sample size

Population size (000s)

Percent

Sample size

5,002
588,977

1,111

Percent

95% CI [

628
76,774

10.2%

Sample size

Have had problems

paying mortgage,
rent or utility bills in
the past 12 months

1,111
147,169

7.5%

Population size (000s)

95% CI [

3,263
365,033

3,263

Sample size
Have medical bills
that are being paid
off over time of
$8000 or more

Fair or Poor
Health and
an Activity
Total
Limitation Population
151,604
1,128,187

15.3%

Sample size
Have medical bills
that are being paid
off over time of less
than $2000

Good, Very
Good, or
Excellent
Fair or Poor
Health and Health or an
No Activity
Activity
Limitation Limitation
708,697
267,887

3,263

1,111

628

5,002

361,103

141,551

64,389

567,043

7.8%

10.2%

8.8%

8.4%

6.5%

7.8%

6.1%

7.3%

9.3%

13.3%

12.6%

9.6%

3,263

1,111

628

5,002

306,070

106,265

59,563

471,897

6.6%

7.7%

8.2%

7.0%

5.4%

5.7%

5.9%

6.0%

8.1%

10.3%

11.3%

8.1%

3,263

1,111

628

5,002

36,000

11,537

23,892

71,429

0.8%

0.8%

3.3%

1.1%

0.4%

0.5%

1.9%

0.7%

1.4%

1.4%

5.6%

1.5%

3,263

1,111

628

5,002

297,609

126,016

83,012

506,638

6.4%

9.1%

11.4%

7.5%

Lower

5.2%

6.8%

8.4%

6.4%

Upper

7.9%

12.2%

15.2%

8.7%

3,263

1,111

628

5,002

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

90

Table D.4-5: Health Care Affordability in Massachusetts inFamily

2015, Overall
and by Family
Family
Income Group
Family
Income
Income
Family
Income At
Between
Between
Income At
or Below
138 and
300 and
or Above
138% of the 299% of the 399% of the 400% of the
Federal
Federal
Federal
Federal
Poverty
Poverty
Poverty
Poverty
Total
Outcome
Level
Level
Level
Level
Population
Population size (000s)
242,614
420,107
162,390
303,075
1,128,187
Have medical bills
that are being paid
off over time

Percent
95% CI [

13.9%

25.1%

22.7%

Lower

11.3%

21.5%

Upper

17.0%

29.2%

Sample size
Population size (000s)
Have medical bills
that are being paid
off over time of less
than $2000

Percent
95% CI [

Lower
Upper

Sample size
Population size (000s)
Have medical bills
that are being paid
off over time of
$2000 to $8000

Percent
95% CI [

Lower
Upper

18.3%

1,140

1,154

552

2,156

5,002

117,867

212,577

101,719

156,814

588,977

6.8%

12.7%

14.2%

6.0%

8.7%

5.1%

10.2%

9.9%

4.8%

7.7%

9.0%

15.8%

19.9%

7.5%

9.9%

1,140

1,154

552

2,156

5,002

83,234

170,174

49,532

122,706

425,647

4.8%

10.2%

6.9%

4.7%

6.3%

3.3%

7.6%

4.5%

3.6%

5.3%

10.5%

6.1%

7.4%

552

2,156

5,002

30,053

34,100

9,048

22,545

95,746

1.7%

2.0%

1.3%

0.9%

1.4%

Lower

0.9%

1.2%

0.6%

0.5%

1.0%

Upper

3.4%

3.4%

2.5%

1.4%

1.9%

Population size (000s)

Have medical bills
Percent
that are being paid
Lower
off over time from the 95% CI [
Upper
last year
Sample size
Population size (000s)
Have medical bills
Percent
that are being paid
Lower
off over time from
95% CI [
Upper
one to five years ago
Sample size
Population size (000s)

Have medical bills

Percent
that are being paid
off over time from
Lower
more than five years 95% CI [
Upper
ago
Sample size

1,140

1,154

552

2,156

5,002

89,930

194,401

111,066

171,647

567,043

5.2%

11.6%

15.5%

6.6%

8.4%

3.7%

9.0%

11.1%

5.3%

7.3%

7.1%

14.8%

21.3%

8.1%

9.6%

1,140

1,154

552

2,156

5,002

126,215

186,862

44,214

114,606

471,897

7.2%

11.2%

6.2%

4.4%

7.0%

5.3%

8.6%

3.9%

3.3%

6.0%

9.8%

14.4%

9.5%

5.7%

8.1%

1,140

1,154

552

2,156

5,002

15,009

35,588

5,019

15,812

71,429

0.9%

2.1%

0.7%

0.6%

1.1%

0.4%

1.2%

0.3%

0.3%

0.7%

1.7%

3.7%

1.5%

1.2%

1.5%

1,140

1,154

552

2,156

5,002

126,121

232,227

64,587

83,703

506,638

7.2%

13.9%

9.0%

3.2%

7.5%

Lower

5.3%

11.0%

6.0%

2.3%

6.4%

Upper

9.7%

17.5%

13.4%

4.5%

8.7%

1,140

1,154

552

2,156

5,002

Population size (000s)

Percent

Sample size

15.2%

13.6%

1,154

Percent

95% CI [

9.9%

28.6%

13.6%

Sample size

Have had problems

paying mortgage,
rent or utility bills in
the past 12 months

17.7%

6.9%

Population size (000s)

95% CI [

16.7%

1,140

Sample size
Have medical bills
that are being paid
off over time of
$8000 or more

11.6%

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

91

Table D.4-6: Health Care Affordability in Massachusetts in 2015, Overall and by Region

Outcome
Population size (000s)
Have medical bills
that are being paid
off over time

Percent
95% CI [

Northeast
MA
254,015

Metro West
102,394

Metro
Boston
194,165

Metro South Southcoast

171,681
47,133

Cape and
Islands
39,653

Total
Population
1,128,187

21.6%

18.4%

17.6%

15.1%

12.0%

20.7%

13.7%

16.0%

16.7%

Lower

17.3%

14.6%

14.3%

11.1%

9.4%

16.1%

9.4%

11.4%

15.2%

Upper

26.7%

23.1%

21.4%

20.3%

15.3%

26.2%

19.4%

22.1%

18.3%

798

666

903

393

1,047

537

310

348

5,002

78,305

67,203

137,292

53,877

97,757

103,320

33,880

17,342

588,977

Sample size
Population size (000s)
Have medical bills
that are being paid
off over time of less
than $2000

Western MA Central MA
178,209
140,939

Percent

9.5%

8.8%

9.5%

8.0%

6.1%

12.5%

9.8%

7.0%

8.7%

Lower

7.1%

6.1%

7.3%

5.2%

4.1%

8.6%

6.2%

4.3%

7.7%

Upper

12.7%

12.4%

12.3%

12.1%

8.8%

17.7%

15.3%

11.1%

9.9%

798

666

903

393

1,047

537

310

348

5,002

83,828

53,943

83,159

45,125

76,909

59,895

11,532

11,256

425,647

10.2%

7.1%

5.7%

6.7%

4.8%

7.2%

3.3%

4.5%

6.3%

Lower

6.7%

4.7%

3.8%

4.1%

3.2%

4.8%

1.8%

2.4%

5.3%

Upper

15.1%

10.5%

8.7%

10.7%

7.1%

10.7%

6.0%

8.4%

7.4%

798

666

903

393

1,047

537

310

348

5,002

15,321

18,527

31,929

3,391

11,809

4,344

446

9,980

95,746

1.9%

2.4%

2.2%

0.5%

0.7%

0.5%

0.1%

4.0%

1.4%

Lower

0.9%

1.3%

1.1%

0.2%

0.4%

0.2%

0.0%

1.8%

1.0%

Upper

3.7%

4.5%

4.5%

1.4%

1.3%

1.2%

0.9%

8.8%

1.9%

798

666

903

393

1,047

537

310

348

5,002

Population size (000s)

Have medical bills
Percent
that are being paid
Lower
off over time from the 95% CI [
Upper
last year
Sample size

80,896

74,277

113,590

63,084

105,396

83,647

32,351

13,803

567,043

9.8%

9.7%

7.9%

9.3%

6.5%

10.1%

9.4%

5.6%

8.4%

7.0%

7.0%

5.7%

6.3%

4.5%

6.7%

5.8%

3.1%

7.3%

13.7%

13.4%

10.6%

13.5%

9.4%

14.8%

14.7%

9.8%

9.6%

798

666

903

393

1,047

537

310

348

5,002

Population size (000s)

Have medical bills
Percent
that are being paid
Lower
off over time from
95% CI [
Upper
one to five years ago
Sample size

87,231

52,899

124,534

31,842

72,511

67,377

12,601

22,902

471,897

10.6%

6.9%

8.6%

4.7%

4.5%

8.1%

3.7%

9.3%

7.0%

7.3%

4.5%

6.2%

2.6%

3.0%

5.5%

2.0%

5.8%

6.0%

15.1%

10.4%

11.8%

8.5%

6.6%

11.9%

6.7%

14.4%

8.1%

798

666

903

393

1,047

537

310

348

5,002

Population size (000s)

Have medical bills
Percent
that are being paid
off over time from
Lower
more than five years 95% CI [
Upper
ago
Sample size

9,327

12,496

14,255

7,468

8,569

16,534

905

1,873

71,429

1.1%

1.6%

1.0%

1.1%

0.5%

2.0%

0.3%

0.8%

1.1%

0.6%

0.7%

0.5%

0.3%

0.3%

0.7%

0.1%

0.3%

0.7%

2.1%

3.8%

1.9%

3.9%

1.0%

5.4%

1.1%

2.2%

1.5%

798

666

903

393

1,047

537

310

348

5,002

92,121

63,867

111,955

35,144

85,220

86,633

13,171

18,526

506,638

11.2%

8.4%

7.7%

5.2%

5.3%

10.4%

3.8%

7.5%

7.5%

Lower

7.7%

5.6%

5.5%

3.0%

3.6%

6.9%

2.1%

4.2%

6.4%

Upper

15.9%

12.2%

10.7%

9.0%

7.6%

15.5%

7.0%

12.9%

8.7%

798

666

903

393

1,047

537

310

348

5,002

95% CI [
Sample size

Population size (000s)

Have medical bills
that are being paid
off over time of
$2000 to $8000

Percent
95% CI [
Sample size
Population size (000s)

Have medical bills

that are being paid
off over time of
$8000 or more

Percent
95% CI [
Sample size

Population size (000s)

Have had problems
paying mortgage,
rent or utility bills in
the past 12 months

Percent
95% CI [
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

92

Table D.4-7: Health Care Access and Use in Massachusetts in 2015, Overall and by
Insurance Status
Always
Ever
Insured
Uninsured Uninsured
Over the
Over the at the Time
Past 12
Past 12
of the
Total
Outcome
Months
Months
Survey
Population
Population size (000s)
1,024,244
43,041
60,902
1,128,187
Have medical bills
that are being paid
off over time

Percent
95% CI [

16.5%
15.0%

9.0%

16.2%

15.2%

18.2%

21.8%

36.0%

18.3%

4,699

173

130

5,002

527,552

24,972

36,453

588,977

8.5%

8.3%

14.8%

8.7%

7.4%

4.5%

8.2%

7.7%

Percent
Lower
Upper

Sample size
Population size (000s)
Have medical bills
that are being paid
off over time of
$2000 to $8000

Percent
95% CI [

9.9%

130

5,002

394,503

9,416

21,728

425,647

3.1%

8.8%

6.3%

1.3%

4.3%

5.3%

Upper

7.6%

7.2%

17.3%

7.4%

4,699

173

130

5,002

91,002

3,299

1,446

95,746

1.5%

1.1%

0.6%

1.4%

Lower

1.1%

0.3%

0.1%

1.0%

Upper

2.0%

4.4%

2.4%

1.9%

4,699

173

130

5,002

508,708

25,228

33,107

567,043

8.2%

8.4%

13.5%

8.4%

7.1%

4.6%

7.8%

7.3%

Percent

Population size (000s)

Percent
95% CI [

25.4%

173

5.3%

Sample size
Have medical bills
that are being paid
off over time from
last year

14.8%

6.4%

Population size (000s)

95% CI [

9.8%
4,699

Lower

Sample size
Have medical bills
that are being paid
off over time of
$8000 or more

16.7%

Upper

Population size (000s)

95% CI [

24.8%

Lower

Sample size
Have medical bills
that are being paid
off over time of less
than $2000

14.3%

Lower
Upper

Sample size
Population size (000s)
Have medical bills
Percent
that are being paid
Lower
off over time from
95% CI [
Upper
one to five years ago
Sample size
Population size (000s)

Have medical bills

Percent
that are being paid
off over time from
Lower
more than five years 95% CI [
Upper
ago
Sample size

Population size (000s)

Have had problems
Percent
paying mortgage,
Lower
rent, or utility bills in 95% CI [
Upper
the past 12 months
Source: 2015
Sample size
Massachusetts Health
Insurance Survey

9.5%

14.7%

22.3%

9.6%

4,699

173

130

5,002

441,616

11,197

19,084

471,897

7.1%

3.7%

7.8%

7.0%

6.1%

1.5%

3.6%

6.0%

8.3%

8.6%

15.9%

8.1%

4,699

173

130

5,002

62,732

1,261

7,436

71,429

1.0%

0.4%

3.0%

1.1%

0.7%

0.1%

0.4%

0.7%

1.4%

2.9%

18.3%

1.5%

4,699

173

130

5,002

449,883
7.3%

18,837
6.2%

37,917
15.4%

506,638
7.5%

6.2%

3.1%

8.3%

6.4%

8.5%

12.2%

26.9%

8.7%

4,699

173

130

5,002

Notes: CI is confidence interval.

93

Table D.5-1: Strategies Used to Lower Health Care Spending in Massachusetts in 2015,
Overall and by Age

Children (0
to 18)
66,233

Non-elderly
Adults (19
to 64)
259,723

Elderly
Adults (65
and older)
21,809

Total
Population
347,765

4.5%

6.1%

2.2%

5.2%

Lower

2.9%

5.0%

1.4%

4.3%

Upper

7.0%

7.4%

3.4%

6.1%

621

3,057

1,324

5,002

174,788

671,380

51,952

898,121

11.9%

15.7%

5.2%

13.3%

Lower

8.7%

13.9%

3.8%

11.9%

Upper

15.9%

17.7%

7.1%

14.8%

621

3,057

1,324

5,002

158,825

475,221

52,569

686,615

10.8%

11.1%

5.3%

10.2%

7.9%

9.6%

4.0%

9.0%

14.5%

12.9%

6.9%

11.5%

621

3,057

1,324

5,002

72,527

316,391

20,812

409,729

4.9%

7.4%

2.1%

6.1%

Lower

2.9%

6.1%

1.4%

5.1%

Upper

8.2%

9.0%

3.2%

7.2%

621

3,057

1,324

5,002

466,006

1,415,643

223,734

2,105,383

31.6%

33.1%

22.4%

31.2%

Lower

27.0%

30.8%

19.4%

29.3%

Upper

36.6%

35.6%

25.7%

33.1%

621

3,057

1,324

5,002

Outcome
Population size (000s)
Someone in family
changed to a lower
cost doctor or other
health care provider

Percent
95% CI [
Sample size
Population size (000s)

Percent
Someone in family
went without needed
95% CI [
health care
Sample size

Population size (000s)

Someone in family
Percent
switched to a lower
Lower
cost health insurance 95% CI [
Upper
plan
Sample size
Population size (000s)
Someone in family
went without health
insurance

Percent
95% CI [
Sample size
Population size (000s)

Percent
Someone in family
tried to stay healthier 95% CI [
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

94

Table D.5-2: Strategies Used to Lower Health Care Spending in

Massachusetts in 2015, Overall and by Gender

Male
147,073

Female
200,691

Total
Population
347,765

4.5%

5.7%

5.2%

Lower

3.4%

4.6%

4.3%

Upper

5.9%

7.2%

6.1%

2,290

2,712

5,002

423,088

475,033

898,121

13.0%

13.6%

13.3%

Lower

10.9%

11.8%

11.9%

Upper

15.4%

15.6%

14.8%

2,290

2,712

5,002

324,789

361,826

686,615

10.0%

10.3%

10.2%

8.2%

8.7%

9.0%

12.1%

12.2%

11.5%

2,290

2,712

5,002

200,928

208,801

409,729

6.2%

6.0%

6.1%

Lower

4.7%

4.7%

5.1%

Upper

8.1%

7.5%

7.2%

2,290

2,712

5,002

997,834

1,107,549

2,105,383

30.7%

31.7%

31.2%

Lower

28.0%

29.2%

29.3%

Upper

33.6%

34.3%

33.1%

2,290

2,712

5,002

Outcome
Population size (000s)
Someone in family
changed to a lower
cost doctor or other
health care provider

Percent
95% CI [
Sample size
Population size (000s)

Percent
Someone in family
went without needed
95% CI [
health care
Sample size

Population size (000s)

Someone in family
Percent
switched to a lower
Lower
cost health insurance 95% CI [
Upper
plan
Sample size
Population size (000s)
Someone in family
went without health
insurance

Percent
95% CI [
Sample size
Population size (000s)

Percent
Someone in family
tried to stay healthier 95% CI [
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

95

Table D.5-3: Strategies Used to Lower Health Care Spending in Massachusetts in 2015, Overall
and by Race/Ethnicity

Outcome
Population size (000s)
Someone in family
changed to a lower
cost doctor or other
health care provider

Percent
95% CI [

7.6%

5.1%

5.2%

4.1%

4.2%

3.1%

4.3%

Upper

5.9%

13.0%

13.5%

8.1%

6.1%

3,917

291

270

524

5,002

719,357

48,143

59,886

70,735

898,121

14.0%

10.5%

17.0%

9.1%

13.3%

Lower

12.3%

6.8%

10.8%

6.2%

11.9%

Upper

15.8%

15.8%

25.5%

13.0%

14.8%

Someone in family
Percent
switched to a lower
Lower
cost health insurance 95% CI [
Upper
plan
Sample size
Population size (000s)
Percent
Lower
Upper

3,917

291

270

524

5,002

517,451

56,054

34,981

78,128

686,615

10.0%

12.2%

9.9%

10.0%

10.2%

8.7%

7.8%

5.8%

6.7%

9.0%

11.6%

18.8%

16.4%

14.7%

11.5%

3,917

291

270

524

5,002

308,007

28,028

18,853

54,841

409,729

6.0%

6.1%

5.3%

7.0%

6.1%

4.8%

3.6%

2.3%

4.4%

5.1%

7.4%

10.3%

11.8%

11.0%

7.2%

3,917

291

270

524

5,002

1,632,095

150,787

122,618

199,883

2,105,383

31.7%

32.9%

34.7%

25.6%

31.2%

Lower

29.5%

25.9%

27.0%

20.7%

29.3%

Upper

33.9%

40.8%

43.3%

31.2%

33.1%

3,917

291

270

524

5,002

Sample size
Population size (000s)
Percent

Sample size

Total
Population
347,765

7.4%

Population size (000s)

Someone in family
tried to stay healthier 95% CI [

Hispanic
39,456

3.9%

Sample size

95% CI [

Other/Multiple
Race, nonHispanic
26,923

4.8%

Population size (000s)

Someone in family
went without health
insurance

Black, nonHispanic
33,946

Lower

Sample size
Percent
Someone in family
went without needed
95% CI [
health care

White, nonHispanic
247,440

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

96

Table D.5-4: Strategies Used to Lower Health Care Spending in Massachusetts in 2015,
Overall and by Health/Disability Status

Outcome
Population size (000s)
Someone in family
changed to a lower
cost doctor or other
health care provider

Good, Very
Good, or
Excellent
Fair or Poor
Health and Health or an
No Activity
Activity
Limitation Limitation
182,091
115,309

Percent
95% CI [

8.3%

6.9%

5.2%

Lower

3.1%

6.1%

4.8%

4.3%

Upper

5.0%

11.3%

9.8%

6.1%

3,263

1,111

628

5,002

479,853

256,326

161,942

898,121

Population size (000s)

10.4%

18.5%

22.2%

13.3%

Lower

8.8%

15.3%

17.8%

11.9%

Upper

12.2%

22.2%

27.4%

14.8%

3,263

1,111

628

5,002

479,942

143,920

62,753

686,615

10.4%

10.4%

8.6%

10.2%

8.8%

8.0%

6.2%

9.0%

12.1%

13.4%

11.9%

11.5%

3,263

1,111

628

5,002

239,156

122,716

47,857

409,729

5.2%

8.9%

6.6%

6.1%

Lower

4.0%

6.5%

4.5%

5.1%

Upper

6.6%

11.9%

9.5%

7.2%

3,263

1,111

628

5,002

1,365,588

509,008

230,786

2,105,383

29.5%

36.8%

31.7%

31.2%

Lower

27.2%

32.7%

26.9%

29.3%

Upper

31.9%

41.0%

36.9%

33.1%

3,263

1,111

628

5,002

Sample size
Population size (000s)
Someone in family
Percent
switched to a lower
Lower
cost health insurance 95% CI [
Upper
plan
Sample size
Population size (000s)
Someone in family
went without health
insurance

Percent
95% CI [
Sample size
Population size (000s)

Percent
Someone in family
tried to stay healthier 95% CI [

Total
Population
347,765

3.9%

Sample size
Percent
Someone in family
went without needed
95% CI [
health care

Fair or Poor
Health and
an Activity
Limitation
50,365

Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

97

Table D.5-5: Strategies Used to Lower Health Care Spending in Massachusetts in 2015,
Family
Family
Overall and by Family Income Groups
Family
Income
Income
Family
Income At
Between
Between
Income At
or Below
138 and
300 and
or Above
138% of the 299% of the 399% of the 400% of the
Federal
Federal
Federal
Federal
Poverty
Poverty
Poverty
Poverty
Total
Outcome
Level
Level
Level
Level
Population
Population size (000s)
74,280
127,750
46,874
98,861
347,765
Someone in family
Percent
4.3%
7.6%
6.5%
3.8%
5.2%
changed to a lower
Lower
2.9%
5.8%
4.1%
2.7%
4.3%
cost doctor or other 95% CI [
Upper
6.2%
10.0%
10.3%
5.3%
6.1%
health care provider
Sample size

1,140

1,154

552

2,156

5,002

266,700

290,319

113,479

227,623

898,121

15.3%

17.4%

15.8%

8.7%

13.3%

Lower

12.4%

14.2%

12.0%

7.0%

11.9%

Upper

18.8%

21.1%

20.6%

10.7%

14.8%

1,140

1,154

552

2,156

5,002

Population size (000s)

Someone in family
Percent
switched to a lower
Lower
cost health insurance 95% CI [
Upper
plan
Sample size

111,385

241,769

93,869

239,592

686,615

6.4%

14.5%

13.1%

9.2%

10.2%

4.5%

11.6%

9.4%

7.5%

9.0%

9.0%

18.0%

18.0%

11.1%

11.5%

1,140

1,154

552

2,156

5,002

Population size (000s)

129,782

168,288

44,640

67,020

409,729

7.4%

10.1%

6.2%

2.6%

6.1%

Population size (000s)

Percent

Someone in family
went without needed
95% CI [
health care
Sample size

Someone in family
went without health
insurance

Percent
95% CI [

Lower

5.4%

7.5%

4.0%

1.7%

5.1%

Upper

10.2%

13.3%

9.5%

4.0%

7.2%

1,140

1,154

552

2,156

5,002

485,563

594,728

287,672

737,420

2,105,383

27.8%

35.6%

40.2%

28.2%

31.2%

Lower

24.2%

31.5%

34.3%

25.6%

29.3%

Upper

31.8%

39.9%

46.2%

31.0%

33.1%

1,140

1,154

552

2,156

5,002

Sample size
Population size (000s)
Percent

Someone in family
tried to stay healthier 95% CI [
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

98

Table D.5-6: Strategies Used to Lower Health Care Spending in Massachusetts in 2015,
Overall and by Region

Outcome
Population size (000s)
Someone in family
changed to a lower
cost doctor or other
health care provider

Percent
95% CI [

Cape and
Islands
5,521

Total
Population
347,765

4.6%

3.8%

4.7%

5.5%

4.0%

2.2%

5.2%

3.9%

3.0%

2.1%

3.2%

3.4%

2.2%

0.9%

4.3%

Upper

12.5%

9.4%

6.8%

7.0%

6.9%

8.5%

7.2%

5.3%

6.1%

798

666

903

393

1,047

537

310

348

5,002

158,200

134,159

187,931

64,125

159,140

125,135

34,331

35,099

898,121

19.2%

17.6%

13.0%

9.5%

9.9%

15.1%

9.9%

14.2%

13.3%

Lower

15.0%

13.3%

10.0%

6.0%

7.6%

11.1%

6.1%

9.2%

11.9%

Upper

24.2%

22.8%

16.7%

14.6%

12.7%

20.2%

15.9%

21.3%

14.8%

798

666

903

393

1,047

537

310

348

5,002

111,291

54,770

175,989

54,245

144,788

92,906

30,754

21,872

686,615

13.5%

7.2%

12.2%

8.0%

9.0%

11.2%

8.9%

8.8%

10.2%

10.1%

5.2%

9.4%

5.2%

6.5%

7.7%

5.3%

5.1%

9.0%

17.9%

9.9%

15.6%

12.1%

12.3%

16.0%

14.5%

14.9%

11.5%

Someone in family
Percent
switched to a lower
Lower
cost health insurance 95% CI [
Upper
plan
Sample size
Population size (000s)
Percent

798

666

903

393

1,047

537

310

348

5,002

74,647

54,774

86,502

29,391

70,618

61,379

12,980

19,438

409,729

9.1%

7.2%

6.0%

4.3%

4.4%

7.4%

3.8%

7.9%

6.1%

Lower

6.1%

4.5%

3.8%

2.4%

2.8%

4.7%

1.9%

4.5%

5.1%

Upper

13.2%

11.3%

9.4%

7.9%

6.7%

11.5%

7.4%

13.5%

7.2%

798

666

903

393

1,047

537

310

348

5,002

345,680

261,331

441,895

206,730

398,964

267,331

106,490

76,962

2,105,383

42.0%

34.2%

30.5%

30.6%

24.7%

32.2%

30.8%

31.1%

31.2%

Lower

36.8%

29.2%

26.4%

24.8%

21.1%

27.0%

24.0%

23.8%

29.3%

Upper

47.3%

39.6%

35.1%

37.0%

28.8%

37.9%

38.6%

39.5%

33.1%

798

666

903

393

1,047

537

310

348

5,002

Sample size
Population size (000s)
Percent

Sample size

Metro South Southcoast

45,281
13,948

6.1%

Population size (000s)

Someone in family
tried to stay healthier 95% CI [

Metro
Boston
75,822

5.5%

Sample size

95% CI [

Metro West
26,014

8.3%

Population size (000s)

Someone in family
went without health
insurance

Northeast
MA
66,095

Lower

Sample size
Percent
Someone in family
went without needed
95% CI [
health care

Western MA Central MA
68,726
46,357

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

99

Table D.5-7: Health Care Access and Use in Massachusetts in 2015, Overall and by
Insurance Status
Always
Ever
Insured
Uninsured Uninsured
Over the
Over the at the Time
Past 12
Past 12
of the
Total
Outcome
Months
Months
Survey
Population
Population size (000s)
294,555
27,789
25,421
347,765
Someone in family
Percent
4.8%
9.2%
10.3%
5.2%
changed to a lower
Lower
4.0%
4.7%
4.7%
4.3%
cost doctor or other 95% CI [
Upper
5.7%
17.2%
21.2%
6.1%
health care provider
Sample size

4,699

173

130

5,002

686,845

104,402

106,874

898,121

11.1%

34.6%

43.4%

13.3%

Lower

9.8%

25.1%

31.8%

11.9%

Upper

12.5%

45.6%

55.9%

14.8%

4,699

173

130

5,002

610,358

56,336

19,921

686,615

9.8%

18.7%

8.1%

10.2%

8.6%

11.4%

3.3%

9.0%

11.2%

29.2%

18.5%

11.5%

4,699

173

130

5,002

198,696

110,273

100,760

409,729

3.2%

36.6%

41.0%

6.1%

Lower

2.5%

27.0%

29.5%

5.1%

Upper

4.1%

47.4%

53.5%

7.2%

4,699

173

130

5,002

1,887,232

116,805

101,346

2,105,383

30.4%

38.7%

41.2%

31.2%

Lower

28.5%

29.0%

29.9%

29.3%

Upper

32.4%

49.4%

53.5%

33.1%

4,699

173

130

5,002

Population size (000s)

Percent
Someone in family
went without needed
95% CI [
health care
Sample size
Population size (000s)
Someone in family
Percent
switched to a lower
Lower
cost health insurance 95% CI [
Upper
plan
Sample size
Population size (000s)
Someone in family
went without health
insurance

Percent
95% CI [
Sample size
Population size (000s)

Percent
Someone in family
tried to stay healthier 95% CI [
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

100

Table E.1-1: Ratio of Out of Pocket Health Care Spending to Income, Overall and by Age

Children (0
to 18)
89.8%

Non-elderly
Adults (19
to 64)
91.9%

Elderly
Adults (65
and older)
89.1%

Total
Population
91.0%

Lower

85.4%

90.3%

86.8%

89.6%

Upper

92.9%

93.2%

91.0%

92.2%

621

3,057

1,324

5,002

5.8%

5.0%

6.7%

5.4%

Lower

3.5%

4.1%

5.3%

4.6%

Upper

9.2%

6.2%

8.5%

6.4%

621

3,057

1,324

5,002

4.5%

3.1%

4.2%

3.6%

Lower

2.4%

2.2%

3.0%

2.8%

Upper

8.1%

4.4%

5.9%

4.6%

621

3,057

1,324

5,002

Outcome
Percent
Less than 5%

95% CI [
Sample size
Percent

Between 5% and 10% 95% CI [

Sample size
Percent
10% or more

95% CI [
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

101

Table E.1-2: Ratio of Out of Pocket Health Care Spending to Income, Overall
and by Gender

Male
91.4%

Female
90.6%

Total
Population
91.0%

Lower

89.4%

88.7%

89.6%

Upper

93.1%

92.2%

92.2%

621

3,057

5,002

5.0%

5.8%

5.4%

Lower

3.8%

4.6%

4.6%

Upper

6.4%

7.3%

6.4%

621

3,057

5,002

3.6%

3.6%

3.6%

Lower

2.4%

2.5%

2.8%

Upper

5.3%

5.0%

4.6%

621

3,057

5,002

Outcome
Percent
Less than 5%

95% CI [
Sample size
Percent

Between 5% and 10% 95% CI [

Sample size
Percent
10% or more

95% CI [
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

102

Table E.1-3: Ratio of Out of Pocket Health Care Spending to Income, Overall and by
Race/Ethnicity
Other/Multipl
White, non- Black, non- e Race, nonHispanic
Hispanic
Hispanic
90.0%
93.4%
93.6%

Outcome
Percent
Less than 5%

95% CI [

88.4%

87.6%

87.6%

91.7%

89.6%

Upper

91.5%

96.6%

96.8%

97.0%

92.2%

3,917

291

270

524

5,002

5.8%

5.8%

4.3%

3.1%

5.4%

4.8%

2.8%

1.6%

1.5%

4.6%

Percent
Lower
Upper

Sample size
Percent
10% or more

95% CI [
Sample size

Total
Population
91.0%

Lower

Sample size

Between 5% and 10% 95% CI [

Hispanic
95.0%

7.0%

11.7%

10.8%

6.1%

6.4%

3,917

291

270

524

5,002

4.2%

0.8%

2.1%

1.9%

3.6%

Lower

3.1%

0.2%

1.0%

0.9%

2.8%

Upper

5.5%

3.1%

4.6%

4.2%

4.6%

3,917

291

270

524

5,002

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

103

Table E.1-4: Ratio of Out of Pocket Health Care Spending to Income, Overall and by
Health/Disability Status
Good, Very
Good, or
Excellent
Fair or Poor
Health and Health or an
No Activity
Activity
Limitation Limitation
93.0%
87.5%

Outcome
Percent
Less than 5%

Total
Population
91.0%

Lower

91.4%

84.0%

80.5%

89.6%

Upper

94.3%

90.4%

88.5%

92.2%

Sample size

3,263

1,111

628

5,002

Percent

4.5%

6.9%

8.5%

5.4%

Lower

3.5%

5.2%

6.2%

4.6%

Upper

5.8%

9.2%

11.7%

6.4%

Sample size

3,263

1,111

628

5,002

Percent

2.5%

5.5%

6.5%

3.6%

Lower

1.7%

3.4%

4.1%

2.8%

Upper

3.7%

8.8%

10.4%

4.6%

3,263

1,111

628

5,002

95% CI [

Between 5% and 10% 95% CI [

10% or more

Fair or Poor
Health and
an Activity
Limitation
84.9%

95% CI [
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

104

Table E.1-5: Ratio of Out of Pocket Health Care Spending to

Income, Overall
Family
Family and by
Family Income
Family
Income
Income
Family
Income At
Between
Between
Income At
or Below
138 and
300 and
or Above
138% of the 299% of the 399% of the 400% of the
Federal
Federal
Federal
Federal
Poverty
Poverty
Poverty
Poverty
Total
Outcome
Level
Level
Level
Level
Population
Percent
89.2%
85.1%
88.5%
96.7%
91.0%
Less than 5%

95% CI [

Lower

86.2%

81.2%

83.5%

95.5%

89.6%

Upper

91.5%

88.2%

92.1%

97.5%

92.2%

1,140

1,154

552

2,156

5,002

Sample size
Percent

5.9%

7.0%

10.3%

2.8%

5.4%

Lower

4.2%

5.1%

6.8%

2.0%

4.6%

Upper

8.1%

9.5%

15.2%

3.9%

6.4%

Sample size

1,140

1,154

552

2,156

5,002

Percent

4.9%

8.0%

1.2%

0.5%

3.6%

Between 5% and 10% 95% CI [

10% or more

95% CI [
Sample size

Lower

3.3%

5.5%

0.6%

0.3%

2.8%

Upper

7.3%

11.5%

2.7%

1.0%

4.6%

1,140

1,154

552

2,156

5,002

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

105

Table E.1-6: Ratio of Out of Pocket Health Care Spending to Income, Overall and by
Region

Outcome

Western MA Central MA
88.0%
90.9%

Percent
Less than 5%

95% CI [

Cape and
Islands
87.8%

Total
Population
91.0%

86.3%

87.3%

89.4%

89.5%

86.2%

85.2%

82.1%

89.6%

91.7%

94.0%

93.5%

96.1%

94.5%

93.1%

95.8%

91.9%

92.2%

798

666

903

393

1,047

537

310

348

5,002

5.9%

4.7%

5.4%

5.4%

5.8%

5.3%

3.4%

7.4%

5.4%

Lower

4.0%

2.5%

3.4%

3.0%

4.1%

3.3%

1.9%

4.6%

4.6%

Upper

8.6%

8.6%

8.3%

9.5%

8.0%

8.3%

6.1%

11.8%

6.4%

798

666

903

393

1,047

537

310

348

5,002

Percent

Sample size

Metro South Southcoast

90.2%
92.0%

83.1%

Sample size

95% CI [

Metro
Boston
92.3%

Upper

Percent

10% or more

Metro West
93.5%

Lower

Sample size

Between 5% and 10% 95% CI [

Northeast
MA
90.9%

6.1%

4.5%

3.7%

1.0%

1.9%

4.6%

4.6%

4.7%

3.6%

Lower

3.2%

2.5%

2.1%

0.4%

0.8%

2.6%

1.6%

2.3%

2.8%

Upper

11.2%

7.9%

6.5%

2.7%

4.4%

7.7%

12.6%

9.7%

4.6%

798

666

903

393

1,047

537

310

348

5,002

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

106

Table E.1-7: Ratio of Out of Pocket Health Care Spending to Income, Overall and by
Insurance Status
Always
Ever
Insured
Uninsured Uninsured
Over the
Over the at the Time
Past 12
Past 12
of the
Total
Outcome
Months
Months
Survey
Population
Percent
91.1%
92.6%
85.6%
91.0%
Less than 5%

Lower

89.7%

86.5%

72.7%

89.6%

Upper

92.4%

96.0%

93.0%

92.2%

Sample size

4,699

173

130

5,002

Percent

5.3%

5.4%

8.6%

5.4%

Lower

4.4%

2.5%

3.1%

4.6%

Upper

6.3%

11.4%

21.8%

6.4%

Sample size

4,699

173

130

5,002

Percent

3.6%

2.0%

5.8%

3.6%

Lower

2.7%

0.8%

2.0%

2.8%

Upper

4.7%

5.2%

15.4%

4.6%

4,699

173

130

5,002

95% CI [

Between 5% and 10% 95% CI [

10% or more

95% CI [
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.

107

Table E.2-1: Percent of Age 50+ Massachusetts Residents who have Long Term Care
Insurance, Overall and by Age

Children (0
to 18)
0.0%

Non-elderly
Adults (19
to 64)
9.3%

Elderly
Adults (65
and older)
19.0%

Total
Population
13.2%

Lower

0.0%

7.7%

15.7%

11.5%

Upper

0.0%

11.1%

22.7%

15.1%

1,562

1,323

*2,885

0.0%

84.9%

75.8%

81.2%

Lower

0.0%

82.5%

72.0%

79.1%

Upper

0.0%

87.0%

79.3%

83.2%

1,562

1,323

*2,885

Outcome
Percent
Has LTC Insurance

95% CI [
Sample size
Percent

Does not have LTC

Insurance

95% CI [
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.
Categories will not total to 100% due to nonresponse
*Due to imputation of the age variable, 12 cases were removed from the analysis

108

Table E.2-2: Percent of Age 50+ Massachusetts Residents who have Long
Term Care Insurance, Overall and by Gender

Male
11.9%

Female
14.3%

Total
Population
13.2%

Lower

9.5%

12.0%

11.5%

Upper

14.7%

17.1%

15.1%

Sample size

1,236

1,661

2,897

Percent

81.2%

81.3%

81.2%

Lower

77.9%

78.4%

79.1%

Upper

84.1%

83.8%

83.2%

1,236

1,661

2,897

Outcome
Percent
Has LTC Insurance

Does not have LTC

Insurance

95% CI [

95% CI [
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.
Categories will not total to 100% due to nonresponse

109

Table E.2-3: Percent of Age 50+ Massachusetts Residents who have Long Term Care
Insurance, Overall and by Race/Ethnicity
Other/Multipl
White, non- Black, non- e Race, nonHispanic
Hispanic
Hispanic
13.6%
11.7%
14.8%

Outcome
Percent
Has LTC Insurance

95% CI [

11.7%

7.4%

7.1%

3.9%

11.5%

Upper

15.8%

18.1%

28.4%

17.2%

15.1%

2,492

153

79

173

2,897

Percent
95% CI [
Sample size

Total
Population
13.2%

Lower

Sample size
Does not have LTC
Insurance

Hispanic
8.4%

80.7%

82.5%

76.9%

89.1%

81.2%

Lower

78.3%

75.0%

62.7%

80.7%

79.1%

Upper

82.8%

88.1%

86.9%

94.1%

83.2%

2,492

153

79

173

2,897

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.
Categories will not total to 100% due to nonresponse

110

Table E.2-4: Percent of Age 50+ Massachusetts Residents who have Long Term Care
Insurance, Overall and by Health/Disability Status
Good, Very
Good, or
Excellent
Fair or Poor
Health and Health or an
No Activity
Activity
Limitation Limitation
13.5%
14.5%

Outcome
Percent
Has LTC Insurance

Does not have LTC

Insurance

Fair or Poor
Health and
an Activity
Limitation
10.2%

Total
Population
13.2%

Lower

11.3%

11.0%

7.6%

11.5%

Upper

16.2%

18.9%

13.7%

15.1%

Sample size

1,679

748

470

2,897

Percent

81.3%

79.4%

83.9%

81.2%

Lower

78.4%

74.8%

79.6%

79.1%

Upper

83.9%

83.4%

87.3%

83.2%

1,679

748

470

2,897

95% CI [

95% CI [
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.
Categories will not total to 100% due to nonresponse

111

Table E.2-5: Percent of Age 50+ Massachusetts ResidentsFamily

who have Family
Long Term Care
Insurance, Overall and by Family Income
Family
Income
Income
Family
Income At
Between
Between
Income At
or Below
138 and
300 and
or Above
138% of the 299% of the 399% of the 400% of the
Federal
Federal
Federal
Federal
Poverty
Poverty
Poverty
Poverty
Total
Outcome
Level
Level
Level
Level
Population
Percent
9.5%
11.0%
12.3%
17.4%
13.2%
Has LTC Insurance

95% CI [

Lower

6.2%

7.7%

8.5%

14.9%

11.5%

Upper

14.2%

15.5%

17.5%

20.3%

15.1%

608

681

321

1,287

2,897

Sample size
Percent
Does not have LTC
Insurance

95% CI [
Sample size

83.7%

82.7%

82.0%

78.4%

81.2%

Lower

78.8%

77.7%

76.3%

75.3%

79.1%

Upper

87.7%

86.7%

86.6%

81.2%

83.2%

608

681

321

1,287

2,897

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.
Categories will not total to 100% due to nonresponse

112

Table E.2-6: Percent of Age 50+ Massachusetts Residents who have Long Term Care
Insurance, Overall and by Region

Outcome

Western MA Central MA
10.4%
12.3%

Percent
Has LTC Insurance

95% CI [

Sample size

Metro
Boston
12.7%

Metro South Southcoast

13.6%
16.4%

Cape and
Islands
19.4%

Total
Population
13.2%

8.0%

6.9%

10.4%

7.0%

9.9%

8.9%

9.5%

14.2%

11.5%

Upper

13.6%

20.8%

17.6%

23.8%

16.1%

20.3%

26.9%

26.0%

15.1%

505

388

489

213

560

294

190

258

2,897

80.5%

82.9%

82.5%

82.1%

82.2%

80.2%

75.7%

77.2%

81.2%

Lower

75.7%

74.6%

78.0%

71.9%

78.1%

73.2%

65.4%

70.3%

79.1%

Upper

84.4%

88.9%

86.3%

89.2%

85.8%

85.7%

83.8%

82.8%

83.2%

505

388

489

213

560

294

190

258

2,897

Percent
95% CI [

Metro West
13.3%

Lower

Sample size
Does not have LTC
Insurance

Northeast
MA
13.6%

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.
Categories will not total to 100% due to nonresponse

113

Table E.2-7: Percent of Age 50+ Massachusetts Residents who have Long Term Care
Insurance, Overall and by Insurance Status
Always
Ever
Insured
Uninsured Uninsured
Over the
Over the at the Time
Past 12
Past 12
of the
Total
Outcome
Months
Months
Survey
Population
Percent
13.7%
4.9%
0.9%
13.2%
Has LTC Insurance

Does not have LTC

Insurance

Lower

11.9%

1.8%

0.1%

11.5%

Upper

15.7%

12.9%

6.2%

15.1%

Sample size

2,798

65

34

2,897

Percent

80.7%

88.0%

99.1%

81.2%

Lower

78.5%

76.4%

93.8%

79.1%

Upper

82.7%

94.3%

99.9%

83.2%

2,798

65

34

2,897

95% CI [

95% CI [
Sample size

Source: 2015 Massachusetts Health Insurance Survey

Notes: CI is confidence interval.
Categories will not total to 100% due to nonresponse

114