In 2013, more than uninsured, representing 8.9 percent of all children in the United States.
The map above depicts the percentage of pediatric patients with health insurance coverage by state.
The ASEC asks respondents about their health insurance coverage throughout the previous calendar year. Respondents may report having more than one type of coverage. In this analysis, individuals are sorted into only one category of insurance coverage using the following hierarchy:
Medicaid: Includes those covered by Medicaid, the Children's Health Insurance Program (CHIP), and those who have both Medicaid and another type of coverage, such as dual eligible who are also covered by Medicare.
Employer: Includes those covered by employer-sponsored coverage either through their own job or as a dependent in the same household.
Other Public: Includes those covered under the military or Veterans Administration as well as nonelderly Medicare enrollees.
Non-Group: Includes individuals and families that purchased or are covered as a dependent by non-group insurance.
Uninsured: Includes those without health insurance and those who have coverage under the Indian Health Service only.
For example, a person having Medicaid coverage in the first half of the year but employer-based coverage in the last months of the year would be categorized as having Medicaid coverage in this analysis.
N/A: Estimates with relative standard errors greater than 30% are not provided.
Kaiser Family Foundation estimates based on the Census Bureau's March 2015 Current Population Survey (CPS: Annual Social and Economic Supplements).
A majority of children (96.2 percent) had a usual source of care, such as a physician's office or health center, in 2012. The percentage of children with a usual source of care was highest among privately insured children (98.2 percent) and lowest among those who were uninsured (73.2 percent).
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Children's Health Spending
The report covers the health care cost and utilization trends for Americans younger than age 65 and covered by employer-sponsored insurance (ESI) for the years 2010 through 2014, and it is the first look at the 2014 data. In 2014, the insurance exchanges opened with varying participation and enrollment by state. Although impacts of the Affordable Care Act may have occurred in 2014 on the ESI trends discussed in this report, none of those were explicitly investigated here. The impact of the ACA on the health care trends of the ESI population is an important topic for future study.
Comparison of Health Care Spending and Utilization Among Children With Medicaid Insurance
Most pediatric health care costs are concentrated in a small group of children with high resource use. There is limited research about how types of health services experienced by these children compare with children who have lower resource use.