Uninsured and Low-Income

HSC research focuses on access to care for the uninsured and those with low incomes. Combining HSC's household and physician surveys provides a rich picture of how access is changing in an era of increasingly competitive markets. Analyses document how pressures on the health care safety net affect access to care for those who are uninsured and/or have low incomes.

Title	Date	Document Info
Suburban Poverty and the Health Care Safety Net Laurie E. Felland, Johanna Lauer, Peter J. Cunningham	July 2009	Research Brief No. 13
How Does Health Coverage and Access to Care for Immigrants Vary by Length of Time in the U.S.? Peter J. Cunningham, Samantha Artiga	June 9, 2009	Kaiser Family Foundation Report
General Hospitals, Specialty Hospitals and Financially Vulnerable Patients Ann Tynan, Elizabeth A. November, Johanna Lauer, Hoangmai H. Pham, Peter Cram	April 2009	Research Brief No. 11
Financial and Health Burdens of Chronic Conditions Grow Ha T. Tu, Genna R. Cohen	April 2009	Tracking Report No. 24
Access to Prescription Drugs for Medicare Beneficiaries James D. Reschovsky, Laurie E. Felland	March 2009	Tracking Report No. 23
More Nonelderly Americans Face Problems Affording Prescription Drugs Laurie E. Felland, James D. Reschovsky	January 2009	Tracking Report No. 22
Living on the Edge: Health Care Expenses Strain Family Budgets Peter J. Cunningham, Carolyn Miller, Alwyn Cassil	December 2008	Research Brief No. 10
Do Reimbursement Delays Discourage Medicaid Participation by Physicians? Peter J. Cunningham, Ann S. O'Malley	Nov. 18, 2008	Journal ArticleHealth Affairs
Trade-Offs Getting Tougher: Problems Paying Medical Bills Increase for U.S. Families, 2003-2007 Peter J. Cunningham	September 2008	Tracking Report No. 21
Effects of Changes in Incomes and Practice Circumstances on Physicians' Decisions to Treat Charity and Medicaid Patients Peter J. Cunningham, Jack Hadley	March 2008	Journal ArticleThe Milbank Quarterly
Financial Burden of Health Care, 2001-2004 Jessica S. Banthin, Peter J. Cunningham, Didem M. Bernard	January/February 2008	Journal ArticleHealth Affairs
Overburdened and Overwhelmed: The Struggles of Communities with High Medical Cost Burdens Peter J. Cunningham	November 2007	Research Report
Why Do Hispanics Have So Little Employer-Sponsored Health Insurance? James D. Reschovsky, Jack Hadley, Len M. Nichols	Fall 2007	Journal ArticleInquiry
Identifying Affordable Sources of Medical Care Among Uninsured Persons Peter J. Cunningham, Jack Hadley, Genevieve Kenney, Amy J. Davidoff	January 2007	Journal ArticleHealth Services Research
Would Safety-Net Expansions Offset Reduced Access Resulting from Lost Insurance Coverage? Race/Ethnicity Differences Jack Hadley, Peter J. Cunningham, J. Lee Hargraves	November/December 2006	Journal ArticleHealth Affairs
Health Coverage and Access to Care for Hispanics in New Growth Communities and Major Hispanic Centers Peter J. Cunningham, Michelle I. Banker, Samantha Artiga, Jennifer Tolbert	Sept. 21, 2006	Research Report
Medicaid Patients Increasingly Concentrated Among Physicians Peter J. Cunningham, Jessica H. May	August 2006	Tracking Report No. 16
What Accounts for Differences in the Use of Hospital Emergency Departments Across U.S. Communities? Peter J. Cunningham	July 18, 2006	Journal ArticleHealth Affairs
The Struggle to Provide Community-Based Care to Low-Income People with Serious Mental Illnesses Peter J. Cunningham, Kelly L. McKenzie, Erin Fries Taylor	May/June 2006	Journal ArticleHealth Affairs
The Community Safety Net and Prescription Drug Access for Low-Income, Uninsured People Laurie E. Felland, Erin Fries Taylor, Anneliese M. Gerland	April 2006	Issue Brief No. 105
Community Approaches to Providing Care for the Uninsured Erin Fries Taylor, Peter J. Cunningham, Kelly L. McKenzie	April 11, 2006	Journal ArticleHealth Affairs
A Growing Hole in the Safety Net: Physician Charity Care Declines Again Peter J. Cunningham, Jessica H. May	March 2006	Tracking Report No. 13
Stretching the Safety Net to Serve Undocumented Immigrants: Community Responses to Health Needs Andrea Staiti, Robert E. Hurley, Aaron Katz	February 2006	Issue Brief No. 104
Medicaid/SCHIP Cuts and Hospital Emergency Department Use Peter J. Cunningham	January/February 2006	Journal ArticleHealth Affairs
Perception, Reality and Health Insurance: Uninsured as Likely as Insured to Perceive Need for Care but Half as Likely to Get Care Jack Hadley, Peter J. Cunningham	October 2005	Issue Brief No. 100
Balancing Margin and Mission: Hospitals Alter Billing and Collection Practices for Uninsured Patients Andrea Staiti, Robert E. Hurley, Peter J. Cunningham	October 2005	Issue Brief No. 99
Public Coverage Provides Vital Safety Net for Children with Special Health Care Needs Ha T. Tu, Peter J. Cunningham	September 2005	Issue Brief No. 98
An Update on Americans' Access to Prescription Drugs Marie C. Reed	May 2005	Issue Brief No. 95
Medicaid Cost Containment and Access to Prescription Drugs Peter J. Cunningham	May/June 2005	Journal ArticleHealth Affairs
Most Uninsured People Unaware of Health Care Safety Net Providers Jessica H. May, Peter J. Cunningham, Jack Hadley	November 2004	Issue Brief No. 90
Availability of Safety Net Providers and Access to Care of Uninsured Persons Jack Hadley, Peter J. Cunningham	October 2004	Journal ArticleHealth Services Research
Rising Health Costs, Medical Debt and Chronic Conditions Ha T. Tu	September 2004	Issue Brief No. 88
Trends in Americans' Access to Needed Medical Care, 2001-2003 Bradley C. Strunk, Peter J. Cunningham	August 2004	Tracking Report No. 10
Expanding Care Versus Expanding Coverage: How to Improve Access to Care Peter J. Cunningham, Jack Hadley	July/August 2004	Journal ArticleHealth Affairs
Tough Trade-offs: Medical Bills, Family Finances and Access to Care Jessica H. May, Peter J. Cunningham	June 2004	Issue Brief No. 85
Health Care Access For Low-Income People: Significant Safety Net Gaps Remain Laurie E. Felland, Suzanne Felt-Lisk, Megan McHugh	June 2004	Issue Brief No. 84
Myths About The Uninsured	March 9, 2004	Congressional Testimony
Prescription Drug Access Disparities Among Working-Age Americans Marie C. Reed, J. Lee Hargraves	December 2003	Issue Brief No. 73
Insured Americans Drive Surge in Emergency Department Visits Peter J. Cunningham, Jessica H. May	October 2003	Issue Brief No. 70
The Contribution of Insurance Coverage and Community Resources to Reducing Racial/Ethnic Disparities in Access to Care J. Lee Hargraves, Jack Hadley	June 2003	Journal ArticleHealth Services Research,
The Insurance Gap and Minority Health Care, 1997-2001 J. Lee Hargraves	June 2002	Tracking Report No. 2
Prescription Drug Access: Not Just a Medicare Problem Peter J. Cunningham	April 2002	Issue Brief No. 51
Affording Prescription Drugs: Not Just a Problem for the Elderly Peter J. Cunningham	April 2002	Research Report No. 5
Treading Water: Americans' Access to Needed Medical Care, 1997-2001 Bradley C. Strunk, Peter J. Cunningham	March 2002	Tracking Report No. 1
Written Testimony Before the Subcommittee on Health of the House Committee on Ways and Means	Feb. 28, 2002	Testimony
The Health Status of Workers Who Decline Employer-Sponsored Insurance: Linda J. Blumberg, Len M. Nichols	November 2001	Health Affairs
Local Innovations Provide Managed Care for the Uninsured Laurie E. Felland, Cara S. Lesser	January 2000	Issue Brief No. 25
Managed Care and Physicians' Provision of Charity Care Peter J. Cunningham, Joy M. Grossman, Robert F. St. Peter, Cara S. Lesser	March 24-31, 1999	Journal of the American Medical Association
Pressures on the Health Care Safety Net: Peter J. Cunningham	April 1999	Health Services Research
Managed Care Cost Pressures Threaten Access for the Uninsured	March 1999	Issue Brief No. 19
Staying in the Game: Raymond J. Baxter, Rachel L. Feldman	March 1999	Research Report No. 03
Public Health Departments Adapt to Medicaid Managed Care Rose Marie Martinez, Elizabeth Closter	November 1998	Issue Brief No. 16
The Uninsured Getting Care: Peter J. Cunningham, Peter Kemper	September 1998	Issue Brief No. 15
Ability to Obtain Medical Care for the Uninsured Peter J. Cunningham, Peter Kemper	September 9, 1998	Journal of the American Medical Association
How Well Do Communities Perform on Access to Care for the Uninsured Peter J. Cunningham, Heidi H. Whitmore	September 1998	Research Report No. 01
Access to Care: Cara S. Lesser, Peter J. Cunningham	Fall 1997	Data Bulletin No. 01
A Changing Picture of Uncompensated Care Peter J. Cunningham, Ha T. Tu	July/August 1997	Health Affairs
Access to Health Care: Heidi H. Whitmore	April 1997	Issue Brief No. 08
Tracking Changes in the Public Health System:	September 1996	Issue Brief No. 02
Snapshots of Change in Fifteen Communities: James R. Knickman	Summer 1996	Health Affairs
Snapshots of Change in Fifteen Communities: Debra J. Lipson, Naomi Naierman	Summer 1996	Health Affairs