The percentage of people in the United States with health insurance has increased over the past decade with a noticeably sharp increase in 2014 when the Affordable Care Act (ACA) was enacted. As of 2024, around ** percent of people in the United States had some form of health insurance, compared to around ** percent in 2010. Despite the increases in the percentage of insured people in the U.S., there were still over ** million people in the United States without health insurance as of 2024. Insurance coverage Health insurance in the United States consists of different private and public insurance programs such as those provided by private employers or those provided publicly through Medicare and Medicaid. Almost half of the insured population in the United States were insured privately through an employer as of 2021, while **** percent of people were insured through Medicaid, and **** percent through Medicare . The Affordable Care Act The Affordable Care Act (ACA), enacted in 2014, has significantly reduced the number of uninsured people in the United States. In 2014, the percentage of U.S. individuals with health insurance increased to almost ** percent. Furthermore, the percentage of people without health insurance reached an all time low in 2022. Public opinion on healthcare reform in the United States remains an ongoing political issue with public opinion consistently divided.

In 2023, among people in the United States aged 65 years and above, **** percent had healthcare coverage through Medicare Advantage. This statistic illustrates the distribution of health insurance coverage among adults aged 65 and above in the U.S. in 2023.

Health Insurance Coverage reports the prevalance of Health Insurance coverage disaggregated by age group.

This dataset provides an estimate of the percent of Detroit residents who reported having health insurance at the time they completed the American Community Survey (ACS). The data is averaged over 5 years. This data can be also be accessed in Table S2701 on the American FactFinder website.Note that the data is provided by ZIP Code Tabulation Area (ZCTA), which may not exactly match USPS ZIP Code service areas. For more information: https://web.archive.org/web/20130617034846/http://www.census.gov/geo/reference/zctas.html

In 2024, ***** percent of the total population of the United States were uninsured. However, **** of all individuals in the United States had employer-sponsored health coverage. This statistic depicts the distribution of health insurance status of the total population in the United States for 2024

Health Insurance Marketplaces

Rates, Benefits, Coverage and Networks

By Data Society [source]

About this dataset

Do you want to explore the complexities of Health Insurance Marketplace and uncover insights into plan rates, benefits, and networks? Look no further! With this dataset from the Centers for Medicare & Medicaid Services (CMS), you can investigate trends in plan rates, access coverage across states and zip codes, compare metal level plans (across years), as well as analyze benefit information all in one place.

We’ve provided six CSV files containing combined data from across all years: BenefitsCostSharing.csv provides details on benefits, BusinessRules.csv provides details about premium payment requirements for a plan or set of plans, Network.csv offers details about health plans’ networks of providers who offer services at different cost levels to members enrolled in a given plan or set of plans; PlanAttributes.csv gives attributes like age off dates for various plans; Rate.csv delivers information on rate changes; ServiceArea.csv reveals demographic characteristics related to each service area associated with a specific issuer and two CSV files that join data across years (Crosswalk2015 & Crosswalk2016).

So come on board and use your creativity to unlock the mysteries behind changes in benefits in relation to costs while exploring network providers within different regions!!!

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For more datasets, click here.

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How to use the dataset

This dataset contains information about the health insurance plans offered in the US Health Insurance Marketplace. It includes data on plan benefits, cost-sharing, networks, rates and service areas for different states. The data can be used to compare and analyze plan characteristics across different states and ages which will help guide users decision making when purchasing a health insurance plan.

To begin using the dataset, you should start by looking at the columns available. These include State, Dental Plan, Multistate Plan (2015 & 2016), Metal Level (2015 & 2016), Child/Adult Only (2015 & 2016), FIPS Code, Zip Code Crosswalk Level, Reason for Crosswalk, Multistate Plan Ageoff (2016 & 2015) and MetalLevel Ageoff (2016 & 2015). These columns provide important information on each plan that can be used to compare them across states or between years.

Using this data you can explore several interesting questions such as: How do benefit levels vary among states? Are there any differences in network providers between states? What factors influence plan rates?

In order to answer these questions you should join together relevant tables from across years using Crosswalk 2015/2016 CSV files then organize your data accordingly so that it is easier to visualize differences in features between plans sold across different states or years. Once the information is organized it might be helpful to use visualizations such as line graphs or bar charts to view comparison between feature values of two plans versus one another more clearly in order differentiate variations of plans among Consumers.

By doing this you can gain a better understanding of how certain factors may affect rate changes over time or how certain benefit levels might differ by state which will allow Consumers make an informed choice when selecting their next health insurance plan

Research Ideas

• Analyzing the effectiveness of different plan benefits and how they affect premiums to determine a fair price point for different types of healthcare plans.
• Examining the variation in rates, benefits and coverage by state or zip code to identify potential trends or disparities in access to quality health care services across regions.
• Developing an algorithm that can predict premium prices based on certain factors such as age groups, type of plan (metal levels), multistate coverage, etc., to help consumers more easily understand the true cost of their health insurance plans before committing to purchase them

Acknowledgements

If you use this dataset in your research, please credit the original authors. Data Source

License

License: Dataset copyright by authors - You are free to: - Share - copy and redistribute the material in any medium or format for any purpose, even commercially. - Adapt - remix, transform, and build upon the material for any purpose, even commercially. - You must: - Give appropriate credit -...

United Healthcare Transparency in Coverage Dataset

Unlock the power of healthcare pricing transparency with our comprehensive United Healthcare Transparency in Coverage dataset. This invaluable resource provides unparalleled insights into healthcare costs, enabling data-driven decision-making for insurers, employers, researchers, and policymakers.

Key Features:

• Extensive Coverage: Access detailed pricing information for a wide range of medical procedures and services across the United States, covering approximately 76,000 employers.
• Granular Data: Analyze costs at the provider, plan, and employer levels, allowing for in-depth comparisons and trend analysis.
• Massive Scale: Over 400TB of data generated monthly, providing a wealth of information for comprehensive analysis.
• Historical Perspective: Track pricing changes over time to identify patterns and forecast future trends.
• Regular Updates: Stay current with the latest pricing information, ensuring your analyses are always based on the most recent data.

Detailed Data Points:

For each of the 76,000 employers, the dataset includes: 1. In-network negotiated rates for covered items and services 2. Historical out-of-network allowed amounts and billed charges 3. Cost-sharing information for specific items and services 4. Pricing data for medical procedures and services across providers, plans, and employers

Use Cases

For Insurers: - Benchmark your rates against competitors - Optimize network design and provider contracting - Develop more competitive and cost-effective insurance products

For Employers: - Make informed decisions about health plan offerings - Negotiate better rates with insurers and providers - Implement cost-saving strategies for employee healthcare

For Researchers: - Conduct in-depth studies on healthcare pricing variations - Analyze the impact of policy changes on healthcare costs - Investigate regional differences in healthcare pricing

For Policymakers: - Develop evidence-based healthcare policies - Monitor the effectiveness of price transparency initiatives - Identify areas for potential cost-saving interventions

Data Delivery

Our flexible data delivery options ensure you receive the information you need in the most convenient format:

• Custom Extracts: We can provide targeted datasets focusing on specific regions, procedures, or time periods.
• Regular Reports: Receive scheduled updates tailored to your specific requirements.

Why Choose Our Dataset?

1. Expertise: Our team has extensive experience in healthcare data retrieval and analysis, ensuring high-quality, reliable data.
2. Customization: We can tailor the dataset to meet your specific needs, whether you're interested in particular companies, regions, or procedures.
3. Scalability: Our infrastructure is designed to handle the massive scale of this dataset (400TB+ monthly), allowing us to provide comprehensive coverage without compromise.
4. Support: Our dedicated team is available to assist with data interpretation and technical support.

Harness the power of healthcare pricing transparency to drive your business forward. Contact us today to discuss how our United Healthcare Transparency in Coverage dataset can meet your specific needs and unlock valuable insights for your organization.

Public health insurance coverage in India before and after PM-JAY: repeated cross-sectional analysis of nationally representative survey dataThe National Family Health Survey (NFHS), India data is publicly available data set and can be accessed on request. It can be downloaded upon registration from the Demographic and Health Survey (DHS) website upon registration at The DHS Program - Request Access To Datasets. We have used data from the fourth and fifth round of NFHS, which can be accessed after registration from the link given here for NFHS 4 and NFHS 5 https://dhsprogram.com/data/dataset/India_Standard-DHS_2015.cfm?flag=0 and here https://dhsprogram.com/data/dataset/India_Standard-DHS_2020.cfm?flag=0 respectively. These datasets (HR file) have been used to obtain this combined dataset of a paper entitled "Public health insurance coverage in India before and after PM-JAY: repeated cross-sectional analysis of nationally representative survey data" submitted to BMJ Global Health August 2023.

The U.S. Census Bureau, in collaboration with five federal agencies, launched the Household Pulse Survey to produce data on the social and economic impacts of Covid-19 on American households. The Household Pulse Survey was designed to gauge the impact of the pandemic on employment status, consumer spending, food security, housing, education disruptions, and dimensions of physical and mental wellness.

The survey was designed to meet the goal of accurate and timely weekly estimates. It was conducted by an internet questionnaire, with invitations to participate sent by email and text message. The sample frame is the Census Bureau Master Address File Data. Housing units linked to one or more email addresses or cell phone numbers were randomly selected to participate, and one respondent from each housing unit was selected to respond for him or herself. Estimates are weighted to adjust for nonresponse and to match Census Bureau estimates of the population by age, sex, race and ethnicity, and educational attainment. All estimates shown meet the NCHS Data Presentation Standards for Proportions.

The Health Insurance Marketplace Public Use Files contain data on health and dental plans offered to individuals and small businesses through the US Health Insurance Marketplace.

Exploration Ideas

To help get you started, here are some data exploration ideas:

• How do plan rates and benefits vary across states?
• How do plan benefits relate to plan rates?
• How do plan rates vary by age?
• How do plans vary across insurance network providers?

See this forum thread for more ideas, and post there if you want to add your own ideas or answer some of the open questions!

Data Description

This data was originally prepared and released by the Centers for Medicare & Medicaid Services (CMS). Please read the CMS Disclaimer-User Agreement before using this data.

Here, we've processed the data to facilitate analytics. This processed version has three components:

1. Original versions of the data

The original versions of the 2014, 2015, 2016 data are available in the "raw" directory of the download and "../input/raw" on Kaggle Scripts. Search for "dictionaries" on this page to find the data dictionaries describing the individual raw files.

2. Combined CSV files that contain

In the top level directory of the download ("../input" on Kaggle Scripts), there are six CSV files that contain the combined at across all years:

• BenefitsCostSharing.csv
• BusinessRules.csv
• Network.csv
• PlanAttributes.csv
• Rate.csv
• ServiceArea.csv

Additionally, there are two CSV files that facilitate joining data across years:

• Crosswalk2015.csv - joining 2014 and 2015 data
• Crosswalk2016.csv - joining 2015 and 2016 data

3. SQLite database

The "database.sqlite" file contains tables corresponding to each of the processed CSV files.

The code to create the processed version of this data is available on GitHub.

The CMS Program Statistics - Medicare Advantage & Other Health Plan Enrollment tables provide data on characteristics of the population covered by Medicare Advantage & other health plans. For additional information on enrollment, providers, and Medicare use and payment, visit the CMS Program Statistics page. Below is the list of tables:MDCR ENROLL AB 15. Medicare Advantage and Other Health Plan Enrollment: Part A and/or Part B Total, Aged, and Disabled Enrollees, Yearly TrendMDCR ENROLL AB 16. Medicare Advantage and Other Health Plan Enrollment: Part A and/or Part B Enrollees, by Age Group, Yearly TrendMDCR ENROLL AB 17. Medicare Advantage and Other Health Plan Enrollment: Part A and/or Part B Enrollees, by Demographic CharacteristicsMDCR ENROLL AB 18. Medicare Advantage and Other Health Plan Enrollment: Part A and/or Part B Enrollees, by Type of Entitlement and Demographic CharacteristicsMDCR ENROLL AB 19. Medicare Advantage and Other Health Plan Enrollment: Part A and/or Part B Total, Aged, and Disabled Enrollees, by Area of ResidenceMDCR ENROLL AB 20. Medicare Advantage and Other Health Plan Enrollment: Part A and/or Part B Enrollees, by Type of Entitlement and Area of ResidenceResources for using and understanding the dataThe data reported in these enrollment tables are based on information gathered from CMS administrative enrollment data for beneficiaries enrolled in Medicare Advantage and Other Health Plans available from the CMS Chronic Conditions Data Warehouse.

Percentages are weighted to population characteristics. Data are not available if it did not meet BRFSS stability requirements. For more information on these requirements, as well as risk factors and calculated variables, see the Technical Documents and Survey Data for a specific year - http://www.cdc.gov/brfss/annual_data/annual_data.htm. Recommended citation: Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, [appropriate year].

United States Health Insurance Coverage (HIC): All Ages data was reported at 320,372.000 Person th in 2016. This records an increase from the previous number of 318,868.500 Person th for 2015. United States Health Insurance Coverage (HIC): All Ages data is updated yearly, averaging 300,294.263 Person th from Mar 1999 (Median) to 2016, with 18 observations. The data reached an all-time high of 320,372.000 Person th in 2016 and a record low of 276,803.797 Person th in 1999. United States Health Insurance Coverage (HIC): All Ages data remains active status in CEIC and is reported by US Census Bureau. The data is categorized under Global Database’s USA – Table US.G082: Health Insurance Coverage.

HIC: 45 to 54 Yrs: Private & Government (PG) data was reported at 37,683.000 Person th in 2016. This records a decrease from the previous number of 38,116.400 Person th for 2015. HIC: 45 to 54 Yrs: Private & Government (PG) data is updated yearly, averaging 36,284.293 Person th from Mar 1999 (Median) to 2016, with 18 observations. The data reached an all-time high of 38,116.400 Person th in 2015 and a record low of 33,102.960 Person th in 1999. HIC: 45 to 54 Yrs: Private & Government (PG) data remains active status in CEIC and is reported by US Census Bureau. The data is categorized under Global Database’s USA – Table US.G082: Health Insurance Coverage.

According to the data, nearly ** percent of people with disabilities had insurance coverage in 2023, an increase from under ** percent in 2008. This statistic presents the percentage of people with and without disabilities who had insurance coverage from 2008 to 2023.

The Health Care Satellite Account measures U.S. health care spending to treat diseases, like cancer or diabetes, rather than by place of service, like a hospital or doctor's office, offering a new way of analyzing the health care sector.

Business Analyst Report

United States HIC: 25 to 34 Yrs: PG: Government data was reported at 9,003.000 Person th in 2016. This records an increase from the previous number of 8,649.800 Person th for 2015. United States HIC: 25 to 34 Yrs: PG: Government data is updated yearly, averaging 4,935.476 Person th from Mar 1999 (Median) to 2016, with 18 observations. The data reached an all-time high of 9,003.000 Person th in 2016 and a record low of 3,321.296 Person th in 2000. United States HIC: 25 to 34 Yrs: PG: Government data remains active status in CEIC and is reported by US Census Bureau. The data is categorized under Global Database’s USA – Table US.G082: Health Insurance Coverage.

In 2020, the Washington State Legislature enacted Engrossed Substitute Senate Bill (ESSB) 6404 (Chapter 316, Laws of 2020, codified at RCW 48.43.0161), which requires that health carriers with at least one percent of the market share in Washington State annually report certain aggregated and de-identified data related to prior authorization to the Office of the Insurance Commissioner (OIC). Prior authorization is a utilization review tool used by carriers to review the medical necessity of requested health care services for specific health plan enrollees. Carriers choose the services that are subject to prior authorization review. The reported data includes prior authorization information for the following categories of health services: • Inpatient medical/surgical • Outpatient medical/surgical • Inpatient mental health and substance use disorder • Outpatient mental health and substance use disorder • Diabetes supplies and equipment • Durable medical equipment The carriers must report the following information for the prior plan year (PY) for their individual and group health plans for each category of services: • The 10 codes with the highest number of prior authorization requests and the percent of approved requests. • The 10 codes with the highest percentage of approved prior authorization requests and the total number of requests. • The 10 codes with the highest percentage of prior authorization requests that were initially denied and then approved on appeal and the total number of such requests. Carriers also must include the average response time in hours for prior authorization requests and the number of requests for each covered service in the lists above for: • Expedited decisions. • Standard decisions. • Extenuating-circumstances decisions. Engrossed Second Substitute House Bill 1357 added additional prescription drug prior authorization reporting requirements for health carriers beginning in reporting year 2024. Carriers were provided the opportunity to submit voluntary prescription drug prior authorization data for the 2023 reporting period. Prescription drug reporting was required for the 2024 reporting period.

The Medical Expenditure Panel Survey (MEPS) Household Component (HC) collects data from a sample of families and individuals in selected communities across the United States, drawn from a nationally representative subsample of households that participated in the prior year's National Health Interview Survey (conducted by the National Center for Health Statistics). During the household interviews, MEPS collects detailed information for each person in the household on the following: demographic characteristics, health conditions, health status, use of medical services, charges and source of payments, access to care, satisfaction with care, health insurance coverage, income, and employment. The panel design of the survey, which features several rounds of interviewing, makes it possible to determine how changes in respondents' health status, income, employment, eligibility for public and private insurance coverage, use of services, and payment for care are related. Public Use Files for Household data are available on the MEPS website.