Health Reform Monitoring Survey – Texas, Issue Brief #14: Comparison of Affordability and Utilization of Health Care Services by Insured and Uninsured Adult Texans
In March 2015, we surveyed adult Texans ages 18 to 64 to assess affordability and utilization of health care services by insured and uninsured Texans. Texas has made strong gains in coverage since the opening of the Marketplace in January 2014, and research by the Urban Institute suggests that coverage gains will increase access to and reduce the costs of health care for those who have gained coverage. We also examined self-reported health status for insured and uninsured Texans. Our results showed that those without coverage had more trouble paying medical bills than those with insurance and that they also skipped care due to costs more so than those with insurance. Self-reported health status was similar for the two groups regarding physical health, but uninsured respondents reported more days of poor mental health than the insured respondents.