Complete Indicator Profile - Health Care - Cost as a Barrier (HA2020 Leading Health Indicator: 23)

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State of Alaska

Complete Indicator Profile of Health Care - Cost as a Barrier (HA2020 Leading Health Indicator: 23)

Definition

Percentage of adults aged 18 years and older who reported they were unable to receive needed health care in the past year due to cost.

Numerator

Number of adults (18+) who responded yes to the question: "Was there a time in the past 12 months when you needed to see a doctor but could not because of cost?"

Denominator

Number of adults with valid responses to the question, excluding those with missing, "Don't know/Not sure" and "Refused" answers.

Why Is This Important?

Access to quality healthcare is influenced by a number of factors, including: having a usual source of care, having health insurance, and being able to afford care. Inadequate prenatal care--including late initiation of care, infrequent prenatal visits, or no care at all--is associated with poor infant and maternal outcomes, including low birth weight or preterm infants and for the mothers an increased risk for pregnancy-related mortality and complications of childbirth. Preventable hospitalizations are a set of conditions for which hospitalization could be avoided if patients had early access to good quality outpatient healthcare; this metric can be used to assess the effectiveness and accessibility of primary healthcare. A study using the National Hospital Discharge Survey found that 12% of all hospitalizations in 1990 (3.1 million) were for potentially preventable conditions.[1]

References:
1. Pappas G, Hadden WC, Kozak LJ, Fisher GF. Potentially avoidable hospitalizations: inequalities in rates between US socioeconomic groups. Am J Public Health. 1997 May; 87(5): 811-816.

Healthy People Objective AHS-6.2:

Reduce the proportion of individuals who are unable to obtain or delay in obtaining necessary medical care, dental care, or prescription medicines: Individuals--medical care
U.S. Target: 4.2 percent
State Target: Healthy Alaskans 2020 Target: 14.0%

How Are We Doing?

The crude percentage of Alaska adults who reported being unable to see a doctor in the past 12 months due to cost was 14.7% in 2010. Alaska adults with low incomes were much more likely to report cost as a barrier to health care than those with higher incomes as were those without health insurance versus the insured.

What Is Being Done?

The Alaska Department of Health administers programs to improve access to care, such as Medicaid, the Children's Health Insurance Program (CHIP), and primary care grants, and clinics for children with disabilities. Federally Qualified Health Centers provide preventive services such as immunizations and screenings at low or no cost to eligible persons who cannot afford them.

Federally Qualified Health Centers and other providers strive to meet the needs of the medically underserved in Alaska.

Evidence-based Practices

As part of the Healthy Alaskans 2020 health improvement process, groups of Alaskan subject matter experts met over a period of months in a rigorous review process to identify and prioritize strategies to address the 25 health priorities. Public health partners around the state are aligning work around these approaches adapted to Alaska's unique needs. Below are the strategies identified for enhancing adolescent support systems.*

Strategy 1:
Improve insurance coverage for Alaskans who have financial barriers to care.

Evidence Base:
Inability to access health care can result in unmet health needs and delays in receiving appropriate care, financial hardship, and hospitalizations that could have been prevented. High health care costs present a significant barrier to care, and one approach to making health care more affordable from the patient's perspective is health insurance coverage. Insurance coverage helps people obtain preventive and screening services, prescription drug benefits, mental health and other services, and improves continuity of care.
Numerous studies by leading health research organizations, such as the Institute of Medicine and the Agency for Healthcare Research and Quality, note the significance of health insurance coverage for overcoming financial barriers to health care access.

Strategy 2:
Address underlying health care costs that drive higher insurance premiums in Alaska.

Evidence Base:
The largest cost component of health insurance premiums is payment for covered health care services. The remaining cost components, administrative costs and profits, are limited under the Affordable Care Act. Studies by economists and health care actuaries have identified high prices for health care services relative to cost of living as the primary driver of health insurance premium price differences between Alaska and comparison states. Many factors contribute to reimbursement rates for physicians and hospitals, such as higher real costs experienced by providers in Alaska, accommodation for small markets, and compensation for providers. Higher health insurance premiums negatively affect affordability of insurance for individuals.
Studies by economists and health care actuaries have documented the drivers of health care costs nationally and in Alaska. Numerous studies by leading health research organizations, such as the Institute of Medicine and the Agency for Healthcare Research and Quality, document opportunities for reducing health care costs through quality improvement and consumer engagement.

Strategy 3:
Improve access to health care safety net services.

Evidence Base:
The health care safety net consists of providers delivering care to low-income and other vulnerable populations. Safety net providers typically have either a legal mandate or an explicit policy to provide services regardless of a patient's ability to pay. Safety net providers are generally the only source of health care for uninsured, low-income individuals. Safety net providers, such as community health centers and community hospitals play an important role nationally and in Alaska by providing affordable health services for the uninsured and working poor individuals.

* Sources for all strategies can be found at: http://hss.state.ak.us/ha2020/assets/EBS/HA2020_EBS23_CostBarriersToHealthcare.pdf

Available Services

The Alaska Department of Health and Social Services administers programs to improve access to care, such as Medicaid and the Children's Health Insurance Program (CHIP).

Federally Qualified Health Centers and other providers strive to meet the needs of the medically under-served in Alaska.



Related Indicators

Relevant Population Characteristics

Persons with low incomes were much more likely to report problems with access to care than persons with higher incomes. Young adults were more likely to report cost as a barrier to care than older adults.

Related Relevant Population Characteristics Indicator Profiles:


Health Care System Factors

Persons without health insurance are more likely to report cost as a barrier to care than those with health insurance coverage.


Health Status Outcomes

Persons without access to health care tend to delay getting care until a problem becomes too painful or dangerous to avoid dealing with it. At this point, health problems are often expensive to treat and sometimes have serious long term implications for the individual's health. The health status of these persons may suffer due to lack of appropriate care.

Related Health Status Outcomes Indicator Profiles:




Graphical Data Views

Percentage of adults (18+) reporting cost as a barrier to care in past year, all Alaskans, Alaska Natives, and U.S., 2000-2020

::chart - missing::

Alaska Comparisons Year Pecentage of Adults Lower Limit Upper Limit
Record Count: 50
All Alaskans 2000 12.3% 10.2% 14.9%
All Alaskans 2001 **
All Alaskans 2002 **
All Alaskans 2003 12.3% 10.8% 14.0%
All Alaskans 2004 13.5% 11.8% 15.4%
All Alaskans 2005 14.8% 12.9% 16.8%
All Alaskans 2006 14.7% 12.8% 16.9%
All Alaskans 2007 15.7% 13.5% 18.2%
All Alaskans 2008 16.4% 14.8% 18.2%
All Alaskans 2009 15.9% 14.2% 17.8%
All Alaskans 2010 14.7% 12.8% 17.0%
All Alaskans 2011 17.6% 16.0% 19.2%
All Alaskans 2012 14.7% 13.4% 16.1%
All Alaskans 2013 14.1% 12.9% 15.4%
Alaska Natives 2000 12.6% 9.2% 17.0%
Alaska Natives 2001 **
Alaska Natives 2002 **
Alaska Natives 2003 14.6% 11.2% 18.8%
Alaska Natives 2004 14.9% 11.3% 19.3%
Alaska Natives 2005 13.1% 10.3% 16.5%
Alaska Natives 2006 17.7% 14.0% 22.1%
Alaska Natives 2007 17.3% 12.3% 23.7%
Alaska Natives 2008 17.1% 14.2% 20.4%
Alaska Natives 2009 16.4% 13.3% 20.1%
Alaska Natives 2010 13.2% 10.1% 17.1%
Alaska Natives 2011 17.4% 14.2% 21.0%
Alaska Natives 2012 15.3% 12.7% 18.3%
Alaska Natives 2013 13.9% 11.5% 16.7%
U.S. 2000 9.9%
U.S. 2001 8.3%
U.S. 2002 **
U.S. 2003 12.0%
U.S. 2004 12.8%
U.S. 2005 13.3%
U.S. 2006 12.4%
U.S. 2007 12.5%
U.S. 2008 13.5%
U.S. 2009 13.7%
U.S. 2010 13.4%
U.S. 2011 16.1%
U.S. 2012 15.2%
U.S. 2013 15.3%
Healthy Alaskans Goal 2013 14.0%
Healthy Alaskans Goal 2014 14.0%
Healthy Alaskans Goal 2015 14.0%
Healthy Alaskans Goal 2016 14.0%
Healthy Alaskans Goal 2017 14.0%
Healthy Alaskans Goal 2018 14.0%
Healthy Alaskans Goal 2019 14.0%
Healthy Alaskans Goal 2020 14.0%

Data Notes

Healthy Alaskans 2020 Target: 14.0%

** Data Not Available.

Data Sources

  • Alaska Data: Behavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion
  • U.S. Data: National Center for Chronic Disease Prevention and Health Promotion, Behavioral Risk Factor Surveillance System (BRFSS)



Percentage of adults (18+) reporting cost as a barrier to care in past year, by age, all Alaskans, 2010-2020

::chart - missing::

HA: Age Group: 18-24,25-34,35-44,45-64,65+ Year Percentage of Adults Lower Limit Upper Limit
Record Count: 28
18-24 2010 9.0% 4.6% 16.8%
18-24 2011 16.0% 11.5% 21.7%
18-24 2012 10.1% 7.2% 14.0%
18-24 2013 12.6% 9.2% 17.0%
25-34 2010 17.4% 12.5% 23.6%
25-34 2011 19.9% 15.8% 24.9%
25-34 2012 17.1% 14.0% 20.8%
25-34 2013 15.6% 12.7% 18.9%
35-44 2010 15.3% 11.1% 20.7%
35-44 2011 23.0% 19.2% 27.3%
35-44 2012 14.0% 11.2% 17.5%
35-44 2013 15.8% 12.7% 19.6%
45-64 2010 17.4% 14.3% 21.0%
45-64 2011 17.7% 15.5% 20.1%
45-64 2012 18.7% 16.3% 21.3%
45-64 2013 15.6% 13.8% 17.7%
65+ 2010 4.8% 3.0% 7.7%
65+ 2011 6.6% 4.9% 8.9%
65+ 2012 4.7% 3.5% 6.3%
65+ 2013 6.5% 4.4% 9.6%
Healthy Alaskans Goal 2013 14.0%
Healthy Alaskans Goal 2014 14.0%
Healthy Alaskans Goal 2015 14.0%
Healthy Alaskans Goal 2016 14.0%
Healthy Alaskans Goal 2017 14.0%
Healthy Alaskans Goal 2018 14.0%
Healthy Alaskans Goal 2019 14.0%
Healthy Alaskans Goal 2020 14.0%

Data Notes

Healthy Alaskans 2020 Target: 14.0%

** Data Not Available.

Data Sources

BRFSS Alaska Data: Behavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) reporting cost as a barrier to care in past year, by ethnicity, all Alaskans, 2010-2020

::chart - missing::

HA: Ethnicity - Hispanic/Latino Year Percentage of Adults Lower Limit Upper Limit
Record Count: 16
Hispanic/Latino 2010 21.8% 10.6% 39.4%
Hispanic/Latino 2011 37.7% 26.9% 49.9%
Hispanic/Latino 2012 23.9% 16.5% 33.3%
Hispanic/Latino 2013 23.2% 16.4% 31.6%
Not Hispanic/Latino 2010 14.2% 12.3% 16.5%
Not Hispanic/Latino 2011 16.5% 14.9% 18.1%
Not Hispanic/Latino 2012 14.2% 12.9% 15.6%
Not Hispanic/Latino 2013 13.5% 12.3% 14.8%
Healthy Alaskans Goal 2013 14.0%
Healthy Alaskans Goal 2014 14.0%
Healthy Alaskans Goal 2015 14.0%
Healthy Alaskans Goal 2016 14.0%
Healthy Alaskans Goal 2017 14.0%
Healthy Alaskans Goal 2018 14.0%
Healthy Alaskans Goal 2019 14.0%
Healthy Alaskans Goal 2020 14.0%

Data Notes

Healthy Alaskans 2020 Target: 14.0%

** Data Not Available.

Data Sources

BRFSS Alaska Data: Behavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) reporting cost as a barrier to care in past year, by marital status, all Alaskans, 2010-2020

::chart - missing::

HA: Marital Status Year Percentage of Adults Lower Limit Upper Limit
Record Count: 28
Married 2010 12.1% 9.9% 14.7%
Married 2011 13.3% 11.5% 15.2%
Married 2012 11.7% 10.0% 13.6%
Married 2013 10.9% 9.6% 12.4%
Widowed 2010 13.6% 8.4% 21.2%
Widowed 2011 16.5% 11.1% 23.8%
Widowed 2012 15.6% 11.2% 21.3%
Widowed 2013 12.6% 7.6% 20.1%
Divorced/Separated 2010 22.5% 16.8% 29.4%
Divorced/Separated 2011 26.2% 21.8% 31.2%
Divorced/Separated 2012 25.0% 21.1% 29.4%
Divorced/Separated 2013 18.3% 14.8% 22.3%
Never Married 2010 15.9% 11.1% 22.2%
Never Married 2011 20.6% 16.6% 25.2%
Never Married 2012 15.5% 12.7% 18.8%
Never Married 2013 15.6% 12.7% 18.9%
Living with a Partner 2010 24.6% 14.6% 38.3%
Living with a Partner 2011 27.3% 19.5% 36.9%
Living with a Partner 2012 17.5% 12.6% 23.8%
Living with a Partner 2013 28.0% 21.4% 35.8%
Healthy Alaskans Goal 2013 14.0%
Healthy Alaskans Goal 2014 14.0%
Healthy Alaskans Goal 2015 14.0%
Healthy Alaskans Goal 2016 14.0%
Healthy Alaskans Goal 2017 14.0%
Healthy Alaskans Goal 2018 14.0%
Healthy Alaskans Goal 2019 14.0%
Healthy Alaskans Goal 2020 14.0%

Data Notes

Healthy Alaskans 2020 Target: 14.0%

** Data Not Available.



Percentage of adults reporting cost as a barrier to care in past year, by education, all Alaskans, 2010-2020

::chart - missing::

HA: Edu Level: < HS, HS, Some Coll, Coll Grad Year Percentage of Adults Lower Limit Upper Limit
Record Count: 24
< HS 2010 26.3% 18.3% 36.1%
< HS 2011 31.2% 24.0% 39.4%
< HS 2012 26.7% 20.3% 34.2%
< HS 2013 26.3% 19.8% 34.0%
HS 2010 15.3% 11.6% 19.8%
HS 2011 18.9% 16.0% 22.3%
HS 2012 18.8% 15.8% 22.3%
HS 2013 15.3% 12.9% 18.0%
Some Coll 2010 15.4% 12.0% 19.6%
Some Coll 2011 16.9% 14.2% 20.0%
Some Coll 2012 14.4% 12.1% 17.0%
Some Coll 2013 14.4% 12.3% 16.8%
Coll Grad 2010 10.6% 8.0% 13.9%
Coll Grad 2011 13.2% 10.8% 16.0%
Coll Grad 2012 9.9% 8.2% 12.1%
Coll Grad 2013 9.2% 7.8% 10.9%
Healthy Alaskans Goal 2013 14.0%
Healthy Alaskans Goal 2014 14.0%
Healthy Alaskans Goal 2015 14.0%
Healthy Alaskans Goal 2016 14.0%
Healthy Alaskans Goal 2017 14.0%
Healthy Alaskans Goal 2018 14.0%
Healthy Alaskans Goal 2019 14.0%
Healthy Alaskans Goal 2020 14.0%

Data Notes

Healthy Alaskans 2020 Target: 14.0%

** Data Not Available.

Data Sources

BRFSS Alaska Data: Behavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) reporting cost as a barrier to care in past year, by employment status, all Alaskans, 2010-2020

::chart - missing::

HA: Employment Year Percentage of Adults Lower Limit Upper Limit
Record Count: 24
Employed 2010 13.0% 10.6% 15.8%
Employed 2011 16.5% 14.5% 18.7%
Employed 2012 14.8% 13.1% 16.7%
Employed 2013 13.2% 11.7% 14.9%
Unemployed 2010 31.7% 23.1% 41.7%
Unemployed 2011 32.3% 25.9% 39.3%
Unemployed 2012 26.2% 20.6% 32.8%
Unemployed 2013 27.4% 21.6% 34.1%
Not In Work Force 2010 11.8% 8.5% 16.1%
Not In Work Force 2011 11.1% 8.9% 13.8%
Not In Work Force 2012 9.2% 7.4% 11.3%
Not In Work Force 2013 9.8% 7.9% 12.1%
Unable to Work 2010 28.3% 18.1% 41.3%
Unable to Work 2011 31.5% 23.4% 40.8%
Unable to Work 2012 22.9% 17.4% 29.6%
Unable to Work 2013 24.6% 18.2% 32.3%
Healthy Alaskans Goal 2013 14.0%
Healthy Alaskans Goal 2014 14.0%
Healthy Alaskans Goal 2015 14.0%
Healthy Alaskans Goal 2016 14.0%
Healthy Alaskans Goal 2017 14.0%
Healthy Alaskans Goal 2018 14.0%
Healthy Alaskans Goal 2019 14.0%
Healthy Alaskans Goal 2020 14.0%

Data Notes

Healthy Alaskans 2020 Target: 14.0%

** Data Not Available.



Percentage of adults (18+) reporting cost as a barrier to care in past year, by income, all Alaskans, 2010-2020

::chart - missing::

HA: Income: <$15k, $15k-$25k, $25k-$50k, $50-$75k, $75k+ Year Percentage of Adults Lower Limit Upper Limit
Record Count: 28
<$15,000 2010 28.1% 19.1% 39.3%
<$15,000 2011 32.9% 26.0% 40.6%
<$15,000 2012 27.0% 21.6% 33.1%
<$15,000 2013 26.2% 20.5% 33.0%
$15,000 - $24,999 2010 22.6% 16.6% 30.0%
$15,000 - $24,999 2011 34.4% 28.1% 41.2%
$15,000 - $24,999 2012 27.5% 22.6% 33.0%
$15,000 - $24,999 2013 24.4% 20.1% 29.2%
$25,000 - $49,999 2010 21.0% 16.2% 26.8%
$25,000 - $49,999 2011 19.9% 16.4% 23.9%
$25,000 - $49,999 2012 18.2% 15.1% 21.8%
$25,000 - $49,999 2013 18.7% 15.8% 22.1%
$50,000 - $74,999 2010 11.6% 7.3% 17.9%
$50,000 - $74,999 2011 15.7% 12.3% 19.8%
$50,000 - $74,999 2012 15.3% 11.8% 19.6%
$50,000 - $74,999 2013 14.0% 11.2% 17.4%
$75,000+ 2010 6.8% 4.8% 9.5%
$75,000+ 2011 8.2% 6.3% 10.6%
$75,000+ 2012 4.2% 3.2% 5.5%
$75,000+ 2013 6.6% 5.3% 8.2%
Healthy Alaskans Goal 2013 14.0%
Healthy Alaskans Goal 2014 14.0%
Healthy Alaskans Goal 2015 14.0%
Healthy Alaskans Goal 2016 14.0%
Healthy Alaskans Goal 2017 14.0%
Healthy Alaskans Goal 2018 14.0%
Healthy Alaskans Goal 2019 14.0%
Healthy Alaskans Goal 2020 14.0%

Data Notes

Healthy Alaskans 2020 Target: 14.0%

** Data Not Available.

Data Sources

BRFSS Alaska Data: Behavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) reporting cost as a barrier to care in past year, by poverty threshold, all Alaskans, 2010-2020

::chart - missing::

HA: Poverty Threshold Year Percentage of Adults Lower Limit Upper Limit
Record Count: 20
Poor 2010 25.6% 17.5% 35.7%
Poor 2011 33.8% 26.0% 42.5%
Poor 2012 27.6% 22.3% 33.6%
Poor 2013 25.3% 19.9% 31.6%
Near Poor 2010 27.7% 21.5% 34.8%
Near Poor 2011 23.6% 19.3% 28.5%
Near Poor 2012 27.7% 23.0% 32.9%
Near Poor 2013 23.8% 20.1% 28.0%
Middle/High 2010 10.3% 8.3% 12.7%
Middle/High 2011 11.3% 9.8% 13.0%
Middle/High 2012 9.8% 8.5% 11.3%
Middle/High 2013 10.8% 9.5% 12.2%
Healthy Alaskans Goal 2013 14.0%
Healthy Alaskans Goal 2014 14.0%
Healthy Alaskans Goal 2015 14.0%
Healthy Alaskans Goal 2016 14.0%
Healthy Alaskans Goal 2017 14.0%
Healthy Alaskans Goal 2018 14.0%
Healthy Alaskans Goal 2019 14.0%
Healthy Alaskans Goal 2020 14.0%

Data Notes

Healthy Alaskans 2020 Target: 14.0%

** Data Not Available.



Percentage of adults (18+) reporting cost as a barrier to care in past year, by metropolitan/micropolitan statistical areas, all Alaskans, 2010-2020

::chart - missing::

HA: Metro/Micropolitan Area Year Percentage of Adults Lower Limit Upper Limit
Record Count: 36
Anchorage 2010 12.5% 9.1% 16.9%
Anchorage 2011 18.2% 15.3% 21.5%
Anchorage 2012 14.5% 12.1% 17.2%
Anchorage 2013 13.1% 10.9% 15.8%
Fairbanks North Star MSA 2010 12.6% 9.6% 16.4%
Fairbanks North Star MSA 2011 17.7% 13.9% 22.3%
Fairbanks North Star MSA 2012 14.4% 11.3% 18.1%
Fairbanks North Star MSA 2013 14.3% 11.8% 17.2%
Jeneau MicroSA 2010 9.1% 5.7% 14.2%
Jeneau MicroSA 2011 19.9% 13.9% 27.7%
Jeneau MicroSA 2012 12.6% 8.2% 19.0%
Jeneau MicroSA 2013 11.9% 8.3% 16.7%
Ketchikan Gateway MicroSA 2010 15.4% 8.3% 26.9%
Ketchikan Gateway MicroSA 2011 23.6% 13.5% 37.9%
Ketchikan Gateway MicroSA 2012 15.8% 9.7% 24.5%
Ketchikan Gateway MicroSA 2013 15.2% 10.4% 21.7%
Kodiak Island MicroSA 2010 13.4% 4.7% 32.7%
Kodiak Island MicroSA 2011 6.1% 3.3% 11.0%
Kodiak Island MicroSA 2012 9.4% 5.2% 16.3%
Kodiak Island MicroSA 2013 19.5% 9.8% 35.0%
Matanuska-Susitna 2010 18.6% 11.6% 28.4%
Matanuska-Susitna 2011 20.9% 16.8% 25.7%
Matanuska-Susitna 2012 15.7% 12.2% 19.9%
Matanuska-Susitna 2013 16.6% 13.4% 20.3%
Rural (non-Metro/MicroSA) 2010 19.0% 16.2% 22.2%
Rural (non-Metro/MicroSA) 2011 14.4% 12.6% 16.4%
Rural (non-Metro/MicroSA) 2012 15.5% 13.5% 17.8%
Rural (non-Metro/MicroSA) 2013 14.1% 12.4% 15.9%
Healthy Alaskans Goal 2013 14.0%
Healthy Alaskans Goal 2014 14.0%
Healthy Alaskans Goal 2015 14.0%
Healthy Alaskans Goal 2016 14.0%
Healthy Alaskans Goal 2017 14.0%
Healthy Alaskans Goal 2018 14.0%
Healthy Alaskans Goal 2019 14.0%
Healthy Alaskans Goal 2020 14.0%

Data Notes

Healthy Alaskans 2020 Target: 14.0%

** Data Not Available.



Percentage of adults (18+) reporting cost as a barrier to care in past year, Alaska Public Health Regions, all Alaskans, 2010-2020

::chart - missing::

HA: Geog PHR Year Percentage of Adults Lower Limit Upper Limit
Record Count: 32
Anchorage-Mat-Su 2010 13.8% 10.7% 17.8%
Anchorage-Mat-Su 2011 18.8% 16.4% 21.5%
Anchorage-Mat-Su 2012 14.8% 12.8% 17.1%
Anchorage-Mat-Su 2013 13.9% 12.0% 16.1%
Gulf Coast 2010 17.9% 14.0% 22.7%
Gulf Coast 2011 13.2% 10.4% 16.6%
Gulf Coast 2012 13.4% 10.6% 16.9%
Gulf Coast 2013 14.4% 11.6% 17.7%
Interior 2010 13.3% 10.3% 17.0%
Interior 2011 17.6% 14.3% 21.6%
Interior 2012 15.0% 12.3% 18.3%
Interior 2013 14.1% 11.9% 16.6%
Northern 2010 17.9% 11.4% 26.9%
Northern 2011 11.1% 7.7% 15.8%
Northern 2012 13.0% 8.7% 19.1%
Northern 2013 13.3% 9.1% 19.1%
Southeast 2010 13.9% 10.4% 18.2%
Southeast 2011 17.2% 13.4% 21.8%
Southeast 2012 14.7% 11.5% 18.6%
Southeast 2013 13.1% 10.6% 16.1%
Southwest 2010 20.6% 14.7% 28.1%
Southwest 2011 17.8% 13.6% 22.8%
Southwest 2012 17.1% 13.3% 21.6%
Southwest 2013 17.3% 13.4% 21.9%
Healthy Alaskans Goal 2013 14.0%
Healthy Alaskans Goal 2014 14.0%
Healthy Alaskans Goal 2015 14.0%
Healthy Alaskans Goal 2016 14.0%
Healthy Alaskans Goal 2017 14.0%
Healthy Alaskans Goal 2018 14.0%
Healthy Alaskans Goal 2019 14.0%
Healthy Alaskans Goal 2020 14.0%

Data Notes

Healthy Alaskans 2020 Target: 14.0%

** Data Not Available.

Data Sources

BRFSS Alaska Data: Behavioral Risk Factor Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) reporting cost as a barrier to care in past year, Boroughs and Census Areas, 2011-2013 (3-year average)

::chart - missing::

Boroughs/Census Areas Percentage of adults Lower Limit Upper Limit
Record Count: 30
Aleutians East Borough 11.2% 6.3% 19.1%
Aleutians West Borough 12.9% 7.6% 21.2%
Anchorage Municipality 15.3% 13.8% 16.9%
Bethel Census Area 15.2% 11.6% 19.5%
Bristol Bay Borough 22.3% 11.8% 38.1%
Denali Borough 10.3% 6.1% 16.9%
Dillingham Census Area 15.0% 9.9% 22.1%
Fairbanks North Star Borough 15.5% 13.5% 17.6%
Haines Borough 15.2% 8.8% 25.0%
Hoonah-Angoon Census Area 21.4% 11.2% 37.1%
Juneau City and Borough 14.9% 11.9% 18.5%
Kenai Peninsula Borough 14.6% 12.6% 17.0%
Ketchikan Gateway Borough 18.0% 13.4% 23.7%
Kodiak Island Borough 11.6% 7.5% 17.4%
Lake and Peninsula Borough 22.1% 14.7% 31.9%
Matanuska-Susitna Borough 17.7% 15.5% 20.1%
Nome Census Area 15.6% 11.1% 21.4%
North Slope Borough 8.9% 5.8% 13.5%
Northwest Arctic Borough 12.1% 8.1% 17.6%
Petersburg Borough 6.7% 3.6% 12.2%
Prince of Wales-Hyder Census Area 14.8% 9.0% 23.4%
Sitka City and Borough 8.4% 5.0% 13.8%
Skagway Municipality 21.5% 9.7% 41.1%
Southeast Fairbanks Census Area 12.5% 9.1% 16.8%
Valdez-Cordova Census Area 11.4% 8.3% 15.4%
Wade Hampton Census Area 26.4% 20.4% 33.3%
Wrangell City and Borough 13.4% 6.9% 24.4%
Yakutat City and Borough 32.0% 17.4% 51.3%
Yukon-Koyukuk Census Area 22.5% 17.6% 28.4%
Healthy Alaskans Goal 14.0%

Data Notes

Healthy Alaskans 2020 Target: 14.0%

** Data Not Available.


References and Community Resources

Alaska Medicaid Program: visit http://dhss.alaska.gov/dpa/Pages/medicaid/default.aspx or one of the regional centers:

ANCHORAGE DISTRICT OFFICE
400 Gambell Street
Anchorage, AK 99501
(907) 269-6599 - Phone
(907) 269-6450 - Fax

BETHEL DISTRICT OFFICE
P.O. Box 365
Bethel, AK 99559
(907) 543-2686 - Phone (1-800-478-2686)
(907) 543-5912 - Fax

COASTAL FIELD OFFICE
3601 C Street, Suite 410
P.O. Box 240249
Anchorage, AK 99524
(907) 269-8950 - Phone
1-800-478-4372
(907) 562-1619 - Fax

EAGLE RIVER JOB CENTER
11723 Old Glenn Highway, Sp. B-4
Eagle River, AK 99577-7595
(907) 694-7008
(907) 694-1490 - Fax

FAIRBANKS DISTRICT OFFICE
675 7th Avenue, Station D
Fairbanks, AK 99701
(907) 451-2850 - Phone (1-800-478-2850)
(907) 451-2923 - Fax
1-877-451-2923 toll free fax

HOMER DISTRICT OFFICE
New address!
Homer District Office
3670 Lake Street, # 200
Homer, AK 99603
(907) 226-3040 - Phone
(907) 235-6176 - Fax

JUNEAU FIELD OFFICE
10002 Glacier Hwy, Suite 200
Juneau, AK 99801
(907) 465-3537 - Phone (1-800-478-3537)
(907) 465-4657 - Fax

KENAI PENINSULA JOB CTR
11312 Kenai Spur Hwy, Suite #2
Kenai, AK 99611
(907) 283-2900 - Phone (1-800-478-9032)
(907) 283-6619 - Fax

KETCHIKAN DISTRICT OFFICE
2030 Sea Level Dr., Suite 301
Ketchikan, AK 99901
(907) 225-2135 - Phone (1-800-478-2135)
(907) 247-2135 - Fax

KODIAK DISTRICT OFFICE
211 Mission Road, Suite 101
Kodiak, AK 99615
(907) 486-3783 - Phone (1-888-480-3783)
(907) 486-3116 - Fax

KOTZEBUE DISTRICT OFFICE
P.O. Box 1210
Kotzebue, AK 99752
(907) 442-3451 - Phone
(907) 442-2151 - Fax

MAT-SU DISTRICT OFFICE
855 W. Commercial Drive
Wasilla, AK 99654
(907) 376-3903 - Phone (1-800-478-7778)
(907) 373-1136 - Fax

MULDOON DISTRICT OFFICE
1251 Muldoon Rd, Suite 111B
Anchorage, AK 99504
(907) 269-0001 - Phone
(907) 269-0070 - Fax

NOME DISTRICT OFFICE
P.O. Box 2110
Nome, AK 99762
(907) 443-2237 - Phone (1-800-478-2236)
(907) 443-2307 - Fax

SOUTHEAST ADULT PUBLIC ASSISTANCE & SPECIALIZED MED
10002 Glacier Hwy, Suite 200
Juneau, AK 99801
(907) 465-3537 - Phone (1-800-478-3537)
(907) 465-4657 - Fax

SITKA DISTRICT OFFICE
201 Katlian Street, Suite 107
Sitka, AK 99835
(907) 747-8234 - Phone (1-800-478-8234)
(907) 747-8224 - Fax

Denali KidCare is Alaska's Children's Health Insurance Program (CHIP):
If you have questions or need further information, please call Denali KidCare:

Within the Anchorage area, phone 269-6529.
From other areas of the state, you may phone toll free 1-888-318-8890.
If you prefer, you may fax your application to 1-855-769-0986.
In Anchorage, our office is located at 3601 C Street, 1st floor of the Frontier Building.
Outside of Anchorage, please view Public Assistance office locations.
If you have questions about Denali KidCare or would like an application or renewal mailed to you, please email denali.kid.care@alaska.gov


The Alaska Primary Care Association (APCA) is the primary care association for the state of Alaska. APCA members include Federally Qualified Health Centers (FQHC) and other providers who strive to meet the needs of the medically underserved. APCA and its member organizations are part of a statewide and national movement to reduce barriers to health care by enhancing primary care service delivery through prevention, health promotion, and community participation.

Alaska Primary Care Association
903 W Northern Lights Blvd.
Suite 200
Anchorage, AK 99503
Tel: 907.929.2722
Fax: 907.929.2734
Email: info@alaskapca.org

More information on the Behavioral Risk Factor Surveillance System may be found on the website of the Centers for Disease Control and Prevention - http://www.cdc.gov/brfss/

More Resources and Links

Alaska and national goals may be found at the following sites:

Maps of health indicators for various subdivisions of Alaska may be found at the following site:

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

For an on-line medical dictionary, click on this Dictionary link.

Page Content Updated On 04/27/2015, Published on 04/27/2015
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health (Ak-IBIS) web site (http://ibis.dhss.alaska.gov). The information published on this website may be reproduced without permission. Please use the following citation: "Retrieved Sat, 23 May 2015 20:54:16 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health web site: http://ibis.dhss.alaska.gov".

Content updated: Mon, 27 Apr 2015 14:56:46 AKDT