State Variation in Health Care Service Utilization: United States, 2014

State-level differences in the percentage of uninsured Americans, along with other factors, may affect health care access and utilization.

An NCHS report examines the prevalence of two health care utilization measures among adults aged 18–64 by state. Additionally, differences by Medicaid expansion status and state Health Insurance Marketplace type are examined.

Findings: 

• The percentage of adults without a usual place of medical care ranged from 2.8% in Vermont to 26.7% in Nevada.
• The percentage of adults who did not have a general doctor visit in the past 12 months ranged from 15.9% in Vermont to 48.1% in Montana.
• The percentage of adults without a usual place of medical care was lower in states that expanded Medicaid compared with nonexpansion states.
• The percentage of adults without a usual place of medical care or who did not see a general doctor in the past 12 months was lower in states with partnership marketplaces compared with Federally Facilitated Marketplace states.