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Achieving Better Quality of Care for Low-Income Populations: The Roles of Health Insurance and the Medical Home in Reducing Health Inequities

In the United States, uninsured and low-income adults experience substantial health and health care inequities when compared with insured and higher-income individuals. A new analysis of the Commonwealth Fund 2010 Biennial Health Insurance Survey demonstrates that when low-income adults have both health insurance and a medical home, they are less likely to report cost-related access problems, more likely to be up-to-date with preventive screenings, and report greater satisfaction with the quality of their care. Moreover, the gaps in health care between them and higher-income populations are significantly reduced. The Affordable Care Act includes numerous provisions that will significantly expand health insurance coverage, especially to low-income patients, as well as provisions to promote medical homes. Along with supporting the full implementation of coverage expansions, it will be important for public and private stakeholders to create opportunities that enhance access to medical homes for vulnerable populations.

Publication Details

Publication Date: May 16, 2012

J. Berenson, M. M. Doty, M. K. Abrams, and A. Shih, Achieving Better Quality of Care for Low-Income Populations: The Role of Health Insurance and the Medical Home for Reducing Health Inequities, The Commonwealth Fund, May 2012.


Michelle M. Doty
Vice President, Organizational Effectiveness, Survey Research and Evaluation, The Commonwealth Fund
Melinda K. Abrams
Senior Vice President, Delivery System Reform and International Innovations, The Commonwealth Fund
Executive Vice President, New York Academy of Medicine