Health Insurance Coverage
Target: National target of 100% coverage (Healthy People 2020)
Target Status: MEETING TARGET
This is a measure of health insurance coverage, both public and private, for residents of San Francisco. Statistics on health insurance status are important for guiding insurance enrollment outreach activities, and also provide public health agencies with the ability to plan for current and future health care needs. Access to health care and insurance coverage is an important indicator of the overall well-being of the residents of San Francisco.
Healthy People 2020 is a national, 10-year agenda that provides a framework for improving the health of all Americans. It is a population-health focused program that includes a set of Leading Health Indicators to measure the overall health of the population. The Healthy People 2020 target for health insurance coverage is 100 percent.
THE PERCENTAGE OF SAN FRANCISCANS WITH HEALTH INSURANCE HAS SLIGHTLY INCREASED, WHILE THE PERCENTAGE OF RESIDENTS PARTICIPANTING IN HEALTH ACCESS PROGRAMS HAS DECREASED
How San Francisco is Performing
According to data from the American Community Survey (ACS) one-year estimates, 92.8 percent of the civilian non-institutionalized population in San Francisco had health insurance coverage as of 2014. This is an increase over the previous year’s coverage rate of 90.8 percent. Additionally, 2.6 percent of residents were participating in a city-run health coverage program, such as Healthy San Francisco, Healthy Kids, and San Francisco Provides Access to Health Care (SFPATH) in 2014, a decrease from a participation rate of 7.6 percent in 2013.
Healthy San Francisco is a health care access program for uninsured San Franciscans operated by the San Francisco Department of Public Health (DPH). It accepts participants regardless of immigration status, employment status, or pre-existing condition. It is not a health insurance program and does not extended outside of the program’s jurisdiction in San Francisco.
Since the implementation of the Affordable Care Act (ACA) and parallel Medi-Cal Expansion in January 2014, DPH has been actively enrolling eligible participants in the Medi-Cal option. This has been a primary factor in Healthy San Francisco participant decreases, resulting in greater health care portability for transitioned participants and significant savings to the city. The Human Services Agency of San Francisco administers Medi-Cal in San Francisco, and is currently acting to enroll to the estimated 10,000 San Franciscans who do not have any health insurance benefits.
How Performance is Measured
The measure is reported on through ACS one-year estimates. The ACS is an ongoing survey conducted through the U.S. Census Bureau. Information on the rate of participation in San Francisco’s health coverage programs is reported through the DPH, Population Health Division’s Community Health Assessment.
- Learn more about Healthy People 2020.
- Read more about the Population Health Division at DPH.
- Learn more about Healthy San Francisco.
- Learn more about the American Community Survey.
Please visit DataSF for the scorecard data.