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2018 Population Health Dashboards <br />Orange County, NC <br />2- SDOH18 <br /> <br />Social Determinants of Health: Access to Care <br /> <br /> <br /> <br />Sources: SAHIE (2014-2016), Sheps Center (2014-2015), Kaiser Family Foundation (US Measures, 2015-2016), Medicaid.gov (2018) <br />Data Notes: See the Public Health Dashboard FAQ Document for more on data methodology. <br /> <br /> <br />Summary: <br />North Carolina and Orange County each saw a decline in the percent of residents who are uninsured from 2014 to 2016 (age <65 <br />years old). Orange County low-income uninsured also continues to drop, from 32% in 2014, to now 23%. Orange County has seen <br />a steady decline in uninsured rates across all indicators from 2011 to 2014. However, the percentage of low income children who <br />were uninsured (12%) is still much higher than in our peer counties, the state, and the nation. Orange County and NC lag behind <br />the US in nearly all insurance indicators, likely in part due to the exclusion of a Medicaid expansion for low-income individuals and <br />a changing insurance environment. <br /> <br />In terms of resources, Orange County leads the state in physician density, and the supply of physicians grew from 2013 to 2016. <br />In 2013 and 2014, Orange County ranked first in dentist density. Although there was a large decrease in the number of dentists in <br />2013, this trend reversed in 2014, with the dentist rate increasing by more than 6 dentists per 10,000 people. Trends in 2016 <br />continue to show growth in both physician and dentist density. <br /> <br /> <br />As of February 2018, North Carolina has enrolled 2,055,472 <br />individuals in Medicaid and CHIP — a net increase of 29% <br />since the first Marketplace Open Enrollment Period and <br />related Medicaid program changes in October <br />2013. However, NC falls five percentage points (5%) behind <br />the US, and Orange County falls seven percentage points <br />(7%) behind. <br />In numbers, this represents a difference of nearly 187,000 <br />low-income individuals in NC and more than 10,000 low- <br />income individuals in Orange County that would be <br />covered if the county’s uninsured rates matched those of <br />the United States. <br /> <br /> <br />Affordability and Insurance <br />Icon Current Proposed OC Target Previous Progress Peer NC US 2020 Target <br />% Uninsured (<65 years old)10%8%12%SAME 20%12%9%8% <br />% Low-income Uninsured (<65 years old, <200% FPL)23%20%26%↓20%21%16%NA <br />% Children Uninsured (<19 years old)5%4%6%SAME 4%5%5%NA <br />% Low Income Children Uninsured (<19 years old, <200% FPL)12%5%12%SAME 6%6%7%NA <br />Resources and Prevention <br />Icon Current Proposed OC Target Previous Progress Peer NC US 2020 Target <br />Physicians Rate per 10,000 120 NA 111 ↑43 23 26 NA <br />Dentist Rate per 10,000 18 NA 16 ↑8 5 6 NA <br />Progress Orange County Trend <br />Progress Orange County Trend <br />Compare to <br />Compare to <br />Significant change <br />from previous that is <br />positive, negative, <br />or indeterminable (grey) <br /> No trend <br /> Trend cannot be assessed <br /> <br /> Performing better than Previous, Peer, NC, and US <br /> Performing better than two or three benchmarks <br /> Performing better than one or no benchmarks <br />(Target value adds additional benchmark, if present) <br />↑↓Positive trend <br />↑↓Negative trend <br />↑↓Neutral trend <br />2015 Population Health Dashboards <br />Disparity Present <br />Negligible Disparity <br /> Performing better than four or more benchmarks <br /> Performing better than two or three benchmarks <br /> Performing better than one or no benchmarks <br />Benchmarks include Previous, Peer, NC, US, and 2020 Target <br />OC Targets represent proposed local goals