What are we measuring?
This performance measure tracks the percentage of population 18 years or younger in Fulton County who did not have health insurance in the past 12 months.  The data used for this measure come from the U.S. Census Bureau's American Community Survey, which defines health insurance coverage to include plans and programs that provide comprehensive health coverage.  Coverage may be provided by either private health insurance or public programs.  Private health insurance is a plan provided through an employer or union, a plan purchased by an individual from a private company.  Public programs providing coverage include the federal programs Medicare, Medicaid, and VA Health Care; the Children’s Health Insurance Program (CHIP); and individual state health plans.
Why are we measuring it?
Access to health care is essential for the healthy and secure development of children in their formative years. Children who were hospitalized without insurance have significantly increased all-cause in-hospital mortality as compared with children who present with insurance.
How are we doing?
The number of children without health insurance rose by about one percentage point between 2016 and 2017 after falling in three of the four prior years. In 2017, about 6% of children in Fulton County did not have health insurance, a higher proportion than all but two of its benchmark counties and slightly above the national rate of 4.5%.
As of 2017, over 12,000 children in the County were uninsured.  Furthermore, a recent study by the Children's Health Fund suggests that many children with health coverage do not receive regular primary care visits due to costs not covered by insurance or non-insurance related reasons such as living in areas with severe health professional shortage, lack of affordable accessible transportation, and cultural and language barriers.

1. Children's Health Fund. 2016. "UNFINISHED BUSINESS: More than 20 Million Children in U.S. Still Lack Sufficient Access to Essential Health Care". Retrieved from https://www.childrenshealthfund.org/wp-content/uploads/2016/11/Unfinished-Business-Final_.pdf.