The ABC Data Exchange

and Wellness

The uninsured are often one serious illness or accident away from financial crisis.

Health insurance acts as a protective factor against unexpected healthcare costs that can damage an individual’s or a family’s ability to maintain assets.

Health insurance is provided in two major forms, employer-based health insurance, predominant for adults, and Medicaid and Medicare for those age 65 and over.

The measures on this page highlight levels of employer-provided health insurance and uninsurance rates among residents in Forsyth County.

Literature Review Highlights


Even when controlling for income and education, wealth is associated with better self-rated health. [1]

Assets are associated with a reduction in family stress generally. [2]

High debt is associated with mental disorders, and the relationship between debt and mental disorder is much stronger than the relationship between income and mental disorder.  However, the study does not attempt to disentangle which way causation runs: does debt cause mental disorder, do those with mental disorders rack up more debt, or is it a little of both? [3]

Literature Review References

[1] Pollack, C. E., Cubbin, C., Sania, A., Hayward, M., Vallone, D., Flaherty, B., & Braveman, P. A. (2013). Do wealth disparities contribute to health disparities within racial/ethnic groups?. J Epidemiol Community Health, 67(5), 439-445.

[2] Rothwell, D. W., & Han, C. K. (2010). Exploring the relationship between assets and family stress among low‐income families. Family Relations, 59(4), 396-407.

[3] Jenkins, R., Bhugra, D., Bebbington, P., Brugha, T., Farrell, M., Coid, J., … & Meltzer, H. (2008). Debt, income and mental disorder in the general population. Psychological medicine, 38(10), 1485-1493.

Major Findings

Employer-based health insurance rates were lower for Black and Hispanic/Latino residents and residents with lower levels of educational attainment.
Uninsurance rates have decreased significantly since 2011 in Forsyth County, but uninsurance rates remain especially high for residents who have a high school diploma or less and residents who identify as Hispanic/Latino.

Employer-Provided Health Insurance

Although the Affordable Care Act expanded access to health insurance to individuals without employer-provided insurance, the majority of Americans still receive health care coverage through their employers. Employment-provided health insurance is typically less expensive and provides more comprehensive coverage than plans purchased individually on the private market [1]. View data notes for this measure.

Data Visualization

Employer-Provided Health Insurance (Forsyth County, 2022)

Use the dropdown menu below to view data on different groups.

Key Takeaways

Overall, the rate of employer-provided health insurance remained about the same from 2009-2022.
Major disparities were present by race/ethnicity.

About 70% of White adults had employer-provided health insurance compared to 58% of Black adults and 36% of Hispanic/Latino adults in 2022.

Adults with higher educational attainment were more likely to have employer-provided health insurance.

Adults with a Bachelor’s Degree or higher had employer-provider health insurance rates of 76%-84% compared to 39% for adults with a high school diploma or less in 2022.

Residents with lower household incomes were less likely to have employer-provided health insurance.

Nearly 80% of adults with household incomes greater than $100,000 have insurance through their employer compared to less than 20% of adults with household incomes of $20,000 or less.

Uninsured Individuals

Health insurance provides important protection for a household’s assets by reducing expenses incurred from a medical emergency or the treatment of a chronic illness that might otherwise require a family to spend down long-term savings, sell off assets, or go into debt. In addition, because health insurance coverage encourages people to seek preventive care and treatment for injuries and illnesses, it minimizes the impact a major injury or illness would otherwise have on an individual’s ability to earn income. The uninsured are often one serious illness or accident away from a financial crisis.

While the Affordable Care Act (ACA) significantly reduced the uninsured rate, millions of Americans still lack coverage, including low-income individuals who fall into the coverage gap as a result of some states’ decisions not to expand Medicaid under ACA. Further, repealing the ACA’s individual mandate has made it so there is no longer a financial penalty for not having health insurance coverage [1]. View data notes for this measure.

Data Visualization

Uninsured Individuals (Forsyth County, 2022)

Use the dropdown menu below to view data on different groups.

Key Takeaways

Overall, uninsured rates decreased significantly since 2011.

The uninsurance rate peaked in 2011 at 18% compared to 9% in 2022.

Working-age residents had the highest uninsurance rate in 2022.

Adults 18-34 and 35-64 had an uninsurance rate of 13% and 14%, respectively, compared to 2% or less of residents under 18 or 65 years old and older.

Major disparities were present by race/ethnicity.

More than a quarter of Hispanic/Latino residents were uninsured in 2022 compared to 8% of Black residents and 5% of White residents.

Residents with low educational attainment have the highest uninsurance rates.

In 2022, about 22% of residents with a high school diploma or less were uninsured.

More males (14%) than females (8%) were uninsured in 2022.