Document Type


Publication Date

Spring 2015


When strategizing how the U.S. can control Medicare costs in the future, policymakers and researchers focus their attention on middle-aged adults and specifically on the uninsured population.1 As the literature well documents, lacking health insurance is a major barrier for access to care, and as a result, the uninsured are more likely to have unmet medical needs. 1 2 Since chronic health conditions among the uninsured aged 45-64 are likely to create high costs for Medicare when these individuals turn 65, employers and state governments are working to create plans to cover the uninsured in hopes of reducing future costs.3 4 Efficient prevention and management campaigns need to be data-driven and targeted toward the chronic conditions among uninsured, middle-aged Americans that are associated with significant increases in expenses.