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Texas Survey Respondents Struggle to Afford High Health Care Costs, Worry about Affording Health Care in the Future, and Express Bipartisan Support for Policy Solutions

Executive Summary Health care affordability remains a persistent challenge for many Texas residents. Findings from the Consumer Healthcare Experience State Survey (CHESS) illustrate how high health care costs contribute to delayed care, financial strain, and widespread concern about affording care in the future. This brief describes findings from a survey of more than 1,400 Texas […]

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Alaska Survey Respondents Struggle to Afford High Health Care Costs, Worry about Affording Health Care in the Future, and Express Bipartisan Support for Policy Solutions

Executive Summary Health care affordability remains a persistent challenge for many Alaska residents. Findings from the Consumer Healthcare Experience State Survey (CHESS) illustrate how high health care costs contribute to delayed care, financial strain, and widespread concern about affording care in the future. This brief describes findings from a survey of 355 Alaska adults, conducted […]

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Virginia Survey Respondents Struggle to Afford High Health Care Costs, Worry about Affording Health Care in the Future, and Express Bipartisan Support for Policy Solutions

Executive Summary  Health care affordability remains a persistent challenge for many Virginia residents. Findings from the Consumer Healthcare Experience State Survey (CHESS) illustrate how high health care costs contribute to delayed care, financial strain, and widespread concern about affording care in the future. This brief describes findings from a survey of more than 1,300 Virginia […]

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North Carolina Survey Respondents Struggle to Afford High Health Care Costs, Worry about Affording Health Care in the Future, and Express Bipartisan Support for Policy Solutions

Executive Summary Background Health care is expensive in the U.S., and North Carolina is no exception; across the country 71% of all CHESS respondents surveyed have reported some form a health care affordability burden. Despite the fact that the U.S. spends substantially more on health care per person than other high‑income countries, this higher spending […]

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Ohio Survey Respondents Struggle to Afford High Health Care Costs, Worry about Affording Health Care in the Future, and Express Bipartisan Support for Policy Solutions

Executive Summary Health care affordability remains a persistent challenge for many Ohio residents. Findings from the Consumer Healthcare Experience State Survey (CHESS) illustrate how high health care costs contribute to delayed care, financial strain, and widespread concern about affording care in the future. This brief describes findings from a survey of more than 1,400 Ohio […]

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CHES Survey Findings and Impact of HR1: Webinar Companion Brief

Laura McGovern, MPA; Shelby Owen, MPH; Maria DeNunzio, PhD, MS Introduction The Consumer Health Care Experience State Surveys The Healthcare Value Hub conducted 45 Consumer Health Care Experience State Surveys (CHESS) across 36 states between 2018 and 2025, with some states participating multiple times. CHESS is designed to provide reliable, state-level estimates of respondents’ views […]

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CHESS Respondents Worry About the Cost of Aging: The Impact of Aging on the Sandwich Generation

Shelby Owen, MPH; Maria DeNunzio, PhD, MS Introduction In 2020, Americans age 65 or older accounted for about 17% of the population, yet accounted for about 37% of health care spending, nearly 2.5 times higher than working-age adults and more than five times higher than children (Centers for Medicare and Medicaid Services, n.d.). By 2050, […]

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Maine Survey Respondents Struggle to Afford High Health Care Costs; Worry about Affording Health Care in the Future; Express Bipartisan Support for Policy Solutions

Health care is expensive in the U.S., and Maine is no exception. Nearly three in every four respondents (72%) reported experiencing at least one health care affordability burden in the last year; such as being uninsured due to cost, delaying, or forgoing needed health services entirely due to cost or finding themselves in financial burden […]

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Facing the Future: Understanding Federal Policy Changes and their Effect on Coverage and Affordability

The Consumer Healthcare Experience State Survey (CHESS) consistently reveals that affordability remains the top barrier preventing individuals from obtaining health insurance and accessing necessary care. With the enactment of the House Reconciliation bill (H.R. 1), these financial challenges are poised to intensify for many Americans. Join the Hub and a panel of experts for a […]

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Oklahoma Survey Respondents Report Variations in Health Care Worry, Confidence and Affordability Burdens

Variations in Health Care Affordability Between Households Factors like household income and composition impact how a person navigates the health care system. For example, Oklahoma respondents in households earning less than $50,000 a year reported experiencing a health care affordability burden more frequently than wealthier households (see Table 1). The median household income in Oklahoma […]

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