追踪医疗保健可负担性与价值：西健康-盖洛普医疗保健可负担性指数及医疗保健价值指数2025报告

T R A C K I N G H E A LT H C A R EA F F O R D A B I L I T Y A N D VA L U E The West Health-Gallup Healthcare Affordability Index C O P Y R I G H T S T A N D A R D S This document contains proprietary research, copyrighted and trademarked materials of Gallup, Inc.Accordingly, international and domestic laws and penalties guaranteeing patent, copyright, trademark The materials contained in this document and/or the document itself may be downloaded and/orcopied provided that all copies retain the copyright, trademark and any other proprietary noticescontained on the materials and/or document. No changes may be made to this document without Any reference whatsoever to this document, in whole or in part, on any web page must provide a linkback to the original document in its entirety. Except as expressly provided herein, the transmissionof this material shall not be construed to grant a license of any type under any patents, copyright or Gallup®is a trademark of Gallup, Inc. All rights reserved. All other trademarks and copyrights are Table of Contents 4Tracking Healthcare Affordability and Value 5Introduction7West Health-Gallup Healthcare Affordability Index: Cost Security Hits New Low8Half of U.S. adults are Cost Insecure or Cost Desperate.10Significant practical implications exist for being Cost Desperate.A substantial range in Cost Desperate status exists across U.S. divisions.11Skipping prescribed medicine or drugs because of cost reaches a new high of 18%. Tracking HealthcareAffordability and Value Since 2021, West Health and Gallup have tracked healthcare affordability, access, qualityand value through ongoing surveys of at least 4,800 Americans per administration. The findings have led to the creation of two indices, which reveal the trends and issues Americans face The West Health-GallupHealthcare Affordability Index The West Health-GallupHealthcare Value Index measures the perceived value of the care received:Is the quality of care worth the cost? gauges the impact of high healthcareprices and access to care on adults in the U.S. Tracking Healthcare Affordability and Value Introduction The percentage of Americans classified as Cost Secure — persons who are able to affordcare and medicine and who have access to quality care if it were needed today — is at itslowest level since measurement began in 2021, according to the latest West Health-Gallup Only about half of U.S. adults (51%) believe basic healthcare is affordableand readily accessible, a 10-percentage-point drop since 2022. Even among Medicare-eligible adults aged 65 and older, healthcare affordability isdown, dropping below 70% for the first time. At the same time, since 2021, affordabilityamong Black and Hispanic Americans has dropped by 13 and 17 points to 41% and 34%, Notably, the percentage of U.S. adults aged 50 to 64 who are Cost Secure has droppedto 48%, well below the high of 63% in 2022 and 10 points lower than the initial estimateof 58% in 2021. While less pronounced, downward trends are also found across all West Health-Gallup Affordability Index, Trended 2021-2024 The percentage of American adults who are Cost Secure in their healthcare has droppedto a new low of 51%, led by a seven-point drop since 2023 among those aged 50 to 64. Tracking Healthcare Affordability and Value In terms of the perceived value of their healthcare, astracked by the West Health-Gallup Healthcare ValueIndex, nearly two in five Americans (38%) observe This has improved from a peak of 45% in 2021 but has remainedover 35% for the past three years. Only 6% of Americans observe CHART 2 West Health-Gallup Healthcare Value Index, Trended 2021-2024 The percentage of American adults observing High Perceived Value in the U.S. healthcare West Health-Gallup Healthcare Affordability Index:Cost Security Hits New Low The West Health-Gallup Healthcare Affordability Index evaluates three key factors in determining Americans’ Care avoidance:Has there been a time in the last three months when you or a member of your 2Skipped treatments:Has there been a time in the last three months when you or a member ofyour household was unable to pay for medicine that a doctor prescribed because you did not have Difficulty today:If you needed access to quality healthcare today, would you be able to afford it? Based on their responses, Americans fall into one of three categories: These persons report recentoccurrences of being unable topay for household care, beingunable to pay for prescribed These persons report recentoccurrences of being unable topay for careormedicineorlack These persons report no recentoccurrences of inability to affordcareorprescribed medicine Half of U.S. adults are Cost Insecure or Cost Desperate. About half of all Americans (49%) are categorized as either Cost Insecure or Cost Desperate,up by four points since 2023. Notably, the percentage of Americans classified as CostDesperate has climbed into double digits for the first ti