b'3.9 Percent Who Could Not Get Care Because of CostAdults Who Could Not GetImprove health care access for underserved members of the populationMedical Care Because of Cost20 % Why is this important? Expenditures for health care throughout the country are on the rise. Most people in the United States who cannot access health care are uninsured but 15 even those with both public and private insurance do report instances of a price barrier to Percent of Adultscare.48New Hampshire has the highest average family coverage health insurance premium in the nation.49Furthermore, in New Hampshire about 40% of workers are employed in 10 small firms.50These workers are less likely to have any employersponsored health care insurance because only about 50% of small firms (fewer than 50 employees) offer health insurance to their employees as compared to 95% of large firms.515Where we stand now :The percentage of Cheshire County residents who report that they cannot get health care because of cost barriers has risen significantly in the past few years, 0 2005 2006 2007 2008 and at a faster rate than all of New Hampshire.Cheshire CountyNew HampshireUnited StatesTarget Cheshire Countys goal:We will reduce to 5% or fewer the percentage of persons who cannot get care because of cost.523.10 Primary Care Physicians (PCPs) per 100,000Primary Care PhysiciansIncrease the number of primary care physicians in Cheshire County(per 100,000 persons)2008 Why is this important? Primary Care Physicians play a critical role in health access Total PCPs per 100,000 personsbecause they are often the first medical professional a patient will see and they typicallycoordinate a patients care with other providers and specialists. In the United States thereis an increasing demand for primary care services. At the same time that demand isincreasing, supply is decreasing as PCPs retire and there are fewer medical schoolgraduates trained to take their place.53Where we stand now: In Cheshire County there are fewer Primary CarePhysicians per 100,000 residents than in all of New Hampshire.54Cheshire Countys goal: Based on panels in the Medical Home health care model our 0 50 100 150 200 250 300 350 goal is to increase our PCPs to 100 per 100,000 persons.Cheshire CountyNew HampshireUnited StatesTargetEngaging Our Community In Health3788222_CMC2.indd 39 2/1/10 12:27 PM'