Access to health insurance is a significant barrier to primary care access. As such, a community’s insurance rate is a sound indicator of its health infrastructure, including the accessibility of providers and services.

Peer City Population

Louisville currently ranks 1st among its peer cities in the percent of the population who are insured, with only 5.9% of Louisville residents being uninsured.

On this metric, Louisville ranks among the top tier of its peer group according to a natural breaks algorithm. Cities in green are those that outperform their peers. Cities in yellow represent the middle cluster, and those in red lag behind their peers on this indicator.

Trends over Time

The percent of uninsured individuals decreased substantially during the middle of the last decade but appears to have since leveled off and may now be rising. In the early 2010s, Louisville saw a significant reduction in its uninsured rate and continues to outperform its peers.

Best and Worst Peer Performers

Louisville currently has the lowest percentage of residents who are living without health insurance, but, over the last decade, Greenville has seen its uninsurance rate decrease the most — by about 6 percentage points. Over the same time period, Omaha has decreased its share of uninsured residents by only about 2 percentage points.

Differences by Sex

Overall, in Louisville and its peer cities, a higher share of men are uninsured than women. However, in recent years, the uninsured gap between men and women has consistently narrowed.

Differences by Race

The percent of Hispanic residents who are uninsured in Louisville and its peer cities sits well above the percent of Black and White residents who are uninsured. Meanwhile, in Louisville, the gap between Black and White residents who are uninsured has narrowed in recent years, now sitting just about 2 percentage points away from each other.