Health · Index Paid

Healthcare-Access Gap

How big is the US healthcare-access gap?

Refresh: annual
History: 4.5 yrs
Plan: Paid

40.5/ 100

Stable

United States — national median (BRFSS)

2021-12-31 4.5 yrs · 7 pts 2026-06-27

Top drivers

uninsured_rate_pctcost_barrier_pctno_personal_provider_pct

⌁ mcp.call("adw-123") vADW-123-live-1.0

Use cases

What it unlocks

⌁

For an agent

A health-equity analytics agent embedded in a Medicaid managed-care platform queries ADW-123 — which composites BRFSS uninsured rates, cost-barrier-to-care prevalence, and no-usual-provider rates into a single 0-100 gap index — and, when the score in a target service area exceeds 55 (indicating a wide access gap), automatically generates a care-gap closure brief that routes to the network-development team with the IOM's top_drivers decomposition showing whether the gap is insurance-driven, cost-driven, or provider-supply-driven. The source_lineage to BRFSS survey data and the methodology_version give the health plan defensible documentation for CMS network-adequacy attestations.

📈

For the business

A VP of Network Strategy at a health plan uses ADW-123 (current score: 40.5, indicating a moderate access gap nationally) to prioritize which geographic markets warrant accelerated provider recruitment investment, replacing a manual process of pulling and joining three separate BRFSS survey outputs across state health departments. A score trending upward toward 55+ in a target county signals that the plan's current network is increasingly inadequate relative to the population's barriers — a leading indicator that is far more actionable than lagging claims-based provider-utilization reports.

Forward outlook

Prediction

Horizon: —
Recommended use: Track national healthcare-access gaps. High score = more adults uninsured, unable to afford care, or lacking a provider. Descriptive; annual BRFSS lag applies.

Methodology

How it's built

composite z-score 0-100

Version ADW-123-live-1.0 · validated to beat a naive baseline · benchmark: n/a

Live response

The object an agent receives

One call returns the answer with its reasoning attached — the live Intelligence Object for ADW-123.

GET /v1/intelligence/adw-123

{
  "product_id": "ADW-123",
  "entity": "United States — national median (BRFSS)",
  "score": 40.5,
  "trend": "stable",
  "confidence": 0.82,
  "top_drivers": [
    {
      "factor": "uninsured_rate_pct",
      "contribution": 9.7
    },
    {
      "factor": "cost_barrier_pct",
      "contribution": 11.5
    },
    {
      "factor": "no_personal_provider_pct",
      "contribution": 16.1
    }
  ],
  "recommended_use": "Track national healthcare-access gaps. High score = more adults uninsured, unable to afford care, or lacking a provider. Descriptive; annual BRFSS lag applies.",
  "methodology_version": "ADW-123-live-1.0",
  "freshness": "2026-06-27T02:00:14.280Z",
  "coverage": "US national median — CDC BRFSS 2024 (all adults, all states + DC + territories)",
  "source_lineage": [
    "CDC BRFSS Health Care Access/Coverage — https://data.cdc.gov/resource/dttw-5yxu.json (keyless)",
    "HRSA HPSA API (data.hrsa.gov) attempted but returns HTML error pages — BRFSS substituted"
  ],
  "allowed_use": "informational",
  "access_gap_score": 40.5,
  "uninsured_rate_pct": 9.7,
  "cost_barrier_pct": 11.5,
  "no_personal_provider_pct": 16.1,
  "uninsured_score_component": 32.3,
  "cost_barrier_score_component": 46,
  "no_provider_score_component": 46,
  "data_vintage_year": "2024",
  "validation_status": "descriptive"
}

IOM schema

The agent-callable contract

Every product conforms to the Intelligence Object Model — typed, versioned, and discoverable.

product_id
entity
score
trend
confidence
top_drivers
prediction_horizon
recommended_use
methodology_version
freshness
coverage
source_lineage
allowed_use

MCP tool: adw.adw_123

Access options

Consume it your way

Dashboard
Read the score + drivers in the console.
REST API
/v1/intelligence/adw-123
MCP tool
adw.adw_123
Marketplace
Discoverable by any MCP agent via the MCP registry.
White-label
Embed under your own brand (Platinum).

Plan requirement

Depth scales with the plan

Free Sample object — current score only
Gold Full drivers + history + confidence
Platinum White-label + bulk + SLA

Compare plans →

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