Clinical Scorecard: Analysis of Healthcare Access and Services for Individuals with Limited English Proficiency (LEP)

At a Glance

Key Highlights

• 28.5 million U.S. residents aged five and older had LEP in 2024, representing 9% of the population.
• Hispanic individuals make up 62% and Asian individuals 21% of the LEP population.
• Individuals with LEP are over three times more likely to lack health insurance compared to English-proficient individuals.
• Adults with LEP report poorer access to care and health outcomes than their English-proficient counterparts.
• Language barriers hinder navigation of the healthcare system and access to services.

Guideline-Based Recommendations

Diagnosis

• Identify individuals with LEP through language assessments and surveys.

Management

• Implement language access services in healthcare settings to improve communication.

Monitoring & Follow-up

• Track health outcomes and access to care among individuals with LEP.

Risks

• Monitor the impact of federal policy changes on access to healthcare for individuals with LEP.

Patient & Prescribing Data

Individuals with limited English proficiency, particularly Hispanic and Asian individuals.

Language barriers may affect understanding of treatment options and adherence.

Clinical Best Practices

• Provide translation services and bilingual staff in healthcare settings.
• Ensure compliance with Title VI of the Civil Rights Act and Section 1557 of the Affordable Care Act.
• Facilitate outreach and communication in multiple languages to improve access.

Related Resources & Content

• KFF Analysis of 2024 ACS Data