In 2018, most of the U.S. population, or 56%, was covered by commercial health insurance. Thirty-two percent of the population was covered through publicly sponsored insurance via Medicare at 13% and Medicaid at 16%. Medicare-Medicaid dual eligibles make up the remaining 3% also covered by publicly-sponsored insurance. Two percent were covered through TRICARE; the remaining 9% did not have insurance. This report provides an analysis of trends of U.S. insurance coverage between 2011 and 2018. The report also provides a state-by-state analysis of trends by payer between 2016 and 2018, as well as . . .