2016 State Level Trends in Children’s Health Insurance Coverage
SHADAC released its 2016 annual report “State Level Trends in Children's Health Insurance Coverage”. This report uses data from the American Community Survey (ACS) to document the impact of the ACA on state health insurance coverage for children between 2013 and 2014 and provides five-year coverage trends (2010 to 2014) for children nationwide. The report includes state-level summary tables and state-specific fact sheets that include coverage rates by income, race/ethnicity, and disability status. Access the report and state fact sheets.
CPS Methods Brief
The U.S. Census Bureau implemented redesigned income and health insurance coverage questions beginning with the 2014 Current Population Survey’s Annual Social and Economic Supplement (CPS) questionnaire. A new SHADAC methods brief by researcher Joanna Turner provides guidance for how to use the 2014 and 2015 CPS public use files. The brief discusses what comparisons are possible over time, examines the 2014 research file that the Census Bureau created to combine the two different income question samples, and explains how to access the new health insurance coverage content that is currently available. View the brief.
SHADAC at the 2016 Minnesota Health Services Research Conference
The University of Minnesota hosted The 20th Annual Minnesota Health Services Research Conference (MNHSR) on March 1, 2016 in Saint Paul, Minnesota. The purpose of this event is to bring together Minnesota’s health services research community for a day of scholarly presentations and discussions. The 2016 conference theme was "Addressing disparities: Building equity through engagement and partnership." Several members of the SHADAC staff presented findings from their current research, including trends in employer-sponsored coverage in Minnesota, the impact of the ACA on Medicaid misreporting, and changing demographics of the uninsured. View presentation materials from SHADAC.
SHADAC in Inquiry: “Residential High-Speed Internet among those Likely to Benefit From an Online Health Insurance Marketplace”
SHADAC researchers Lynn Blewett and Brett Fried, together with SHADAC alumni Michel Boudreaux (University of Maryland, College Park) and Gilbert Gonzales (Vanderbilt University), and University of Minnesota Professor Pinar Karaca Mandic, published a new paper in in the journal Inquiry. The authors used data from the 2013 American Community Survey (ACS) to examine gaps in residential internet that could create barriers to health plan enrollment through the Exchange on-line internet portals. They found that 24.3 million people (about one in four) who were either eligible for Medicaid/CHIP or appeared likely to shop for a Qualified Health Plan (QHP), lacked residential high-speed internet. View the paper.
News from the States
2015 Minnesota Health Access Survey Finds Minnesota's Uninsured Rate has Reached a Record Low
Results from the Minnesota Health Access Survey reveal the rate of Minnesotans without health insurance reached an all-time low of 4.3 percent in 2015, down from 8.2 percent in 2013. This equates to more than 200,000 Minnesotans – including 35,000 children—gaining health insurance coverage. The Minnesota Health Access Survey is a telephone (landline and wireless) household survey conducted every two years through a collaboration between the Minnesota Department of Health’s Health Economics Program and SHADAC. The 2015 results are based on over 11,000 completed interviews. View the full results.
Colorado: ACA Impact Analysis
A report from the Colorado Health Foundation presents a projection of the economic and state budgetary impacts of Medicaid eligibility expansion in the state through FY 2034/35. The analysis, conducted by the Colorado Futures Center at Colorado State University, updates a 2013 impact analysis in light of two years of experience under Colorado’s ACA Medicaid expansion. The analysis projects that the impact of the Medicaid expansion on the state’s economy will grow to $8.5 billion by Fiscal Year 2034/35. Download the full report.
Kentucky: Uninsured Rate fell to 8.7% in 2014
Foundation for a Healthy Kentucky released a report evaluating the impact of the Affordable Care Act (ACA) implementation in the state. The analysis was conducted by SHADAC using federal and state data sources and compares Kentucky metrics to the U.S. as a whole and to neighboring states. The report found that the state’s uninsured rate dropped 4.9 percentage points from a 2012 baseline of 13.6 percent to 8.7 percent in 2014. Access the full report.
Massachusetts Health Insurance Survey: Uninsured Rate Unchanged in 2015
2014 Wisconsin Family Health Survey: 89% of Residents Had Uninterrupted Health Coverage
The Wisconsin Department of Health Services released key findings on health insurance and health care from the 2014 Wisconsin Family Health Survey (FHS). Among key findings: 89% of Wisconsin residents reported having health insurance for all 12 months prior to the survey date; 6% reported having had insurance for some of the 12 months preceding the survey; and 4% reported having had no insurance coverage at all during the 12 months before the survey. The uninsured rate of 4% represents a significant decrease from the 6% seen in 2012. The WFS is a biannual random-sample telephone (landline and wireless) survey of all Wisconsin households. In 2014, the FHS sample included 2,499 households. View the full set of key findings.
2014 NHIS Early Release Estimates and Preliminary Microdata Files
The National Center for Health Statistics (NCHS) issued an early release of health insurance coverage estimates from the National Health Interview Survey (NHIS) for January through September 2015 and includes estimates for 37 states. Early data show that among adults aged 18-64, the percentage of uninsured decreased from 16.3% in 2014 to 12.9% by September 2015. Among children under 18 years, the percentage with private coverage increased from 52.6% in 2013 to 55.1% by September of 2015. Access the full report.
The U.S. Census Bureau has released results from the Current Population Survey (CPS) Annual Social and Economic Supplement (ASEC) 2015 Parallel Survey. The 2015 Parallel Survey was fielded in March and April 2015 using the health insurance and income questions that were used before the redesign of the 2014 CPS-ASEC. According to the 2015 Parallel Survey, the uninsured rate in 2014 was 10.6%, an estimate that is not significantly different from the 2014 uninsured rate of 10.4% from the 2015 CPS-ASEC. Access the estimates from the 2015 Parallel Survey.
State and County Coverage Estimates, 2010-2014 ACS
Using the 2010-2014 five-year estimates available from the American Community Survey (ACS), SHADAC has produced state and county level tables on trends in health insurance coverage. For each of the 50 states, the District of Columbia, and Puerto Rico, SHADAC has produced a profile that includes state- and county-level uninsured estimates by characteristics including age, race, citizenship status, education, work experience, and income, for the pooled years 2010-2014. Access the 2010-2014 estimates via clickable map.
SHADAC updated its American Community Survey (ACS) Sample Size File to reflect the 2014 sample counts. The downloadable Excel workbook presents sample counts by state starting in 2008 when health insurance estimates first became available. These counts include: individual counts from the Public Use Microdata Series, household counts from the PUMS, individual counts from the full file, and household counts from the full file. Access the ACS Sample Size File.
State Health Insurance Program Names for 2015
SHADAC released an Excel file providing the names of state-sponsored health insurance programs in 2015. This file, produced annually, documents program names familiar to enrollees including colloquial as well as official names. The file includes names of all comprehensive state–sponsored health insurance programs that were in operation during 2015 and therefore includes programs that were scheduled to cease operations. The file also includes information on insurance marketplace names. Access the 2015 file of state health insurance program names.
The State Health Access Data Assistance Center (SHADAC) is a program of the Robert Wood Johnson Foundation and a part of the Health Policy and Management Division of the School of Public Health at the University of Minnesota.