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The Role of Medicaid and Medicare In Women's Health Care, JAMA, May 15, 2013
 

The Role of Medicaid and Medicare In Women's Health Care, JAMA, May 15, 2013

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    The Role of Medicaid and Medicare In Women's Health Care, JAMA, May 15, 2013 The Role of Medicaid and Medicare In Women's Health Care, JAMA, May 15, 2013 Presentation Transcript

    • Medicaid, 9%Medicaid andMedicare, 3%Medicare, 18%Private andEmployerSponsoredInsurance, 53%Uninsured, 16%SOURCE: Kaiser Family Foundation analysis of Urban Institute tabulations of March 2012 Current Population Survey, Bureau of theCensus.Medicare and Medicaid provide health coverage for threein ten womenMedicare andMedicaid cover30% of adultwomen
    • Men45%Women55%Medicare, 2009SOURCE: Medicaid data: Kaiser Family Foundation analysis of the 2009 Medicaid MSIS. Medicare data from the 2010 CMS DataCompendium.Women comprise the majority of the Medicaid andMedicare programsMen32%Women68%Medicaid, 2009• Medicaid is the coverage program for low-income individuals. Womenhave lower incomes and are more likely to qualify for Medicaid’scategories: pregnancy, parents, disability.• Medicare is the federal health coverage program for seniors and youngeradults with permanent disabilities.• On average, women’s life expectancy is nearly 5 years longer than men’s.25.7 millionwomen22.4 millionwomen
    • 8%5%8%31%26%56%Rate health status as "fair" or"poor"Less than high school educationHave income below poverty lineAmong women ages 18-64, 2011:MedicaidPrivate InsuranceNOTE: The federal poverty level was $18,530 for a family of three in 2011.SOURCE: Kaiser Family Foundation analysis of Urban Institute tabulations of March 2012 Current Population Survey, Bureau of theCensus.Women on Medicaid are poorer and sicker thanwomen with private coverage
    • • Medicaid finances 75% of publicly-funded family planning services• Medicaid pays for more births thanany insurer. Almost half (48%) of allbirths in the U.S. are paid for byMedicaid.SOURCE: Sonfield A and Gold RB, Public Funding for Family Planning, Sterilization and Abortion Services, FY 1980–2010, New York:Guttmacher Institute, 2012. Sonfield, A., et al. The public cost of births resulting from unintended pregnancies: National and state-level estimates. Perspectives on Sexual and Reproductive Health 43(2). 94; Kaiser Family Foundation, Medicaid’s Role for Women:Current Issues and the Impact of the Affordable Care Act, 2012.Most women on Medicaid are in reproductive years andMedicaid is a primary payer for women’s reproductive care63%18%19%1Distribution of Adult WomenMedicaid Enrollees, by AgeGroup, 200965+45-6418-44
    • Men27%Nursing HomeResidentsTotal in 2008 =1.5 millionWomen73%SOURCE: Kaiser Family Foundation analysis of Medicare Current Beneficiary Survey; Kaiser Commission on Medicaid and theUninsured estimates based on CMS National Health Accounts data, 2009.Most recipients of long-term services and supports arewomenMen33%Home Health UsersTotal in 2008 =2.5 millionWomen67%43%24%19%7%7%Total Long-Term CareSpending by PayerMedicaid MedicareOut-of-Pocket Private InsuranceOtherExpenditures in 2009 =$240 Billion
    • 42%12%34%51%39%46%3+ ChronicCondtionsWidowedIncome<$20,000/YearSOURCE: Kaiser Family Foundation analysis of the Medicare Current Beneficiary Survey.Women on Medicare Have Higher Rates of Health andSocial Challenges and Spend More on Care Than Men$3,994$4,637AverageAnnual Out-of-PocketSpendingWomenMenAmong Medicare Beneficiaries, 2009: