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    Kaiser slidesdownload 101101724 Kaiser slidesdownload 101101724 Presentation Transcript

    • Percent of Nonelderly Women Reporting No Doctor Visit in Past Year Due to Cost, by Race/Ethnicity Hispanic 27.4% American Indian/ 25.7% Alaska Native Black 21.9% White 14.7% Asian and NHPI 12.1% Data: BRFSS, 2004-2006. Source: The Kaiser Family Foundation, Putting Women‟s Health Care Disparities on the Map, available at: www.kff.org/womensdisparities/.
    • Economic Priorities for President and Congress “Now I’m going to read some proposals for dealing with the current economic recession. For each, tell me if you think it should be a top priority for the new president and Congress, very important but not a top priority, somewhat important, or not that important.” Percent saying each should be a top priority Helping business keep or create jobs 45% Helping those who are newly unemployed to 33% afford their health insurance coverage Providing states with more federal dollars to help 31% pay for health care needs of lower income residents Repairing and rebuilding the country’s 27% infrastructure, including bridges, roads, and schools Cutting taxes for the middle class 27% Helping people who can’t pay their 27% mortgages to stay in their houses Helping large businesses badly 13% affected by the economic downturn Note: Asked of half sample. Source: KFF/HSPH The Public‟s Health Care Agenda for the New President and Congress (conducted Dec. 4-14, 2008)
    • Impact of a 1% Point Increase in Unemployment on State Revenues, Medicaid, CHIP & Uninsured 1.1 1.0 1% = Decrease in State Revenues & Increase in Increase in Increase in National Medicaid and Uninsured Unemployment CHIP (million) Rate 3-4% Enrollment (million) Source: John Holahan and Bowen Garrett, Rising Unemployment, Medicaid, and the Uninsured, prepared for the Kaiser Commission on Medicaid and the Uninsured, January 2009.
    • Putting Off Care Because of Cost Percent who say in the past 12 months, they or another family member in their household have done each because of the cost: Skipped dental care or checkups 31% Relied on home remedies or over-the-counter 28% drugs instead of going to see a doctor Put off or postponed getting health care you 26% needed Skipped a recommended medical test or treatment 22% Not filled a prescription for a medicine 20% Cut pills in half or skipped doses of medicine 16% Had problems getting mental health care 9% Did ANY of the above 45% Source: Kaiser Family Foundation Health Tracking Poll (conducted June 17-22, 2010)
    • Cumulative Changes in Health Insurance Premiums, Workers’ Contribution to Premiums, Inflation, and Workers’ Earnings, 1999-2010 Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 1999-2010. Bureau of Labor Statistics, Consumer Price Index, U.S. City Average of Annual Inflation (April to April), 1999-2010; Bureau of Labor Statistics, Seasonally Adjusted Data from the Current Employment Statistics Survey, 1999-2010 (April to April).
    • Top 10 States by AIDS Diagnosis Rate per 100,000 Population, 2008 District of Columbia 93.3 Maryland 27.6 Florida 26 Louisiana 24 New York 23.5 Georgia 19.7 New Jersey 17.6 Delaware 16.8 South Carolina 15.5 California 13.2 United States 12.3 SOURCE: Kaiser Family Foundation, www.statehealthfacts.org, analysis of CDC, HIV Surveillance Report, Vol. 20, 2010.
    • Health Care Reform… Is Now the Right Time? Which comes closer to describing your own views? Given the serious economic problems facing the country… 100% 80% 62% 61% 62% 61% It is more important 59% than ever to take on 60% health care reform now We cannot afford to 40% take on health care 37% 37% reform right now 34% 34% 35% 20% 0% Oct-08 Dec-08 Feb-09 Apr-09 Jun-09 Note: “Don‟t know/Refused” responses not shown. Sources: Kaiser Family Foundation surveys
    • Trend in Share Naming HIV/AIDS as Nation’s Most Urgent Health Problem Percent of the public naming HIV/AIDS as the most urgent health problem facing the nation in an open-ended question 60% 50% Percent naming HIV/AIDS 44% 38% 40% 30% 26% 21% 20% 17% 17% 10% 6% 0% Dec-95 Oct-97 Oct-00 Jun-02 May-04 Apr-06 Mar-09 Source: Kaiser Family Foundation Surveys.
    • Solvency Projections of the Part A Hospital Insurance Trust Fund, 1970-2009 Projected Number of Years to Insolvency and Projected Year of Insolvency: 1970 2 (1972) 1980 14 (1994) 1990 13 (2003) 1991 14 (2005) 1993 6 (1999) Report Year 1995 6 (2001) 1997 4 (2001) 1999 16 (2015) 2001 28 (2029) 2003 23 (2026) 2005 15 (2020) 2007 12 (2019) 2009 8 (2017) Source: Intermediate projections from 1970-2009 Annual Reports of the Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds.
    • Some Tax Options Please tell me if you would favor or oppose each of the following to help pay for health care reform and provide coverage for more of the uninsured. Strongly favor Somewhat favor Somewhat oppose Strongly oppose Increasing income taxes for people from families making more than $1 million a year 47% 22% 12% 16% and individuals making more than $500,000 Having health insurance companies pay a tax 29% 34% 14% 16% for offering very expensive policies Having health insurance companies pay a fee based on how much business they have 23% 34% 16% 17% Note: Based on half sample. “Don‟t know/Refused” responses not shown. Source: Kaiser Family Foundation Health Tracking Poll (conducted November 5-12, 2009)
    • Health Insurance Coverage in the U.S., 2008 Uninsured 15% Employer- Medicaid/ Sponsored Other Public Insurance 13% 52% Medicare 14% Private Non- Group 5% Total = 300.5 million NOTE: Includes those over age 65. Medicaid/Other Public includes Medicaid, SCHIP, other state programs, and military-related coverage. Those enrolled in both Medicare and Medicaid (1.9% of total population) are shown as Medicare beneficiaries. SOURCE: Kaiser Commission on Medicaid and the Uninsured/Urban Institute analysis of March 2009 CPS
    • Impact of the Rise in Unemployment on Health Coverage, 2008 to 2009 2.8 3.0 Decrease in Employer = Sponsored 2.8% Insurance & (million) National Medicaid Uninsured Unemployment /CHIP Increase Rate Increase 6.9 Enrollment (million) since 2008 Increase (from 7.2% in (million) Dec-08 to 10.0% in Nov-09) Note: Totals may not sum due to rounding and other coverage. Source: Based on John Holahan and Bowen Garrett, Rising Unemployment, Medicaid, and the Uninsured, prepared for the Kaiser Commission on Medicaid and the Uninsured, January 2009.
    • Reform’s Impact on Own Family, Country Do you think (you and your family/the country as a whole) would be better off or worse off if the president and Congress passed health care reform, or don’t you think it would make much difference? It wouldn’t Better off Worse off It depends (vol.) make much difference …you and your family 42% 28% 23% 4% … the country as a 53% 14% 26% 4% whole Note: “Don‟t know/Refused” responses not shown. Source: Kaiser Family Foundation Health Tracking Poll (conducted September 11-18, 2009)
    • Covering Those with Prior Illnesses, by Party ID Do you favor or oppose the federal government requiring health insurance companies to cover anyone who applies, even if they have a prior illness? Strongly favor Somewhat Somewhat Strongly favor oppose oppose Democrats 52% 30% 8% 6% Independents 51% 25% 12% 9% Republicans 35% 36% 12% 14% Source: Kaiser Family Foundation Health Tracking Poll (conducted July 7-14, 2009). “Don‟t know/Refused” responses not shown.
    • Views on Health Reform Law Among Seniors, Over Time As you may know, a new health reform bill was signed into law earlier this year. Given what you know about the new health reform law, do you have a generally favorable or generally unfavorable opinion of it? AMONG SENIORS (age 65 and over) 80% NET favorable NET unfavorable Don’t know/Refused 60% 56% 53% 51% 51% 49% 46% 38% 40% 35% 34% 32% 31% 38% 18% 17% 20% 14% 12% 13% 13% 0% April 2010 May 2010 June 2010 July 2010 August 2010 September 2010 Source: Kaiser Family Foundation Health Tracking Polls
    • Average Health Insurance Premiums and Worker Contributions for Family Coverage, 1999-2009 $13,375 131% Premium Increase $9,860 $5,791 128% Worker Contribution $4,247 Increase $3,515 $1,543 1999 2009 Employer Contribution Note: The average worker contribution and the average employer contribution Worker Contribution may not add to the average total premium due to rounding. Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 1999-2009.
    • Health Care Reform… Is Now the Right Time? Which comes closer to describing your own views? Given the serious economic problems facing the country… 80% 62% 61% 62% 59% 61% 57% 55% 58% 60% 56% 54% 54% 53% 40% 42% 41% 41% 37% 37% 35% 39% 39% 39% 34% 34% 36% It is more important than ever to take on 20% health care reform now We cannot afford to take on health care reform right now 0% Oct08 Dec08 Feb09 Apr09 Jun09 Jul09 Aug09 Sep09 Oct09 Nov09 Dec09 Jan10 Note: Asked of half sample in Nov09 and Jan10. “Don‟t know/Refused” responses not shown. Sources: Kaiser Family Foundation polls
    • When Will Key Provisions Start if Reform Passes? If Congress and the president did pass a health care reform bill, when would you expect … ? 5 years Further in 3 years from the futureNever This year Next year from now now than that (vol.) …that people without insurance would begin to get 13% 36% 25% 7% 11% 1% financial help in buying coverage …that health insurance companies would have to begin accepting customers 17% 34% 23% 8% 9% 1% who have pre- existing health problems Note: Top item asked of half sample. “Don‟t know/Refused” responses not shown. Source: Kaiser Family Foundation Health Tracking Poll (conducted October 8-15, 2009)
    • Pre-Passage: Most Popular Elements Percent who say hearing the proposed legislation would do each of the following makes them MORE likely to support it: Tax credits to small businesses 73% Health insurance exchange 67% Won’t change most people’s existing 66% arrangements Guaranteed issue 63% Medicaid expansion 62% Extend dependent coverage through age 25 60% Help close the Medicare doughnut hole 60% Note: Question wording abbreviated. See Topline: http://www.kff.org/kaiserpolls/8042.cfm. Only items with responses 60% and over shown here. Source: Kaiser Family Foundation Health Tracking Poll (conducted January 7-12, 2010)
    • Medicaid/CHIP Income Eligibility for Children by Number of States, December 2009 Number of States 23 24 4 < 200% FPL 200% - 249% FPL 250% or higher FPL (includes DC) Note: The Federal Poverty Line (FPL) for a family of three in 2009 is $18,310 per year. IL uses state funds to cover children above 200% FPL.; MA uses state funds to 400% FPL. SOURCE: Kaiser Commission on Medicaid and the Uninsured and Center on Budget and Policy Priorities, A Foundation for Health Reform: Findings of a 50 State Survey of Eligibility Rules, Enrollment and Renewal Procedures, and Cost-Sharing Practices in Medicaid and CHIP for Children and Parents During 2009. 2009.
    • Pre-Passage: Public Engagement in the Health Reform Debate During the past sixth months, have you personally done any of the following things in connection with the health care reform issue? Percent saying “yes” Tried to influence a friend or family member’s opinion 37% Written to, emailed or spoken with your 20% representative or another public official Written to, emailed or called a newspaper, 13% website, radio or television station Participated in a forum or town meeting 13% having to do with health care reform Personally contributed money to a political candidate or organization because of its positions on health care reform 12% Joined or became more active in a health care related organization 10% Did ANY of the above = 49% Source: Kaiser Family Foundation, Health Tracking Poll, December 2009.
    • Children’s Media Use, By Platform Among all 8- to 18-year-olds, amount of time spent with each medium in a typical day: HOURS 10:45 6 4:29 Total media exposure 4 2:31 2 1:29 1:13 0:38 0:25 0 TV content Music/audio Computers Video games Print Movies Note: Children may be engaged in more than one of these activities at the same time. Source: Kaiser Family Foundation, Generation M2: Media in the Lives of 8- to 18-Year-Olds, 2010.
    • Annual Change in Medicaid Enrollment in 50 States and DC, June 2000 to June 2009 Monthly Enrollment 3.29 Change (in Millions) 3.19 2.39 2.10 1.71 1.33 1.29 .99 .10 (- 0.28) 12-Month 4.3% 3.2% 0.2% Growth Rate 3.2% 7.5% 9.3% 5.6% (-0.7%) 3.1% 7.5% June of 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 SOURCE: Compiled by Health Management Associates from State Medicaid enrollment reports for the Kaiser Commission on Medicaid and the Uninsured. Available at: http://www.kff.org/medicaid/8050.cfm.
    • Public Support for Health Reform As of right now, do you generally support or generally oppose the health care proposals being discussed in Congress? Strongly Strongly Oppose Support 28% 33% 9% 18% Somewhat Somewhat Oppose 12% Support Not Sure Source: Kaiser Family Foundation Health Tracking Poll (conducted March 10-15, 2010)
    • Medicare Part D Enrollees Who Reached the Coverage Gap in 2007 Excludes Part D Enrollees Who Receive Low-Income Subsidies and Non-Users Did not Reached the reach the 26% coverage 74% coverage gap gap NOTES: Estimates based on analysis of retail pharmacy claims for 1.9 million Part D enrollees in 2007. SOURCE: Georgetown University/NORC/Kaiser Family Foundation analysis of IMS Health LRx database, 2007.
    • Enough Information? Please tell me if “confused” does or Do you feel you have enough information does not describe your feelings about about the health reform law to the health reform law. understand how it will impact you personally, or not? 45% 55% 43% 56% Yes, have Not confused Confused No, do not enough have enough information information Don’t know/Refused 2% Don’t know/Refused 1% Source: Kaiser Family Foundation Health Tracking Poll (conducted April 9-14, 2010)
    • Confusion Declines but Remains Widespread Please tell me if CONFUSED does or does not describe your own feelings about the health reform law. Describes Does not describe May 2010 44% 54% April 2010 55% 45% Note: “Don‟t know/Refused” responses not shown. Source: Kaiser Family Foundation Health Tracking Poll (conducted May 11-16, 2010 and April 9-14, 2010)
    • Confidence in Ability to Pay for Care Percent of those ages 18-64 saying they are not confident they have enough money or health insurance to pay for… 40% Non-group …the usual medical costs that coverage you (and your family) require 19% Employer coverage 51% …a major illness, such as a heart attack, cancer, or a serious injury that required hospitalization 26% Sources: Kaiser Health Tracking Poll, conducted May 11-16, 2010; Kaiser Family Foundation, Survey of People Who Purchase Their Own Insurance (conducted March 19-April 2, 2010)
    • Medicare Hospital Insurance Trust Fund Projected to Be Solvent Through 2029 Projected Number of Years to Insolvency (Projected Year of Insolvency): 1990 13 (2003) 1992 10 (2002) 1994 7 (2001) 1996 5 (2001) 1998 10 (2008) 2000 25 (2025) 2002 28 (2030) 2004 15 (2019) 2006 12 (2018) 2008 11 (2019) 2009 8 (2017) 2010 19 (2029) NOTE: „Insolvency‟ refers to the depletion of the trust fund. SOURCE: Intermediate projections from 1990-2010 Annual Reports of the Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds.
    • Progress Report Card: Tourism at Top; Crime at Bottom As I read each of these areas for rebuilding the greater New Orleans area, please tell me how much progress you think has been made so far – a lot, some, not too much or none at all. A lot/some Not too much/None at all Strengthening the city as a tourist 87% 11% and convention site Repairing the levees, pumps, and floodwalls 65% 29% Making public transportation more available 62% 32% Rebuilding destroyed neighborhoods 59% 40% Strengthening the public school system 57% 37% Making affordable housing more available 50% 45% Attracting more business and 50% 48% jobs to New Orleans Making medical facilities and services 49% 49% more available Controlling crime and assuring public safety 34% 64% Note: Based on half sample of respondents. Percentage who did not give an answer is not shown. Source: New Orleans Five Years After The Storm: A New Disaster Amid Recovery, Kaiser Family Foundation, August 2010
    • Direction of the Country Most Important Factor in Vote What will make the biggest difference in how you vote for Congress in your district: AMONG REGISTERED VOTERS 19% Candidate’s character and 36% experience Direction of the nation as a 20% whole Local or state issues 20% Specific national 3% issues Don’t know/Refused* * Don‟t know/Refused includes Don‟t vote/don‟t plan to vote, All, None/other, and Don‟t know/Refused responses. Source: Kaiser Family Foundation Health Tracking Poll (conducted September 14-19, 2010)
    • Average Annual Health Insurance Premiums and Worker Contributions for Family Coverage, 2005-2010 $1,284 Worker Contribution Increase $13,770 27% $10,880 $3,997 $2,713 47% $9,773 $8,167 20% 2005 2010 Note: The average worker contribution and the average employer Worker Contribution contribution may not add to the average total premium due to rounding. Employer Contribution Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 2005-2010.
    • Confusion on Rise in September Percent who say they are “confused” about the health reform law: 55% 53% 44% 43% 45% 42% April May June July August September Source: Kaiser Family Foundation Health Tracking Polls
    • Medicaid Enrollment Has Increased by Nearly 6 Million Since the Start of the Recession Monthly Enrollment in Millions 48.5 44.8 42.6 42.8 41.9 42.3 40.4 Dec-03 Dec-04 Dec-05 Dec-06 Dec-07 Dec-08 Dec-09 SOURCE: Analysis for KCMU by Health Management Associates, using compiled state Medicaid enrollment reports