Impact of Health Reform on Racial and Ethnic Inequities

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This presentation collects all of the available data on how the 2006 Massachusetts health reform law impacted racial and ethnic inequities. Presentation reviews inequities in health insurance coverage, access to care, and some health outcomes.

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Impact of Health Reform on Racial and Ethnic Inequities

  1. 1. Impact of Health Reform on Racial and Ethnic Inequitieshttp://masscare.org
  2. 2. BCBSF: Prior to Reform (2006)
  3. 3. BCBSF: After Reform (2009)
  4. 4. 5 Surveys of Health Care Coverage in Massachusetts
  5. 5. Measuring disparities (relative and absolute)• Absolute disparity: the number gap between one social group and another (e.g. life expectancy for blacks is 5 years lower than for whites)• Relative disparity: the percentage of the gap between one social group and another e.g. life expectancy for blacks is 15% lower than for whites).
  6. 6. Disparities in Apple Consumption During the Apple Crisis
  7. 7. Absolute Disparities During Apple Crisis Declined Rapidly
  8. 8. Relative Disparities During theApple Crisis Increased Rapidly
  9. 9. Most Health & Health Care TrendsImprove for All Groups Over Time
  10. 10. Disparities in Insurance Coverage
  11. 11. Range of Survey Estimates of Uninsurance Rates Uninsurance Rates for Uninsurance Rates for African-Americans and African-Americans and Whites (Census/CPS) Whites (CDC/BRFSS)18% 20% 16.0% 18.5% 18.3%16% 15% 15.1% 18%14% 16%12% 11.0% 14% 10.0%10% 12% 10.4% 9.8% 9.8% 10%8% 6.7% 8.2% 5.9% 8%6% 5.3% 8.6% 6% 7.0%4% 5.0% 4.4% 4.2% 4% 5.2%2% 4.0% 2% 3.3%0% 0% 2004 2005 2006 2007 2008 2009 2005 2006 2007 2008 2009 Whites African-Americans Whites African-Americans
  12. 12. Range of Survey Estimates of Uninsurance Rates Uninsurance Coverage for Uninsurance Coverage for Hispanics and Whites Hispanics and Whites (Census/CPS) (CDC/BRFSS)25% 30% 20.1% 23.9% 23.9%20% 18% 25% 17.8% 20.7% 20.0% 20%15% 12.0% 15.4% 15%10% 11.00% 10.0% 7.2% 5.6% 10% 8.2%5% 8.6% 5.0% 5.3% 5% 7.0% 4.2% 5.2% 3.3% 4.0%0% 0% 2004 2005 2006 2007 2008 2009 2005 2006 2007 2008 2009 Whites Hispanics Whites Hispanics
  13. 13. Disparities in Access to Care
  14. 14. Share Reporting No Regular Source of Care, Before & After Health Reform (BCBSMF)18% 15.8%16%14% 12.4%12% 10.3%10% 9.4%8%6%4%2%0% 2006 2009 White Non-Hispanic Racial/Ethnic Minorities
  15. 15. Share Reporting No Regular Source of Care, Before & After Health Reform (CDC/BRFSS)25% 21.9%20% 19.1%15% 9.9%10% 8.0%5%0% 2006 2009 White Non-Hispanic Racial/Ethnic Minorities
  16. 16. Disparities in Health Outcomes
  17. 17. Odds Ratio for PCIs (Pulmonary Coronary Interventions) by Race/Ethnicity 21.5 1.28 1.55 1 1 1 0.83 0.890.5 0.59 0.62 0 Pre-Reform Post-Reform Black Hispanics Asians Whites
  18. 18. Odds Ratio for CABG (Coronary Artery Bypass Surgery) by Race/Ethnicity 2 1.821.81.6 1.51.41.2 1 1 10.8 0.83 0.860.60.4 0.55 0.570.2 0 Pre-Reform Post-Reform Black Hispanics Asians Whites

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