Join us for an overview of the 2017 health insurance coverage estimates from two key, large-scale federal data sources: The American Community Survey (ACS) and the Current Population Survey (CPS).
This webinar will examine the new estimates with technical insight from experts at the U.S. Census Bureau, which administers both the ACS and CPS, and from SHADAC researchers.
Attendees will learn about:
The new 2017 national and state coverage estimates
When to use which estimates from which survey
How to access the estimates via Census reports and American FactFinder
How to access state-level estimates from the ACS using SHADAC tables
SHADAC researchers and Census experts will answer questions from attendees after the presentation.
2016 Health Insurance Coverag Estimates: SHADAC Webinar Featuring U.S. Census...Caroline Au-Yeung, MPH
Join us for an overview of the 2016 health insurance coverage estimates from two key, large-scale federal data sources: The American Community Survey (ACS) and the Current Population Survey (CPS).
Data from these annual surveys paint a picture of coverage at the national and state level under three years of ACA implementation while also providing historical trend information for context.
Nearly two in three think that the quality of public services have got worse over the last five years, according to a new study from Ipsos MORI. Meanwhile, pessimism for the future of the NHS, policing and education are at record levels.
Three in five (63%) think that public services have got worse over the last five years, compared with 43% who said the same in 2015 and 40% in 2012. In addition, the majority of the public (62%) disagree that in the long term, the government’s policies will improve the state of Britain’s public services.
Life expectancy in the U.S. has risen for the first time since 2014, according to new 2018 mortality data from the CDC. Here’s more:
•The figures: In 2018, the average age at death was 78.7, up slightly from 2017, and which scientists attribute to decreases in cancer mortality. U.S. life expectancy had been on a downward trend since 2014, when it was an average of 78.9 years.
•Causes of death: Heart disease was the top cause of death, followed by cancer. There was a small increase in the number of deaths by suicide and from flu and pneumonia compared to 2017.
•Maternal mortality: A separate CDC report found the average rate was 17.4 deaths per 100,000 live births. The rate among Black women was more than twice the average, but the rate for white and Hispanic women was lower than average.
2016 Health Insurance Coverag Estimates: SHADAC Webinar Featuring U.S. Census...Caroline Au-Yeung, MPH
Join us for an overview of the 2016 health insurance coverage estimates from two key, large-scale federal data sources: The American Community Survey (ACS) and the Current Population Survey (CPS).
Data from these annual surveys paint a picture of coverage at the national and state level under three years of ACA implementation while also providing historical trend information for context.
Nearly two in three think that the quality of public services have got worse over the last five years, according to a new study from Ipsos MORI. Meanwhile, pessimism for the future of the NHS, policing and education are at record levels.
Three in five (63%) think that public services have got worse over the last five years, compared with 43% who said the same in 2015 and 40% in 2012. In addition, the majority of the public (62%) disagree that in the long term, the government’s policies will improve the state of Britain’s public services.
Life expectancy in the U.S. has risen for the first time since 2014, according to new 2018 mortality data from the CDC. Here’s more:
•The figures: In 2018, the average age at death was 78.7, up slightly from 2017, and which scientists attribute to decreases in cancer mortality. U.S. life expectancy had been on a downward trend since 2014, when it was an average of 78.9 years.
•Causes of death: Heart disease was the top cause of death, followed by cancer. There was a small increase in the number of deaths by suicide and from flu and pneumonia compared to 2017.
•Maternal mortality: A separate CDC report found the average rate was 17.4 deaths per 100,000 live births. The rate among Black women was more than twice the average, but the rate for white and Hispanic women was lower than average.
Ipsos MORI Halifax Housing Market Confidence Tracker - October 2017Ipsos UK
The latest Halifax Housing Market Confidence Tracker (HMCT) shows a steep decrease in the House Price Outlook (HPO), down from from +44 in March 2016 to +30 in October 2017. This means the HPO figure has more than halved since its peak in May 2015 when it was +68.
This figure is driven by an eight-point decrease in expectations that average UK property prices will be higher in twelve months’ time (down from 58% in October 2016) and a corresponding six-point increase in expectations that average UK prices will be lower in a years’ time (up from 14%).
Ipsos MORI Political Monitor - October 2017Ipsos UK
As the Brexit negotiations continue Ipsos MORI’s latest Political Monitor reveals little confidence among the public that the Prime Minister will get a good deal for Britain. Three in five (60%) are either ‘not very’ or ‘not at all’ confident in the PM getting a good deal – just over a third (36%) are either ‘very’ or ‘fairly’ confident in her. Nonetheless two-thirds (66%) of Conservative supporters have confidence that she will strike a good deal compared with one in five (19%) Labour supporters and quarter (26%) of Liberal Democrats. Overall few members of the public think Theresa May is doing a good job handling Brexit. A third (32%) say she is doing a good job but a majority (55%) say she is doing a bad job. Neither of these measures show any real change since last asked in July, but both are down from Mrs May’s ratings before the election.
Robin Rudowitz, Associate Director, Kaiser Commission on Medicaid and the Uninsured, discusses the financial implications of Medicaid expansion and the Affordable Care Act.
Global poll finds that unemployment continues to be the lead worry around the world — but Britons are more worried about the rise of extremism than any other country in the study. Almost seven in ten Britons (68%) think the county is on the wrong track.
New CDC data find that 1 in 7 people in 2018 reported trouble with paying medical bills, a figure that represents a dip since 2011. Here’s more:
•Overall trends: In 2011, nearly 20% of people reported having trouble with medical bills in the year prior to being surveyed, but that dropped to 14% of respondents in 2018.
•Demographics: Females, Black individuals, and those aged 17 and under were most likely to be in families who had trouble paying bills.
•Insurance status: Those under the age of 65 who were uninsured had the most difficulty with health bills. Those aged 65-74 were most likely to report trouble paying bills if they had both Medicare and Medicaid. Among the oldest adults — ages 75 and older — having Medicare only was associated with medical billing problems.
U.S. Marketers are quickly shifting growth priorities among multicultural (MC) segments, especially since the White Non-Hispanic (WNH) segment has been declining since 2016. The MC economic outlook for 2018 looks remarkably powerful for several reasons:
• The Employment-Participation rate is higher than WNH and continues to step up, especially for Hispanics
• Unemployment rate is at record lows for all MC segments
• Personal Income has continued to increase for all MC segments while it has slowed down for WNH.
Ipsos MORI Halifax Housing Market Confidence Tracker - October 2017Ipsos UK
The latest Halifax Housing Market Confidence Tracker (HMCT) shows a steep decrease in the House Price Outlook (HPO), down from from +44 in March 2016 to +30 in October 2017. This means the HPO figure has more than halved since its peak in May 2015 when it was +68.
This figure is driven by an eight-point decrease in expectations that average UK property prices will be higher in twelve months’ time (down from 58% in October 2016) and a corresponding six-point increase in expectations that average UK prices will be lower in a years’ time (up from 14%).
Ipsos MORI Political Monitor - October 2017Ipsos UK
As the Brexit negotiations continue Ipsos MORI’s latest Political Monitor reveals little confidence among the public that the Prime Minister will get a good deal for Britain. Three in five (60%) are either ‘not very’ or ‘not at all’ confident in the PM getting a good deal – just over a third (36%) are either ‘very’ or ‘fairly’ confident in her. Nonetheless two-thirds (66%) of Conservative supporters have confidence that she will strike a good deal compared with one in five (19%) Labour supporters and quarter (26%) of Liberal Democrats. Overall few members of the public think Theresa May is doing a good job handling Brexit. A third (32%) say she is doing a good job but a majority (55%) say she is doing a bad job. Neither of these measures show any real change since last asked in July, but both are down from Mrs May’s ratings before the election.
Robin Rudowitz, Associate Director, Kaiser Commission on Medicaid and the Uninsured, discusses the financial implications of Medicaid expansion and the Affordable Care Act.
Global poll finds that unemployment continues to be the lead worry around the world — but Britons are more worried about the rise of extremism than any other country in the study. Almost seven in ten Britons (68%) think the county is on the wrong track.
New CDC data find that 1 in 7 people in 2018 reported trouble with paying medical bills, a figure that represents a dip since 2011. Here’s more:
•Overall trends: In 2011, nearly 20% of people reported having trouble with medical bills in the year prior to being surveyed, but that dropped to 14% of respondents in 2018.
•Demographics: Females, Black individuals, and those aged 17 and under were most likely to be in families who had trouble paying bills.
•Insurance status: Those under the age of 65 who were uninsured had the most difficulty with health bills. Those aged 65-74 were most likely to report trouble paying bills if they had both Medicare and Medicaid. Among the oldest adults — ages 75 and older — having Medicare only was associated with medical billing problems.
U.S. Marketers are quickly shifting growth priorities among multicultural (MC) segments, especially since the White Non-Hispanic (WNH) segment has been declining since 2016. The MC economic outlook for 2018 looks remarkably powerful for several reasons:
• The Employment-Participation rate is higher than WNH and continues to step up, especially for Hispanics
• Unemployment rate is at record lows for all MC segments
• Personal Income has continued to increase for all MC segments while it has slowed down for WNH.
Time for a Reality Check on Health InsuranceCedric Dark
Presentation by Elena Marks, JD, MPH for the Third Annual Policy Prescriptions® Symposium
Elena M. Marks is the president and chief executive officer of the Episcopal Health Foundation and a nonresident fellow in Health Policy at Rice University’s Baker Institute for Public Policy.
Marks previously served as the director of Health and Environmental Policy for the City of Houston. Prior to joining the mayor’s staff, Marks practiced trial and appellate law with major law firms, started and directed a successful legal placement firm, and developed strategic, long-range, and operating plans for service lines and system centers at a major health system.
The symposium is designed for clinicians, healthcare workers, and healthcare executives interested in exploring the major themes that will emerge in health policy throughout the year. This year, the symposium will emphasize value in healthcare, health information technology, gun violence, insurance choices, the Affordable Care Act, and the viewpoints of the Presidential candidates on health care.
2017 Edelman Trust Barometer - Canadian ResultsEdelman
The Canadian data this year Edelman Trust Barometer uncovers some very worrying trends that we ignore at our peril. And this is true whether you hail from a business, the government or the media.
Take a look at the results of this year’s Trust Barometer in Canada.
Eugene Steuerle: "Will the Silver Tsunami Send Medicare into the Red?," 12.17.15reportingonhealth
Eugene Steuerle's slides from the Center for Health Journalism webinar "Will the Silver Tsunami Send Medicare into the Red?" 12.17.15
http://www.centerforhealthjournalism.org/content/will-silver-tsunami-send-medicare-red
Insights from the 2019 ThinkNow™ Pulse survey are timely as we embark upon another year of projected growth for the U.S. economy. The study contents include the following:
Recent Trends in Household Income
Changes in Employment
Outlook for Household Finances
Outlook for US Economy
And More...
Given the global elite’s self-flagellation every year over declining trust in business and society, we have now reviewed all the global long-term trends on the subject from the 1960’s onwards, to look at the extent to which the media’s obsession with declining trust is actually valid, and how much it matters.
We find that trust in experts and science is actually rising in many countries, that “trust” on its own is pretty nebulous - heavily driven by things leaders cannot directly affect, and that it is most meaningful to look at “trust to do what” – in short, there is a problem, but it is not a new crisis, nor is it particularly acute.
Our panel:
Kelly Beaver – Managing Director, Social Research Institute, Ipsos MORI
Ben Page - Chief Executive, Ipsos MORI
Kenneth Cukier – Senior Editor, Economist
Alex Edmans – Professor of Finance, London Business School
Mark Easton – BBC Home Editor
Among nearly 19,000 adults surveyed by Ipsos in 26 nations, 58% say their country is on the wrong track. However, this is the lowest percentage in seven years, down five points from 12 months ago. Pessimism is slightly more prevalent in the United States as 62% of Americans think “things in this country are off on the wrong track”, a higher proportion than at any time since the inauguration of President Donald Trump.
The top global concerns are unemployment (cited by 35% across the 26 countries surveyed as one of the three most worrying issues), financial and political corruption (33%) and poverty and social inequality (32%). In contrast, the top concerns in the U.S. are healthcare (cited by 39% of Americans surveyed), terrorism (34%) and crime and violence (33%).
These are some of the findings of the November 2017 wave of What Worries the World, a survey conducted every month since 2010 among adults aged under 65, in Argentina, Australia, Belgium, Brazil, Canada, China, France, Britain, Germany, Hungary, India, Israel, Italy, Japan, Mexico, Poland, Peru, Russia, Saudi Arabia, Serbia, South Africa, South Korea, Spain, Sweden, Turkey, and the United States with Ipsos’s Global Advisor platform.
This past year marked a turning point for the White Non-Hispanic population which declined for the first time ever, 10 years before the U.S. Census projection. Multicultural segments made up 100% of U.S. Population growth last year according to recently released 2016 ACS. While U.S. population growth is slowing overall, Multicultural segments are driving the expansion of the U.S. consumer base making up 4 in 10 Americans with Hispanics continuing to drive half of the entire U.S growth and the Other/Mixed Race segment delivering the fastest growing. Looking to the future, the Multicultural population in the U.S. is projected to reach 131 million in 2018. This tipping point is causing many marketers to reconsider with which segments to lead their growth efforts.
Recognition of the role local public health departments play has risen sharply since 2018, according to a national poll conducted by Public Opinion Strategies for the de Beaumont Foundation. 73 percent of voters say public health departments play an important role in making communities healthy, compared with 56 percent in 2018. And 61 percent say they'd be willing to pay more in state and local taxes to provide funding for public health services.
Read more at debeaumont.org/2020poll.
Get insights into how Americans feel about the state of the economy, its impact on their household income, and how the political climate influences their economic outlook. Study contents include outlooks on the following:
1. Household Income
2. Personal Finances
3. Employment
4. U.S. Economy
5. Political Climate
Exploring Disparities Using New and Updated MEasures on SHADAC's State Health...soder145
Slides from webinar webinar introducing two new measures of health outcomes and social determinants of health on SHADAC’s State Health Compare—Unhealthy Days and Unaffordable Rents. This presentation, hosted by SHADAC researchers Brett Fried and Robert Hest, examine these new measures and highlight how the estimates can be used to explore disparities between states and among sub-populations.
Leveraging 1332 State Innovation Waivers to Stabilize Individual Health Insur...soder145
Presentation by SHADAC Senior Research Fellow Emily Zylla at the 2018 Association for Public Policy Analysis & Management (APPAM) Fall Research Meeting in Washington, DC.
Modeling State-based Reinsurance: One Option for Stabilization of the Individ...soder145
Presentation by SHADAC Director Lynn Blewett at the 2018 Association for Public Policy Analysis and Management (APPAM) Fall Research Conference in Washington, DC.
Exploring the New State-Level Opioid Data On SHADAC's State Health Comparesoder145
Between 2000 and 2016, the annual number of drug overdose deaths in the United States more than tripled, from 17,500 to 63,500, and most of these deaths involved opioids. Despite widespread increases in overdose death rates from natural and semi-synthetic opioids, synthetic opioids, and heroin, individual states’ death rates varied widely. For example, in 2016, Nebraska’s rate of 1.2 deaths per 100,000 people was the lowest in the U.S. for natural and semi-synthetic opioids, while West Virginia’s rate (the highest) was more than 15 times larger, at 18.5 deaths. These deaths are the most glaring indication of the growing crisis of opioid abuse and addiction that has been spreading unevenly throughout the country over the past two decades.
On this SHADAC webinar, Research Fellow Colin Planalp will examine the United States opioid epidemic at the state level, analyzing trends in overdose deaths from heroin and other opioids, such as prescription painkillers. Using data available through SHADAC’s State Health Compare, he will look at which states have the highest rates of opioid-related deaths and which have experienced the largest increases in death rates.
Mr. Planalp will be joined by SHADAC Research Fellow Robert Hest, who will discuss the data on opioid-related overdose deaths from the U.S. Centers from Disease Control and Prevention (CDC) that are available on SHADAC’s State Health Compare. He will also discuss State Health Compare data from the U.S. Drug Enforcement Administration (DEA) on sales of common prescription opioid painkillers. Mr. Hest will show users how to access and use the data for state-level analyses.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...
2017 Health Insurance Coverage Estimates: SHADAC Webinar Featuring U.S. Census Bureau Experts
1. 2017 Health insurance coverage estimates
SHADAC Webinar Featuring U.S. Census Bureau Experts
September 18, 2018 12:00 PM EDT
You will be connected to broadcast audio through your computer.
You can also connect via telephone:
(888)-378-4398, Access Code 596145
Slides and handouts at:
www.shadac.org/2018DataReleaseWebinar
2. Technical Items
• For those dialing in: Phones automatically muted
• Submit questions using the chat window at any time during the webinar
• Problems:
• Call Readytalk’s help line: (800) 843-9166
• Ask for help using the chat feature
• Download the slides at www.shadac.org/2018DataReleaseWebinar
• Webinar archive will be posted on SHADAC’s website
• E-mail notice will be sent to participants
2
4. CPS and ACS
Current Population Survey (CPS)
• 2017 estimates released September 12, 2018
American Community Survey (ACS)
• 2017 estimates released September 13, 2018
4
5. Design Differences
CPS ACS
Method
Survey of civilian non-institutionalized
population
Survey of U.S. population
(including group quarters)
Annual housing units
interviewed
About 60,000 About 2.15 million
Geography Nation, states Nation, states, sub-state
Mode Phone and in-person
Mail, phone, in-person,
and internet
Uninsurance:
Measure
Uninsured all year
Point-in-time (beginning in 2013)
Point-in-time
Uninsurance:
Years available
1987 to 2017
February - April 2018
2008 to 2017
5
6. Guidance on When to Use Each Source
CPS ACS
Trends
1987 to 2012
2013 forward
2008 forward
State estimates
Sub-state estimates N/A
1-yr for pop > 65,000
5-yr for all geographic areas including:
All counties
Zip-code tabulation areas
Small sub-populations N/A
6
8. • The percentage of people without health
insurance coverage for the entire calendar
year was 8.8 percent, or 28.5 million people.
• The uninsured rate and number of uninsured
in 2017 were not statistically different from
2016.
• Between 2016 and 2017, the uninsured rate
decreased in 3 states and increased in 14
states.
Highlights:
9. 8.8
91.2
67.2
56.0
16.0
37.7
17.2
19.3
4.8
0 10 20 30 40 50 60 70 80 90 100
Uninsured
With health insurance
Any private plan
Employment-based
Direct-purchase
Any government plan
Medicare
Medicaid
Military health care*
*Military health care includes TRICARE and CHAMPVA (Civilian Health and Medical Program of the Department of Veterans Affairs) as well as care provided by the
Department of Veterans Affairs and the military.
Source: U.S. Census Bureau, Current Population Survey, 2018 Annual Social and Economic Supplement.
Percentage of People by Type of Coverage: 2017
9
10. 8.8
91.2
67.2
56.0
16.0
37.7
17.2
19.3
4.8
0 10 20 30 40 50 60 70 80 90 100
Uninsured
With health insurance
Any private plan
Employment-based
Direct-purchase
Any government plan
Medicare
Medicaid
Military health care*
Percentage of People by Type of Coverage: 2017
*Military health care includes TRICARE and CHAMPVA (Civilian Health and Medical Program of the Department of Veterans Affairs) as well as care provided by the
Department of Veterans Affairs and the military.
Source: U.S. Census Bureau, Current Population Survey, 2018 Annual Social and Economic Supplement.
10
11. 8.8
91.2
67.2
56.0
16.0
37.7
17.2
19.3
4.8
0 10 20 30 40 50 60 70 80 90 100
Uninsured
With health insurance
Any private plan
Employment-based
Direct-purchase
Any government plan
Medicare
Medicaid
Military health care*
Percentage of People by Type of Coverage: 2017
*Military health care includes TRICARE and CHAMPVA (Civilian Health and Medical Program of the Department of Veterans Affairs) as well as care provided by the
Department of Veterans Affairs and the military.
Source: U.S. Census Bureau, Current Population Survey, 2018 Annual Social and Economic Supplement.
11
12. 6.3
10.6
7.3
16.1
0
5
10
15
20
25
White, not Hispanic Black Asian Hispanic
Percent
Uninsured Rate by Race and Hispanic Origin: 2017
Source: U.S. Census Bureau, Current Population Survey, 2018 Annual Social and Economic Supplement. 12
13. Uninsured Rate by Work Experience, Ages 19 to 64: 2017
9.8
15.4 15.1
0
5
10
15
20
25
Worked full-time, year-round Less than full-time, year-round Did not work at least one week
Source: U.S. Census Bureau, Current Population Survey, 2018 Annual Social and Economic Supplement.
Percent
13
18. Changes in the Rate of Health Insurance Coverage Reflect:
• Economic trends
• Demographic shifts
• Policy changes, such as the Affordable Care Act (ACA)
18
19. Changes between the estimates are not statistically different from zero at the 90 percent confidence level.
*Military health care includes TRICARE and CHAMPVA (Civilian Health and Medical Program of the Department of Veterans Affairs) as well as care provided by the Department of
Veterans Affairs and the military.
Source: U.S. Census Bureau, Current Population Survey, 2014, 2017, and 2018 Annual Social and Economic Supplements.
Uninsured
With health
insurance
Any private plan
Employment-based
Direct-purchase
Any government plan
Medicare
Medicaid
Military health care*
Change in Percentage of People by Type of Health
Insurance Coverage: 2013 to 2017
19
20. 0
5
10
15
20
25
White, not Hispanic Black Asian Hispanic
2016
2017
Percent
Uninsured Rate by Race and Hispanic Origin: 2016 and 2017
Source: U.S. Census Bureau, Current Population Survey, 2018 Annual Social and Economic Supplement. 20
21. 0
5
10
15
20
25
Worked full-time, year-round Less than full-time, year-round Did not work at least one week
2016
2017
Source: U.S. Census Bureau, Current Population Survey, 2018 Annual Social and Economic Supplement.
Uninsured Rate by Work Experience, Ages 19 to 64
Years: 2016 and 2017
Percent
21
22. 0
5
10
15
20
25
Less than
$25,000
$25,000 to
$49,999
$50,000 to
$74,999
$75,000 to
$99,999
$100,000 to
$124,999
$125,000
or more
2016
2017
Uninsured Rate by Household Income: 2016 and 2017
Source: U.S. Census Bureau, Current Population Survey, 2018 Annual Social and Economic Supplement.
Percent
22
23. 0
5
10
15
20
25
30
35
40
45
50
55
60
65
70
75
80
85
90
Less than
$25,000
$25,000 to
$49,999
$50,000 to
$74,999
$75,000 to
$99,999
$100,000 to
$124,999
$125,000
or more
2016
2017
-1.3 percentage points
-1.8 percentage points
-1.1 percentage points
Private Coverage Rate by Household Income: 2016 and 2017
Source: U.S. Census Bureau, Current Population Survey, 2017 and 2018 Annual Social and Economic Supplements.
Percent
23
24. 0
5
10
15
20
25
30
35
40
45
50
55
60
65
70
75
80
85
90
Less than
$25,000
$25,000 to
$49,999
$50,000 to
$74,999
$75,000 to
$99,999
$100,000 to
$124,999
$125,000
or more
2016
2017
+2.0 percentage points
+2.3 percentage points
Government Coverage Rate by Household Income: 2016
and 2017
Source: U.S. Census Bureau, Current Population Survey, 2017 and 2018 Annual Social and Economic Supplements
Percent
24
25. 0
5
10
15
20
25
Non-Expansion States Expansion States
Expansion status as of January 1, 2017.
Source: U.S. Census Bureau, Current Population Survey, 2014-2018 Annual Social and Economic Supplements.
2013 2014 2015 2016 2017 2013 2014 2015 2016 2017
Uninsured Rate by States’ Medicaid Expansion Status
Adults Aged 19 to 64: 2013 to 2017
Percent
25
26. 0
5
10
15
20
25
Non-Expansion States Expansion States
Expansion status as of January 1, 2017.
Source: U.S. Census Bureau, Current Population Survey, 2014-2018 Annual Social and Economic Supplements.
2013 2014 2015 2016 2017 2013 2014 2015 2016 2017
Uninsured Rate by States’ Medicaid Expansion Status
Adults Aged 19 to 64: 2013 to 2017
No change
+0.7 percentage points
Percent
26
27. 0
5
10
15
20
25
Non-Expansion States Expansion States
Expansion status as of January 1, 2017.
Source: U.S. Census Bureau, Current Population Survey, 2014-2018 Annual Social and Economic Supplements.
2013 2014 2015 2016 2017 2013 2014 2015 2016 2017
Uninsured Rate by States’ Medicaid Expansion Status
Adults Aged 19 to 64: 2013 to 2017
-5.3 percentage points
-7.0 percentage points
Percent
27
31. Uninsured Rate by State: 2013
Source: U.S. Census Bureau, 2013 1-Year American Community Survey. 31
32. Uninsured Rate by State: 2014
Source: U.S. Census Bureau, 2014 1-Year American Community Survey. 32
33. Source: U.S. Census Bureau, 2015 1-Year
American Community Survey.Source: U.S. Census Bureau, 2015 1-Year American Community Survey.
Uninsured Rate by State: 2015
33
34. Source: U.S. Census Bureau, 2016 1-Year
American Community Survey.Source: U.S. Census Bureau, 2016 1-Year American Community Survey.
Uninsured Rate by State: 2016
34
35. Uninsured Rate by State: 2017
Source: U.S. Census Bureau, 2017 1-Year American Community Survey. 35
36. Source: U.S. Census Bureau, 2013, 2016, and 2017
1-Year American Community Surveys.
Percent
Age
Uninsured Rate by Single Year of Age: 2013, 2016, and 2017
36
37. • Health Insurance Coverage in the United States: 2017
• Detailed and historical tables
• Interactive infographics
• Population without Health Insurance Coverage by State: 2008
to 2017
• Uninsured Rate by State: 2008-2017 Interactive Data Map
• Health Insurance Coverage Type by State: 2008 to 2017
• Other materials
• “Who are the Uninsured?”
• “Another Look at Health Insurance Coverage Rates for Young
Adults”
https://www.census.gov/library/publications/2018/demo/p60-264.html
For more information:
37
46. Who are the Uninsured?
46Source: U. S. Census Bureau, 2017 American Community Survey 1-year estimates. American FactFinder Table S2702. For more information, see www.census.gov/programs-
surveys/acs/.
47. 47
Source: U. S. Census Bureau, 2017 American Community Survey 1-year estimates. American FactFinder Table S2702. For more information, see www.census.gov/programs-
surveys/acs/.
Who are the Uninsured?
48. Accessing Estimates: Health Insurance Website
http://www.census.gov/topics/health/health-insurance.html
• CPS detailed tables
• CPS historical tables
• ACS historical tables (2008 to 2017)
• Maps, interactive infographics, and more
• Also: Publications and working papers
48
49. Accessing Estimates: Health Insurance Website
49
Detailed CPS tables
• Estimates by type of coverage for a wide variety of socioeconomic characteristics
• Estimates going back to 2013
50. Accessing Estimates: Health Insurance Website
50
Historical ACS tables
• By state
• By type of coverage
• 2008 to 2017
53. 53
1) Changes for 2017 - New table on living arrangements (C27021)
Accessing Estimates
American FactFinder
54. 54
2) Changes for 2017 - Improvements to a number of existing tables
• Updated income-to-poverty thresholds
• ‘Under 18’ and ‘18 to 64’ universes updated to ‘Under 19’ and ‘19 to 64’
• Age universes previously defined as ‘25 and over’ have been updated to ‘26 and over’
• Complete list of updated tables available at: https://www.census.gov/programs-
surveys/acs/technical-documentation/table-and-geography-changes/2017/1-year.html
3) Beta version of the new Census data dissemination tool
• https://data.census.gov/cedsci/search
Accessing Estimates
American FactFinder
55. ACS Public Use Data Release: 2017 Estimates
Public use Microdata Sample (PUMS) available October 18
• 1% public use microdata sample (1% of population)
• The smallest identifiable geographic unit is the Public Use Microdata Area (PUMA,)
containing at least 100,000 persons
• PUMAs are generally groups of counties or parts of counties, but there are exceptions
• PUMAs do not cross state boundaries
55
56. Upcoming ACS Data Releases: 5-Year
2013-2017 5-year estimates for all geographic areas
• American FactFinder release: December 6
• PUMS: January 17
The 3-year ACS data products are discontinued;
• there will not be estimates for 2015-2017
1-Year Supplemental Estimates
Limited set of 1-year AFF tables for geographies with population > 20,000
• K202701: Insured/uninsured by age
• K202702: Private coverage
• K202703: Public coverage
56
57. Variance Replicate Estimate Tables
5-year 2013-2017 selected tables with 80 replicate variance estimates
• Advanced users can calculate margins of error (MOEs) when collapsing data within a
table or across geographies
• More accurate MOE than approximation formula
• Available for select tables
57
60. Question Changes in 2014
(asking about calendar year 2013)
• Complete redesign of health insurance coverage question series – based on over a
decade of research
• Person design but collect information on other members with the same plan, reducing
respondent burden
• For each type of coverage, monthly detail
• Ability to differentiate between different subtypes of direct purchase coverage
60
62. Offer and Take-up of Employer-Sponsored Coverage
http://www.census.gov/data/datasets/time-series/demo/health-insurance/cps-asec-
research-files.html
http://www.census.gov/library/working-papers/2016/demo/Abramowitz-2016.html
• Individuals employed at time of interview (February to April) but without employer-
sponsored coverage
• Does employer offer coverage?
• If offered was person eligible to purchase?
• If offered, reason for not purchasing if eligible or reason why ineligible
62
63. Current Post-Collection Processing
• For timely data release, used current processing methods from previous years
• Current processing system not ideal for the current data structure:
• Not able to differentiate some coverage types (For example, subsidized Marketplace from
non-Marketplace direct purchase)
• Needs the data at an annual level, not month-to-month
• New processing system
• Scheduled to go into production September 2019
• 2017 and 2018 CPS ASEC Research Files available in early 2019
• Currently undergoing data quality evaluation and disclosure protection review
63
64. Available in Research Files
Point-in-time coverage
Offers and take-up of employer-sponsored insurance
More detail on out-of-household coverage
(employer-sponsored or direct-purchase)
http://www.census.gov/data/datasets/time-series/demo/health-
insurance/cps-asec-research-files.html
64
74. 74
statehealthcompare.shadac.org
• Guided tour of the user interface
• Overview of available estimates
• Guidance on generating maps, bar
charts, trend lines, and tables
• Demonstration of how to download
graphics and export the underlying
data
76. 2017 ACS Tables: State & County Estimates
Tables from American FactFinder (AFF) showing 2016-2017 change in uninsured rates
www.shadac.org/2017ACS_State&CountyTables
76
Due to sample size constraints,
single-year ACS estimates are
available at the county level only
for counties with a population
greater than 65,000.
77. 2017 State & County Tables, Example: Minnesota
77
78. MN Population Center Releases (IPUMS)
• 2017 CPS data available.
• 2017 ACS data files will be released
about 2 weeks after microdata are
available from the Census Bureau
• SHADAC Health Insurance Unit (HIU) and Federal Poverty Guidelines (FPG)
variables for CPS and ACS will be available through IPUMS soon.
• http://www.ipums.org
78
79. Question & Answer
79
Kathleen Call
SHADAC
Edward Berchick
U.S. Census Bureau
Sharon Stern
U.S. Census Bureau
Submit questions using the chat feature or tweet question to @SHADAC.
Brett Fried
SHADAC
80. Contact Information
Direct inquires to
Kathleen Call, callx001@umn.edu
or shadac@umn.edu
SUBSCRIBE to SHADAC’s e-newsletter to stay
updated on the latest resources at shadac.org
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