This document profiles Minnesota's uninsured population and informs outreach for Medicaid expansion and Affordable Care Act subsidies. It finds that:
1) Nearly half a million Minnesotans lack insurance, including many younger, lower-income, and non-white residents.
2) Outreach should target the large number of potentially Medicaid-eligible Latinos and subsidy-eligible African Americans.
3) While most uninsured want coverage, many do not know how to enroll or find the process too difficult. Simplifying enrollment may improve take-up of new options.
The document provides a profile and analysis of the uninsured population in Minnesota based on data from the 2011 Minnesota Health Access Survey in order to inform outreach for Medicaid expansion and health insurance subsidies under the Affordable Care Act. Key findings include:
- In 2011, 489,000 or 9.1% of Minnesotans lacked health insurance.
- Those most likely to be uninsured included individuals ages 26-34, those with lower education/income, Hispanics/Latinos, and foreign-born residents.
- Nearly half of the Medicaid-eligible population was already covered by public insurance programs, while most in the subsidy-eligible group had employer-sponsored insurance.
2012 Social Election Survey Report Presentation SlidesORI
The 2012 Social Election Survey explored how social media influenced perceptions and voter behavior in the 2012 U.S. presidential election. The objectives were to understand how the public used social media to learn about and engage in election discussions, the perceived credibility of social media versus other information sources, and how effectively candidates used social media. The survey collected demographics on 806 respondents and examined their interest in the election, top issues determining their vote, political engagement activities, sources of information, social media use, and sharing of political views on social media.
This document summarizes the findings of a survey exploring the role of social media in influencing perceptions and voter behavior in the 2012 US presidential election. Some key findings include:
- The economy was the top issue determining votes, followed by health care and the federal deficit.
- Four in ten used social media to keep up with political news, debate issues, and find others with similar views.
- While three in ten said social media moderately or extremely influenced their views of candidates, nearly half of 18-25 year olds reported influence.
- Sample tweets from November 2012 are presented to illustrate levels of reach and partisan leanings on social media around that time.
Cb legislative session january 2013 crosstabs same sex marriageHonolulu Civil Beat
This document contains crosstabulations of survey responses related to civil unions/marriage equality. Some key findings include:
- Support for civil unions was highest among liberals/progressives and Democrats and lowest among conservatives and Republicans.
- Younger age groups expressed more support for civil unions than older groups.
- More education was correlated with higher levels of support for civil unions.
- Support for allowing same-sex marriage followed a similar pattern as support for civil unions across demographic groups.
- Most respondents favored either voters or state legislatures/governors deciding on same-sex marriage rather than courts or the federal government.
The document summarizes key findings from surveys distributed to 5000 households in two rural health regions of Manitoba, Canada. The surveys gathered information on residents' preferences for accessing mental health supports and barriers to care. Key results included:
- Respondents preferred accessing help from books, websites, and individual counseling over group programs or computer-based treatment.
- Top barriers to seeking help were wanting to handle problems independently and feeling issues were not severe enough. Other barriers included cost concerns, wait times, and lack of available services.
- Factors making help-seeking more likely included being able to directly contact providers, providers having mental health training and living in the community.
Egyptian public opinion_april_14-27_2011Nabil Bilo
The survey was conducted in Egypt between April 14-27, 2011 with 1,200 interviews to assess public opinion on various economic and political issues in the country. Unemployment was seen as the biggest problem facing Egypt at 37% while 84% approved of Hosni Mubarak's resignation as president. Overall, 89% felt things in Egypt were going in the wrong direction economically.
Why They Run presented by the National Runaway Switchboardguest54554c
Why They Run: An in-depth look at America’s runaway youth, presented by the National Runaway Switchboard, sheds new light on the runaway problem in America and begins to fill in the gaps of what is already known and what can be done based on new research.
Why They Run is comprised of research from three main sources: 1) existing research and reports, 2) NRS Crisis Caller Trends report (April 2010), and 3) new research conducted with youth between ages 14-17 on the street and in shelters (in Chicago and Los Angeles), which was implemented by the National Opinion Research Center (NORC), a social science research organization affiliated with the University of Chicago. Below are key findings from the new research from the NORC study.
The document examines Americans' perceptions of the current economic conditions and outlook. It finds that while economic optimism has increased slightly in recent months, overall views of the economy remain weak. Most believe the economy has not improved under President Obama, though many still see former President Bush's policies as more responsible for the economic problems. Views are divided on whether Obama or Romney would better handle the economy going forward.
The document provides a profile and analysis of the uninsured population in Minnesota based on data from the 2011 Minnesota Health Access Survey in order to inform outreach for Medicaid expansion and health insurance subsidies under the Affordable Care Act. Key findings include:
- In 2011, 489,000 or 9.1% of Minnesotans lacked health insurance.
- Those most likely to be uninsured included individuals ages 26-34, those with lower education/income, Hispanics/Latinos, and foreign-born residents.
- Nearly half of the Medicaid-eligible population was already covered by public insurance programs, while most in the subsidy-eligible group had employer-sponsored insurance.
2012 Social Election Survey Report Presentation SlidesORI
The 2012 Social Election Survey explored how social media influenced perceptions and voter behavior in the 2012 U.S. presidential election. The objectives were to understand how the public used social media to learn about and engage in election discussions, the perceived credibility of social media versus other information sources, and how effectively candidates used social media. The survey collected demographics on 806 respondents and examined their interest in the election, top issues determining their vote, political engagement activities, sources of information, social media use, and sharing of political views on social media.
This document summarizes the findings of a survey exploring the role of social media in influencing perceptions and voter behavior in the 2012 US presidential election. Some key findings include:
- The economy was the top issue determining votes, followed by health care and the federal deficit.
- Four in ten used social media to keep up with political news, debate issues, and find others with similar views.
- While three in ten said social media moderately or extremely influenced their views of candidates, nearly half of 18-25 year olds reported influence.
- Sample tweets from November 2012 are presented to illustrate levels of reach and partisan leanings on social media around that time.
Cb legislative session january 2013 crosstabs same sex marriageHonolulu Civil Beat
This document contains crosstabulations of survey responses related to civil unions/marriage equality. Some key findings include:
- Support for civil unions was highest among liberals/progressives and Democrats and lowest among conservatives and Republicans.
- Younger age groups expressed more support for civil unions than older groups.
- More education was correlated with higher levels of support for civil unions.
- Support for allowing same-sex marriage followed a similar pattern as support for civil unions across demographic groups.
- Most respondents favored either voters or state legislatures/governors deciding on same-sex marriage rather than courts or the federal government.
The document summarizes key findings from surveys distributed to 5000 households in two rural health regions of Manitoba, Canada. The surveys gathered information on residents' preferences for accessing mental health supports and barriers to care. Key results included:
- Respondents preferred accessing help from books, websites, and individual counseling over group programs or computer-based treatment.
- Top barriers to seeking help were wanting to handle problems independently and feeling issues were not severe enough. Other barriers included cost concerns, wait times, and lack of available services.
- Factors making help-seeking more likely included being able to directly contact providers, providers having mental health training and living in the community.
Egyptian public opinion_april_14-27_2011Nabil Bilo
The survey was conducted in Egypt between April 14-27, 2011 with 1,200 interviews to assess public opinion on various economic and political issues in the country. Unemployment was seen as the biggest problem facing Egypt at 37% while 84% approved of Hosni Mubarak's resignation as president. Overall, 89% felt things in Egypt were going in the wrong direction economically.
Why They Run presented by the National Runaway Switchboardguest54554c
Why They Run: An in-depth look at America’s runaway youth, presented by the National Runaway Switchboard, sheds new light on the runaway problem in America and begins to fill in the gaps of what is already known and what can be done based on new research.
Why They Run is comprised of research from three main sources: 1) existing research and reports, 2) NRS Crisis Caller Trends report (April 2010), and 3) new research conducted with youth between ages 14-17 on the street and in shelters (in Chicago and Los Angeles), which was implemented by the National Opinion Research Center (NORC), a social science research organization affiliated with the University of Chicago. Below are key findings from the new research from the NORC study.
The document examines Americans' perceptions of the current economic conditions and outlook. It finds that while economic optimism has increased slightly in recent months, overall views of the economy remain weak. Most believe the economy has not improved under President Obama, though many still see former President Bush's policies as more responsible for the economic problems. Views are divided on whether Obama or Romney would better handle the economy going forward.
The Public Opinion Landscape – Republican National ConventionGloverParkGroup
The document provides an overview and analysis of the 2012 US election. It summarizes polling data showing that most voters think the country is on the wrong track and their top concern is the economy. While more still blame George W. Bush than Barack Obama for the economic problems, perceptions of the economy are mostly negative. The popularity of both presidential candidates, Obama and Romney, are low compared to past elections. Polls also find that a majority of voters feel Romney is out of step with most Americans' thinking and that about a third view his positions as too conservative.
- 76% of American women plan to connect with friends and family online this summer, while 67% will keep up with news and 64% will shop for sales. Younger women are more likely to engage in online activities.
- The most popular sites women plan to visit are search engines (75%), shopping/classified sites (60%), and social networks (60%). News sites will be visited by 48% of women.
- Women with children are significantly more likely than those without to engage in online activities like listening to music, watching videos, and looking up entertainment options. They also notice online ads more frequently.
The document reviews public opinion on the economy and politics in 2012, finding that while perceptions of personal financial situations were optimistic, views of the national economy and government remained pessimistic. It also shows that while approval of Obama's job performance held steady, many expect continued economic difficulties in 2013 and have doubts about Washington's ability to make progress on important issues.
This document provides an overview and analysis of the 2012 US election. It discusses the political context, including polls showing that the economy and jobs are top issues for voters. 56.5% think the country is on the wrong track. Americans have a cautious view of the economy, with 45% thinking nothing is really happening. For voters, the economy and jobs are very important issues in deciding who to vote for. Swing voters share similarities with Romney and Obama voters on key issues. More women rate the issue of abortion as very important compared to men.
Ending violence against girls and women cristinagss
Domestic violence, sexual violence against women and human trafficking are the three most pervasive problems women rights activists from the Good Shepherd Sisters Congregation encounter in the 72 nations in which they operate. To better understand how women fall prey to this cycle of violence and abuse the New York-based NGO, Good Shepherd International Justice Peace Office (GSIJP) undertook a globe-spanning survey to determine who’s most at risk and how this pattern can be broken. Here are the results.
Public opinion landscape state of the union - jan 24GloverParkGroup
The document provides an overview of public opinion on economic conditions and key stories in 2011 based on surveys conducted throughout the year. It finds that the economy was the top or second most closely followed story for most of 2011. While views of the economic news were mostly negative early in the year, by the end of 2011 more saw it as a mix of good and bad news rather than mostly bad. Consumer confidence tracked closely with the stock market over the course of 2011. Several economic indicators like the unemployment rate declined over the course of the year.
The June 16th meeting of the Worksite Wellness Council of Massachusetts was held at Tufts Health Plan in Watertown, MA. During this meeting, we discussed the role that business can play in making Massachusetts the national leader in health and wellness with our guest speaker, Valerie Fleishman, executive director of the New England Healthcare Institute (NEHI). Many thanks to Valerie for her presentation and insight on the Healthy People/Health Economy Initiative.
En partenariat avec le Policy Institute du Kings College de Londres, Ipsos a voulu identifier quelles inégalités étaient jugées les plus insupportables à l’échelle mondiale. Réalisée dans vingt-huit pays du 23 Décembre 2020 au 8 Janvier 2021, l’enquête montre que pour 60% des citoyens du monde, les écarts de richesse représente la forme la plus grave d'inégalité dans leur pays.
Why americans use social media (Pew Internet) - Nov11Retelur Marketing
Two-thirds of online adults use social media like Facebook and Twitter. The top reasons Americans use social media are to stay connected with family and friends. Specifically, about two-thirds use it to stay in touch with current friends and family members, while half use it to reconnect with old friends. Younger social media users, those under 50, are more likely than older users to cite staying connected with friends as a major reason for using social media. [END SUMMARY]
1) Two-thirds of online adults use social media like Facebook and Twitter to stay connected with friends and family.
2) Younger social media users, those under 50, are especially likely to use social media to stay in touch with current friends and reconnect with old friends they've lost touch with.
3) Middle-aged and older adults place relatively high value on using social media to connect with others who share their hobbies and interests.
Northfield Community Straw Poll on Illegal Use of Drugs - ResultsWigley and Associates
The document summarizes the results of an informal straw poll conducted by Griff Wigley to understand the problem of illegal drug use in Northfield, Minnesota. 82 respondents participated in the poll. The results provide information on respondent demographics and their perceptions and opinions regarding illegal drug use among youth in Northfield as well as the Northfield Police Department's enforcement practices. Comments from respondents expressed a variety of views including support for education over incarceration and concerns about how the police handled publicizing the issue.
This document discusses disparities in HIV among men who have sex with men (MSM) and the role of social determinants. It notes that addressing social conditions and drivers of HIV vulnerability through structural approaches is a key part of moving from an emergency response to a long-term response for AIDS. Several findings are highlighted: MSM have much higher HIV prevalence than general populations in many countries; criminalization of homosexuality and lack of funding targeting MSM undermine HIV prevention efforts; and experiences of discrimination, financial hardship and lack of social support are associated with higher risk sexual behaviors among MSM. Overall, the document emphasizes that effectively addressing the social drivers of the HIV epidemic among MSM through structural interventions is important for reducing disparities.
The survey asked US consumers questions about their purchasing habits, phone usage, and demographics. Key findings:
- When considering purchases, most research on their phone or computer rather than asking friends.
- Many are criticized by friends for phone use but most say friends also use phones.
- Younger consumers are less ashamed of older/less cool phones than older groups.
- The first thing noticed about people is most often their phone rather than clothes, watch, or car.
- Most respondents were female, ages 18-35.
The survey asked Indian consumers questions about their purchasing habits, phone usage, and perceptions. Key findings include:
- When considering purchases, most research on their phone (66% males, 69% females) or ask friends (15% males, 13% females). Fewer wait until using a computer.
- Most have not been criticized for phone use around friends, though some females report occasional criticism.
- Few feel ashamed of their phone model. Younger consumers are least likely to care what others think of their phone.
- Both genders say the first thing noticed about them is their phone, followed by clothing. Younger groups are most likely to cite their phone as most noticeable.
This document summarizes an anti-HIV stigma campaign in Iowa. It describes how HIV stigma impacts individuals and outlines a 5-component model of stigma. It then details the formation of an Iowa HIV Alliance in 2009 with the goal of developing solutions to barriers caused by HIV stigma. Survey results from 2005 and 2009 showed high levels of stigma among certain groups. The Alliance launched a multi-tiered campaign called "HIV Won't Stop Me" utilizing surveys, awareness events, and testimonials. Their goals were to empower people living with HIV and educate the general public to reduce stigma.
The document reports on a study conducted in 8 countries to understand middle class attitudes and opinions toward child mortality. It surveyed over 8,000 middle class individuals through in-person interviews. The study found that corruption was among the top concerns in each country. Trust was highest in hospitals, international organizations, and religious groups, while trust was lowest in political parties, police, and civil service across most countries.
The document summarizes new questions added to the National Health Interview Survey (NHIS) in response to the Patient Protection and Affordable Care Act (ACA) in order to monitor the law's impacts. The modifications to NHIS will help analyze health care access and use, affordability, coverage for young adults, preexisting condition insurance plans, preventive care provisions, and long-term care insurance. New questions were added in several categories including coverage status, emergency room use, delayed care, affordability issues, young adult coverage, preexisting conditions, preventive services, and long-term care insurance willingness to pay. A brief summarizing the changes is available on the State Health Access Data Assistance Center website.
This document discusses using state surveys to evaluate health care reform. It describes the State Survey Reform Workgroup, which was formed to provide guidance on priority data needs for monitoring health reform progress. The workgroup identified key domains like access to coverage, affordability of care, and emergency department use. It has compiled survey items from various state and national surveys into a searchable database to help states monitor reform implementation and impacts. The document concludes that state-specific surveys can provide valuable policy-relevant data to assess coverage, affordability, and access changes under health reform.
This document summarizes research on the potential implications of Medicaid expansion under the Affordable Care Act (ACA) for rural communities. The study finds that rural residents have higher uninsured rates and are less likely to live in states expanding Medicaid. Potential new enrollees in rural areas have poorer health than their urban counterparts. Additionally, the uninsured in rural, non-expanding states have less access to safety net providers and may burden the health system. The research helps address knowledge gaps around how Medicaid expansion decisions impact rural populations.
The document summarizes preliminary findings from a 2012 survey of enrollees in the Minnesota Comprehensive Health Association (MCHA). Key findings include:
- Most MCHA enrollees have preexisting conditions and have been enrolled for many years. They rely on MCHA for affordable coverage of their conditions.
- Enrollees are worried about changes under health reform, especially paying more for premiums, deductibles, and needed healthcare services.
- While over half may not qualify for financial support, outreach is needed to educate enrollees on their options under reform, address cost concerns, and combat negative views of public programs. Mail and one-on-one meetings are preferred
State Reform Survey Workgroup Meeting, February 2015soder145
A year has passed since full ACA implementation, and several states are gearing up for data collection in 2015. To guide this process and generate ideas, SHADAC is convened a web-assisted conference call. Colorado and Oregon shared their experiences selecting new reform-relevant content for their surveys, and researchers from the Urban Institute shared lessons learned from the Health Reform Monitoring Survey (HRMS).
Adding complexity to an already difficult task: Monitoring the impact of the ...soder145
The document summarizes research comparing estimates of Medicaid enrollment in 2013 and 2014 from the American Community Survey (ACS) and Centers for Medicare and Medicaid Services (CMS) administrative data. The research finds that states with the largest increases in Medicaid enrollment according to CMS also tended to have the largest differences between ACS and CMS estimates, with ACS generally reporting lower enrollment. This suggests the ACS may overstate uninsurance rates where Medicaid enrollment increased substantially. However, misreported coverage likely represents shifts between coverage types rather than uninsurance. Future research should analyze additional years of data and link administrative and survey sources to better understand reporting errors.
The Public Opinion Landscape – Republican National ConventionGloverParkGroup
The document provides an overview and analysis of the 2012 US election. It summarizes polling data showing that most voters think the country is on the wrong track and their top concern is the economy. While more still blame George W. Bush than Barack Obama for the economic problems, perceptions of the economy are mostly negative. The popularity of both presidential candidates, Obama and Romney, are low compared to past elections. Polls also find that a majority of voters feel Romney is out of step with most Americans' thinking and that about a third view his positions as too conservative.
- 76% of American women plan to connect with friends and family online this summer, while 67% will keep up with news and 64% will shop for sales. Younger women are more likely to engage in online activities.
- The most popular sites women plan to visit are search engines (75%), shopping/classified sites (60%), and social networks (60%). News sites will be visited by 48% of women.
- Women with children are significantly more likely than those without to engage in online activities like listening to music, watching videos, and looking up entertainment options. They also notice online ads more frequently.
The document reviews public opinion on the economy and politics in 2012, finding that while perceptions of personal financial situations were optimistic, views of the national economy and government remained pessimistic. It also shows that while approval of Obama's job performance held steady, many expect continued economic difficulties in 2013 and have doubts about Washington's ability to make progress on important issues.
This document provides an overview and analysis of the 2012 US election. It discusses the political context, including polls showing that the economy and jobs are top issues for voters. 56.5% think the country is on the wrong track. Americans have a cautious view of the economy, with 45% thinking nothing is really happening. For voters, the economy and jobs are very important issues in deciding who to vote for. Swing voters share similarities with Romney and Obama voters on key issues. More women rate the issue of abortion as very important compared to men.
Ending violence against girls and women cristinagss
Domestic violence, sexual violence against women and human trafficking are the three most pervasive problems women rights activists from the Good Shepherd Sisters Congregation encounter in the 72 nations in which they operate. To better understand how women fall prey to this cycle of violence and abuse the New York-based NGO, Good Shepherd International Justice Peace Office (GSIJP) undertook a globe-spanning survey to determine who’s most at risk and how this pattern can be broken. Here are the results.
Public opinion landscape state of the union - jan 24GloverParkGroup
The document provides an overview of public opinion on economic conditions and key stories in 2011 based on surveys conducted throughout the year. It finds that the economy was the top or second most closely followed story for most of 2011. While views of the economic news were mostly negative early in the year, by the end of 2011 more saw it as a mix of good and bad news rather than mostly bad. Consumer confidence tracked closely with the stock market over the course of 2011. Several economic indicators like the unemployment rate declined over the course of the year.
The June 16th meeting of the Worksite Wellness Council of Massachusetts was held at Tufts Health Plan in Watertown, MA. During this meeting, we discussed the role that business can play in making Massachusetts the national leader in health and wellness with our guest speaker, Valerie Fleishman, executive director of the New England Healthcare Institute (NEHI). Many thanks to Valerie for her presentation and insight on the Healthy People/Health Economy Initiative.
En partenariat avec le Policy Institute du Kings College de Londres, Ipsos a voulu identifier quelles inégalités étaient jugées les plus insupportables à l’échelle mondiale. Réalisée dans vingt-huit pays du 23 Décembre 2020 au 8 Janvier 2021, l’enquête montre que pour 60% des citoyens du monde, les écarts de richesse représente la forme la plus grave d'inégalité dans leur pays.
Why americans use social media (Pew Internet) - Nov11Retelur Marketing
Two-thirds of online adults use social media like Facebook and Twitter. The top reasons Americans use social media are to stay connected with family and friends. Specifically, about two-thirds use it to stay in touch with current friends and family members, while half use it to reconnect with old friends. Younger social media users, those under 50, are more likely than older users to cite staying connected with friends as a major reason for using social media. [END SUMMARY]
1) Two-thirds of online adults use social media like Facebook and Twitter to stay connected with friends and family.
2) Younger social media users, those under 50, are especially likely to use social media to stay in touch with current friends and reconnect with old friends they've lost touch with.
3) Middle-aged and older adults place relatively high value on using social media to connect with others who share their hobbies and interests.
Northfield Community Straw Poll on Illegal Use of Drugs - ResultsWigley and Associates
The document summarizes the results of an informal straw poll conducted by Griff Wigley to understand the problem of illegal drug use in Northfield, Minnesota. 82 respondents participated in the poll. The results provide information on respondent demographics and their perceptions and opinions regarding illegal drug use among youth in Northfield as well as the Northfield Police Department's enforcement practices. Comments from respondents expressed a variety of views including support for education over incarceration and concerns about how the police handled publicizing the issue.
This document discusses disparities in HIV among men who have sex with men (MSM) and the role of social determinants. It notes that addressing social conditions and drivers of HIV vulnerability through structural approaches is a key part of moving from an emergency response to a long-term response for AIDS. Several findings are highlighted: MSM have much higher HIV prevalence than general populations in many countries; criminalization of homosexuality and lack of funding targeting MSM undermine HIV prevention efforts; and experiences of discrimination, financial hardship and lack of social support are associated with higher risk sexual behaviors among MSM. Overall, the document emphasizes that effectively addressing the social drivers of the HIV epidemic among MSM through structural interventions is important for reducing disparities.
The survey asked US consumers questions about their purchasing habits, phone usage, and demographics. Key findings:
- When considering purchases, most research on their phone or computer rather than asking friends.
- Many are criticized by friends for phone use but most say friends also use phones.
- Younger consumers are less ashamed of older/less cool phones than older groups.
- The first thing noticed about people is most often their phone rather than clothes, watch, or car.
- Most respondents were female, ages 18-35.
The survey asked Indian consumers questions about their purchasing habits, phone usage, and perceptions. Key findings include:
- When considering purchases, most research on their phone (66% males, 69% females) or ask friends (15% males, 13% females). Fewer wait until using a computer.
- Most have not been criticized for phone use around friends, though some females report occasional criticism.
- Few feel ashamed of their phone model. Younger consumers are least likely to care what others think of their phone.
- Both genders say the first thing noticed about them is their phone, followed by clothing. Younger groups are most likely to cite their phone as most noticeable.
This document summarizes an anti-HIV stigma campaign in Iowa. It describes how HIV stigma impacts individuals and outlines a 5-component model of stigma. It then details the formation of an Iowa HIV Alliance in 2009 with the goal of developing solutions to barriers caused by HIV stigma. Survey results from 2005 and 2009 showed high levels of stigma among certain groups. The Alliance launched a multi-tiered campaign called "HIV Won't Stop Me" utilizing surveys, awareness events, and testimonials. Their goals were to empower people living with HIV and educate the general public to reduce stigma.
The document reports on a study conducted in 8 countries to understand middle class attitudes and opinions toward child mortality. It surveyed over 8,000 middle class individuals through in-person interviews. The study found that corruption was among the top concerns in each country. Trust was highest in hospitals, international organizations, and religious groups, while trust was lowest in political parties, police, and civil service across most countries.
The document summarizes new questions added to the National Health Interview Survey (NHIS) in response to the Patient Protection and Affordable Care Act (ACA) in order to monitor the law's impacts. The modifications to NHIS will help analyze health care access and use, affordability, coverage for young adults, preexisting condition insurance plans, preventive care provisions, and long-term care insurance. New questions were added in several categories including coverage status, emergency room use, delayed care, affordability issues, young adult coverage, preexisting conditions, preventive services, and long-term care insurance willingness to pay. A brief summarizing the changes is available on the State Health Access Data Assistance Center website.
This document discusses using state surveys to evaluate health care reform. It describes the State Survey Reform Workgroup, which was formed to provide guidance on priority data needs for monitoring health reform progress. The workgroup identified key domains like access to coverage, affordability of care, and emergency department use. It has compiled survey items from various state and national surveys into a searchable database to help states monitor reform implementation and impacts. The document concludes that state-specific surveys can provide valuable policy-relevant data to assess coverage, affordability, and access changes under health reform.
This document summarizes research on the potential implications of Medicaid expansion under the Affordable Care Act (ACA) for rural communities. The study finds that rural residents have higher uninsured rates and are less likely to live in states expanding Medicaid. Potential new enrollees in rural areas have poorer health than their urban counterparts. Additionally, the uninsured in rural, non-expanding states have less access to safety net providers and may burden the health system. The research helps address knowledge gaps around how Medicaid expansion decisions impact rural populations.
The document summarizes preliminary findings from a 2012 survey of enrollees in the Minnesota Comprehensive Health Association (MCHA). Key findings include:
- Most MCHA enrollees have preexisting conditions and have been enrolled for many years. They rely on MCHA for affordable coverage of their conditions.
- Enrollees are worried about changes under health reform, especially paying more for premiums, deductibles, and needed healthcare services.
- While over half may not qualify for financial support, outreach is needed to educate enrollees on their options under reform, address cost concerns, and combat negative views of public programs. Mail and one-on-one meetings are preferred
State Reform Survey Workgroup Meeting, February 2015soder145
A year has passed since full ACA implementation, and several states are gearing up for data collection in 2015. To guide this process and generate ideas, SHADAC is convened a web-assisted conference call. Colorado and Oregon shared their experiences selecting new reform-relevant content for their surveys, and researchers from the Urban Institute shared lessons learned from the Health Reform Monitoring Survey (HRMS).
Adding complexity to an already difficult task: Monitoring the impact of the ...soder145
The document summarizes research comparing estimates of Medicaid enrollment in 2013 and 2014 from the American Community Survey (ACS) and Centers for Medicare and Medicaid Services (CMS) administrative data. The research finds that states with the largest increases in Medicaid enrollment according to CMS also tended to have the largest differences between ACS and CMS estimates, with ACS generally reporting lower enrollment. This suggests the ACS may overstate uninsurance rates where Medicaid enrollment increased substantially. However, misreported coverage likely represents shifts between coverage types rather than uninsurance. Future research should analyze additional years of data and link administrative and survey sources to better understand reporting errors.
The document summarizes key information from a webinar about 2015 health insurance coverage estimates from the American Community Survey (ACS) and Current Population Survey (CPS). It provides an overview of the surveys' methodologies, measures of health insurance coverage, changes in insurance rates from 2013 to 2015, and resources for accessing public data from the ACS and CPS. New products for analyzing health insurance coverage from both surveys were also announced.
The document summarizes a webinar presented by experts from the U.S. Census Bureau on the Small Area Health Insurance Estimates (SAHIE). SAHIE provides county-level estimates of health insurance coverage across various demographic groups. The webinar discussed the 2014 SAHIE release, which incorporated more up-to-date Medicaid data and showed substantial changes in insurance rates from 2013 to 2014. The webinar also reviewed the data sources and methodology used to produce the SAHIE estimates.
Physician Participation in Medi-Cal: Is Supply Meeting Demand? soder145
This document summarizes a webinar presentation on physician participation in California's Medicaid program, Medi-Cal. The presentation was given by Janet Coffman from UCSF and Alan McKay from the Central California Alliance for Health.
Key findings from Coffman's presentation include: California physicians are less likely to accept new Medi-Cal patients than patients with private insurance or Medicare; acceptance rates vary by specialty, practice type, and region; and the most common reasons physicians limit Medi-Cal patients are delays in payment and administrative hassles.
McKay discussed the Alliance's efforts to expand Medi-Cal provider capacity after expansion, including grant programs for recruitment, equipment, practice coaching,
This document summarizes a presentation on a study examining how perceived barriers to healthcare and experiences of provider discrimination relate to low-income insured adults reporting delayed or foregone medical care. The study found that reporting bigger problems with barriers like coverage, finances, access, family/work issues, or provider-related issues, as well as experiencing frequent provider discrimination, significantly increased the odds of reporting delayed or unmet medical needs in the past year compared to reporting no or smaller problems. The results suggest that while health insurance expands access, it does not guarantee access to care or eliminate disparities, foreshadowing challenges that may arise under the Affordable Care Act.
State Policies Expanding Dependent Coverage to Young Adults in Private Health...soder145
1) State policies expanding dependent health insurance coverage to young adults up to age 26-29 have become increasingly popular, with over 25 states enacting such policies as of 2008.
2) Preliminary analysis found these policies increased young adults' likelihood of being covered as dependents on a private health plan by about 2 to 3 percentage points, offsetting a similar drop in young adults obtaining their own private coverage.
3) The policies did not significantly impact the uninsured rate, suggesting the expanded dependent coverage substituted for other private insurance rather than reducing the number of uninsured. However, the analysis was limited by only a few years of post-policy data in most states.
Kharfen: DC HIV Public-Private Partnershipshealthhiv
Michael Kharfen
Bureau Chief, Partnerships, Capacity Building, Community Outreach
DC Department of Health
HIV/AIDS, Hepatitis, STD and TB Administration
Amanda Lenhart spoke to the “Media and the Well-Being of Children and Adolescents” conference at the Annenberg Public Policy Center at the University of Pennsylvania. The conference brought together academics, researchers, non-profits and industry to discuss the effects of media on child mental and physical health and well-being. In her talk, Amanda focused on bringing together data that highlights the demographic differences among groups of youth in their adoption, use and experiences with technology and social media. While such data may have illustrated what was called a “digital divide” in the past, it now highlights a variety of digital differences among groups of youth. This talk brings together data previously shared in a variety of reports on youth as well as some new analysis.
The document discusses factors related to adult active living in Marin County, California. It notes that community focus groups called for more walking and biking paths as well as public transportation. Maps show differences in walkability between neighborhoods. Data shows a lack of physical activity among adults and disparities based on education and income levels. Nearly half of all adults are overweight or obese, with lower-income and education levels associated with higher rates. The top issues identified include improving access to recreational areas and transportation, as well as addressing safety concerns and perceptions of police.
HIV & Education in Young South African WomenRENEWAL-IFPRI
This document summarizes research on HIV prevalence, risk behaviors, and the relationship between education and HIV risk among young South African women. It finds:
1) HIV prevalence is very high among young South African women, reaching over 30% among those aged 20-24.
2) Despite this, young women do not report many "high risk" behaviors like early sexual debut or multiple partners.
3) Higher education is associated with lower HIV rates and riskier behaviors. Women who complete high school are less likely to be infected than those without.
4) Barriers to education for girls include costs, pregnancy, and family responsibilities. Programs providing cash transfers have increased school attendance, especially for girls.
Understanding the Children's Book Consumer in the Digital Age - TOC Bologna 2013Kristen McLean
This document discusses a study of children's book consumers in the digital age. It finds that most children's book buyers are female, between ages 30-44, and earn $50,000-$75,000 annually. Picture and story books are most often purchased in brick-and-mortar stores, while young adult books are more frequently purchased online. The proportion of children's books being purchased as ebooks has increased each year, reaching 30% of all children's book purchases in 2012.
The 2012 Virginia Rural Health Action Conference presentation summarized key findings from Virginia's 2012 Health Equity Report. The report found health inequities between racial groups in mortality, life expectancy, HIV, and infant outcomes. These inequities are linked to social determinants of health like socioeconomic status, discrimination, education, and neighborhood conditions. The report introduced the Health Opportunity Index to measure access to health-promoting social conditions and made recommendations to promote health equity, such as improving access to affordable housing, jobs, and environmental health.
KidsWell Florida is a collaborative grassroots movement to expand health coverage for uninsured children in Florida. It aims to connect organizations, providers, families, businesses, and the public to build support for policy solutions. The movement is staffed and intends to provide long-term research, organizing, communications, and advocacy resources. It will launch publicly in September after holding regional meetings to gather input and identify policy priorities across 11 regions of Florida. The goals are to simplify eligibility, maximize funding, and streamline enrollment to cover more children under existing programs and the Affordable Care Act.
Pew internet older adults and social mediaEsther Vargas
Social media use among older adults has nearly doubled over the past year. While those ages 18-29 still use social media the most, usage increased most dramatically among those ages 50-64 (up 88%) and 65+ (up 100%). Older adults are using social media to reconnect with people from their past and find support networks. While email is still very popular, social media allows older users to easily share photos, videos, and updates with growing networks of contacts.
Pew internet older adults and social mediaSumit Roy
1) Social networking use among those ages 50 and older has nearly doubled over the past year, from 22% to 42%.
2) Half of internet users ages 50-64 and one in four ages 65 and older now use social networking sites like Facebook and LinkedIn.
3) While email is still the primary method older users maintain contact, many are now relying more on social media to communicate and share content with growing networks.
The survey was conducted in Egypt between April 14-27, 2011 with 1,200 interviews to assess public opinion on various economic and political issues in the country. Unemployment was seen as the biggest problem facing Egypt at 37% while 84% approved of Hosni Mubarak's resignation as president. Overall, 89% felt things in Egypt were going in the wrong direction economically.
The document summarizes the results of a June 2012 consumer survey. It finds that consumer confidence in the economy is at its lowest level since 2007. One in four adults expect more layoffs over the next six months, despite declining unemployment rates. Less than one in five expect fewer layoffs. Over a third of adults did not save any of their annual income in the last year. Those saving small amounts are declining since 2007 levels.
Access of Children with Disabilities to Education, Health and Social Protecti...Meri Poghosyan
UNICEF undertook an effort to gather reliable information on the access of chil- dren with disabilities to health, education and social protection services. The survey also sought to reveal the levels of participation of children with disabilities in different life activities, such as sport, culture and community events, as well as the attitudes and awareness of their families or caregivers. The analysis of data reveals that children with disabilities in Armenia face strong barriers in access to services, in particular related to school inclusion, rehabilitation and community participation.
The World Bank presented findings from its health sector assessment of the Philippines. It found that while total health spending has grown, it remains below comparable countries. Government health spending as a percentage of GDP is also lower than averages. High out-of-pocket costs lead to catastrophic spending for many. Health outcomes like infant mortality are improving but still lag behind income levels. The World Bank recommends implementing policies to: A) promote facility-based deliveries, B) reform PhilHealth benefits and expand coverage, and C) increase accountability and expand results-based financing to get more value from health spending.
The document summarizes key research trends from Pew Internet Project regarding how people use the internet, smartphones, and social media. It finds that internet and broadband access is now widespread, with people conducting extensive online research and travel planning. Mobile device ownership is also high, with people using apps and location-based services for real-time information. Social media use continues to grow rapidly, especially among younger adults, with many people participating in the sharing and discussion of news.
Civil Beat Poll - September 2012 president and economy resultsHonolulu Civil Beat
The document summarizes the results of a survey of 1,648 likely general election voters in the state. The survey found that 62% would vote for Obama while 30% would vote for Romney if the election was held at that time. 57% viewed the economy positively while 40% viewed it negatively. Regarding solutions to the deficit,
The document discusses education and socialization of elderly people in Serbia. It notes that elderly education is mentioned in policy papers like the Adult Education Law and Education Strategy of Serbia, but there is low participation. Education of elderly is provided through various institutions like universities of the third age, associations, and as part of the social welfare system. However, barriers to participation include perceptions that elderly are too old to learn, a lack of interest or purpose, and health/financial issues. The document advocates for active learning methods tailored to elderly learners.
Trends and Disparities in Children's Health Insurance: New Data and the Impli...soder145
This document summarizes key findings from an analysis of trends in children's health insurance coverage between 2016 and 2017. Some key points:
- The uninsured rate among children in the U.S. increased from 4.7% in 2016 to 5% in 2017, reversing over a decade of decline. This represented nearly 270,000 additional uninsured children.
- The increase was driven by a decline in public coverage, particularly Medicaid. Uninsurance rose across most demographic groups.
- There was considerable variation between states, from a low of 1.4% uninsured in Vermont to a high of 10.7% in Texas.
- States with low uninsurance typically had high rates of employer-sponsored insurance or
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
This document summarizes research on modeling state-based reinsurance programs to stabilize individual health insurance markets. Key findings include:
- An estimated $60 billion is spent annually in the individual market, with 2.5% of enrollees accounting for 48.8% of expenditures.
- State reinsurance programs with varying parameters could reduce insurer costs by $6-14 billion nationally per year.
- Estimated reinsurance costs for four states range from $300,000 to $1.8 billion depending on the attachment point and coinsurance rate.
- Federal transitional reinsurance and proposed legislation allocated $10 billion annually, consistent with these estimates.
2017 Health Insurance Coverage Estimates: SHADAC Webinar Featuring U.S. Censu...soder145
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.
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.
This document summarizes research on the intersection of structural risk factors and insurance-based discrimination on healthcare access inequities. The study analyzed data on over 3,800 non-elderly adults in Minnesota to examine how experiences of insurance-based discrimination vary across gender, race, income and insurance status, both independently and combined. It also assessed how the synergistic effects of structural risk factors and reported discrimination influence access to a usual source of care and confidence in getting needed healthcare services. The results show that structural factors like race, income and insurance status combine to produce greater reported discrimination, which then interacts with those factors to further reduce healthcare access. The implications are that reducing inequities requires attention to the convergence of these structural barriers
This study analyzed characteristics associated with accurate reports of health insurance coverage in census surveys. It found that reporting of public insurance was most accurate among low-income, less educated individuals who likely needed care. Reporting varied by specific public program, with family characteristics impacting Medicaid accuracy and respondent characteristics impacting MinnesotaCare accuracy. Private insurance reporting in the ACS was more accurate among advantaged groups, while the CPS saw greater accuracy among older respondents with long-term coverage. The results provide insight into survey design, editing, and using survey data for policy analysis by identifying who reports coverage most reliably.
- The document presents preliminary results from the Minnesota Long-Term Services and Supports Projection Model (MN-LPM), which projects LTSS utilization and costs for Minnesota's Medicaid elderly population through 2030.
- In 2015, over 54,000 Minnesotans received LTSS through Medicaid, costing $991 million total. The model projects these numbers will double by 2030, with LTSS costs reaching $1.7 billion as HCBS use grows significantly faster than nursing home use.
- The model uses Minnesota-specific data on the characteristics of elderly residents and current LTSS spending patterns to generate projections. It is intended to help evaluate potential policy changes that could impact future LTSS needs and costs in
Modeling Financial Eligibility for Medicaid Payment of LTSS
1) Medicaid long-term services and expenditures (LTSS) are a large and growing part of state budgets. States may restrict LTSS eligibility rules to control costs.
2) The researchers modeled LTSS eligibility rules to understand their impact and potential consequences of restricting access.
3) The model found that restricting income eligibility rules had a larger impact on reducing the number of eligible individuals than restricting asset rules. This is because income rules are more broadly applied and generous under current policies.
Poster, advancements in care coordination mn simsoder145
The document summarizes findings from an evaluation of Minnesota's State Innovation Model (SIM) Initiative. It finds that Minnesota's SIM investments increased organizations' capacity for coordinated care in several ways:
1) It strengthened relationships and knowledge sharing between organizations.
2) It improved some care coordination processes like assessing social needs and accessing data.
3) It expanded access to health information exchange capabilities needed to coordinate care across settings.
- Structured interviews were conducted with 33 current and former state agency and health plan staff across 4 states to understand challenges implementing Section 1115 Medicaid expansion waiver programs.
- Key challenges included the significant administrative resources and coordination required across entities, educating enrollees, and reconciling complex program rules across systems.
- While waiver programs allowed for innovative policy testing, the administrative complexity was substantial and ongoing. Implementation involved major efforts to develop new IT systems and operational protocols within tight timelines.
1. The document analyzes the potential impact and costs of state-based reinsurance programs using data from 2012-2015.
2. It estimates that reinsurance subsidies could range from $6.4 billion to $16 billion annually depending on the attachment point and coinsurance rate.
3. Reinsurance costs are estimated to range from close to $300,000 in Illinois to $2 billion in California under sample programs with an 80/20 coinsurance split.
Comparing Health Insurance Measurement Error (CHIME) in the ACS & CPSsoder145
This document summarizes a study that compared survey responses about health insurance from the American Community Survey (ACS) and Current Population Survey (CPS) to actual administrative insurance records to assess accuracy. The study found that both surveys produced reasonably accurate aggregated estimates but that some types of coverage, like direct purchase plans, were less accurately reported. Specifically:
- Both surveys had high sensitivity in detecting those with any insurance but the ACS performed better for direct purchase plans.
- The predictive power of reported coverage types varied, with direct purchase again less accurately predicted than employer-sponsored coverage.
- Prevalence estimates based on surveys were generally within a few percentage points of administrative records, though CPS estimates were less accurate for
Who Gets It Right? Characteristics Associated with Accurate Reporting of Heal...soder145
This document summarizes a study examining factors associated with accurate reporting of health insurance coverage type. The study used survey data matched to enrollment records from a health plan. It found:
1) Reporting accuracy was highest for those with employer-sponsored insurance and lowest for those with direct purchase or Medicaid coverage.
2) Among those with direct purchase insurance, reporting accuracy was higher for those who were white, non-Hispanic, fully employed, and from higher income households.
3) For Medicaid enrollees, reporting accuracy was higher for those who were unemployed, from lower income and education households.
Medicaid vs. Marketplace Coverage for Near-Poor Adults: Impact on Out-of-Pock...soder145
1) The document analyzes the impact of state Medicaid expansion decisions on out-of-pocket health expenses and insurance coverage for low-income adults making 100-138% of the federal poverty level.
2) It finds that Medicaid expansion was associated with lower total out-of-pocket spending (a reduction of $353), lower premium spending (a reduction of $118), and lower medical spending (a reduction of $235) compared to non-expansion states.
3) Medicaid expansion also increased Medicaid coverage by 11.1 percentage points and decreased the uninsured rate by 4.5 percentage points for this low-income group relative to non-expansion states.
The Impact of Medicaid Expansion on Employer Provision of Health Insurancesoder145
- The study examines the impact of Medicaid expansion under the ACA on employer-sponsored health insurance (ESI) offers, out-of-pocket premiums, and eligibility using data from 2010-2015.
- The results show Medicaid expansion decreased worker eligibility for ESI offers by 4 percentage points but had no effect on ESI offers or out-of-pocket premiums. There was also no differential effect for low-wage establishments.
- The authors note the short-term effects may differ from long-term effects, and ongoing uncertainty could impact employer behavior and outcomes over time as more states expand Medicaid.
Contrasting Measures of Health Insurance Literacy and their Relationship to H...soder145
This document summarizes research contrasting two measures of health insurance literacy and their relationship to health care access. The researchers analyzed data from a 2015 Minnesota health survey. They found that:
1) Understanding insurance terminology was associated with higher confidence in getting needed care and lower odds of forgone care, while proactive insurance use correlated with lower odds of forgone care.
2) Correlates of health insurance literacy, such as education, varied between the two measures.
3) Both measures captured distinct concepts and translated to improved access, though proactive use only predicted forgone care and not confidence in care.
4) The researchers concluded both measures have value but more work is needed to better operationalize
Minnesota Accountable Health Model Continuum of Accountability Assessment: Ev...soder145
The document discusses Minnesota's Accountable Health Model and its Continuum of Accountability Assessment tool. It provides an overview of the tool, which assesses organizations on their capabilities and functions across 7 categories. It presents preliminary findings from completed assessment tools, including higher and lower average scores. It also compares scores between grant programs and urban vs. rural organizations. Evaluation of the tool will continue to track progress along the continuum over time.
Changing Trends in Employer Sponsored Insurance After the Affordable Care Actsoder145
The document analyzes trends in employer-sponsored health insurance (ESI) in the United States and Minnesota after the Affordable Care Act. It finds that while the percentage of U.S. workers offered and eligible for ESI dropped slightly from 2013-2014, Minnesota saw no significant changes. Both saw minimal increases in workers taking up ESI. Individual premiums significantly increased every year in the U.S. and 2013-2014 in Minnesota. Enrollment in high-deductible plans rose each year in the U.S. and 2013-2014 in Minnesota. The concerns over reduced ESI due to the ACA appear overstated while rising individual costs remain a policy issue.
Changing Trends in Employer Sponsored Insurance After the Affordable Care Act
Pres hsr mar5_pintor
1. Putting Out the Welcome Mat: Targeting
Outreach Under the Affordable Care Act
Profile of Minnesota’s Uninsured
Jessie Kemmick Pintor, MPH
MN Health Services Research Conference
March 5th, 2013
Funded by a grant from the Robert Wood Johnson Foundation
2. Purpose/Overview
• To provide an in-depth profile of the
uninsured in Minnesota in order to inform
targeted outreach to non-elderly adults who
will be newly eligible for Medicaid coverage
or subsidies through the exchange:
– Overall uninsured
– Potentially Medicaid-eligible non-elderly adults:
<138% FPG
– Potentially subsidy-eligible non-elderly adults :
139-400% FPG
2
3. 2011 MN Health Access Survey
• Conducted by MDH and SHADAC (Sep to Dec 2011)
• Purpose:
– Document trends in health insurance coverage and access to
insurance and health care
– Describe characteristics of the uninsured, and economic and
demographic factors associated with lack of coverage
– Establish baseline data for evaluating health reform
• Dual frame survey targeting 11,000 completes
– 62% landline, 38% cell
• Stratified sampling to produce reliable estimates for:
– Regions of the state
– Most populous racial/ethnic groups
3
4. Uninsured Minnesotans, 2011
• 489,000, or 9.1% of, Minnesotans uninsured
– 675,000, or 12.6% uninsured at some time in 2011
• Uninsurance rates highest among:
– 26-34 year olds, individuals with lower education/income
levels, Hispanics/Latinos, and foreign-born
• Uninsured as likely to be employed as overall
– However, more likely to be self employed or work for
smaller employers, work part-time, hold more than one job,
and hold temporary or seasonal jobs
• Most report lack of coverage due to cost, and
loss of coverage due to job termination
4
5. Nearly half of Medicaid-eligible already have
public coverage, most subsidy-eligible have ESI
Insurance coverage among non-elderly adults at or below 138%
and 139-400% FPG, 2011
Public
Uninsured 15%
Uninsured 17%
23% Individual
Public 6%
Individual 45%
5%
Group Group
27% 62%
Source: 2011 Minnesota Health Access Survey
5
6. Uninsured Medicaid- and subsidy-eligible
much younger than non-elderly adults overall
Age distribution of non-elderly adults, 2011
50%
46%
45% 41%
40%
35% 31%
29%* 30%*
30% 26%
25%
19% 19%
20% 18%
16%
15% 13%
11%
10%
5%
0%
18-25 26-34 35-54 55-64
Uninsured Medicaid-eligible Uninsured subsidy-eligible Overall
*Indicates statistically significant difference (95% level) from overall non-elderly population
Source: 2011 Minnesota Health Access Survey
6
7. Latinos greatly overrepresented among Medicaid-
eligible; Blacks overrepresented among subsidy-eligible
Race/ethnicity among non-elderly adults, 2011
100%
90% 84%
80% 75%
70%
59%
60%
50%
40%
30%
20% 17%*
12%*
10%
10% 5% 6% 4% 4% 7% 5%
4% 1% 1% 4% ƚ 2%
0%
White Black Asian American Hispanic/Latino Other
Indian
Uninsured Medicaid-eligible Uninsured subsidy-eligible Overall
*Indicates statistically significant difference (95% level) from overall non-elderly population
ƚ Less than 1%
Source: 2011 Minnesota Health Access Survey
7
8. Three in ten Medicaid-eligible have less than
a high school education
Level of education among non-elderly adults, 2011
100%
8%
90% 19%
80% 34%
29%
70%
32%
60% College grad
50% 34% Some college
33%
40% HS grad
30% 37%
Less than HS
20% 25%
30%*
10%
13% 8%
0%
Uninsured Medicaid- Uninsured subsidy- Overall
eligible eligible
*Indicates statistically significant difference (95% level) from overall non-elderly population
Source: 2011 Minnesota Health Access Survey
8
9. What else do we know about Medicaid- and
subsidy-eligible non-elderly adults?
• Males slightly overrepresented
• Less likely to be in excellent/very good health
• Similar distribution across TC metro/Greater MN
• Just over half of Medicaid-eligible employed,
compared to 76% of nonelderly overall
• 11% of Medicaid-eligible and 19% of subsidy-eligible
have access to ESI
• Over half of Medicaid-eligible and 1/3 of subsidy-
eligible have children under 21 in household
9
10. Interaction of uninsured non-elderly adults with
Minnesota Public Health Care Programs, 2011
100%
90%
80%
70%
60%
50%
40% Uninsured Medicaid-elgible
30% Uninsured subsidy-eligble
20%
10%
0%
Asked/given Would enroll if Of those who say Would
information eligible no: would enroll participate in a
about public if coverage was premium
programs free assistance
program
Source: 2011 Minnesota Health Access Survey
10
11. Main reason for not enrolling in MN Health Care
Programs among uninsured non-elderly adults, 2011
Don't think the
care/benefits are good
3% Other
Other 11%
Don't think the Too much
14%
hassle/paperwork
care/benefits are
3%
good Applied but not
Too expensive Don't think eligible
4%
23% government should 23%
pay for my health care
Don't need or 4%
want insurance
Will get insurance
right now/rarely soon
sick 6%
10% Don't think I'm eligible
Do not know Don't need or want 14%
Will get insurance insurance right now
what to do/where
soon 11%
to go/how to
8%
enroll Do not know
Too much 21% what to
hassle/paperwork do/where to Too expensive
9% go/how to 14%
Applied but not enroll
eligible 11%
11%
Medicaid-eligible Subsidy-eligible
Source: 2011 Minnesota Health Access Survey
11
12. Next steps/Potential analyses for MN Health
Insurance Exchange
• 3-year (2008-2010) pooled sample of the American
Community Survey (ACS) allows for geographic
specificity (PUMA) in answering a number of questions
• Characteristics of uninsured across PUMAs:
– Education levels across PUMAs
– Individuals in linguistically-isolated households across PUMAs
– Individuals in households where someone receives
TANF/SNAP benefits across PUMAs
• Potential to generate regions designed by the state
• Adding layer information such as location of schools,
community centers, libraries, etc.
12
14. Conclusions/Implications for outreach to
Medicaid-eligible
• Medicaid outreach will need to target younger
Minnesotans with lower levels of education
• Over half of uninsured Medicaid-eligible have
inquired about MHCP and 4 in 5 report they
would enroll in Medicaid if they were eligible
– Still, many report that they do not know where to
go, how to apply and/or that the process is too
much of a hassle/too much paperwork
• Many live in households with children under 21,
which may be a potential avenue for outreach
14
15. Conclusions/Implications for outreach to
subsidy-eligible
• Slightly younger and lower levels of education
compared to nonelderly overall
• Only 1 in 5 of the uninsured who are potentially
eligible for subsidies under the exchange have
access to employer-sponsored insurance
• Over half have inquired about MHCP and most
report they would enroll in a premium
assistance program if eligible
– Still, again, they report problems accessing MHCP
15
16. Jessie Kemmick Pintor
kemm0018@umn.edu
612.624.2083
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