Click to edit Master text styles

Transcription

1

2 For those dialing in: All phones are muted Second Submit questions level using the chat window at any time during Third the level webinar Troubleshooting: Call Readytalk s help line: (800) Ask for help using the chat feature Download the slides at Webinar archive will be posted on SHADAC s web site notice will be sent to participants 2

3 Julie Sonier SHADAC Deputy Director Brett O Hara Chief, Health and Disability Statistics Branch, U.S. Census Bureau Jennifer Day Assistant Division Chief for Employment Characteristics, U.S. Census Bureau Joanna Turner SHADAC Senior Research Fellow Lucinda Dalzell Chief, Small Area Estimates Branch, U.S. Census Bureau Mark Bauder Mathematical Statistician, U.S. Census Bureau 3

4 Click Current to edit Population Master text Survey styles (CPS) Second 2012 level estimates released September 17, 2013 American Community Survey (ACS) 2012 estimates released September 19, 2013 Small Area Health Insurance Estimates (SAHIE) 2011 estimates released August 29,

5 Method Annual housing units interviewed CPS ACS SAHIE Survey of civilian non-institutionalized population Survey of U.S. population (including group quarters) About 76,000 About 2.3 million N/A Geography Nation, states Nation, states, substate Mode Uninsurance: Measure Uninsurance: Years available Phone and inperson Mail, phone, and inperson Combine ACS estimates with administrative data Nation, state, county N/A Uninsured all year Point-in-time Point-in-time 1987 to to to 2011 (Using the ACS)* * SAHIE estimates using the CPS available for 2000, 2001, and 2005 to

6 CPS ACS SAHIE Method Survey of civilian Survey of U.S. Combine ACS non-institutionalized CPS population (including estimates with population group quarters) 2-year averages: changes administrative data Annual housing About 76,000 in state About estimates 2.3 million over time N/A units interviewed Geography Fifth Nation, level states 3-year Nation, averages: states, compare substate states within a year Nation, state, across county Mode Uninsurance: Measure Uninsurance: Years available Phone and inperson Mail, phone, and inperson N/A Uninsured all year Point-in-time Point-in-time 1987 to to to 2011 (Using the ACS)* * SAHIE estimates using the CPS available for 2000, 2001, and 2005 to

7 Method Annual housing units interviewed CPS ACS SAHIE Survey of civilian non-institutionalized population Survey of U.S. population (including group quarters) About 76,000 About 2.3 million N/A Geography Nation, states Nation, states, substate Mode Uninsurance: Measure Uninsurance: Years available Phone and inperson Mail, phone, and inperson Combine ACS estimates with administrative data Nation, state, county N/A Uninsured all year Point-in-time Point-in-time 1987 to to to 2011 (Using the ACS)* * SAHIE estimates using the CPS available for 2000, 2001, and 2005 to

8 Method CPS ACS SAHIE Survey of civilian non-institutionalized population Survey of U.S. population (including group quarters) Combine ACS estimates with administrative data Annual housing Census About Bureau 76,000 published About 2.3 million N/A units interviewed estimates restricted to the civilian Geography Fifth noninstitutionalized population Nation, level states Nation, states, substate Nation, state, county Mode Uninsurance: Measure ACS Uninsurance: Years available Phone and inperson Mail, phone, and inperson N/A Uninsured all year Point-in-time Point-in-time 1987 to to to 2011 (Using the ACS)* * SAHIE estimates using the CPS available for 2000, 2001, and 2005 to

9 Method Annual housing units interviewed CPS ACS SAHIE Survey of civilian non-institutionalized population Survey of U.S. population (including group quarters) About 76,000 About 2.3 million N/A Geography Nation, states Nation, states, substate Mode Uninsurance: Measure Uninsurance: Years available Phone and inperson Mail, phone, and inperson Combine ACS estimates with administrative data Nation, state, county N/A Uninsured all year Point-in-time Point-in-time 1987 to to to 2011 (Using the ACS)* * SAHIE estimates using the CPS available for 2000, 2001, and 2005 to

10 CPS ACS SAHIE Method Survey of civilian Survey of U.S. Combine ACS non-institutionalized Data Sources population for SAHIE: (including estimates with population ACS group quarters) administrative data Annual housing About 76,000 Population About estimates 2.3 million N/A units interviewed Federal income tax returns Geography Fifth Nation, level Supplemental Nutrition states Assistance Nation, program states, records substate Patterns county Nation, state, County Business Mode Phone and Medicaid/CHIP inperson 2010 Census Mail, records phone, and inperson N/A Uninsurance: Measure Uninsurance: Years available Uninsured all year Point-in-time Point-in-time 1987 to to to 2011 (Using the ACS)* * SAHIE estimates using the CPS available for 2000, 2001, and 2005 to

11 Method Annual housing units interviewed CPS ACS SAHIE Survey of civilian non-institutionalized population Survey of U.S. population (including group quarters) About 76,000 About 2.3 million N/A Geography Nation, states Nation, states, substate Mode Uninsurance: Measure Uninsurance: Years available Phone and inperson Mail, phone, and inperson Combine ACS estimates with administrative data Nation, state, county N/A Uninsured all year Point-in-time Point-in-time 1987 to to to 2011 (Using the ACS)* * SAHIE estimates using the CPS available for 2000, 2001, and 2005 to

12 Coverage types CPS ACS SAHIE Uninsured, Insured Private Employer Direct purchase Public Medicare Medicaid Military (TRICARE & VA) Uninsured, Insured Private Employer Direct purchase TRICARE Public Medicare Medicaid VA Disability status Yes Yes No Health status Yes No No Employer size Yes No No Medical out-ofpocket expenditures Yes No No Housing values No Yes No Uninsured, Insured 12

13 Trends over long time period State estimates Sub-state estimates Small subpopulations CPS ACS SAHIE 1987 forward 2-year averages 1-yr for pop > 65,000 3-yr for pop > 20,000 5-yr for pop < 20,000 1-year for all counties Age, income, poverty, sex, race/ethnicity (state only) Coverage by type Under investigation Custom tabs from microdata 13

14 CPS and ACS 14

15 Percent Click to edit Master text styles 80 Private Health Insurance Second 70 level Public Coverage Change ACS -0.1 CPS CPS +0.4* ACS +0.6* Uninsured CPS -0.3* ACS -0.4* Solid lines indicate CPS; Dotted lines indicate ACS. * Within-survey change from 2011 to 2012 is statistically significant at the 90 percent confidence interval. Represents or rounds to zero. 15

16 Percent Click to edit Master text styles 80 Second 70 level Private Health Insurance Change CPS +0.7 ACS -0.5* CPS +0.4 ACS +0.8* 30 Public Coverage Uninsured Solid lines indicate CPS; Dotted lines indicate ACS. * Within-survey change from 2011 to 2012 is statistically significant at the 90 percent confidence interval. CPS -0.5* ACS -0.3* 16

17 Percent Click 35to edit Master text styles 19 to 25 Second 30 level to 64 Under Change CPS -0.5 ACS -1.6* CPS -0.2 ACS -0.3* CPS -0.3 ACS -0.3* Under and over Solid lines indicate CPS; Dotted lines indicate ACS. * Within-survey change from 2011 to 2012 is statistically significant at the 90 percent confidence interval. Represents or rounds to zero. CPS -0.5* ACS -0.3* CPS -0.2 ACS 17

18 Percent Click to edit Master text styles 35 Hispanic Second 30 level Black alone White alone Change CPS -1.0* ACS -0.8* CPS -0.5 ACS -0.4* CPS -0.2 ACS -0.3* Solid lines indicate CPS; Dotted lines indicate ACS. * Within-survey change from 2011 to 2012 is statistically significant at the 90 percent confidence interval. 18

19 Source: U.S. Census Bureau ACS Brief 19

20 Source: U.S. Census Bureau ACS Brief 20

21 Click 2 new to edit detailed Master health text styles insurance coverage tables for young adults (B27022 & B27023) Young Third adults level added to table S2701 total uninsured th Congressional Districts available First release based on 2010 Census definitions for Public Use Microdata Areas (PUMAs), Urban Areas, and Urban/Rural 21

22 Public Use Microdata Samples (PUMS) available fall % public use microdata sample (1% of population) The smallest identifiable geographic unit is the 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 22

23 Click to edit Master 3-year text estimates styles for areas with population >20,000 Third American level FactFinder release: October 24 PUMS: TBD year estimates for all geographic areas American FactFinder release: December 5 PUMS: TBD First 5-year file with health insurance coverage estimates 23

24 Click 2012 to edit CPS Master data will text be styles available soon Second SHADAC-Enhanced level CPS will be available soon ACS data files will be released about 1-2 weeks after available from the Census Bureau SHADAC Health Insurance Unit (HIU) and Federal Poverty Guidelines (FPG) variables for 2012 CPS and ACS will be available soon 24

25 Click Updating to edit Master with: text styles Second 2012 level CPS 2012 SHADAC- Enhanced CPS 2012 ACS 25

26 Click Health to edit insurance Master text coverage styles (Pascale, 2013 JSM) Second Improved level all year coverage measure Add point-in-time coverage measure New questions to measure exchange participation New questions on employer offered health insurance coverage Income (Semega and Welniak, 2013 JSM) Improve data quality, take better advantage of an automated instrument, reflect changing retirement environment, improve clarification and reporting of asset income 26

27 SAHIE 27

28 28

29 29

30 30

31 Source: U.S. Census Bureau 31

32 Source: U.S. Census Bureau 32

33 Click Updated to edit health Master insurance text styles page Second level American FactFinder summary tables Mitigating the Loss of Private Insurance with Public Coverage for Under-65 Population: 2008 to 2012 (ACS Brief) 33

34 Click Updated to edit SAHIE Master page text styles Second level Guidance on when to use different data sources 34

35 Click Comparing to edit Master Federal text Government styles Surveys that Count the Uninsured Third level Small Area Health Insurance Estimates from the Census Bureau: 2008 and 2009 (Brief #26) _Brief26.pdf 35

36 Click ACS to edit tables Master from text American styles FactFinder showing Second change level in health insurance coverage for states and counties 36

37 Direct inquires to Joanna Turner, or