2014 HEALTH INSURANCE COVERAGE ESTIMATES

Transcription

1 2014 HEALTH INSURANCE COVERAGE ESTIMATES SHADAC Webinar Featuring U.S. Census Bureau Experts September 22, 2015, 2:00 PM EDT You will be connected to broadcast audio through your computer. You can also connect via telephone: (866) , Conference ID Slides and handouts at:

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) Ask for help using the chat feature Download the slides at Webinar archive will be posted on SHADAC s website notice will be sent to participants 2

3 Presenters Kathleen Call SHADAC Jennifer Cheeseman Day U.S. Census Bureau Joanna Turner SHADAC Marina Vornovitsky U.S. Census Bureau 3

4 CPS and ACS Current Population Survey (CPS) 2014 estimates released September 16, 2015 American Community Survey (ACS) 2014 estimates released September 17,

5 Design Differences Method Annual housing units interviewed CPS Survey of civilian noninstitutionalized population About 76,000 ACS Survey of U.S. population (including group quarters) About 2.3 million Geography Nation, states Nation, states, sub-state Mode Phone and in-person Mail, phone, in-person, Re-designed in CPS ASEC 2014 and internet Uninsurance: Measure Uninsurance: Years available Uninsured all year Point-in-time 1987 to 2014 February - April 2015 Point-in-time 2008 to

6 Guidance on When to Use Each Source Trends CPS 1987 to forward ACS 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

7 CPS AND ACS ESTIMATES 7

8 Changes in the rate of health insurance coverage reflect: Economic trends Demographic shifts Policy changes, such as the Affordable Care Act (ACA) 8

9 Source: U.S. Census Bureau, Current Population Survey, 2014 and 2015 Annual Social and Economic Supplements, and 2008 to Year American Community Surveys. 9

10 Percentage of People by Type of Health Insurance Coverage: 2014 *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, 2015 Annual Social and Economic Supplement. 10

11 Change in Percentage of People by Type of Health Insurance Coverage: 2013 to 2014 Note: Between 2013 and 2014, there was not a statistically significant change in the percentage of people covered by employment-based health insurance or 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, 2014 and 2015 Annual Social and Economic Supplements.

12 Uninsured Rate by Single Year of Age: 2013 and 2014 Source: U.S. Census Bureau, 2013 and Year American Community Surveys. 12

13 Uninsured Rate by Single Year of Age: 2013 and 2014 Source: U.S. Census Bureau, 2013 and Year American Community Surveys. 13

14 Uninsured Rate by Single Year of Age: 2013 and 2014 Source: U.S. Census Bureau, 2013 and Year American Community Surveys. 14

15 Uninsured Rate by Single Year of Age: 2013 and 2014 Source: U.S. Census Bureau, 2013 and Year American Community Surveys. 15

16 Uninsured Rate by Single Year of Age: 2013 and 2014 Source: U.S. Census Bureau, 2013 and Year American Community Surveys. 16

17 Uninsured Rate by Single Year of Age: 2013 and 2014 Source: U.S. Census Bureau, 2013 and Year American Community Surveys. 17

18 Uninsured Rate by Work Experience, Ages 18 to 64 Years: 2013 and 2014 Source: U.S. Census Bureau, Current Population Survey, 2014 and 2015 Annual Social and Economic Supplements. 18

19 Uninsured Rate by Household Income: 2013 and 2014 Source: U.S. Census Bureau, Current Population Survey, 2014 and 2015 Annual Social and Economic Supplements. 19

20 Uninsured Rate by Race and Hispanic Origin: 2013 and 2014 Source: U.S. Census Bureau, Current Population Survey, 2014 and 2015 Annual Social and Economic Supplements. 20

21 Uninsured Rate by Nativity: 2013 and 2014 Source: U.S. Census Bureau, Current Population Survey, 2014 and 2015 Annual Social and Economic Supplements. 21

22 Uninsured Rate by State: 2014 Source: U.S. Census Bureau, Year American Community Survey. 22

23 Decrease in Uninsured Rate by State: 2013 to 2014 Source: U.S. Census Bureau, 2013 and Year American Community Surveys. 23

24 Uninsured Rate by State and Medicaid Expansion Status: 2014 *Medicaid expansion status as of January 1, Source: U.S. Census Bureau, Year American Community Survey. 24

25 Decrease in Uninsured Rate by State and Medicaid Expansion Status: 2013 to 2014 *Medicaid expansion status as of January 1, Source: U.S. Census Bureau, Year American Community Survey. 25

26 Uninsured Rate by Poverty Status and Medicaid Expansion of State for Adults Aged 19 to 64 Years: 2013 and 2014 *Medicaid expansion status as of January 1, Source: U.S. Census Bureau, 2013 and Year American Community Surveys. 26

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29 Men Lag Behind Women in Health Insurance Coverage (Blog) Figure 1. Uninsured Rates for Men and Women: 2008 to Men Women Difference Source: U.S. Census Bureau, American Community Survey 2008 to 2014

30 Figure 2. Uninsured Rates for Men and Women by Single Year of Age: Men 15 Women 10 Difference (men's rate - women's rate) Age + Source: U.S. Census Bureau, American Community Survey 2014

31 Figure 3. Private and Government Health Insurance Coverage for Men and Women of Working Age: 2014 Percent Men with private insurance 60 Women with private insurance Women with government coverage Men with government coverage Age Source: U.S. Census Bureau, American Community Survey 2014

32 Figure 4. Type of Government Health Insurance Coverage for Men and Women of Working Age: 2014 Percent Medicare 10 5 Men Women Medicaid Women Men VA Care Men Women Age Source: U.S. Census Bureau, American Community Survey 2014

33 Accessing estimates CPS: Updated health insurance page s/index.html ACS: American FactFinder (AFF) summary tables Limited set of state estimates available in the annual report 33

34 ACS Public Use Data Release: 2014 Estimates Public use Microdata Sample (PUMS) available October 27 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 34

35 Upcoming ACS Data Releases: 5-Year year estimates for all geographic areas American FactFinder release: December 10 PUMS: January 21 The 3-year ACS data products are discontinued; there will not be estimates for

36 RE-DESIGNED CPS Implemented for the 2013 estimates 36

37 Question Changes: Health Insurance Coverage Complete redesign of question series based on over a decade of research Improved measure of all year coverage Added point-in-time measure (February April) New questions to measure: Exchange participation, Receipt of subsidies, Employer offered health insurance coverage 37

38 Question Changes: Income Separation of source and amount questions dual pass approach Tailored skip patterns More detailed interest, dividends, and retirement questions Income range follow-up for don t know or refused income amounts 38

39 Health Insurance Coverage in the United States: 2013 (released last year) Income Items Health Insurance Items 68,000 addresses 30,000 addresses Traditional income questions Re-designed income questions Re-designed health insurance questions 98,000 addresses Source: U.S. Census Bureau, August 2015, Technical Meeting on Release of Income, Poverty, & Health Insurance 39

40 Health Insurance Coverage in the United States: Traditional income questions (68,000 addresses) Re-designed income questions (30,000 addresses) Re-designed health insurance questions (98,000 addresses) Re-designed health insurance questions (98,000 addresses) Source: U.S. Census Bureau, August 2015 Technical Meeting on Release of Income, Poverty, & Health Insurance 40

41 Health Insurance Coverage in the United States: 2014 (crossed by income/poverty) Traditional income questions Re-designed health insurance questions Re-designed health insurance questions (98,000 addresses) Re-designed income questions (30,000 addresses) Source: U.S. Census Bureau, August 2015 Technical Meeting on Release of Income, Poverty, & Health Insurance 41

42 Comparing 2013 with 2014 estimates In August 2015, Census Bureau released Full set of detailed income and poverty tables from the re-designed sample (30,000 addresses) Select 2013 health insurance coverage tables from the full sample Traditional income questions (68,000 addresses) Re-designed health insurance Re-designed income questions (30,000 addresses) questions (98,000 addresses) Re-designed health insurance questions (98,000 addresses) 42

43 2013 Estimates: Summary Income and Poverty comparisons: 2013 and earlier years comparisons: Use traditional income (68,000 addresses sample for 2013) 2013 and 2014 comparisons: Use re-designed income (30,000 addresses sample for 2013, full file in 2014) Health Insurance Coverage comparisons: 2013 and 2014 comparisons: Use Full File (98,000 addresses sample for 2013 and 2014) (except when crossed by income or poverty limited to 30,000 addresses in 2013) All 3 files available from CPS Table Creator 43

44 Bridging the 2013 income estimates Census Bureau used statistical techniques to develop a bridge between the traditional and redesigned income questions in 2013 This creates a full 2013 file with redesigned income Comparisons available in the appendices in the report Income and Poverty in the United States: 2014 Public use income consistent research file: 44

45 Health Insurance Coverage: New Content Point-in-time estimates available (Feb-Apr 2015) Comparison with National Health Interview Survey (NHIS) HS_CPS_Comparison pdf 45

46 Health Insurance Coverage: New Content Point-in-time estimates: Research File th/2013/current-coverage.html ITEM NAME POSITION TYPE LENGTH H_SEQ 1 Char 5 Household Seq Number PPPOSOLD 6 Char 2 Person seq within HH NOW_ANYCOV 8 Char 1 Recode: Did person have any type of health insurance coverage at the time of the interview? 1 = covered/insured 2 = not covered/uninsured Recode is based on the following variables: if NOW_COV_HI = 1 or NOW_MCARE = 1 or NOW_MCAID = 1 or NOW_CHAMP = 1 then assign 1 else assign 2 Where NOW_COV_HI indicates current private health insurance NOW_MCARE indicates current Medicare coverage NOW_MCAID indicates current Medicaid, CHIP, or other government coverage NOW_CHAMP indicates current military coverage, TRICARE, VA Care, CHAMPVA 46

47 Health Insurance Coverage: New Content OUTTYP Extract: Research File 13/current-coverage.html To replicate the estimates shown in the report, data users need an additional variable, not included on the 2014 and 2015 public use data files. For more information: ITEM NAME POSITION TYPE LENGTH H_SEQ 1 Char 5 Household Seq Number PPPOSOLD 6 Char 2 Person seq within HH OUTTYP 8 Char 2 Type of health insurance, covered by someone outside household 0 = Does not have coverage through someone outside household 1 = Employer-based insurance plan 2 = Direct-purchase insurance plan 3 = Other insurance plan through someone outside household I_OUTTYP 10 Char 1 Allocation flag for OUTTYP 0 = Not allocated 1 = Allocated 47

48 Health Insurance Coverage: New Content Not available yet: Exchange participation Receipt of subsidies Plan changes during year Employer offered health insurance coverage (take up) 48

49 SHADAC RESOURCES 49

50 SHADAC Data Center Releases Updating with: 2014 ACS 2014 CPS 2013 CPS from income consistent full file 50

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52 2014 ACS Tables: State & County Estimates Tables from American FactFinder (AFF) showing change in uninsured rates for states and counties 52

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55 MN Population Center Releases (IPUMS) CPS data will be available soon ACS data files will be released in about 1-2 weeks after available from the Census Bureau SHADAC Health Insurance Unit (HIU) and Federal Poverty Guidelines (FPG) variables for CPS and ACS will be available soon 55

56 Contact Information Direct inquires to Joanna Turner, or