january 1, 2014 presentation of american community survey estimates

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REVIEW OF NEW DATA FROM THE 2012 1-YEAR AMERICAN COMMUNITY SURVEY ON RATES OF INSURANCE AND INCOME DISTRIBUTION AND 2008-2009-2010 3 YEAR DATA TYPE OF INSURANCE FOR ALASKA NATIVES AND AMERICAN INDIANS 33 STATE 2012 ACA AIAN DATASET ED FOX AND PHILIP FOX, 2014 Health Care Reform: Impact on uninsured American Indians & Alaska Natives in 33 States with Indian Health Service January 1, 2014 Presentation of American Community Survey Estimates Oregon

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Health Care Reform: Impact on uninsured American Indians & Alaska Natives in 33 States with Indian Health Service. Oregon. Review of New Data from the 2012 1-year American Community Survey on rates of insurance and income distribution and 2008-2009-2010 3 year data type of Insurance - PowerPoint PPT Presentation

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Page 1: January 1, 2014 Presentation of American Community Survey Estimates

R E V I E W O F N E W D A T A F R O M T H E 2 0 1 2 1 - Y E A R A M E R I C A N C O M M U N I T Y S U R V E Y O N R A T E S O F I N S U R A N C E A N D I N C O M E D I S T R I B U T I O N

A N D 2 0 0 8 - 2 0 0 9 - 2 0 1 0 3 Y E A R D A T A T Y P E O F I N S U R A N C E F O R A L A S K A N A T I V E S A N D A M E R I C A N I N D I A N S

3 3 S T A T E 2 0 1 2 A C A A I A N D A T A S E TE D F O X A N D P H I L I P F O X , 2 0 1 4

Health Care Reform:Impact on uninsured

American Indians & Alaska Natives in 33 States with Indian Health Service

January 1, 2014Presentation of American Community Survey Estimates

Oregon

Page 2: January 1, 2014 Presentation of American Community Survey Estimates

2012 Population American Indian and Alaska Native

Access to IHS Total Yes No

Total 118,034 31,195 86,839

Between 1 and 18 38,520 10,593 27,927 Between 19 and 25 13,449 3,724 9,725 Between 26 and 34 14,269 4,455 9,814

Between 35 and 54 29,588 6,835 22,753 Between 55 and 64 11,064 2,384 8,680 Between 65 and 99 9,990 2,676 7,314

2012 ACS Dataset Ed Fox & Philip Fox, January 31, 2014

Page 3: January 1, 2014 Presentation of American Community Survey Estimates

American Indian and Alaska Native under 139% of FPL

0-138 Access to IHS Total Yes No

Total 43,940 10,078 33,862

Between 1 and 18 19,065 4,205 14,860 Between 19 and 25 4,214 879 3,335 Between 26 and 34 4,477 892 3,585

Between 35 and 54 11,056 2,641 8,415 Between 55 and 64 3,282 954 2,328 Between 65 and 99 1,471 394 1,077

2012 ACS Dataset Ed Fox & Philip Fox, January 31, 2014

Page 4: January 1, 2014 Presentation of American Community Survey Estimates

American Indian and Alaska Native 139% to 300% of FPL

Between 139 and 300 Access to IHS Total Yes No

Total 38,433 14,150 24,283

Between 1 and 18 10,804 4,854 5,950 Between 19 and 25 6,023 2,439 3,584 Between 26 and 34 5,586 2,120 3,466

Between 35 and 54 7,683 2,833 4,850 Between 55 and 64 3,708 371 3,337 Between 65 and 99 4,156 1,256 2,900

2012 ACS Dataset Ed Fox & Philip Fox, January 31, 2014

Page 5: January 1, 2014 Presentation of American Community Survey Estimates

American Indian and Alaska Native Total Uninsured 2012

Access to IHS Total Yes No

No health insurance coverage 26,175 8,777 17,398

Between 1 and 18 4,449 2,398 2,051 Between 19 and 25 4,432 1,828 2,604 Between 26 and 34 5,345 1,496 3,849

Between 35 and 54 9,879 2,423 7,456 Between 55 and 64 2,039 601 1,438 Between 65 and 99 31 31 -

Page 6: January 1, 2014 Presentation of American Community Survey Estimates

American Indian and Alaska Native Uninsured 0-138% of FPL (Medicaid eligible)

0-138 Access to IHS Total Yes No

No health insurance coverage 13,053 4,027 9,026

Between 1 and 18 2,086 1,180 906 Between 19 and 25 1,864 462 1,402 Between 26 and 34 2,379 692 1,687

Between 35 and 54 5,796 1,452 4,344 Between 55 and 64 928 241 687 Between 65 and 99 - - -

Page 7: January 1, 2014 Presentation of American Community Survey Estimates

American Indian and Alaska Native Uninsured 139% & 300% FPL (no-cost sharing eligible)

Between 139 and 300 Access to IHS Total Yes No

No health insurance coverage 8,861 3,580 5,281

Between 1 and 18 1,970 850 1,120 Between 19 and 25 1,882 1,229 653 Between 26 and 34 1,694 491 1,203

Between 35 and 54 2,395 781 1,614 Between 55 and 64 889 198 691 Between 65 and 99 31 31 -

Page 8: January 1, 2014 Presentation of American Community Survey Estimates

American Indian and Alaska Native Uninsured 139 to 400% of FPL

Between 139-400 Access to IHS Total Yes No

No health insurance coverage 12,933 3,560 9,373

Between 1 and 18 3,207 968 2,239 Between 19 and 25 1,157 131 1,026 Between 26 and 34 2,426 1,065 1,361

Between 35 and 54 3,690 537 3,153 Between 55 and 64 822 327 495 Between 65 and 99 1,457 426 1,031

2012 ACS Dataset Ed Fox & Philip Fox, January 31, 2014

Page 9: January 1, 2014 Presentation of American Community Survey Estimates

PercentageUninsured of Age Category

Access to IHSTotal Yes No

No health insurance coverage 22% 31% 18%

Between 1 and 18 14% 26% 8% Between 19 and 25 37% 56% 30% Between 26 and 34 29% 22% 31%

Between 35 and 54 27% 38% 24% Between 55 and 64 20% 39% 11% Between 65 and 99 1% 1% 1%

2012 ACS Dataset Ed Fox & Philip Fox, January 31, 2014

Page 10: January 1, 2014 Presentation of American Community Survey Estimates

PercentageUninsured of Age Category under 139% of FPL

0-138 Access to IHSTotal Yes No

No health insurance coverage 27% 34% 23%

Between 1 and 18 14% 19% 11% Between 19 and 25 51% 54% 49% Between 26 and 34 41% 32% 46%

Between 35 and 54 34% 48% 27% Between 55 and 64 21% 44% 12% Between 65 and 99 5% 1% 8%

2012 ACS Dataset Ed Fox & Philip Fox, January 31, 2014

Page 11: January 1, 2014 Presentation of American Community Survey Estimates

Percentage Uninsured of Age Category between 139 and 300% FPL

Between 139 and 300 Access to IHSYes No

No health insurance coverage 24% 29% 22%

Between 1 and 18 13% 20% 9% Between 19 and 25 42% 59% 32% Between 26 and 34 22% 16% 25%

Between 35 and 54 35% 30% 37% Between 55 and 64 30% 48% 10% Between 65 and 99 0% 0% 0%

2012 ACS Dataset Ed Fox & Philip Fox, January 31, 2014

Page 12: January 1, 2014 Presentation of American Community Survey Estimates

Percentage Uninsured of Age Category between 300 and 400% FPL

300-400 Between 300-400 Access to IHSTotal Yes No

No health insurance coverage 23% 40% 16%

Between 1 and 18 23% 48% 6% Between 19 and 25 46% 92% 33% Between 26 and 34 20% 0% 30%

Between 35 and 54 25% 54% 14% Between 55 and 64 23% 24% 23% Between 65 and 99 1% 3% 0%

Page 13: January 1, 2014 Presentation of American Community Survey Estimates

9 Slides with 2008-2009-2010 ACS

3 ye

ar e

stimate

s

2008-2010 ACS Ed Fox & Philip Fox, January 31, 2014

Page 14: January 1, 2014 Presentation of American Community Survey Estimates

33 State Average  2008-2009-2010 ACS 3 year Total-AIAN OR

36% under 138 45,647 40%42% 138-400 46,335 40%21% over 400 23,567 20%

100% Total 115,548 100%   IHS-OR

41% under 138 9,515 41%44% 138-400 9,732 42%15% over 400 3,800 16%

100% Total 23,048 100%% of Total   20%   Uninsured OR

45% under 138 16,538 53%43% 138-400 12,171 39%14% over 400 2,295 7%

101% Total 31,004 100%% of Total   27%    Medicaid-OR

66% under 138 21,046 71%29% 138-400 7,428 25%

4% over 400 1,190 4%100% Total 29,664 100%

% of Total   26%    Medicare-OR

37% under 138 3,520 34%44% 138-400 4,748 45%18% over 400 2,204 21%99% Total 10,472 100%

% of Total   9%    Private-OR

14% under 138 8,688 16%49% 138-400 26,688 48%37% over 400 19,970 36%

100% Total 55,347 100%% of Total   48% 

Oregon

Page 15: January 1, 2014 Presentation of American Community Survey Estimates

Medicaid (26%)

Medicare (9%)

Private (48%)

IHS ( 20%)

Uninsured 27%

Oregon: Uninsured, IHP accessto services, & insurance coverage

2008-2010 ACS Ed Fox & Philip Fox, January 31, 2014

Page 16: January 1, 2014 Presentation of American Community Survey Estimates

IHS

Uninsured

Medicaid

Medicare

Private Ins

0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%

20%

27%

26%

9%

48%

Oregon

Uninsured, IHP accessto services, & insurance coverage

2008-2010 ACS Ed Fox & Philip Fox, January 31, 2014

Page 17: January 1, 2014 Presentation of American Community Survey Estimates

Total Oregon AIAN Population

under 138

138-400

over 400

Total

45,647

46,335

23,567

115,548

40%

40%

20%under 138138-400over 400

Page 18: January 1, 2014 Presentation of American Community Survey Estimates

Oregon AIAN Access to IHS

under 138

over 400

9,515 9,732

3,800 23,048

IHS-OR

41%

42%

16%

under 138138-400over 400

Page 19: January 1, 2014 Presentation of American Community Survey Estimates

Oregon AIAN Uninsured

under 138

138-400

over 400

Total

- 20,000 40,000

16,538

12,171

2,295

31,004

53%39%

7%

under 138

138-400

Page 20: January 1, 2014 Presentation of American Community Survey Estimates

Oregon AIAN Enrolled in Medicaid

71%

25% 4% under

138138-400over 400

under 138

138-400

over 400

Total

- 5,000 10,000 15,000 20,000 25,000 30,000

21,046

7,428

1,190

29,664

Page 21: January 1, 2014 Presentation of American Community Survey Estimates

Oregon AIANs Enrolled in Medicare

34%

45%

21%

under 138 138-400

over 400

under 138

138-400

over 400

Total

- 5,000 10,000 15,000

3,520

4,748

2,204

10,472

Page 22: January 1, 2014 Presentation of American Community Survey Estimates

Oregon AIANswith Private Insurance

under 138

138-400

over 400

Total

- 20,000 40,000 60,000

8,688

26,688

19,970

55,347

16%

48%

36%

under 138 138-400

over 400