The-Economic-Downturn-and-Changes-in-Health-Insurance-Coverage-2000-2003-Report

The-Economic-Downturn-and-Changes-in-Health-Insurance-Coverage-2000-2003-Report

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medicaid kaiser commission on uninsured and the The Economic Downturn and Changes in Health Insurance Coverage, 2000-2003 Prepared by John Holahan and Arunabh Ghosh The Urban Institute September 2004
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medicaid uninsured and the kaiser commission The Kaiser Commission on Medicaid and the Uninsured provides information and analysis on health care coverage and access for the low-income population, with a special focus on Medicaid’s role and coverage of the uninsured. Begun in 1991 and based in the Kaiser Family Foundation’s Washington, DC office, the Commission is the largest operating program of the Foundation. The Commission’s work is conducted by Foundation staff under the guidance of a bi- partisan group of national leaders and experts in health care and public policy. James R. Tallon Chairman Diane Rowland, Sc.D. Executive Director
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medicaid kaiser commission on uninsured and the The Economic Downturn and Changes in Health Insurance Coverage, 2000-2003 Prepared by John Holahan and Arunabh Ghosh The Urban Institute September 2004
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Acknowledgements The authors greatly appreciate the comments and suggestions provided by Catherine Hoffman of the Kaiser Commission on Medicaid and the Uninsured and Genevieve Kenny and Linda Blumberg of the Urban Institute. In addition, the authors gratefully acknowledge the Kaiser Commission on Medicaid and the Uninsured for their continued support of this work.
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EXECUTIVE SUMMARY The number of uninsured Americans under age 65 increased by 5.1 million between 2000-2003 largely driven by continuing declines in employer- sponsored insurance. For children, this decline was more than offset by increases in enrollment in Medicaid and the State Children’s Health Insurance Program (SCHIP), resulting in a decrease in the number of children without coverage. The same growth in public coverage did not occur for adults, and as a result all of the increase in the number of uninsured was among adults. Since 2000, more Americans moved into economic circumstances in which the likelihood of employer-sponsored coverage was lower and the likelihood of being uninsured increased. The drop in employer-sponsored insurance occurred both because a smaller share of the population was working, but also because coverage among workers fell. This was affected by the shift in employment from industries that have historically had high rates of coverage to industries that have not, as well as from large firms to small firms and self- employment. In addition, the growth in the number of low-income Americans, particularly below the poverty line, increased significantly. As a result, the uninsured rate increased from 16.1% to 17.7% among the nonelderly population over the period. Medicaid and SCHIP increase coverage of children For children, the decline in employer-sponsored insurance was more than offset by increases in public coverage and as a result the number of uninsured children declined by about 250,000.
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The-Economic-Downturn-and-Changes-in-Health-Insurance-Coverage-2000-2003-Report

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