10.18.11.uninsured and ppaca - Health Care Reform Bill HCMG...

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Health Care Reform Bill HCMG 101 Daniel Polsky October 18, 2011
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• Expand health insurance coverage • Improve coverage for those with health insurance • Improve access to and quality of care • Control rising health care costs Goals for Health Reform
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The Uninsured • How many uninsured • Who is uninsured? • Do the uninsured still get care?
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Number and % Uninsured, 1985–2008 0% 2% 4% 6% 8% 10% 12% 14% 16% 18% 0 5 10 15 20 25 30 35 40 45 50 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 Percent of Total Population Number of Uninsured (Millions) Number Percent Source: US Census Bureau, Income, Poverty, and Health Insurance Coverage in the United States: 2008 . Data released August 2009. (1)
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17.9% 17.5% 6.8% 62.2% Source of Health Insurance Among the Non-Elderly, 2006 100% = 260 million Source: Current Population Survey. Uninsured Employer-Provided (“group market”) Public (Medicaid, Medicare, VA) Individually purchased Note: percentages sum to more than 100% due to double coverage. Lots of Uninsured: 18% of the Non-elderly U.S. Population (and 16% overall)
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62.2% 6.8% 17.5% 17.9% Source of Health Insurance Among the Non-Elderly, 2006 100% = 260 million Source: Current Population Survey. Uninsured Employer-Provided ( group market ) Public (Medicaid, Medicare, VA) Individually purchased Note: percentages sum to more than 100% due to double coverage. Who are the Uninsured: 18% of the Non-elderly U.S. Population (and 16% overall)
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Young Adults Most Likely to Be Uninsured, 2006 Source: EBRI, Current Population Survey, 2007. 0 5 10 15 20 25 30 35 40 Total 18-20 21-24 25-34 35-44 45-54 55-64 Men Age
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Hispanics Most Likely to Be Uninsured, 2006 Source: EBRI, Current Population Survey, 2007. 12.6 17.8 21.8 35.7 White Other Black Hispanic % of non-elderly who are uninsured 17.9% Overall
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Health Insurance Coverage by Poverty Level, 2006 34.3 32.1 29.0 21.0 8.8 0 - 99% 100%-149% 150%-199% 200%-299% 300% + Family Income as % of Poverty Level Source: EBRI, Current Population Survey, 2007. 17.9% Overall
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Most Uninsured People Live in Working Households, 2006 Househol d with full-time worker 71% With part-time worker 11% No worker 18% Source: EBRI, Current Population Survey, 2007. % of Uninsured by Household Employment Status
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% of Firms Offering Health Insurance by Firm Size, 2005 45 76 83 94 99 3-9 Workers 10-24 Workers 25-49 Workers 50-199 Workers 200+ Workers 60% All firms 69% in 2000 Source: Kaiser Family Foundation Employer Survey, 2000-2007.
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The Uninsured • About half are poor or near poor (<150% FPL) • About 70% are in families with full time worker • More are "under insured" or were recently uninsured • Workers and dependants insured through a job: 69% • Most of the uninsured are now at income levels at
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10.18.11.uninsured and ppaca - Health Care Reform Bill HCMG...

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