SHADAC Staff

p 612.624.4802
e shadac@umn.edu

SHADAC at the 2019 AcademyHealth Annual Research Meeting (ARM)

A number of SHADAC researchers will be presenting their research at the 2019 AcademyHealth Annual Research Meeting (ARM) in Washington, D.C., from Sunday, June 2nd to Tuesday, June 4th, and at the State Health Research and Policy Interest Group Meeting on Saturday, June 1st. Their presentations include:

The Evolving Opioid Crisis: Overdose Trends and Variation across the States 
Robert Hest - State Health Policy and Research Interest Group

Coverage Erosion among Kids: Exploring the Increase in Uninsurance among Children Nationally and at the State Level 
Natalie Schwehr - State Health Policy and Research Interest Group

Identifying the Geographic Concentration of the Remaining Uninsured in Minnesota and Their Characteristics 
Cynthia Pando - State Health Policy and Research Interest Group

Coverage Erosion among Kids: Exploring the Increase in Uninsurance among Children Nationally and at the State Level 
Natalie Schwehr

Sustaining community engaged research to promote health equity: Lessons from the RWJF's Interdisciplinary Research Leaders (IRL) Program 
Kathleen T. Call 

Measuring Housing Affordability as a Social Determinants of Health: Which Survey should Health Services Researchers Use? 
Brett Fried

Medical Homes, Neighborhood Characteristics, and Their Impact on Child Health Outcomes 
Natalie Schwehr 

Immediate Changes in Access to Care after Implementing Mandatory Paid Sick Leave in Minnesota 
Kathleen Call (SHADAC)

Identifying the Geographic Concentration of the Remaining Uninsured in Minnesota and Their Characteristics 
Cynthia Pando

Visit Us in the Exhibit Hall - Booth #212

SHADAC researchers will be available at the SHADAC booth to answer your questions about state and national data sources on coverage, access, and costs; to discuss our technical assistance offerings; and to walk visitors through State Health Compare. Stop by to chat, check out some of our latest projects, and grab some swag! Be sure to tag and hashtag us (@SHADAC and #SHADACatARM2019) on Twitter to keep up with what we're doing at the conference!

The full presentation schedule for SHADAC faculty, staff, and students can be downloaded by clicking the document on the right.

SHADAC Staff

p 612.624.4802
e shadac@umn.edu

2018 NHIS Full-Year Early Release: Insurance Coverage Held Steady Overall, with Some Subgroup Changes

The National Center for Health Statistics (NCHS) released health insurance coverage estimates for 2018 from the National Health Interview Survey (NHIS) as part of the NHIS Early Release Program. These are the first available full-year coverage estimates for 2018 from a federal survey, with estimates available for the U.S. and 17 states.

Key Findings

Uninsurance

Approximately 30.4 million persons of all ages, or 9.4%, were uninsured nationwide in 2018. This uninsured rate was statistically unchanged from 2017, as were the rates in the 17 states for which the NHIS provided 2018 estimates.^[1] Uninsurance also held steady among most populations by age, sex, race/ethnicity, Marketplace type, state, state Medicaid expansion status, and region. There were, however, significant increases in uninsurance among adults age 45-64 (from 9.3% to 10.3%) who, the report noted, were the most likely group to be uninsured, and among nonelderly adults (age 18-64) with household incomes above 400% of the Federal Poverty Level (FPL). 

Public and Private Coverage

Like uninsurance, public coverage and private coverage held steady nationwide in 2018 at 36.7% and 62.3%, respectively. Public and private coverage were also largely stable in the 17 select NHIS states, with the exception of New York, where public coverage increased in 2018 from 38.9% to 43.6%, and Virginia, where public coverage increased from 31.8% to 38.4%. Public coverage also increased from 67.9% to 72.7% among children (age 0-17) with household incomes from 100% to 200% FPL. Private coverage decreased from 26.5% to 21.4% among non-elderly adults with incomes below 100% FPL.

Behind the Numbers

From 2017 to 2018, premiums for silver Marketplace plans increased an average of 32%, with bronze premiums rising 17% and gold premiums rising 18%.^[2] Since 45-64 year-olds are subject to age rating both on and off the Marketplace, they face even higher premiums than average, while individuals above 400% FPL are ineligible for Marketplace subsidies and therefore face the entire cost of premium increases. With this in mind, increasing uninsurance among these two groups suggests that some were dropping coverage in response to rising premium costs in 2018. An increase in the rate of high-deductible health plan (HDHP) enrollment, which grew from 43.7% in 2017 to 45.8% in 2018 among the nonelderly (age 0-65) nationwide, provides additional evidence that premium increases played a role in 2018 coverage changes, as individuals may be responding to rising premium costs by shifting to coverage with higher deductibles.

About the Numbers

SHADAC Staff

p 612.624.4802
e shadac@umn.edu

SHADAC Report: Uninsurance among Children Increased Nationwide in 2017, Ending Steady Decline

Trends and Disparities in Children's Health Insurance: New Data and the Implications for State Policy (Webinar)

Date: May 2, 2019
Time: 11:00 a.m - 12:00 p.m. Central

 

Download a PDF of the presentation slides and the webinar transcript.

 

The State Health Access Data Assistance Center (SHADAC) and State Health and Value Strategies (SHVS) hosted an online discussion to share new data showing a recent uptick in the rate of uninsured children and highlight promising state-level policies that could help.
 
The interactive webinar featured experts Lynn Blewett, PhD, and Elizabeth Lukanen, MPH, from SHADAC and Heather Howard, JD, from SHVS, and offered state-based policymakers a forum to learn from and share insight with each other.
 
With key findings from a new SHADAC report–including state-specific data broken down by race, income, and coverage type–the conversation covered implications for policymakers, novel approaches states have put in place to ensure more children have access to care, and more. Louisiana State Medicaid Director Jen Steele and Alisha Simon, Supervisor of the Health Economics Program at MN Department of Health, also spoke about their state's experiences during this portion of the webinar.
 
SHADAC and SHVS answered questions from attendees after the presentation.

Access the full report, along with two-page state profiles that include statistical comparisons of state-level coverage changes from 2016 to 2017 and disparities in uninsurance compared with the U.S. in 2017.

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Event Resources

Children's Health Insurance Coverage Nationwide and in the States, 2016-2017

Now Available on State Health Compare: Updated data on measures of social determinants of health, health insurance coverage, and children’s health through 2017

SHADAC Staff

p 612.624.4802
e shadac@umn.edu

Trends and Disparities in Children's Health Insurance: New Data and the Implications for State Policy (Webinar)

Date: May 2, 2019
Time: 11:00 a.m - 12:00 p.m. Central

View a recording of the webinar.

The State Health Access Data Assistance Center (SHADAC) and State Health and Value Strategies (SHVS) are hosting an online discussion to share new data showing a recent uptick in the rate of uninsured children and highlight promising state-level policies that could help.
 
The interactive webinar will feature experts Lynn Blewett, PhD, and Elizabeth Lukanen, MPH, from SHADAC and Heather Howard, JD, from SHVS, and will offer state-based policymakers a forum to learn from and share insight with each other.
 
With key findings from a new SHADAC report–including state-specific data broken down by race, income, and coverage type–the conversation will cover implications for policymakers, novel approaches states have put in place to ensure more children have access to care, and more. 

SHADAC and SHVS will answer questions from attendees after the presentation.

Access the full report, along with two-page state profiles that include statistical comparisons of state-level coverage changes from 2016 to 2017 and disparities in uninsurance compared with the U.S. in 2017.

Related Resources

Children's Health Insurance Coverage Nationwide and in the States, 2016-2017

Now Available on State Health Compare: Updated data on measures of social determinants of health, health insurance coverage, and children’s health through 2017