The Changing Demographics of the Uninsured in Minnesota and the Nation
Elizabeth Lukanen presentation, The Changing Demographics of the Uninsured in Minnesota and the Nation," at the 2016 Minnesota Health Services Research Conference in St. Paul, Minnesota.
Health Insurance Coverage in Minnesota: Results from the 2015 Minnesota Health Access Survey
February 2016:
This issue brief summarizes a set of findings from the 2015 Minnesota Health Access Survey (MNHA). The MNHA is a biennial state population telephone survey, conducted in partnership between the Health Economics Program at the Minnesota Department of Health and the State Health Access Data Assistance Center at the University of Minnesota’s School of Public Health. It covers trends in uninsurance, changes in sources of health insurance coverage and characteristics of the remaining uninsured in Minnesota. Drawing on responses from 11,178 Minnesotans who participated in the survey, this issue brief aims to broaden understanding about gains in coverage and those who remain uninsured.
Lots to Celebrate: Minnesota Sees Lowest Uninsured Rate Ever at 4.3%
May 12, 2017:
New estimates from the Minnesota Health Access Survey reveal a significant reduction in rates of uninsured for Minnesota from 8.2% in 2013 to 4.3% in 2015 (Figure 1). Some 200,000+ uninsured now have coverage thanks in part to the access provisions included in the Affordable Care Act – the expansion of our Medical Assistance program, our state-based marketplace, MNsure, and the continuation of our successful MinnesotaCare program. While Minnesota has always been in the top tier of states with high levels of health insurance coverage – these new estimates solidify our role as a leader in coverage, access and commitment to improving health.
Perhaps the most rewarding news is the significant reduction in the number of Minnesotans that have been without any health insurance coverage for a significant period of time – the long-term uninsured from 6.1% to 2.1%. Also significant is that employer-based group coverage has remained stable since 2013. Employer-based coverage is the most common source of health insurance coverage in Minnesota, providing coverage for 56% of all Minnesotans.
Due in part to an aging population and the ACA expansion of the Medicaid program, there are more Minnesotans on public programs (such as Medicaid and Medicare) – with an increase from 31.1% to 33.6% between 2013 and 2015, still less than the national average of 36.5%. Although uninsurance rates dropped for all groups, the analysis also finds persistent disparities in access to health insurance coverage for Latino, American Indian and Black Minnesotans (Figure 4).
But we have lots to celebrate – with new pathways to coverage provided in the ACA and new federal funding for programs such as MinnesotaCare that were once supported with general fund dollars only – Minnesota has taken advantage of these new opportunities to provide coverage, access and financial stability to thousands of Minnesotans.
--Lynn Blewett SHADAC Director and Principal Investigator
Survey Information: The Minnesota Health Access Survey is conducted every two years through a collaboration between the Minnesota Department of Health's Health Economics Program and the University of Minnesota’s State Health Access Data Assistance Center (SHADAC). The survey has been conducted seven times since 2001 and provides information on access to coverage, changes in the distribution of the type of health insurance coverage over time, characteristics of the uninsured, and access to care. The estimates are based on over 11,000 completed telephone interviews with Minnesotans and included both and landline and cell phones (including pre-paid cell phones).