SHADAC Staff

p 612.624.4802
e shadac@umn.edu

MACStats from MACPAC: 2018 Medicaid and CHIP Data Book Now Available

The Medicaid and CHIP Payment and Access Commission (MACPAC) recently released the 2018 version of its Medicaid and CHIP Data Book. This data book is a collection of federal and state statistics regarding the Medicaid and CHIP programs that are compiled by MACPAC from multiple data sources on key topic areas including Medicaid and CHIP eligibility, enrollment, and expenditures, as well as beneficiary health, service use, and access to care. An excellent resource, the data book draws on a wide variety of data sources including Medicaid administrative data (e.g., CMS-64 data, MSIS data, Medicaid Managed Care enrollment reports, etc.) as well as federal survey data in order to compile policy relevant, but difficult to access, information about the Medicaid and CHIP programs into one comprehensive tool.

SHADAC is excited to be among the contractors that contributed to this product, providing MACPAC with estimates from the National Health Insurance Survey (NHIS) and the Medical Expenditure Panel Survey (MEPS) that highlight individual enrollment, primary source of insurance coverage, and service use and access to care with breakdowns available by age, demographics, and health characteristics. SHADAC produced these estimates using data for years 2016 and 2017, which are the latest available respectively for each survey.

Access the new MACStats: Medicaid and CHIP Data Book to read more and to download specific tables and figures from the data book.

For additional information on data methods and sources used in the data book, see MACPAC’s Technical Guide to MACStats, which provides supplementary information to help readers interpret the exhibits in the MACStats tables and figures as well as to understand the data sources and methods used.

SHADAC Staff

p 612.624.4802
e shadac@umn.edu

Register Now: February 6th Webinar - Exploring Disparities Using SHADAC's State Health Compare

Exploring Disparities Using New and Updated Measures on SHADAC’s State Health Compare: State-Level Highlights for Unaffordable Rents, Unhealthy Days, and More
Date: February 6, 2019
Time: 1:00 p.m. – 2:00 p.m. Central
Register now.

Join us on Wednesday, February 6^th at 1:00 PM Central for a webinar introducing two new measures of health outcomes and social determinants of health on SHADAC’s State Health Compare—Unhealthy Days and Unaffordable Rents. This presentation, hosted by SHADAC researchers Brett Fried and Robert Hest, will examine these new measures and highlight how the estimates can be used to explore disparities between states and among sub-populations.

The webinar will also provide a virtual tour of some of the more than 40 state-level measures currently available on State Health Compare, highlighting recently updated data in particular. Mr. Fried and Mr. Hest will demonstrate how users can employ State Health Compare to easily create compelling maps, charts, and graphs, as well as download the raw estimates to perform deeper analyses and statistical testing.

SHADAC Staff

p 612.624.4802
e shadac@umn.edu

Now Available on State Health Compare: Updated Measures on Public Health, Health Outcomes, and Access, Cost, and Utilization of Care

SHADAC has updated eight data measures with the latest available estimates on our State Health Compare site. The updated measures include:

• Public Health Funding

This measure indicates an individual state’s share of public health funding for the previous fiscal year. Data is available from 2005-2017, excepting in 2006 when data is not available.

• Made Changes to Medical Drugs

This measure highlights the percent of people who made changes to their medical drugs due to cost in the past year. Breakdowns by age and coverage type are available for each state from 2011-2016.

• No Trouble Finding a Doctor

This measure shows the percent of people who did not have trouble finding a doctor in the past year. The measure can be broken down by age and coverage type, and is now available from 2011 through 2016.

• Told that Provider Accepts Insurance

This measure captures the percent of persons who reported that their provider did accept their insurance type in the past year. The measure is available for 2011-2016 and can be broken down by age and coverage type as well.

• Had Usual Source of Medical Care

Available for years 2011-2016, this measure counts the percent of people who had a usual source of medical care other than the emergency department (i.e., doctor’s office, clinic, health center, etc.) in the past year. Breakdowns by age and coverage type are also available.

• Had General Doctor or Provider Visit

This measure indicates the percent of adults who reported having a general doctor or provider visit in the past year. This measure can be broken down by age coverage type, and is available for all states from 2011 through 2016.

• Had an Emergency Department Visit

This measure, indicates the rates of individuals who reported a visit to the emergency department during the past twelve months for any reason and can be broken down by age and coverage type. Estimates are available from 2011-2016.

• Spent the Night in a Hospital

This measure denotes the rate of individuals who reported spending the night in a hospital at least once over the past year and can be broken down by age and coverage type. The measure is available from 2011-2016 for all states.

Explore these updated estimates on State Health Compare.

Data Sources

The State Health Compare estimates for public health funding come from Trust for America’s Health (TFAH) and all other measures regarding adults who made changes to medical drugs, had no trouble finding a doctor, are told that their provider accepts their insurance, had a usual source of medical care, had a general doctor or provider visit, had an emergency department visit, or spent the night in a hospital over the past year come from the National Health Interview Survey (NHIS).

SHADAC Staff

p 612.624.4802
e shadac@umn.edu

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 has updated seven measures on our State Health Compare site. Updated content includes:

• Health Insurance Coverage Type

This measure shows rates of uninsurance or coverage type and is now available for all states from 2008 through 2017, with breakdowns by age, citizenship, disability status, education, family income, limited English proficiency, marital status, poverty level, race/ethnicity, sex, and work status.

• Children Considered to be Poor

This measure indicates the percent of children who live in households with incomes below the Federal Poverty Guidelines (FPG) with breakdowns for race/ethnicity. This measure is now available for all states from 2008 through 2017.

• People with High Medical Care Cost Burden

This measure shows the percent of people who are in families where out-of-pocket spending on health care, including premiums, accounted for more than 10 percent of annual income. The measure can be broken down by income and race/ethnicity and is now available from 2013 through 2017.

• Medicaid Expenses as Percent of State Budget

This measure captures state and federal spending on Medicaid as a share of each state’s budget and is now available for all states from 2000 through 2017.

• Health Status

This measure indicates the percent of adults who report being in poor or fair health, and is now available for all states from 2005 through 2017.

• Child Vaccinations

This measure indicates the percent of children ages 19-35 months who received all recommended vaccines and is now available for all states from 2000 through 2017.

• Unaffordable Rents

This measure shows the percent of rental households that spend more than 30% of their households' monthly income on rent. Data for 2012-2017 is now available for all states, and can be broken down by income categories, Medicaid enrollment, and white/non-white status.

Explores these updated estimates on State Health Compare.

Data Sources

The State Health Compare estimates for coverage type, children considered to be poor, and unaffordable rents come from the U.S. Census Bureau American Community Survey (ACS); the people with high medical cost care burden measure comes from the U.S. Census Bureau Current Population Survey (CPS); the Medicaid expenses as percent of the state budget rates comes from National Association of State Budget Officers Reports (NASBO); and the child vaccinations measure comes from the Centers for Disease Control and Prevention (CDC) National Immunization Survey.

SHADAC Staff

p 612.624.4802
e shadac@umn.edu

Obesity Rate Increased Nationally for Second Year in a Row: New Data on State Health Compare

​The prevalence of obesity among adults in the United States increased to 30.1 percent in 2017, up from 29.6 percent in 2016, according to SHADAC’s analysis of new Behavioral Risk Factor Surveillance System (BRFSS) data from the Centers for Disease Control and Prevention (CDC).

* Change from previous year statistically significant at the 95% confidence level

Obesity increased in six states; no states saw decreases

Six states (IA, MA, OH, OK, RI, and SC) experienced significant increases in the prevalence of obesity. Iowa had the largest significant increase at 4.4 percentage points, with the state’s obesity rate rising from 32.0 percent in 2016 to 36.4 percent in 2017. South Carolina experienced the smallest significant increase at 1.8 percentage points, with an increase from 32.3 percent in 2016 to 34.1 percent in 2017. No state experienced a significant decrease in the prevalence of obesity.

* Change from previous year statistically significant at the 95% confidence level

Substantial variation in prevalence of obesity across states

There is significant variation in the prevalence of adult obesity across the states, ranging from a high of 38.1 percent in West Virginia to a low of 22.6 percent in Colorado. Sixteen states, and the District of Columbia, had rates of obesity significantly below the national average, 21 states had rates significantly above the national average, and 13 states had rates that were not significantly different from the national average. The table below shows the states with the five highest and five lowest rates of adult obesity in 2017.

Explore further on SHADAC’s State Health Compare

State Health Compare allows users to dig deeper into adult obesity, providing state-level estimates from 2005 to 2017 with breakdowns by race/ethnicity and education. Users are also able to go back as far as 2001 to find data on obesity among high-school age students using the CDC’s Youth Risk Behavior Surveillance System (YRBSS).

State Health Compare also features state-level data on more than 40 additional measures from 16 data sources. State Health Compare allows users to compare states, examine trends over time, and download data visualizations such as 50-state maps, bar charts, and tables.

Notes

Adult obesity is defined as the prevalence of obesity among adults for the civilian non-institutionalized population 18 years and over. Obesity is defined as a Body Mass Index (BMI) of 30 and above. All data presented in this post come from SHADAC’s analysis of the Behavioral Risk Factor Surveillance System (BRFSS) public use files and can be found at statehealthcompare.shadac.org. All differences described in this analysis are statistically significant at a two-sided 95% confidence interval.