Enroll America's Uninsured Landscape Findings for 2015

© 2015 Enroll America and Get Covered America

EnrollAmerica.org | GetCoveredAmerica.org

Click to edit master title style.

1

Enroll America Uninsured Landscape Findings for 2015

October 30, 2015


EnrollAmerica.org | GetCoveredAmerica.org 2

Overview

1. National Uninsured Rates and Trends

2. State Uninsured Rates and Trends

3. Demographic Trends

4. Where the Uninsured are Located



NATIONAL UNINSURED RATE



National Uninsured Rates

16.4

11.310.7

0

2

4

6

8

10

12

14

16

18

2013 2014 2015

EA national uninsured rate

Nationally, uninsured rates have decreased over time. In 2015, the modeled

uninsured rate continues to decrease, but the decline has slowed.



Estimates of National Uninsured Rates

12.6

11.410.7

10.1

0

2

4

6

8

10

12

14

ASPE, Q3 2015 Gallup, Q2 2015 Enroll America 2015 Urban Institute, March 2015

2015

Nat

iona

l Uni

nsur

ed R

ate

Enroll America’s national uninsured estimate sits between other public estimates.



STATE UNINSURED RATES

AND TRENDS



Change in Statewide Uninsured Rates

Between 2013 and 2014, uninsured rates decreased in every state.

-12

-10

-8

-6

-4

-2

0

2

4

AZ

NV

AK

NM

MS

FL

OK

TX

WY

MT

CO

WV

AR

MO

CA

NC

TN

ND

OH

OR

SD

WA

KS

ID AL

MD

KY

SC

RI

MN

DE

MA

NH

IL UT

NJ

GA

LA ME

HI

MI

VT

CT

WI

IA NE

DC

NY

VA

IN PA

Cha

nge

in U

nins

ured

Rat

e



Change in Statewide Uninsured Rates

Between 2014 and 2015, the story looks different.

-12

-10

-8

-6

-4

-2

0

2

4

AZ

NV

AK

NM

MS

FL

OK

TX

WY

MT

CO

WV

AR

MO

CA

NC

TN

ND

OH

OR

SD

WA

KS

ID AL

MD

KY

SC

RI

MN

DE

MA

NH

IL UT

NJ

GA

LA ME

HI

MI

VT

CT

WI

IA NE

DC

NY

VA

IN PA

Cha

nge

in U

nins

ured

Rat

e

Change 2013 to 2014 Change 2014 to 2015



Change in Uninsured Rates by County, 2013-2015

-14% -10% -6% -2%No

change +2% +6%More

insured

Less

insured



Possible Factors Contributing to State-Level Changes from 2014 to 2015

We don’t know exactly what factors are causing the divergence between the states whose

uninsured rate continued to decline in 2015, and those where the rate stayed the same or grew,

but our early analyses indicates these factors are likely playing a role:

• Demographics: Many states with increases in uninsured rates also have populations with:

• High proportions of Latinos

• High proportions of foreign born residents

• High poverty rates

• Migration: Many of the states with the highest number of inbound moves (per the 2014

Movers Study from United Van Lines / UCLA) also saw increases in their uninsured rate,

including NC (#3), FL (#5), NV (#6), TX (#7) and OK (#9).

• Lower Effectuated Enrollments: In some states, large drops from the number of people who

selected plans to the number with effectuated coverage suggest that retention – and health

insurance literacy – may be a problem.

NOTE: We also looked at state unemployment rates, age, and premium fluctuations, but didn’t

find strong correlations.



DEMOGRAPHIC TRENDS



Uninsured Rates by Gender over time

The gender gap between men and women has narrowed: the uninsured

rate is 10.0% for women and 11.4% for men, the smallest gap since 2013.

0

2

4

6

8

10

12

14

16

18

20

Male Female

Uni

nsur

ed R

ate

Estimated Uninsured 2013 Estimated Uninsured 2014 Estimated Uninsured 2015



Uninsured Rates by Age over time

The uninsured rate for young adults aged 18 to 35 continues to be higher

than the national average.

0

5

10

15

20

25

Estimated Uninsured 2013 Estimated Uninsured 2014 Estimated Uninsured 2015

18 - 34

35 - 44

45 - 54

55 - 64



Young Adult Uninsured Rates by County, 2015

Young Adults (18-34)

5% 10% 15% 20%0%



Metro and Non-Metro Areas - Uninsured Rates

Across all demographic groups, the uninsured rate is higher in non-

metropolitan counties. The disparity is worst for African-Americans.

23.5

15.714.4

28.1

19.3 19.1

2013 2014 2015

African-Americans

4.7 percentage points

difference between

metro and non-metro

16.0

11.110.3

19.4

13.0 12.9

0

5

10

15

20

25

30

35

2013 2014 2015

Total

Metro Non-metro

2.6 percentage points

difference between

metro and non-metro

Uninsured

Rate



Uninsured RatesBy Income

Uninsured rates based on Census American Community Survey median income

0

5

10

15

20

25

30

$99,891$64,509$50,668$40,316$27,058

Uninsuredrate

Quintiles: Median Household Income in Census Tract

2015

2014

2013



WHERE THE UNINSURED ARE

LOCATED



Metro and Non-Metro Areas – Uninsured Concentration

Half of the uninsured are located in 5% of counties, all of which are in large metro

areas.

Metro, 83%

Small metro,

15%

Rural, 2%



Uninsured Rates by County, 2015

5% 10% 15% 20%0%

Half of the uninsured are in 8 states: Texas, California, Florida, North Carolina, Georgia,

New York, Ohio, Pennsylvania

Date post:	13-Apr-2017
Category:	Healthcare
Upload:	enroll-america
View:	1,309 times
Download:	0 times

Enroll America's Uninsured Landscape Findings for 2015

Healthcare