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Downloaded slides from Kaiser Family Foundation.
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Percent of Nonelderly Women Reporting No Doctor Visit in Past Year Due to Cost, by Race/Ethnicity Hispanic American Indian/ Alaska Native Black White Asian and NHPI 27.4% 21.9% 25.7% 14.7% 12.1% Data: BRFSS, 2004-2006. Source: The Kaiser Family Foundation, Putting Women’s Health Care Disparities on the Map, available at: www.kff.org/womensdisparities /.
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Page 1: Kaiser slidesdownload 101101724

Percent of Nonelderly Women Reporting No Doctor Visit in Past

Year Due to Cost, by Race/Ethnicity

Hispanic

American Indian/ Alaska Native

Black

White

Asian and NHPI

27.4%

21.9%

25.7%

14.7%

12.1%

Data: BRFSS, 2004-2006.Source: The Kaiser Family Foundation, Putting Women’s Health Care Disparities on the Map, available at: www.kff.org/womensdisparities/.

Page 2: Kaiser slidesdownload 101101724

27%

27%

27%

31%

33%

45%

13%

Economic Priorities for President and Congress

Note: Asked of half sample.Source: KFF/HSPH The Public’s Health Care Agenda for the New President and Congress (conducted Dec. 4-14, 2008)

“Now I’m going to read some proposals for dealing with the current economic recession. For each, tell me if you think it should be a top priority for the new president and Congress, very important but not a top priority, somewhat important, or not that important.”

Repairing and rebuilding the country’s infrastructure, including bridges, roads, and

schools

Helping large businesses badly affected by the economic

downturn

Helping those who are newly unemployed to afford their health

insurance coverage

Cutting taxes for the middle class

Helping business keep or create jobs

Providing states with more federal dollars to help pay for health care needs of lower income

residents

Helping people who can’t pay their mortgages to stay in

their houses

Percent saying each should be a top priority

Page 3: Kaiser slidesdownload 101101724

Decrease in State Revenues

Source: John Holahan and Bowen Garrett, Rising Unemployment, Medicaid, and the Uninsured, prepared for the Kaiser Commission on Medicaid and the Uninsured, January 2009.

1%

Increase in National

Unemployment Rate

=

1.0 1.1

Increase in Medicaid and CHIP

Enrollment(million)

Increase in Uninsured(million)

&

Impact of a 1% Point Increase in Unemployment on State Revenues,

Medicaid, CHIP & Uninsured

3-4%

Page 4: Kaiser slidesdownload 101101724

Putting Off Care Because of Cost

Percent who say in the past 12 months, they or another family member in their household have done each because of the cost:

45%

9%

16%

20%

22%

26%

28%

31%

Relied on home remedies or over-the-counter drugs instead of going to see a

doctor

Skipped dental care or checkups

Put off or postponed getting health care you needed

Skipped a recommended medical test or treatment

Not filled a prescription for a medicine

Cut pills in half or skipped doses of medicine

Did ANY of the above

Had problems getting mental health care

Source: Kaiser Family Foundation Health Tracking Poll (conducted June 17-22, 2010)

Page 5: Kaiser slidesdownload 101101724

Cumulative Changes in Health Insurance Premiums, Workers’ Contribution to Premiums, Inflation, and

Workers’ Earnings, 1999-2010

Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 1999-2010. Bureau of Labor Statistics, Consumer Price Index, U.S. City Average of Annual Inflation (April to April), 1999-2010; Bureau of Labor Statistics, Seasonally Adjusted Data from the Current Employment Statistics Survey, 1999-2010 (April to April).

Page 6: Kaiser slidesdownload 101101724

Top 10 States by AIDS Diagnosis Rate per 100,000 Population, 2008

SOURCE: Kaiser Family Foundation, www.statehealthfacts.org, analysis of CDC, HIV Surveillance Report, Vol. 20, 2010.

12.3

13.2

15.5

16.8

17.6

19.7

23.5

24

26

27.6

93.3

United States

California

South Carolina

Delaware

New Jersey

Georgia

New York

Louisiana

Florida

Maryland

District of Columbia

Page 7: Kaiser slidesdownload 101101724

Health Care Reform… Is Now the Right Time?

Which comes closer to describing your own views? Given the serious economic problems facing the country…

59% 61%62% 62%61%

35%37%37%34% 34%

0%

20%

40%

60%

80%

100%

Oct-08 Dec-08 Feb-09 Apr-09 Jun-09

It is more importantthan ever to take onhealth care reformnow

We cannot afford totake on health carereform right now

Note: “Don’t know/Refused” responses not shown.Sources: Kaiser Family Foundation surveys

Page 8: Kaiser slidesdownload 101101724

44%

38%

26%

17%21%

17%

6%

0%

10%

20%

30%

40%

50%

60%

Dec-95 Oct-97 Oct-00 Jun-02 May-04 Apr-06 Mar-09

Per

cent

nam

ing H

IV/A

IDS

Percent of the public naming HIV/AIDS as the most urgent health problem facing the nation in an open-ended question

Trend in Share Naming HIV/AIDS as Nation’s Most Urgent Health Problem

Source: Kaiser Family Foundation Surveys.

Page 9: Kaiser slidesdownload 101101724

Solvency Projections of the Part A Hospital Insurance Trust Fund, 1970-2009

812

1523

2816

466

1413

142

2009

2007

2005

2003

2001

1999

1997

1995

1993

1991

1990

1980

1970

Source: Intermediate projections from 1970-2009 Annual Reports of the Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds.

Projected Number of Years to Insolvency and Projected Year of Insolvency:

Report Year

(2020)

(2026)

(1972)

(1994)

(2003)

(1999)

(2001)

(2001)

(2015)

(2029)

(2019)

(2017)

(2005)

Page 10: Kaiser slidesdownload 101101724

Some Tax Options

Note: Based on half sample. “Don’t know/Refused” responses not shown.Source: Kaiser Family Foundation Health Tracking Poll (conducted November 5-12, 2009)

Strongly favor

Somewhat favor

Please tell me if you would favor or oppose each of the following to help pay for health care reform and provide coverage for more of the uninsured.

34%

34%

22%

16%

14%

12%

17%

16%

16%

23%

29%

47%

Strongly oppose

Somewhat oppose

Increasing income taxes for people from families making more than $1 million a year and individuals making more than

$500,000

Having health insurance companies pay a tax for offering very expensive policies

Having health insurance companies pay a fee based on how much business they

have

Page 11: Kaiser slidesdownload 101101724

Health Insurance Coverage in the U.S., 2008

Employer-Sponsored Insurance

52%

Uninsured15%

Private Non-Group5%

Medicare14%

Medicaid/Other Public

13%

NOTE: Includes those over age 65. Medicaid/Other Public includes Medicaid, SCHIP, other state programs, and military-related coverage. Those enrolled in both Medicare and Medicaid (1.9% of total population) are shown as Medicare beneficiaries. SOURCE: Kaiser Commission on Medicaid and the Uninsured/Urban Institute analysis of March 2009 CPS

Total = 300.5 million

Page 12: Kaiser slidesdownload 101101724

Decrease in Employer

Sponsored Insurance

(million)2.8%

National Unemployme

nt Rate Increase

since 2008(from 7.2% in

Dec-08 to 10.0% in Nov-09)

=

2.8 3.0

Medicaid /CHIP

Enrollment Increase(million)

Uninsured Increase(million)

&

6.9

Note: Totals may not sum due to rounding and other coverage.Source: Based on John Holahan and Bowen Garrett, Rising Unemployment, Medicaid, and the Uninsured, prepared for the Kaiser Commission on Medicaid and the Uninsured, January 2009.

Impact of the Rise in Unemployment on Health Coverage, 2008 to 2009

Page 13: Kaiser slidesdownload 101101724

It wouldn’t make much difference

Reform’s Impact on Own Family, Country

14%

28%

53%

42%

26%

23%

4%

4%

Better off

Worse off

It depends (vol.)

… the country as a whole

…you and your family

Note: “Don’t know/Refused” responses not shown.Source: Kaiser Family Foundation Health Tracking Poll (conducted September 11-18, 2009)

Do you think (you and your family/the country as a whole) would be better off or worse off if the president and Congress passed health care reform, or don’t you think it would make much difference?

Page 14: Kaiser slidesdownload 101101724

Do you favor or oppose the federal government requiring health insurance companies to cover anyone who applies, even if they have a prior illness?

36%

25%

30%

12%

12%

14%

9%

52%

51%

35%

8% 6%

Strongly favor

Somewhat favor

Somewhat oppose

Strongly oppose

Democrats

Independents

Republicans

Covering Those with Prior Illnesses, by Party ID

Source: Kaiser Family Foundation Health Tracking Poll (conducted July 7-14, 2009). “Don’t know/Refused” responses not shown.

Page 15: Kaiser slidesdownload 101101724

Views on Health Reform Law Among Seniors, Over Time

56%

51% 51%

46%

53%49%

12%14%

18% 17%13% 13%

32%35%

31%34%

38%

38%

0%

20%

40%

60%

80%

April 2010 May 2010 J une 2010 J uly 2010 August 2010 September 2010

NET favorable

NET unfavorable

Don’t know/Refused

Source: Kaiser Family Foundation Health Tracking Polls

As you may know, a new health reform bill was signed into law earlier this year. Given what you know about the new health reform law, do you have a generally favorable or generally unfavorable opinion of it?

AMONG SENIORS (age 65 and over)

Page 16: Kaiser slidesdownload 101101724

Average Health Insurance Premiums and Worker Contributions for Family Coverage, 1999-2009

$4,247

$9,860

$1,543$3,515

1999 2009

Employer Contribution

Worker ContributionNote: The average worker contribution and the average employer contribution may not add to the average total premium due to rounding.

Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 1999-2009.

$5,791 128% Worker

Contribution Increase

131% Premium Increase

$13,375

Page 17: Kaiser slidesdownload 101101724

Health Care Reform… Is Now the Right Time?

Which comes closer to describing your own views? Given the serious economic problems facing the country…

58%54% 54%

39% 41%36%

41% 39%

53% 55%57%56%59% 61%62% 62%61%

42%39%

35%37%37%34% 34%

0%

20%

40%

60%

80%

Oct08 Dec08 Feb09 Apr09 Jun09 Jul09 Aug09 Sep09 Oct09 Nov09 Dec09 Jan10

It is more importantthan ever to take onhealth care reform now

We cannot afford totake on health carereform right now

Note: Asked of half sample in Nov09 and Jan10. “Don’t know/Refused” responses not shown.Sources: Kaiser Family Foundation polls

Page 18: Kaiser slidesdownload 101101724

When Will Key Provisions Start if Reform Passes?

If Congress and the president did pass a health care reform bill, when would you expect … ?

Note: Top item asked of half sample. “Don’t know/Refused” responses not shown.Source: Kaiser Family Foundation Health Tracking Poll (conducted October 8-15, 2009)

17%

13%

34%

36%

23%

25%

9%

11%

8%

7%

1%

1%

Never (vol.)

3 years from nowNext yearThis year

…that people without insurance

would begin to get financial help in

buying coverage

…that health insurance

companies would have to begin

accepting customers who

have pre-existing health problems

5 years from now

Further in the future than that

Page 19: Kaiser slidesdownload 101101724

Percent who say hearing the proposed legislation would do each of the following makes them MORE likely to support it:

Health insurance exchange

Won’t change most people’s existing arrangements

Tax credits to small businesses

Pre-Passage: Most Popular Elements

Guaranteed issue

Note: Question wording abbreviated. See Topline: http://www.kff.org/kaiserpolls/8042.cfm. Only items with responses 60% and over shown here.Source: Kaiser Family Foundation Health Tracking Poll (conducted January 7-12, 2010)

60%

62%

63%

66%

67%

73%

60%

Extend dependent coverage through age 25

Medicaid expansion

Help close the Medicare doughnut hole

Page 20: Kaiser slidesdownload 101101724

Medicaid/CHIP Income Eligibility for Children by Number of States, December

2009

4

23 24

< 200% FPL 200% - 249% FPL 250% or higher FPL(includes DC)

Number of States

Note: The Federal Poverty Line (FPL) for a family of three in 2009 is $18,310 per year. IL uses state funds to cover children above 200% FPL.; MA uses state funds to 400% FPL.SOURCE: Kaiser Commission on Medicaid and the Uninsured and Center on Budget and Policy Priorities, A Foundation for Health Reform: Findings of a 50 State Survey of Eligibility Rules, Enrollment and Renewal Procedures, and Cost-Sharing Practices in Medicaid and CHIP for Children and Parents During 2009. 2009.

Page 21: Kaiser slidesdownload 101101724

10%

12%

13%

13%

20%

37%

Pre-Passage: Public Engagement in the Health Reform Debate

Source: Kaiser Family Foundation, Health Tracking Poll, December 2009.

During the past sixth months, have you personally done any of the following things in connection with the health care reform issue?

Participated in a forum or town meeting having to do with health care

reform

Did ANY of the above = 49%

Written to, emailed or spoken with your representative or another public

official

Personally contributed money to a political candidate or organization because of its positions on health care

reform

Tried to influence a friend or family member’s opinion

Written to, emailed or called a newspaper, website, radio or television station

Joined or became more active in a health care related organization

Percent saying “yes”

Page 22: Kaiser slidesdownload 101101724

0

2

4

6

Among all 8- to 18-year-olds, amount of time spent with each medium in a typical day:

Children’s Media Use, By PlatformChildren’s Media Use, By Platform

4:29

2:31

1:29

0:38 0:25

TV content

Music/audio Computers

Print Movies

1:13

Video games

HOURS 10:45

Total media exposure

Note: Children may be engaged in more than one of these activities at the same time.Source: Kaiser Family Foundation, Generation M2: Media in the Lives of 8- to 18-Year-Olds, 2010.

Page 23: Kaiser slidesdownload 101101724

1.29.99

2.39

3.19

2.10

1.71

1.33

.10 (- 0.28)

3.29

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009

Annual Change in Medicaid Enrollment in 50 States and DC, June 2000 to June 2009

SOURCE: Compiled by Health Management Associates from State Medicaid enrollment reports for the Kaiser Commission on Medicaid and the Uninsured. Available at: http://www.kff.org/medicaid/8050.cfm.

3.2%

7.5%

9.3%

5.6%

4.3% 3.2% 0.2% (-0.7%)

3.1%

7.5%

12-Month Growth Rate

Monthly Enrollment Change (in Millions)

June of

Page 24: Kaiser slidesdownload 101101724

Public Support for Health ReformAs of right now, do you generally support or generally oppose the

health care proposals being discussed in Congress?

12%

9%

33%

18%

28%

Strongly Support

Somewhat Oppose

Not Sure

Source: Kaiser Family Foundation Health Tracking Poll (conducted March 10-15, 2010)

StronglyOppose

Somewhat Support

Page 25: Kaiser slidesdownload 101101724

Medicare Part D Enrollees Who Reached the Coverage Gap in 2007

26%74%

Did not reach the coverage

gap

Reached the

coverage gap

Excludes Part D Enrollees Who Receive Low-Income Subsidies and Non-Users

NOTES: Estimates based on analysis of retail pharmacy claims for 1.9 million Part D enrollees in 2007.SOURCE: Georgetown University/NORC/Kaiser Family Foundation analysis of IMS Health LRx database, 2007.

Page 26: Kaiser slidesdownload 101101724

43%

2%

56%

Do you feel you have enough information about the health reform law to understand how it will impact you personally, or not?

No, do not have

enough information

Yes, have enough

information

Don’t know/Refused

Please tell me if “confused” does or does not describe your feelings about the health reform law.

55%45%

Don’t know/Refused 1%

Not confused

Confused

Enough Information?

Source: Kaiser Family Foundation Health Tracking Poll (conducted April 9-14, 2010)

Page 27: Kaiser slidesdownload 101101724

45%

54%

55%

44%

Confusion Declines but Remains Widespread

May 2010

April 2010

Describes Does not describe

Please tell me if CONFUSED does or does not describe your own feelings about the health reform law.

Note: “Don’t know/Refused” responses not shown.Source: Kaiser Family Foundation Health Tracking Poll (conducted May 11-16, 2010 and April 9-14, 2010)

Page 28: Kaiser slidesdownload 101101724

Confidence in Ability to Pay for Care

Percent of those ages 18-64 saying they are not confident they have enough money or health insurance to pay for…

…the usual medical costs that you (and your family)

require

…a major illness, such as a heart attack, cancer, or a

serious injury that required hospitalization

Employer coverage

Non-group coverage

26%

19%

51%

40%

Sources: Kaiser Health Tracking Poll, conducted May 11-16, 2010; Kaiser Family Foundation, Survey of People Who Purchase Their Own Insurance (conducted March 19-April 2, 2010)

Page 29: Kaiser slidesdownload 101101724

Medicare Hospital Insurance Trust Fund Projected to Be Solvent Through 2029

NOTE: ‘Insolvency’ refers to the depletion of the trust fund. SOURCE: Intermediate projections from 1990-2010 Annual Reports of the Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds.

Projected Number of Years to Insolvency (Projected Year of Insolvency):

19

8

11

12

15

28

25

10

5

7

10

13

2010

2009

2008

2006

2004

2002

2000

1998

1996

1994

1992

1990

(2019)

(2003)

(2002)

(2001)

(2001)

(2008)

(2025)

(2030)

(2018)

(2019)

(2029)

(2017)

Page 30: Kaiser slidesdownload 101101724

As I read each of these areas for rebuilding the greater New Orleans area, please tell me how much progress you think has been made so far – a lot, some, not too much or none at all.

Progress Report Card: Tourism at Top; Crime at Bottom

Controlling crime and assuring public safety

Making medical facilities and services more available

Making public transportation more available

Rebuilding destroyed neighborhoods

Making affordable housing more available

Repairing the levees, pumps, and floodwalls

Attracting more business and jobs to New Orleans

Strengthening the public school system

64%

49%

48%

45%

37%

40%

32%

29%

11%

34%

49%

50%

50%

57%

59%

62%

65%

87%Strengthening the city as a tourist and convention site

A lot/some Not too much/None at all

Note: Based on half sample of respondents. Percentage who did not give an answer is not shown. Source: New Orleans Five Years After The Storm: A New Disaster Amid Recovery, Kaiser Family Foundation, August 2010

Page 31: Kaiser slidesdownload 101101724

36%

20%

3%

20%

19%

Direction of the Country Most Important Factor in Vote

What will make the biggest difference in how you vote for Congress in your district:

Candidate’s character and

experience

Specific national issues

Direction of the nation as

a whole

Don’t know/Refused*

AMONG REGISTERED VOTERS

Local or state issues

* Don’t know/Refused includes Don’t vote/don’t plan to vote, All, None/other, and Don’t know/Refused responses.Source: Kaiser Family Foundation Health Tracking Poll (conducted September 14-19, 2010)

Page 32: Kaiser slidesdownload 101101724

Average Annual Health Insurance Premiums and Worker Contributions for Family Coverage, 2005-

2010

Note: The average worker contribution and the average employer contribution may not add to the average total premium due to rounding.

Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 2005-2010.

$8,167$9,773

$2,713

$3,997

2005 2010

Worker Contribution

Employer Contribution

$10,880

$13,770

$1,284Worker

Contribution Increase

47%

20%

27%

Page 33: Kaiser slidesdownload 101101724

55%

44% 42% 43% 45%

53%

Confusion on Rise in September

Percent who say they are “confused” about the health reform law:

Source: Kaiser Family Foundation Health Tracking Polls

SeptemberAugust

JulyJuneMayApril

Page 34: Kaiser slidesdownload 101101724

Medicaid Enrollment Has Increased by Nearly 6 Million Since the Start of the

Recession

40.4

41.942.6 42.3

48.5

44.8

42.8

Dec-03 Dec-04 Dec-05 Dec-06 Dec-07 Dec-08 Dec-09

SOURCE: Analysis for KCMU by Health Management Associates, using compiled state Medicaid enrollment reports

Monthly Enrollment in Millions


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