Measuring Insurance Status

• March CPS contains < 900 LA HH– Cannot accurately estimate rates of uninsured

by region or parish

• 2003 LHIS includes over 10,000 HH – over 27,000 individuals

• LHIS allows LA specific design

• 2005 LHIS improves on 2003 LHIS

How the 2005 LHIS was administered by the PPRL:

• 46-station computer-assisted telephone interviewing system (CATI)• 30,000+ phone numbers used based on random and demographic selection• Between May and July, 2005

Result: 10,000+ Household surveys completed in three month’s time creatinga true snapshot of the status of Health Insurance in Louisiana

The 2005 LHIS results are available at:http://www.dhh.louisiana.gov/offices/reports.asp?ID=92&Detail=210

2005 Methodological Advances

• Better definitions of Medicaid eligible households

• Improved sample design

• Implemented Income Imputation

• Medicaid Bias Adjustment

Sample Design

Region2005 Total

HH2003 Total

HH2005

U19 HH2003

U19 HH

New Orleans 1 1,292 1880 471 691

Baton Rouge 2 1,097 1636 446 739

Houma-Thibodeaux 3 893 1381 427 611

Acadiana 4 1,463 1581 645 687

Southwest 5 1,019 926 425 420

Central 6 988 624 452 283

Northwest 7 1,242 592 476 240

Northeast 8 1,018 622 417 263

Northshore 9 1,087 787 476 339

Statewide 10,099 10,029 4,235 4,273

Sample Design (cont.)

Region 2005 Total

Persons2003 Total

Persons 2005 U19 2003 U19

New Orleans 1 3,287 4680 849 1190

Baton Rouge 2 2,896 4401 822 1291

Houma-Thibodeaux 3 2576 4059 755 1236

Acadiana 4 3,988 4412 1183 1368

Southwest 5 2,753 2515 769 722

Central 6 2715 1656 829 452

Northwest 7 3,204 1574 855 430

Northeast 8 2,707 1630 767 455

Northshore 9 3,003 2199 851 650

Statewide 27,129 27,126 7,680 7,794

Uninsured Rate for Children < 19

11.1%

9.6%10.8%

11.4% 11.0%

15.7%

6.3%

15.2%

11.1%10.4%

7.6% 7.4%8.3% 8.4%

9.8%

4.2%

10.2%

3.8%

7.2% 7.7%

0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

Statewide NewOrleans 1

BatonRouge 2

Houma-Thibodeaux

3

Acadiana 4 Southwest 5 Central 6 Northwest 7 Northeast 8 Northshore9

2003 Percent 2005 Percent

Uninsured Rates of Nonelderly Adults (19-65)

21.1% 20.9%

19.2%

21.3%

23.1%

20.4%21.6% 21.6%

27.3%

17.3%

24.0%23.2%

20.1%

23.4%

21.8%

29.2%30.0%

26.4% 26.2%

21.7%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

Statew ide New Orleans1

Baton Rouge 2 Houma-Thibodeaux 3

Acadiana 4 Southw est 5 Central 6 Northw est 7 Northeast 8 Northshore 9

2003 Percent 2005 Percent

Uninsured Rates for Medicaid Eligible Children < 19

12.9% 13.2%

17.6%

13.1%

6.6%

15.7%

7.7%

24.8%

9.2%

16.5%

8.9% 9.3%10.2% 9.7%

10.8%

3.8%

10.8%

3.4% 3.7%

9.3%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

Statew ide New Orleans 1 Baton Rouge 2 Houma-Thibodeaux 3

Acadiana 4 Southw est 5 Central 6 Northw est 7 Northeast 8 Northshore 9

2003 Percent 2005 Percent

Source of Coverage for Children (Under 19) and Adults (19-65)

48.6%

8.2%

4.1%

1.0%

4.2%2.7%

12.5%

23.4%

35.7%

7.3%

1.1%

3.1%1.9% 2.0%

47.5%

7.6%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

Employer PurchasedCoverage

Former Employer Not in Household Medicare Military Medicaid/LaChip Uninsured

Adults Children

Change in Employer Coverage

48.6%47.4%

53.1%

35.7%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

Adults Children

2003 2005

Demographic Differences

Uninsured Rates by Household Income for Adults (19-65) and Children (Under 19)

46.7%

42.6%

47.9%

42.1%

36.7%

32.5%

20.0%17.5%

11.4%

7.7% 7.4%6.1%

4.7%

12.9%11.4%

9.3%8.2%

13.4%

6.4%

11.3%

5.0%3.5%

5.0%3.8% 3.5%

2.3%0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

Less than$4,999

$5,000-$9,999

$10,000-$14,999

$15,000-$19,999

$20,000-$24,999

$25,000-$34,999

$35,000-$44,999

$45,000-$54,999

$55,000-$$64,999

$65,000-$74,999

$75,000-$84,999

$85,000-$94,999

Morethan

$95,000

Adults Children

Uninsured Rates by Level of Poverty for Adults (19-65) and Children (Under 19)

53.2%

47.1%45.2%

37.1%

14.4%

9.6%

13.6%11.3%

7.0%

4.5%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

Less 50% 50-100% 100-150% 150-200% Over 200%

Adults Children

Unisured Rates By Gender for Adults (19-65) and Children (Under 19)

23.8%

7.9%

21.2%

6.7%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

Adult Child

Male Female

Uninsured Rates by Race for Adults (19-65) and Children (Under 19)

32.6%

7.9%

21.5%

6.5%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

Adults Children

African-American Caucasian

Uninsured Rates by Education for Adults (19-65)

40.3%

26.6%

18.6%

9.5%

4.9%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

45.0%

Less than High School High School Some College College Graduate School

Uninsured Rates by Age

6.3%7.2%

12.9%

28.1%

30.3%

25.4%

21.9%20.7%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

0-5 6-15 16-17 18-24 25-34 35-44 45-54 55-64

Usual Place of Care by Uninsured Status

16.6%

72.2%

11.2%

30.4%

43.5%

26.1%

17.6%

61.8%

20.6%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

Clinic Doctor's Off ice Hospital ER

All Uninsured Adults Uninsured Children