SCHIP Expansion.17 September 2004

Transcript SCHIP Expansion.17 September 2004

Uninsured Population Hawai`i: Adults Age 19-64

Gerard Russo, Ph.D.

Sang-Hyop Lee, Ph.D.

Lawrence Nitz, Ph.D.

Thamana Lekprichakul, Ph.D. Rui Wang, Ph.D. Candidate University of Hawai`i at M ānoa Kathleen Baker, Ph.D., Hawaii Department of Health HRSA SPG VII Technical Workshop 13 October 2005

This research is funded in part through a U.S. Health Resources and Services Administration, State Planning Grant to the Hawaii State Department of Health. Sub-Contract Research Corporation of the University of Hawaii. Research conducted by the University of Hawaii, Social Science Research Institute in collaboration with the Hawaii State Department of Health, Hawaii Institute for Public Affairs: Hawaii Uninsured Project and the Hawaii Health Information Corporation.

Age Distribution of Hawai`i’s Uninsured Population: CPS 2003 2005, 3-year Average 123,595 1.3%

1,607

18.3%

22,580 99,408 Age 0-18 Age 19-64 Age 65+

13 October 2005

80.4%

Preliminary results. Revised October 2005. Subject to further revision.

Hawaii Uninsured Adults Age 19-64: CPS 2001-2005, 3-Year Moving Average

Survey Years 2001-2003 Total Adults Uninsured Adults Persons/ Rate 719,951 87,779 Standard Error 5,287 95% Confidence Interval 11,190 698,007 77,410 741,896 98,147 2002-2004 Percent Uninsured Total Adults Uninsured Adults Percent Uninsured 12.19% 734,066 92,794 12.64% 0.70% 10.83% 7,965 718,448 4,599 0.59% 83,776 11.48% 13.56% 749,683 101,812 13.80% Total Adults 746,450 8,209 730,353 762,547 2003-2005 Uninsured Adults 99,408 4,863 89,872 108,944 Percent Uninsured 13.32% 0.61% 12.12% 14.51% Source: The Current Population Survey (CPS), Annual Social and Economic (ASEC) Supplement, 2001 2005.Weighted tabulations, University of Hawai`i at Mānoa.

13 October 2005 Preliminary results. Revised October 2005. Subject to further revision.

Hawaii Uninsured Adults Age 19-64: CPS 2001-2005

Survey Year 2001 2002 2003 2004 Total Adults Uninsured Adults Percent Uninsured Total Adults Uninsured Adults Percent Uninsured Total Adults Uninsured Adults Percent Uninsured Total Adults Uninsured Adults Percent Uninsured Persons /Rate

712,908 86,149 12.08% 728,444 82,646 11.35% 718,501 94,542 13.16% 755,251 101,195 13.40%

Standard Error

18,439 11,194 1.53% 13,691 7,807 1.01% 13,595 7,757 1.02% 13,991 8,323 1.04%

95% Confidence Interval

676,650 64,138 9.07% 749,166 108,160 15.10% 701,576 67,325 9.36% 691,821 79,318 755,313 97,967 13.33% 745,182 109,766 11.16% 727,794 84,861 11.36% 15.16% 782,708 117,528 15.43%

Total Adults

765,598 14,873 736,411 794,786

2005 Uninsured Adults Percent Uninsured

102,487 13.39% 9,150 1.10% 84,531 11.22% 120,444 15.55%

Source: The Current Population Survey (CPS), Annual Social and Economic (ASEC) Supplement, 2001-2005. Weighted tabulations, University of Hawai`i at Mānoa.

13 October 2005 Preliminary results. Revised October 2005. Subject to further revision.

Uninsured Hawaii Adults Age 19-64: with 95% Confidence Intervals CPS Survey Years 2001-2005

140,000 120,000 100,000 80,000 60,000 40,000 20,000 0 86,149 82,646 94,542 102,195 102,487 2000 2001 2002 Calendar Year 2003 2004

13 October 2005 Preliminary results. Revised October 2005. Subject to further revision.

Percent Uninsured: Hawaii Adults Age 19-64 with 95% Confidence Intervals CPS Survey Years 2001-2005

20% 15% 12.08% 11.35% 13.16% 13.40% 13.39% 10% 5% 0% 2000 2001 2002 Calendar Year 2003 2004

13 October 2005 Preliminary results. Revised October 2005. Subject to further revision.

Uninsured Hawaii Adults Age 19-64: HHS 1997-2003

95% Confidence Interval Year Uninsured Adults Standard Error Lower Limit Upper Limit 1997 1998 1999 2000

35,693 53,513 53,168 43,017 2,292 3,477 3,156 2,755 31,199 46,697 46,980 37,616 40,187 60,329 59,356 48,417

2001 2002 2003

49,385 42,563 52,041 2,768 3,136 3,436 43,958 36,415 45,305 54,812 48,711 58,776

Source: Hawaii Health Survey 1997-2003. Weighted tabulations University of Hawaii.

13 October 2005 Preliminary results. Revised October 2005. Subject to further revision.

Percent Uninsured Hawaii Adults Age 19-64: HHS 1997-2003

Year 1997 1998 1999 2000 Percent Uninsured

5.20% 7.98% 7.91% 6.34%

Standard Error

0.33% 0.51% 0.46% 0.40%

95% Confidence Interval Lower Limit

4.59% 7.05% 7.05% 5.60%

Upper Limit

5.89% 9.03% 8.86% 7.17%

2001 2002 2003

6.96% 5.94% 7.11% 0.38% 0.43% 0.46% 6.25% 5.15% 6.25% 7.75% 6.84% 8.07%

Source: Hawaii Health Survey 1997-2003. Weighted tabulations University of Hawaii.

13 October 2005 Preliminary results. Revised October 2005. Subject to further revision.

2005 US HHS Poverty Guidelines: Hawaii vs. 48 Contiguous States & DC

Family Size Hawaii Annual Family Income 48 Contiguous States & DC Annual Family Income 1 2 3 4 $11,010 $14,760 $18,510 $22,260 $9,570 $12,830 $16,090 $19,350 5 6 $26,010 $29,760 $22,610 $25,870 7 $33,510 $29,130 8 $37,260 $32,390 Note: For Hawaii family size more than 8 persons add $3,750 for each additional person. For Mainland family size more than 8 persons add $3,260 for each additional person.

Source: Federal Register, Vol.70, No.3. http://aspe.hhs.gov/poverty/05fedreg.pdf

13 October 2005 Preliminary results. Revised October 2005. Subject to further revision.

Hawai`i Uninsured Adults Age 19-64 by Income Eligibility Status for Calendar Years 2000-2003: CPS, BRFSS & HHS (4-year averages).

Survey Years TANF 0-62.5% FPL CAP 62.5-100% FPL 101-200% FPL 201-300% FPL 301%+ FPL

15,515 11,235 22,609 18,132 23,879

CPS 2001-2004 BRFSS 2000-2003

12,377 9,453 19,804 13,178 14,186

Total

91,370 68,998

HHS 2000-2003

5,098 5,035 14,412 8,260 13,947 46,751

NOTES: Adults with family income at or below 62.5% of the U.S. Dept. of Health & Human Services federal poverty guidelines for Hawaii (1993) will meet the Medicaid-QUEST income eligibility criterion and will not be subject to the QUEST enrollment cap. Adults with children in this income group are normally eligible for Temporary Aid to Needy Families (TANF). Adults with family income greater that 62.5% FPL (1993) but less than or equal to 100% FPL are typically income eligible for free medical assistance under Medicaid-QUEST but are subject to the QUEST enrollment cap. Beyond 100% FPL only pregnant women in families with income less than or equal to 185% FPL are eligible for free medical assistance under Medicaid-QUEST. For the BRFSS and HHS, missing income data has been imputed and the categorical income variables are converted through a simulation method to a continuous distribution before the Hawaii specific federal poverty guidelines are applied. Income data in the BRFSS and HHS is based on the household unit.

SOURCES: University of Hawaii weighted tabulations. Current Population Survey, Annual Social and Economic (ASEC) Supplement 2001-2004, Hawaii sample. Behavioral Risk Factor Surveillance System (BRFSS) Survey 2000-2003, Hawaii sample. Hawaii Health Survey 2000-2003.

13 October 2005 Preliminary results. Revised October 2005. Subject to further revision.

Percent Uninsured of Hawai`i Adults Age 19-64 by Income Eligibility Status for Calendar Years 2000-2003: CPS, BRFSS & HHS (4-year averages)

Survey Years TANF 0-62.5% FPL CAP 62.5-100% FPL 101-200% FPL 201-300% FPL 301%+ FPL Total CPS 2001-2004

35.2% 24.1% 18.7% 13.7% 6.2% 12.5%

BRFSS 2000-2003

25.3% 15.2% 11.5% 8.3% 4.7% 9.3%

HHS 2000-2003

13.2% 11.7% 10.6% 6.2% 3.9% 6.6%

13 October 2005 Preliminary results. Revised October 2005. Subject to further revision.

Uncovered Workers in Hawai`i —Part-Time, Full-Time and Self-Employed: Estimates from the Current Population Survey (CPS) 2001-2004

13 October 2005 Preliminary results. Revised October 2005. Subject to further revision.

Three Measures of Hours Worked: Current Population Survey

 Usual hours worked per week at all jobs held last year.

 Actual hours worked per week at all jobs held last week.

 Usual hours worked per week at main job held last week. 13 October 2005 Preliminary results. Revised October 2005. Subject to further revision.

Distribution of Uninsured Adults Age 19-64 by Employment: Summary

Distribution of Uninsured Adults Age 19-64 by Employment Status: CPS 2001-2004 Hawaii Sample.

All Jobs Last Year All Jobs Last Week Main Job Last Week Self-Employed 1-99 hours Part-Time Employee 1-19 hours Full-Time Employee 20+ hours Zero Hours, Variable Hours, Unemployed or Not in Labor Force

12,300 4751 50,120 24,199 12,341 5528 37,730 36,778 12,341 4190 36,265 40,814

TOTAL

91,370 91,370 91,370

NOTE: Constructed on three questions of hours worked, employment and health insurance status from the Current Population Survey (CPS) Basic Monthly Survey and Annual Social and Economic (ASEC) Supplement 2001-2004. For example: “How many hours do you usually work at your main job (held last week)?” SOURCE: University of Hawaii Weighted Tabulations CPS 2001-2004 Hawaii Sample, 4-year Average.

13 October 2005 Preliminary results. Revised October 2005. Subject to further revision.

91,370 Uninsured Adults Age 19-64

 Start with Usual Hours Worked per Week at Main Job Held Last Week: Accurate Recall & One Job  Exclude the Unemployed and Not-in-Labor Force  Exclude Self-Employed  Exclude Unpaid Workers  Exclude the Public Sector  PLEASE NOTE: The Uninsured Private Sector are Mostly Non-Union

13 October 2005 Preliminary results. Revised October 2005. Subject to further revision.

Percent Distribution of Uninsured Workers by Usual Hours Worked per Week at Main Jobs held Last Week: Paid Private Sector Employees

0 20 40 Erner stdy-usu hrs wrked per wk 60 80 NOTE: Probability density function computed from the CPS 2001-2004 Hawaii sample.

13 October 2005 Preliminary results. Revised October 2005. Subject to further revision.

Mahalo!

This research is funded in part by U.S. Department of Health and Human Services Health Resources & Services Administration State Planning Grant Hawaii State Department of Health.

13 October 2005 Preliminary results. Revised October 2005. Subject to further revision.