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The Uninsured in America Peter Cunningham, Ph.D. Center for Studying Health System Change Presentation to the Citizens’ Health Care Working Group May 11,

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Presentation on theme: "The Uninsured in America Peter Cunningham, Ph.D. Center for Studying Health System Change Presentation to the Citizens’ Health Care Working Group May 11,"— Presentation transcript:

1 The Uninsured in America Peter Cunningham, Ph.D. Center for Studying Health System Change Presentation to the Citizens’ Health Care Working Group May 11, 2005

2 A Primer on the Uninsured  How many?  How is it changing?  Who are the uninsured?  Consequences of being uninsured

3 How Many Uninsured Are There?  Estimates vary > Different surveys and methodologies > Depends on length of time being measured  Coverage more fluid than estimates indicate  Many are uninsured for brief periods

4 Estimates of the Uninsured, 2003 (in millions) Point-in Time Full Year Any Time in Year CPS MEPS NHIS CTS

5 Length of Time Uninsured Source: CBO estimates from SIPP, % 45% 13% 16%

6 How is it Changing?  Uninsurance increasing for adults  Uninsurance decreasing for children  Shift from private to public coverage for low income persons

7 Percent Uninsured Source: EBRI estimates of the CPS

8 Premiums are Rising Faster Than Earnings Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits

9 Low Income Adults (< 200% FPL) Source: CTS Household Survey

10 Low Income Children (< 200% FPL) Source: CTS Household Survey

11 Who Are the Uninsured?  Most in working families  ESI coverage not available  Low income, young adults, Hispanics at high risk

12 Most Uninsured in Working Families Source: EBRI estimates from the CPS, February 2001 supplement 60.4% 17.3% 22.3%

13 Uninsured Workers Source: EBRI estimates from the CPS, February 2001 supplement 67% 20% 13%

14 Reasons Eligible Workers Were Uninsured Source: EBRI estimates from the CPS, February 2001 supplement 66% 28% 6%

15 Reasons Ineligible Workers Were Uninsured Source: EBRI estimates from the CPS, February 2001 supplement 33% 51% 10% 6%

16 Most Uninsured in Small Firms Source: CTS Household Survey, 2003

17 Most Uninsured in Low-Wage Jobs Source: CTS Household Survey, 2003

18 Most Uninsured Are Low-Income Source: CTS Household Survey, 2003

19 Young Adults at High Risk Source: CTS Household Survey, 2003

20 A Major Problem for Hispanics Source: CTS Household Survey, 2003

21 Noncitizens More Likely to be Uninsured Source: CTS Household Surveys

22 Consequences of Being Uninsured  Reduced access -- more unmet medical needs  Higher ED use  More financial problems  Worse health outcomes

23 More Unmet Needs Source: CTS Household Survey, 2003

24 Greater Reliance on EDs Source: National Ambulatory Medical Care Survey, 2001

25 More Financial Problems Source: CTS Household Survey, 2003


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