Colorado Data on Demographics of Potential Exchange Users Disclaimer: Dr. Jonathan Gruber will provide updated information in September. This is older data and serves as background information. Shana Montrose presented to MEOW 8/17/2011; this information was available as handouts.

Market Segments Five groups were formed for initial conversations by asking the question: “What demographic characteristics will have the greatest impact on insurance purchasing decisions?” The groups were created without scientific method and are below. Once current data is available, these groupings will be refined. Income and Employment Age and Objectors Gender and Families Race, Language, Ethnicity, Culture Rural and Distribution Channels

Income and Employment Parameters: People terminated from public programs People eligible for Exchange subsidies Laid-off workers Low-wage earners and part-time workers

Reasons for not having a usual source of care Colorado Health Institute

Facilities used by those who lack a usual source of care Colorado Health Institute

Health care services avoided due to cost Colorado Health Institute

Reasons Coloradans Report Lack of Health Insurance Colorado Health Institute

Adults by Income, Insurance and Employment Status Colorado Health Institute

Uninsured Adults Newly Eligible for Medicaid Colorado Health Institute

Medical Bills and Homelessness

GENDER AND FAMILY

Uninsured (age 19-64) by Family Status Colorado Health Institute

Low-Income Uninsured Adults by Family Status Colorado Health Institute

Uninsured Childless Adults by Employment Status and Age Colorado Health Institute

Children by Insurance Status, Income, Legal Status Colorado Health Institute

Uninsured Children, Women, Men Uninsured Estimates of Children 0-17 in Colorado, American Community Survey (ACS), 2009 CO # CO % US # US % Insured1,100, %67,989, % Uninsured124, %6,369,0238.6% Total1,225, % 74,358, % Uninsured Estimates of Women in Colorado, American Community Survey (ACS), 2009 CO # CO % US # US % Insured2,133, %133,227, % Uninsured339, %20,699, % Total2,472, %153,926, % Uninsured Estimates of Men in Colorado, American Community Survey (ACS), 2009 CO # CO % US # US % Insured2,018, %122,579, % Uninsured438, %24,965, % Total2,457, %147,545, % Kaiser Family Foundation State Healthcare Facts

Major Causes of Death Among Females by Race Office on Women’s Health, HHS.

Preventive Care Received by Women, Health Insurance Coverage by Race Office on Women’s Health, HHS.

Foreign-Born Population in Colorado In 2009, 9.7% of Colorado residents were foreign-born, compared to 12.5% in the U.S. The top three countries of birth of the foreign born in Colorado were Mexico, Korea, and Germany. In Colorado, 33.1 percent of the foreign born were citizens in The gender of foreign-born people in Colorado is nearly equal for men and women. Children residing in Colorado with at least one immigrant parent accounted for 20.6% of children under age 18 in Of all children with immigrant parents in Colorado, 86.7 percent were US citizens by birth. Between 2000 and 2009, the number of foreign-born persons age 5 and older in Colorado who were Limited English Proficient (LEP) increased from 193,375 to 258,837, representing a change of 33.9%. Migration Policy Institute using 2009 American Community Survey

RACE, ETHNICITY, LANGUAGE, CULTURE

Foreign-Born Population in Colorado (cont.) Among the foreign born older than 5 in Colorado in 2009, 73.0% of those who spoke Spanish at home were LEP compared to 33.4% of those who spoke other Indo-European languages, 55.5 % of those who spoke Asian and Pacific Island languages, and 52.0% of those who spoke other languages. The number of immigrants in Colorado older than 25 with a college degree increased by 45.8% between 2000 and 2009 (94,179 individuals). The number of immigrants in Colorado older than 25 with less than a high school diploma increased by 40.0% between 2000 and 2009 (150,023 individuals). Of the total population (both native and foreign born) age 25 and older in Colorado who had a college degree: – 38.3 % spoke only English at home – 13.8 % spoke Spanish – 49.1 % spoke other Indo-European languages – 39.2 % spoke Asian and Pacific Island languages – 27.8 % spoke other languages In Colorado, 29.0 percent of noncitizens lived in poverty in 2009, compared to 8.6 percent of naturalized citizens. In Colorado, 27.7% of persons who spoke Spanish at home lived in poverty, compared to 9.0% of persons who spoke Asian or Pacific Island languages, and 9.8% of persons who spoke other Indo- European languages. Migration Policy Institute using 2009 American Community Survey

Language Spoken at Home

Poverty Status: Native vs. Foreign Born Migration Policy Institute using 2009 American Community Survey

GEOGRAPHY AND DISTRIUBTION CHANNELS

Computer Access on Farms Rural According to the USDA, the rural population of Colorado is 687,000 compared to 4.3 million urban residents. Computer Access on Farms The is computer usage on 65% of farms in the US The percent of Colorado farms with computer access is 74 and is followed closely by Montana at 73%. States with a higher percent of farm computer access include New Hampshire* (83%), Washington (81%), Wyoming (81%), Idaho (80%) and Oregon (79%); the national average is 64% Only 1% of farms in Colorado have access to a computer but do not own one. Computer ownership nationwide is 61% of farms Nationally, 5% of farms use the internet and toll-free numbers to do business with USDA, 4% with other federal agencies. Colorado usage is the same as the national average. States with high internet use to do business with federal agencies include Washington (11%) Idaho (10%), Maryland (10%), New Hampshire* (9%) The national average and the Colorado business conducted with any non-agricultural website or toll-free number is 33% of farms *(NH includes CT, ME, MA, NH, RI, and VT). USDA, National Agricultural Statistics Service, 2009

Computer Access on Farms USDA, National Agricultural Statistics Service, 2009