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,

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Presentation transcript:

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, Prime Contract No. 1 P09 OA Sub-Contract Research Corporation of the University of Hawaii, Project No 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. Labor Market Effects of the Pre-Paid Health Care Act of 1974: Estimates from the CPS Sang-Hyop Lee Gerard Russo Lawrence Nitz University of Hawai`i at Mānoa Hawai`i Coverage For All Project Technical Workshop IV September 26, 2003

26 September 2003 Preliminary results. Please do not quote. Research Questions What is the impact of PHCA on hours worked? What is the impact of PHCA on insurance coverage?

26 September 2003 Preliminary results. Please do not quote. Data and Method Current Population Survey (CPS) March Demographic Supplement Analyze the performance of Hawaiian system after implementation of the PHCA relative to the other states and US US, Hawaii, Nevada, and Michigan Counter-factual analysis.

26 September 2003 Preliminary results. Please do not quote. Percent Insured by Type of Insurance, CPS (%) Insured UninsuredTotal PublicPrivate MedicareMedicaid Sub TotalEmp. Sub TotalInsured Hawaii US Nevada Michigan

26 September 2003 Preliminary results. Please do not quote. Unemployment Rate: Hawaii and United States

26 September 2003 Preliminary results. Please do not quote. Percent uninsured employees by hours worked: CPS

26 September 2003 Preliminary results. Please do not quote. Percent Distribution of Employees by Hours Worked: CPS

26 September 2003 Preliminary results. Please do not quote. Estimating the effect of PHCA Methodology: multinomial logit model Three categories: uninsured, employment based insurance, or other insurance Predictor variables: age, sex, income, working hours, county, ethnicity, industry of employment, and collective bargaining. Predict the effect of hours worked on probability in coverage: impact working hours holding other characteristics constant.

26 September 2003 Preliminary results. Please do not quote. The effect of PHCA on the percent uninsured: CPS

26 September 2003 Preliminary results. Please do not quote. The effect of PHCA on the percent covered by employment based insurance: CPS

26 September 2003 Preliminary results. Please do not quote. The effect of PHCA on the percent covered by publicly provided insurance: CPS

26 September 2003 Preliminary results. Please do not quote. Conclusion 1) PHCA increased the employer-provided health insurance coverage for full-time workers. 2) There has been changes in the distribution of health insurance by working hours. 3) Some workers who are unable to find full- time jobs with health insurance might have switched to other types of insurance.