The Uninsured: Policy in addition to Data Issues

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The Uninsured: Policy in addition to Data Issues

Art Institute of Charlotte, US has reference to this Academic Journal, The Uninsured: Policy in addition to Data Issues Michael J. O?Grady, Ph.D. Assistant Secretary in consideration of Planning in addition to Evaluation US Department of Health in addition to Human Services June 10, 2005 Who are the Uninsured? Steps Taken so that Increase Insurance New Initiatives so that Expand Access Data Issues Related so that the Uninsured The Medicaid Undercount Future Policy Work The Uninsured The Uninsured: What the Data Shows The uninsured are not one population. There is considerable diversity among the uninsured population in terms of employment status, income, race/ethnicity in addition to age. There is also wide variation in the length of time the uninsured go without coverage. While some are uninsured in consideration of years, many are uninsured in consideration of just a few months.

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Distribution of Uninsured by Attachment so that Labor Force, 2003 Distribution of Uninsured by Percent of FPL, 2003 Uninsurance in addition to Poverty Trends, 1992-2003 SOURCE: U.S. Census Bureau Current Population Survey.

Changes in wages in addition to salaries in addition to in benefit costs, private industry, 1980-2004 Source: BLS, National Compensation Survey Employment Cost Index, December 2004, bls.gov/ncs/ect/sp/ecnr0055.pdf. SOURCE: Bureau of Labor Statistics, Office of Compensation Levels in addition to Trends, bls.gov/ncs/ect/sp/echealth.pdf ocltinfo@bls.gov April 2005. Employment Cost Index, Private Industry, 12-month Percent Change, Total Benefits in addition to Health Benefits 12-month percent change

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Steps Taken so that Reduce Uninsurance Health Savings Accounts Expansion of Community Health Centers Trade Adjustment Assistance Continued Success of SCHIP Health Insurance Tax Credits so that Individuals Tax Rebates so that Small Businesses so that set up HSAs Further Expansion of Community Health Centers Increased Outreach so that Children New Initiatives so that Expand Access so that Health Insurance in addition to Health Care Data Issues Related so that the Uninsured Since the Administration supports incremental approaches, good data is essential in consideration of identifying populations in need. There are four major Federal surveys that measure the uninsured? two HHS, two Census. These surveys report a wide range of estimates, leading so that some confusion in addition to difficulty targeting policy solutions.

Uninsured Estimates from National Surveys Medicaid Undercount As states improved Medicaid data systems, it became apparent that the CPS increasingly undercounts Medicaid enrollment in addition to overcounts the uninsured. ACF in addition to ASPE funded a project by RAND so that examine the undercount in California by matching Medicaid administrative data alongside the CPS data. ASPE has funded two models that analyze the Medicaid undercount ? The Actuarial Research Corporation The Urban Institute?s TRIM model ARC 2003 45.0 TRIM 2001 41.2 Eligible in consideration of MA/SCHIP Childless Adults 18-34 Remaining Uninsured Key Subpopulations of the Uninsured

SOURCE: Actuarial Research Corporation, Working Paper: Estimating the Number of Individuals in the United States Without Health Insurance, Marcy 2005. Uninsured as Percent of Population Medicaid Undercount Our goal is so that work alongside the best data available so that develop the best possible solutions. ASPE is continuing the effort so that understand the size of the Medicaid undercount by partnering alongside the Census Bureau so that sponsor further research: SHADAC will examine Medicaid coverage differences among CPS in addition to CMS. SHADAC will match state Medicaid enrollment data so that existing Census data. The scope of the project is nationally, state in addition to locally focused. Future Policy Work The Administration continues so that develop a range of policy tools so that increase access in addition to reduce the number of uninsured Fixing this requires every tool in the toolbox We continue so that work alongside the data on the uninsured so that better target the key subpopulations of the uninsured So we can match the right policy so that the right subpopulation

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