Demographic Profile of Uninsured Kansans. Barb Langner, PhD Kansas Health Policy Authority Consultant

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1 Demographic Profile of Uninsured Kansans Barb Langner, PhD Kansas Health Policy Authority Consultant 1

2 Research Grants Support 2 State Planning Grant awarded to the Kansas Insurance Department 23 State Planning Grant Supplement to KID 24 Commonwealth Fund/Sunflower Foundation/United Methodist Health Ministries Fund to KUMC 24 State Planning Grant Pilot Project to KID 25 State Planning Grant Supplement to KID 2

3 The Initial SPG Survey Process Interviewed 8,4 households Data on 22,694 individuals Completed interviews in every county in the state Conducted in both English and Spanish Oversampled for Blacks, Hispanics, low- income households +.6 percentage points at the 95% confidence interval for statewide estimates 3

4 PERCENT OF KANSAS RESIDENTS WHO DO NOT HAVE HEALTH INSURANCE 1.5% 4

5 Uninsured Kansans under Age 65 by Region 9.4% 9.9% 6.7% 16.4% 5.4% 16.8% 1.9% 12.8% 9.3% 11.5%

6 Uninsured Kansans under Age 65, Statewide and by Region, Percent of Total # of Uninsured Kansans in Each Region Kansas Region 1 Region 2 Region 3 Region 4 Region 5 Region 6 Region 7 Region 8 Region 9 Region 1 4% 4% 1.5% 14% 9% 5.4% 9% 9.3% 6.7% 11% 12.8% 11.5% 11% 1.9% 8% 9.9% 9.4% 11% 16.4% 16.8% 19% = Percent of Region s Population that is Uninsured = Percent of all Uninsured Kansans who Live in Region Percent

7 Length of Time Without Health Coverage, Uninsured Kansans under Age 65 Never had insurance 16% Less than 1 month 6% 1-6 months 18% More than 2 years 35% 1-2 years 16% 7-12 months 9%

8 Uninsured Kansans under Age 65 by Specific Age Category % 188,8 15.7% 15 Percent 1 6.8% 56, 8.% 8.4% 1.4% 7.5% 6.4% Age 8

9 Uninsured Kansans under Age 65 by Race and Ethnicity, Distribution and Population Size ,5 67.8% 6 Percent % 2 15.% 17.3% 42,5 1 2, 8% 8.3% 11.6% 6.7% 16,5 Black Hispanic White Non-Hispanic Other* * Includes American Indians, Asians, and mixed race. 9

10 Uninsured Kansans under Age 65 by Income as a Percent of FPL, and Distribution of Uninsured 5 17, 45 95, 43.4% 4 39% % 43, Percent % 17.6% 15.1% 1.7% 4.2% 1% or Less 11% to 15% 151% to 2% 21% to 25% 251% or Greater Federal Poverty Level 1

11 Uninsured Kansas Children Under Age 65 by Income as a Percent of FPL, and Distribution of Uninsured , 46% 23, % Percent , 7.8% 18.1% 8, 15.8% 14% 9.5% 7.1% 4 2.6% All Income Levels 1% or Less 11-15% 151-2% 21-25% 251% or Greater FPL 11

12 Uninsured Kansans Age by Employment Status and Distribution of Uninsured , 51.8% % Percent % 42, 23.2% 2, 15.4% 15.8% 11.1% 28, 14.9% 12.8% Work for employer full-time Work for employer part-time Exclusively selfemployed Unemployed* Not in workforce* * Unemployed people are actively looking for a job, w hile those not in the w orkforce include retirees, students, parents at home and others w ho are not presently looking for employment. Full-time employment is 35 or more hours a w eek. 12

13 Uninsured Working Adults by Income Level Distribution of Uninsured Working Adults (19-64) by Poverty Status % 27.8% Percent of Uninsured Working Adults in Category % 15.1% 9.3% 5 Less than 1% 11-15% 151-2% 21-25% 251%+ Percent of Federal Poverty Level Source: Calculations by Abt Associates Inc. based on Kansas Health Insurance Survey, August 21.

14 Uninsured Full-Time Employed Kansans Age by Size of Firm ,8 56.2% Total # Uninsured FT Employed Kansans = 119,* 4 Percent ,2 23.3% 12, 13, 22.9% 16.3% 12.8% 1.1% 1.9% 8.5% 7.5% 4.1% or More Size of Firm (Number of Employees) 14

15 Uninsured Working Adults by Firm Size Distribution of Uninsured Working Adults (19-64) by Firm Size and Poverty Status 16 Percent of Uninsured Working Adults in Category % 11% 8% 5% 14% 4% 4% 6% 7% 5% 4% 8% Percent of Federal Poverty Level Less than 1% 11-15% 151-2% 21-25% 25%+ 2 2% 3% 2% 1% 2% ,+ Firm Size 3% 2% 2% Source: Calculations by Abt Associates Inc. based on Kansas Health Insurance Survey, August 21.

16 Uninsured Working Adults by Industry Type Uninsured Working Adults by Industry Type Distribution of Uninsured Working Adults (19-64) by Industry % % 9.9% 9.2% 8.5% 6.6% 6.3% 6.5% Percent of Uninsured in Category % 3.% 2.8% 3.% 2.3%.5 1.7% 1.1%.3% 4.2% Agricultural Mining Utilities Construction Manufacturing Transportation Wholesale Trade Retail Trade Finance Business Personal Services Entertainment Health Services Educational Services Social Services Other professional Public Administration Other Industry Type Source: Calculations by Abt Associates Inc. based on Kansas Health Insurance Survey, August 21.

17 Uninsured Working Adults: Employer-Based Health Insurance Coverage Offers Distribution of Uninsured Working Adults (19-64) by Firm Size and Employer Coverage Offer 9 8 8% Percent Offered/Not Offered % 46% 3.2% 69.8% 67.3% 32.7% 2% 72% 28% Offered Not Offered 1 All ,+ Firm Size Source: Calculations by Abt Associates Inc. based on Kansas Health Insurance Survey, August 21.

18 Health Insurance Offers by Firm Health Insurance Offers by Firm Type Public Administration Manufacturing Construction Education Trans./Comm./Electric/Gas Health Services Finance/Insurance/Real estate Business/Repair services Social services Mining Retail Entertainment Agriculture Personal services % employers offering insurance

19 Percent of Employed Kansans Age Who Report that Their Employer Offers Health Insurance Coverage % 8.6% 85.1% Percent Lowest Highest Region 9 Statewide Region 2

20 Enrollment of Employed Kansans Age Who Are Eligible for Employment-Based Insurance Enrolled in Employmentbased Coverage 82.% Declined Employmentbased Coverage 18.%

21 Health Insurance Policy Issues Accessibility Affordability Benefit Scope Premium Stability Portability Group Composition Administrative Costs Service Utilization Disincentives Unequal Tax Treatment 21

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