Who Has (And Doesn t Have) Health Insurance in Metro Atlanta?

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Who Has (And Doesn t Have) Health Insurance in Metro Atlanta? Atlanta Regional Commission For more information contact: mcarnathan@atlantaregional.com

Source: 2012 American Community Survey Health Insurance Coverage in the 25 Most Populous Metros 30.0% Percent of Population With No Health Insurance, 2012 25.0% 20.0% 15.0% 10.0% 5.0% 0.0% Out of the 25 most populous metro areas in the nation, metro Atlanta has the 8th highest percentage of those without health insurance, with 18.4 percent. Some 25 percent of residents in Miami do not have health insurance, the highest percentage of the 25 largest metro areas.

Source: 2012 American Community Survey Health Insurance Coverage in Metro Atlanta (by Race/Ethnicity) 45 Percent Uninsured by Race in Metro Atlanta 40 35 30 25 20 15 10 5 0 White Black Asian Hispanic The percentage of Hispanics without health insurance is more than twice as high as the percentage of Whites without health insurance. In fact, the percentage of the Hispanic uninsured in metro Atlanta is the highest out of the 25 largest metro areas. For more information about the high rates of uninsurance for Hispanics, click here and here.

Neighborhood Analysis Relationship between High Uninsured and High Hispanic Neighborhoods Source: 2008-2012 American Community Survey, through Neighborhood Nexus % Hispanic This scatter plot looks at the relationship between high uninsured and high Hispanic neighborhoods. Each dot represents a neighborhood (census tract). The line (a regression line) shows that as the uninsured percentages increase, so do percentages of Hispanic populations. % Uninsured

Source: 2012 American Community Survey Health Insurance Coverage in the 25 Most Populous Metros (by Race/Ethnicity) 25 Percent of White Population with No Health Insurance 20 15 10 5 0 Out of the 25 most populous metro areas in the nation, metro Atlanta ranks 11 th out of 25 for the percentage of the White population without health insurance (15.1%). For the total population, metro Atlanta ranks 8th, with 18.4 percent without health insurance.

Source: 2012 American Community Survey Health Insurance Coverage in the 25 Most Populous Metros (by Race/Ethnicity) 35 30 25 20 15 10 5 0 Percent of Black Population with No Health Insurance Out of the 25 most populous metro areas in the nation, metro Atlanta ranks 6 th out of 25 for the percentage of the Black population without health insurance (20.2%). For the total population, metro Atlanta ranks 8th, with 18.4 percent without health insurance.

Source: 2012 American Community Survey Health Insurance Coverage in the 25 Most Populous Metros (by Race/Ethnicity) 30 Percent of Asian Population with No Health Insurance 25 20 15 10 5 0 Out of the 25 most populous metro areas in the nation, metro Atlanta ranks 2 nd out of 25 for the percentage of the Asian population without health insurance (22.5%). For the total population, metro Atlanta ranks 8th, with 18.4 percent without health insurance. Due to sampling error inherent in the American Community Survey, the differences among top eight are not statistically significant at the 90% confidence level.

Source: 2012 American Community Survey Health Insurance Coverage in the 25 Most Populous Metros (by Race/Ethnicity) 45 40 35 30 25 20 15 10 5 0 Percent of Hispanic Population with No Health Insurance Out of the 25 most populous metro areas in the nation, metro Atlanta ranks 1 st out of 25 for the percentage of the Hispanic population without health insurance (42.6%). For the total population, metro Atlanta ranks 8th, with 18.4 percent without health insurance. Due to sampling error inherent in the American Community Survey, the differences between Atlanta and Dallas are not statistically significant at the 90% confidence level.

Source: Small Area Health Insurance Estimates, U.S. Census Bureau Health Insurance Coverage by County, 2012 30.0% 25.0% Percent Uninsured by County 20-County Region Average: 20.7% 20.0% 15.0% 10.0% 5.0% 0.0% Region-wide, 20.7 percent of those under the age of 65 had no health insurance in 2012. But as the chart shows, there is wide variation county-to-county, with Clayton County having the highest percentage of uninsured (27.2%), and Fayette County having the lowest percentage (12.9%).

Source: Small Area Health Insurance Estimates, U.S. Census Bureau Change in Health Insurance Coverage by County, 2007-2012 Barrow Bartow Carroll Cherokee Clayton Cobb Coweta DeKalb Douglas Fayette Forsyth Fulton Gwinnett Hall Henry Newton Paulding Rockdale Spalding Walton Percentage Point Change in Uninsured, 2007-2012 20-County Region change: 2.1 percentage points Between 2007 and 2012, the percentage of those under 65 without health insurance increased 2.1 percentage points in the 20-county region. In 2007, 18.6 percent of this population was uninsured. By 2012, the uninsured increased to 20.7 percent. Clayton County saw the largest increase (+9.1 points), while Forsyth had the largest decrease (-3.6 points). -6.0% -4.0% -2.0% 0.0% 2.0% 4.0% 6.0% 8.0% 10.0%

Distribution of the Uninsured Source: 2008-2012 American Community Survey, through Neighborhood Nexus The reds and oranges show where the greatest concentrations of those without health insurance live. While there are clusters throughout the region, the heaviest concentrations of the uninsured are where Hispanics are concentrated the Norcross area, Marietta, Gainesville and Canton.

Distribution of the Uninsured Source: 2008-2012 American Community Survey, through Neighborhood Nexus The reds and oranges show where the greatest concentrations of those without health insurance live. While there are clusters throughout the region, the heaviest concentrations of the uninsured are where Hispanics are concentrated the Norcross area, Marietta, Gainesville and Canton.

Neighborhood Analysis of the Uninsured Source: 2008-2012 American Community Survey, through Neighborhood Nexus Race/Ethnic Composition by Neighborhood Type 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% % White % Black % Asian % Hispanic Neighborhoods with High Unisurance Rates Rest of Neighborhoods This analysis compares high uninsured neighborhoods to the rest of the neighborhoods in the 20-county Atlanta region. Hispanics and Blacks are the predominant race/ethnicity in high uninsurance neighborhoods. In fact, Hispanics comprise 34 percent of the population in high uninsurance neighborhoods, compared to just 8.4 percent in the rest of neighborhoods in the region, a ratio of more than three-to-one. There are not big differences for the percentage of Black populations living in high uninsurance versus all other neighborhoods. (One standard deviation or greater above the mean is used to define High uninsured rate )

High Uninsured Neighborhoods Source: 2008-2012 American Community Survey, Neighborhood Nexus The highlighted areas on the map are the neighborhoods (census tracts) that have the highest percentages of those uninsured in the region (at least one standard deviation above the mean). One common characteristic of these neighborhoods is that they also have high concentrations of Hispanic populations, especially in Norcross, Marietta, Gainesville areas and along the Buford Highway corridor.

Neighborhood Analysis of the Uninsured Source: 2008-2012 American Community Survey, through Neighborhood Nexus $70,000 Median HH Income (weighted average) $60,000 $50,000 $40,000 $30,000 $20,000 $10,000 $0 Neighborhoods with High Unisurance Rates Rest of Neighborhoods This looks at the median household income of high uninsured neighborhoods and all other neighborhoods in the 20-county region. As you see, high uninsured neighborhoods have a median household income of around $37,000, compared to a household income of almost $66,000 for all other neighborhoods in the region.

Neighborhood Analysis Relationship between High Uninsured and High-Income Neighborhoods Household Income Source: 2008-2012 American Community Survey, through Neighborhood Nexus This looks at the relationship between median household income and high uninsured neighborhoods. Each dot represents a neighborhood (census tract). The line (a regression line) shows an inverse relationship between these two variables. As the percentage of uninsured increases, the income levels decrease. % Uninsured

Distribution of the Insured by Type of Insurance Private Insurance Source: 2008-2012 American Community Survey, through Neighborhood Nexus This looks at the distribution of those with private health insurance coverage. The areas with the highest percentages of private coverage are located in the wealthiest areas of the region, including up the GA 400 corridor in the north, and in pockets in Fayette and Henry down south.

Distribution of the Insured by Type of Insurance Public Insurance Source: 2008-2012 American Community Survey, through Neighborhood Nexus This looks at the distribution of those with public health insurance coverage, i.e. those areas where Medicaid usage is highest. This map is almost a mirror image of the map on the previous slide.

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