State Health Reform: Lessons for the Nation. Jennifer Tolbert Principal Policy Analyst Kaiser Commission on Medicaid and the Uninsured Kaiser Family Foundation for Healthcare Leaders Forum Detroit Regional Chamber and Federal Reserve Bank of Chicago Detroit, MI March 31, 2009.
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State Health Reform:Lessons for the Nation
Principal Policy Analyst
Kaiser Commission on Medicaid and the Uninsured
Kaiser Family Foundation
Healthcare Leaders Forum
Detroit Regional Chamber and Federal Reserve Bank of Chicago
March 31, 2009
Private Non-Group 5%
45.0 million uninsured
SOURCE: KCMU and Urban Institute analysis of March 2008 CPS.
Uninsured Rates Among the Nonelderly,
by State, 2006-2007
≥ 18% (18 states)
13-17% (19 states )
US Average = 18%
< 13% (13 states & DC)
SOURCE: Urban Institute and KCMU analysis of the March 2007 and 2008 Current Population Survey. Two-year pooled estimates for states and the US (2006-2007).
Percentage of Firms Offering Health Benefits, 2007
Family Work Status of Uninsured, 2007
1 or More Full-Time Workers
Higher Wage Firms
Lower Wage Firms
Total = 45 million uninsured
* Estimates are statistically different from each other within category (p<.05)
SOURCE: KCMU/Urban Institute analysis of March 2008 CPS; Kaiser/HRET Survey
of Employer-Sponsored Health Benefits, 2007
Family Income of
Average Annual Premium Costs, 2008
Total = 45 million uninsured
The federal poverty level was $22,050 for a family of four in 2009.SOURCE: KCMU/Urban Institute analysis of March 2008 CPS.
Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 2000-2008. Bureau of Labor Statistics, Consumer Price Index, U.S. City Average of Annual Inflation (April to April), 2000-2008; Bureau of Labor Statistics, Seasonally Adjusted Data from the Current Employment Statistics Survey, 2000-2008 (April to April).
Median Medicaid/CHIP Income Eligibility Thresholds, 2008
Nonelderly Uninsured, 2007
Federal Poverty Line
(For a family of four is
$22,050 per year in 2009)
Adults without Children 35%
Adults without Children21%
200% FPL +
Total = 45.0 million uninsured
*National median Medicaid income eligibility level for working parents in 2008.
SOURCE: KCMU/Urban Institute analysis of March 2008 CPS.
Percent of Enrolled Adults:
Health Conditions that Limit Work
Fair or Poor Health
SOURCE: Coughlin et al, “Assessing Access to Care Under Medicaid: Evidence for the Nation and Thirteen States,” Health Affairs, July/August 2005.
Percent of nonelderly adults who say because of cost they or a family member has:
Put off or postponed getting health care you needed
Skipped a recommended medical test or treatment
Not filled a prescription
Cut pills or skipped doses of medicine
Had problems getting mental health care
SOURCE: Kaiser Health Tracking Poll: Election 2008, October 2008 (conducted October 8 – 13, 2008)
Total = 442,000 Newly Insured
SOURCE: Massachusetts Division of Health Care Finance and Policy, Health Care in Massachusetts: Key Indicators, November 2008.
Health reform webpage on kff.org