Colorado Health Access Survey First Findings December 13, 2011 Marketing, Education and Outreach Work Group (MEOW)

Introducing the Colorado Health Access Survey 10,352 households Statistically valid: Geographic Race/ethnicity May-August 2011 Telephone survey Sample weighted to represent entire population

First Findings The ranks of Colorado’s uninsured are growing, even among those employed. The ranks of the underinsured are growing as well. Various populations are disproportionally impacted. Fewer Coloradans have a “usual source of care.”

1. The number of uninsured is growing 2008-09 2011 678,000 Uninsured 829,000 uninsured 14% of population 16% of population

Fewer Coloradans receive Employer-based Insurance Health Insurance Colorado, 2009 and 2011

Cost of Insurance: Leading reason for lack of insurance Reasons the uninsured reported for lacking health insurance, Colorado, 2009 and 2011

Uninsured Coloradans Rates of Uninsurance, Health Statistics Regions, Colorado, 2011 829,000 Coloradans 16% of population (2011) Up from 678,000 Coloradans 14% of population (2008-2009)

Nearly one third of Coloradans are un or underinsured.

Most uninsured Coloradans are white Most uninsured Coloradans are white. Hispanics are disproportionately affected Distribution of Uninsured by Race/ ethnicity, Colorado 2011 Percent Uninsured for 3 Racial/ Ethnic Groups, Colorado, 2009 and 2011

Poverty Correlates with lack of coverage Uninsured Rates by income as a percentage of Federal Poverty Level, Colorado, 2009 and 2011

4. Fewer Coloradans have a “usual source of care.” Percent who reported having no usual source of care, Colorado, 2011

Accessing CHAS Data Data available in several ways Research file Public Use file Custom reports Briefings Colorado Health Institute www.COHealthAccessSurvey.org

A Half Million Newly Insured: Is Colorado Ready? Primary Care Provider Needs following Health Reform December 13, 2011 Marketing, Education and Outreach Work Group (MEOW)

Question this presentation addresses How many additional primary care providers will Colorado need to care for residents who become insured under federal health care reform?

Overview of results Colorado New Visits and New Provider Estimates, 2016 Total Increased Visits, Physicians Total Increased Visits, NPs and PAs Total New Physicians Total New NPs and PAs Total New Physicians and NPs and PAs Lower Bound 25th Percentile 222,720 33,290 71.2 12.4 83.6 Upper Bound 75th Percentile 366,720 65,700 117.2 24.4 141.7 Source: CHI

CHI’s analytic framework Jonathan Gruber estimates using 2008-09 Colorado Household Survey Statistical model using 2006-08 Medical Expenditure Panel Survey (MEPS) data Physician, NP and PA productivity figures from 2010 MGMA survey

Results: Newly insured Coloradans

Where the results are available www.coloradohealthinstitute.org/projects/NewlyInsured

Thank You Jeff Bontrager, MSPH Director of Research on Coverage and Access bontragerj@coloradohealthinstitute.org http://www.cohealthaccesssurvey.org/ www.coloradohealthinstitute.org/projects/NewlyInsured