Trends and Variation in Health Insurance Coverage

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Presentation transcript:

Trends and Variation in Health Insurance Coverage Chartbook Section 2 Trends and Variation in Health Insurance Coverage

Section 2: Trends and Variation in Health Insurance Coverage Distribution of Minnesota population by primary source of health insurance coverage1 Private health insurance trends This slide deck is part Minnesota’s Health Care Markets Chartbook, an annual review of key metrics in health care access, coverage, market competition and health care costs (MN Statutes, Section 144.70) A summary of the charts and graphs contained within is provided at Chartbook Summaries - Section 2. Direct links are listed on each page. Please contact the Health Economics Program at 651-201-3550 or health.hep@state.mn.us if additional assistance is needed for accessing this information. 1Primary source of insurance coverage is defined as the payer who is the main source of paying medical and pharmacy claims. For example, for individuals who have access to both Medicaid and Medicare coverage, Medicare coverage is the primary payer of coverage. This version of Chartbook 2 was edited to account for public program enrollees who may have Medicaid equivalent coverage through private insurance.

Distribution of Minnesota population by primary source of health insurance coverage

Minnesota's Small Group Market General Overview Distribution of Minnesota Population by Primary Source of Insurance Coverage, 2016 Total Population 5.5 Million Portion of Private Health Insurance Sources: MDH Health Economics Program; U.S. Census Bureau, Annual Estimates of the Population for July 1, 2017. MA and MNCare includes Medical Assistance (MA) and MinnesotaCare (MNCare). Summary of graph Minnesota Department of Health

Distribution of Minnesota Population by Primary Source of Insurance Coverage, 2016 Sources: MDH Health Economics Program; U.S. Census Bureau, Annual Estimates of the Population for July 1, 2017. MA and MNCare includes Medical Assistance (MA) and MinnesotaCare (MNCare). High Risk Pool ended in 2014. Non-Group may also be referred to as individual market. Detail may not sum to total due to rounding. Summary of graph

Distribution of Minnesota Population by Primary Source of Insurance Coverage, 2007 to 2016 2008 2009 2010 2011 2012 2013 2014 2015 2016 Public: 25.8% 26.4% 27.5% 28.1% 29.2% 29.3% 29.7% 33.0% 35.1% 35.4% Medicare 14.0% 14.3% 14.6% 14.8% 15.1% 15.5% 15.9% 16.3% 16.7% 17.0% Medical Assistance 8.0% 8.4% 9.1% 10.3% 10.4% 15.6% MinnesotaCare 2.2% 2.3% 2.6% 2.7% 2.4% 1.3% 1.9% 1.7% GAMC 0.4% 0.5% 0.0% TRICARE 1.1% 1.0% 1.2% Private: 67.0% 66.3% 63.5% 62.9% 61.8% 62.0% 61.6% 60.7% 59.4% Fully-Insured 27.2% 27.1% 25.5% 23.8% 23.0% 22.9% 22.6% 22.4% 21.4% 21.0% Self-Insured 39.8% 39.3% 38.0% 39.1% 38.8% 39.4% 39.2% 38.4% Uninsured 7.2% 7.3% 9.0% 8.6% 8.2% 5.4% 4.3% 5.3% Total 100% Sources: MDH Health Economics Program; U.S. Census Bureau, Annual Estimates of the Population for July 1, 2017. GAMC not represented after 2010 due to program ending in 2011. Detail may not sum to total due to rounding.

Minnesota Primary Source of Insurance Coverage Year-Over-Year Changes, 2007 to 2016 2008 2009 2010 2011 2012 2013 2014 2015 2016 Public: 0.4% 2.9% 5.2% 3.0% 4.4% 1.2% 2.1% 11.6% 7.1% 1.6% Medicare 2.2% 2.7% 2.4% 2.5% 3.8% 3.3% 2.8% 3.1% Medical Assistance 5.1% 9.2% 0.9% 14.1% 1.1% 38.9% 8.9% MinnesotaCare -5.8% -0.1% 5.8% 11.7% 3.5% -13.0% -45.4% 47.9% -7.7% GAMC -42.7% 3.7% 16.4% 13.6% TRICARE -4.8% 5.4% 4.9% -1.0% -6.8% 0.1% -0.8% 1.8% Private 1.3% -0.3% -3.7% 0.0% -1.1% 1.0% 0.7% -1.4% Uninsured -1.5% 23.5% 1.4% -3.9% -34.0% -20.7% 24.3% Total 0.8% 0.6% Sources: MDH Health Economics Program; U.S. Census Bureau, Annual Estimates of the Population for July 1, 2017. Percentages are based on primary insurance coverage and may differ slightly from other sources, depending on how dual-coverage enrollment is determined. GAMC not represented after 2010 due to program ending in 2011. Detail may not sum to total due to rounding.

Uninsurance Rate Trends in Minnesota, 2008 to 2017 Sources: MDH Health Economics Program. Uninsurance rate estimates based on the 2009, 2011, 2013, 2015, and 2017 Minnesota Health Access (MNHA) Surveys. For years in which MNHA surveys are not available, MDH estimates the uninsurance rate based on between-survey average; the exception is the 2014 uninsurance rate, which is based on Minnesota estimates from national surveys due to major policy changes. Summary of graph

Private health insurance trends

Private Health Insurance: Enrollment in Fully- Insured and Self-Insured Plans, 2007 to 2016 Sources: MDH Health Economics Program; U.S. Census Bureau, Annual Estimates of the Population for July 1, 2017. Summary of graph

Minnesota's Small Group Market General Overview Distribution of Minnesota’s Private Health Insurance by Market Space, select years Sources: MDH Health Economics Program; U.S. Census Bureau, Annual Estimates of the Population for July 1, 2017. Excludes High Risk Pool population. Detail may not sum to total due to rounding. Summary of graph Minnesota Department of Health

Additional Information from the Health Economics Program Available Online Health Economics Program Home Page (www.health.state.mn.us/healtheconomics) Publications (heppublications.web.health.state.mn.us) Health Care Market Statistics (Chartbook Updates) (www.health.state.mn.us/data/economics/chartbook/index.html) A summary of the charts and graphs contained within is provided at Chartbook Summaries - Section 2. Direct links are listed on each page. Fully-insured includes MCHA (high-risk pool). Please contact the Health Economics Program at 651-201-3550 or health.hep@state.mn.us if additional assistance is needed for accessing this information.