Measuring Racial and Ethnic Disparities in Health Insurance on the Eve of Health Care Reform: Using Health- and Insurance-specific Life Expectancies as.

Slides:

Advertisements

Similar presentations

THE COMMONWEALTH FUND. THE COMMONWEALTH FUND 2 Purpose The goal of this chartbook is to create an easily accessible resource that can help policy makers,

Advertisements

1 Does Disadvantage Start at Home? Racial and Ethnic Disparities in Early Childhood Home Routines, Safety, and Educational Practices/Resources Glenn Flores,

1 Unequal Treatment for Young Children? Racial and Ethnic Disparities in Early Childhood Health and Healthcare Glenn Flores, MD, 1 Sandy Tomany, MS 1 and.

Health Insurance Coverage and Access to Care for Communities of Color Presentation for the Health Disparities Council Kate Nordahl Assistant Commissioner.

Overview of Health Care Coverage and Cost Trends in Minnesota Presentation to the State Budget Trends Study Commission April 22, 2008 Julie Sonier Director,

Access to health care among Hispanic/Latino children: U.S., by: Gulnur Scott, M.P.A. Hanyu Ni, Ph.D. U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES.

North Carolina Aging Demographics

National Healthcare Quality and Disparities Report Chartbook on Access to Health Care.

1 Health Status and The Retirement Decision Among the Early-Retirement-Age Population Shailesh Bhandari Economist Labor Force Statistics Branch Housing.

Exhibit 1. Continuously insured adults with private coverage or Medicaid rated the quality of their health care as excellent or very good at higher rates.

Marital Disruption and the Risk of Losing Health Insurance Coverage James Kirby AHRQ.

Agency for Healthcare Research and Quality Advancing Excellence in Health Care Trends in the.

Trends in Health and Aging Major Trends and Patterns in Health and Aging July 2007.

Disparities in Cancer September 22, Introduction Despite notable advances in cancer prevention, screening, and treatment, a disproportionate number.

1. Number of Hispanic employees in construction, selected years,

TABLE OF CONTENTS CHAPTER 7.0: Community Health Indicators Chart 7.1: U.S. Population Trends and Projections by Age, 1980 – 2050 Chart 7.2: U.S. Population.

The Primary Care Experience of Hispanic Children: Current Disparities and Trends in Access to and Quality of Care William Freeman, MPH Health Scientist.

1. Percent change in employment, (Seasonally adjusted: private wage-and-salary workers) Source: U.S. Bureau of Labor Statistics, Current.

CARDIOVASCULAR DISEASE National Healthcare Quality and Disparities Report Chartbook on Effective Treatment.

Exhibit 1. Uninsured Rates for Blacks and Hispanics Are One-and-a-Half to Two Times Higher Than for Whites (2013) Notes: Black and white refer to black.

Chart 7.1: U.S. Population Trends and Projections by Age, 1980 – 2060 (1) Source: U.S. Department of Commerce, Bureau of the Census. Projections of the.

TABLE OF CONTENTS CHAPTER 7.0: Community Health Indicators Chart 7.1: U.S. Population Trends and Projections by Age, Chart 7.2: U.S. Population.

Disparities in the Adequacy of Depression Treatment in the United States Jeffrey S. Harman, Ph.D. University of Florida Mark J. Edlund, M.D., Ph.D. John.

Available Data on Alaska’s Uninsured December 2006 Health Planning & Systems Development Unit Office of the Commissioner Alaska Department of Health &

Using Data to Move Toward Health Equity in Michigan Michigan Department of Community Health Health Disparities Reduction/Minority Health Section Division.

TABLE OF CONTENTS CHAPTER 7.0: Community Health Indicators Chart 7.1: U.S. Population Trends and Projections by Age, 1980 – 2050 Chart 7.2: U.S. Population.

Eve Powell-Griner, PhD National Center for Health Statistics Centers for Disease Control and Prevention National Center for Health Statistics Overview.

DIABETES National Healthcare Quality and Disparities Report Chartbook on Effective Treatment.

Chart 7.1: U.S. Population Trends and Projections by Age, 1980 – 2060 (1) Source: U.S. Department of Commerce, Bureau of the Census. Projections of the.

A-50 Table 7.1: U.S. Population Trends and Projections (1) by Age, 1980 – 2050 Source: U.S. Department of Commerce, Bureau of the Census. U.S. Interim.

Exploring The Determinants Of Racial & Ethnic Disparities In Total Knee Arthroplasty: Health Insurance, Income And Assets Amresh Hanchate, PhD Health Care.

CLINICAL PREVENTIVE SERVICES Chartbook on Healthy Living.

Healthy People 2010 Focus Area 1 Access to Quality Health Services Progress Review June 4, 2002.

Jane F. Gentleman, PhD Hanyu Ni, PhD U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Health.

Arnold School of Public Health Health Services, Policy, and Management 1 Drug Treatment Disparities Among African Americans Living with HIV/AIDS Carleen.

REVIEW OF NEW DATA FROM THE AMERICAN COMMUNITY SURVEY ON RATES OF INSURANCE AND INCOME DISTRIBUTION FOR ALASKA NATIVES AND AMERICAN INDIANS 33.

Obesity, Medication Use and Expenditures among Nonelderly Adults with Asthma Eric M. Sarpong AHRQ Conference September 10, 2012.

Gateway to the Future: Improving the National Vital Statistics System St. Louis, MO June 6 th – June 10 th, 2010 Is There Progress Toward Eliminating Racial/Ethnic.

Differences in Access to Care for Asian and White Adults Merrile Sing, Ph.D. September 8, 2008.

Building Wave Response Rates in a Longitudinal Survey: Essential for Nonsampling Error Reduction or Last In - First Out? Steven B. Cohen Fred Rohde and.

Entrances and Exits: Health Insurance Churning Sherry Glied, PhD Kathryn Klein, BA Danielle Ferry, BA Supported by a grant from The Commonwealth.

Focus Area 21: Oral Health Progress Review Richard J. Klein National Center for Health Statistics February 7, 2008.

June 24, 2003 Health Communications Progress Review Focus Area 11.

Hospital Safety: Do race and ethnicity matter? Ernest Moy, MD, MPH Elizabeth Dayton, MA Roxanne Andrews, PhD The Agency for Healthcare Research and Quality.

Community Nutrition l What is community nutrition? What is health? l CN and trends in healthcare l Risk reduction and disease prevention.

Agency for Healthcare Research and Quality Booth #60.

Reducing Health Disparities Through Research & Translation Programs Francis D. Chesley, Jr., M.D. Francis D. Chesley, Jr., M.D. Director, Office of Extramural.

Healthy People 2010 Focus Area 2 Arthritis, Osteoporosis, and Chronic Back Conditions Progress Review September 18, 2002.

A-50 Table 7.1: U.S. Population Trends and Projections (1) by Age, 1980 – 2050 Source: U.S. Department of Commerce, Bureau of the Census. Projections.

Fast Facts: Latinos and Health Care For more information, please contact: Kara D. Ryan, Health Policy Research Analyst Office of Research, Advocacy, and.

Medicaid and the 4 A’s: Use of 1115 Waivers and State Plan Amendments American Cancer Society Washington, Dc June 5, 2008 Erin Reidy

Explaining Racial and Ethnic Differences in Children’s Use of Stimulant Medications J.L. Hudson G.E. Miller J.B. Kirby September 8, 2008.

Trends in childhood asthma: NCHS data on prevalence, health care use and mortality Susan Lukacs, DO, MSPH Lara Akinbami, MD Infant, Child and Women’s Health.

Defining and measuring disparities, inequities, and inequalities in the Healthy People initiative Richard Klein MPH, David Huang, Ph.D. National Center.

REVIEW OF NEW DATA FROM THE AMERICAN COMMUNITY SURVEY ON RATES OF INSURANCE AND INCOME DISTRIBUTION FOR ALASKA NATIVES AND AMERICAN INDIANS 33.

CANCER National Healthcare Quality and Disparities Report Chartbook on Effective Treatment.

Measuring Healthy Life Expectancy for the U.S. Population in Man-Huei Chang, MPH Division of Epidemiologic and Analytic Methods for Population.

Healthy People 2010 Focus Area 1: Access to Quality Health Services Progress Review June 15, 2006.

Healthy People 2010 Focus Area 5: Diabetes Progress Review October 20, 2006.

A-52 Table 7.1: U.S. Population Trends and Projections by Age, 1980 – 2060 (1) Source: U.S. Department of Commerce, Bureau of the Census. Projections.

Section I: Characteristics of Construction Workers

Jennie J Kronenfeld. PhD Arizona State University

Impact of SCHIP on Racial Disparities in Medicaid Enrollment and Prenatal Care Initiation among Pregnant Teens and Young Adults in Florida Tzy-Mey Kuo,

How do health expenditures vary across the population?

Community Health Indicators

Percent of Total Health Care Spending

Colorado Health Access Survey

Health Insurance Coverage and Uninsured Trends

How do health expenditures vary across the population?

Presentation transcript:

Measuring Racial and Ethnic Disparities in Health Insurance on the Eve of Health Care Reform: Using Health- and Insurance-specific Life Expectancies as Benchmarks for Progress Toshiko Kaneda Population Reference Bureau James B. Kirby Agency for Healthcare Research and Quality

Motivation Current measures are point-in-time or short duration They do not consider health and insurance states jointly – “double jeopardy” of being uninsured & in need of medical care Life course is the appropriate time frame for measuring disadvantage in insurance coverage and “double jeopardy”

Objectives Estimate life expectancies in different health-specific insurance states for – Non-Hispanic Whites – Non-Hispanic Blacks – Hispanics Separate analysis by sex

Data 2006 Vital Statistics – Abridged period life tables, NCHS 2006 Medical Expenditure Panel Survey (MEPS), AHRQ

Measures Health insurance (MEPS) – Monthly indicators of private insurance, Medicare, Medicaid, and no insurance Subjective health (MEPS) – Excellent or very good vs. good, fair or poor Race & Ethnicity (MEPS & Vital Statistics) – NH Whites – NH Blacks – Hispanics (of any race)

Analytic Approach 1. Construct abridged period life tables for each racial/ethnic group 2. Calculate the age-specific proportion of individuals in different health-specific insurance states at mid-year 3. Partition the number of person-years lived (L x ), and complete all life table functions for each state (T x and e x )

Proportion Uninsured by Age, Mid-year 2006

Life Expectancy in Four Insurance Categories by Race/Ethnicity,

Less Healthy Life Expectancy in Four Insurance States,

Summary & Conclusion Health- and insurance-specific life expectancies capture: – Duration of exposure to different insurance & health states (e.g. “double jeopardy”) – Racial/ethnic disparities in health and insurance coverage with a meaningful unit – Measures can serve as a baseline prior to reforms in 2014