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This research is funded in part through a U.S. Health Resources and Services Administration, State Planning Grant to the Hawaii State Department of Health.

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Presentation on theme: "This research is funded in part through a U.S. Health Resources and Services Administration, State Planning Grant to the Hawaii State Department of Health."— Presentation transcript:

1 This research is funded in part through a U.S. Health Resources and Services Administration, State Planning Grant to the Hawaii State Department of Health. Sub-Contract Research Corporation of the University of Hawaii. Research conducted by the University of Hawaii, Social Science Research Institute in collaboration with the Hawaii State Department of Health, Hawaii Institute for Public Affairs: Hawaii Uninsured Project and the Hawaii Health Information Corporation. 1 Uninsured Hawai`i Population Overview: Children Age 0-18 Children Age 0-17 Gerard Russo, Ph.D. Sang-Hyop Lee, Ph.D. Lawrence Nitz, Ph.D. Thamana Lekprichakul, Ph.D. Rui Wang, Ph.D. Candidate University of Hawai`i at Mānoa Kathleen Baker, Ph.D., Hawaii Department of Health HRSA SPG Technical Workshop VII 13 October 2005

2 Preliminary results. Revised October 2005. Subject to further revision. 2 Percent Without Health Insurance, Hawai`i: Current Population Survey (CPS) 1988-2005 Hawai`i Health Survey (HHS) 1997-2003 Behavioral Risk Factor Surveillance System (BRFSS) 1994-2003 Note: U.S. Census Bureau CPS definition of uninsured is no health insurance in the entire 12-month period of the preceding year. CPS Verification question added March 2001. Hawaii State Department of Health definition of uninsured is no health insurance at the time of the interview. BRFSS surveys adults only. Sources: Current Population Survey (CPS), Annual Social and Economic (ASEC) Supplements (Annual Demographic Supplements), 1988-2005 Public Use Files, Hawaii Sample. Hawaii State Department of Health, Hawaii Health Survey, 1997-2003 Confidential Version and Behavioral Risk Factor Surveillance System, 1994-2003 Confidential Version. Weighted tabulations. University of Hawaii, Social Science Research Institute. October 2005. CPS estimates based on March Supplement population weights.

3 13 October 2005Preliminary results. Revised October 2005. Subject to further revision. 3 Hawaii Uninsured Population: Multi-Year Survey Averages with 95% Confidence Intervals CPS 2003-2005 (3-year Average) Persons Age 0-99 HHS 1997-2002 (6-year Average) Persons Age 0-99 BRFSS 2000-2003 (4-year Average) Persons Age 18-99

4 13 October 2005Preliminary results. Revised October 2005. Subject to further revision. 4 Percent Without Health Insurance, Hawai`i with 95% Confidence Intervals: Current Population Survey (CPS) 1994-2005

5 13 October 2005Preliminary results. Revised October 2005. Subject to further revision. 5 Uninsured Persons Hawai ` i 1993-2004: Current Population Survey 1994-2005

6 13 October 2005Preliminary results. Revised October 2005. Subject to further revision. 6 Table 1: Hawaii Uninsured Population: CPS 2001 – 2005 Survey Year Total Population Uninsured Population Standard Error 95% Confidence Interval Percent Uninsured Standard Error 95% Confidence Interval Lower Limit Upper Limit Lower Limit Upper Limit 20011,155,864116,00618,16480,303151,70910.04%1.49%7.11%12.96% 20021,213,328116,90410,79195,730138,0779.63%0.83%8.00%11.27% 20031,224,275122,80310,421102,356143,25110.03%0.81%8.44%11.63% 20041,253,067127,69111,051106,008149,37410.19%0.84%8.55%11.83% 20051,249,806120,29110,68599,327141,2569.62%0.81%8.04%11.21% Source: U.S. Census Bureau, Current Population Survey (CPS), Annual Social and Economic (ASEC) Supplement, Hawaii Sample (2001-2005). Weighted tabulations, University of Hawai`i at Mānoa.

7 13 October 2005Preliminary results. Revised October 2005. Subject to further revision. 7 Age Distribution of Hawai`i’s Uninsured Population: CPS 2003- 2005, 3-year Average 123,595 22,580 99,408 1,607

8 13 October 2005Preliminary results. Revised October 2005. Subject to further revision. 8 Uninsured Hawaii Children Age 0-18: with 95% Confidence Intervals CPS Survey Years 2001-2005

9 13 October 2005Preliminary results. Revised October 2005. Subject to further revision. 9 Percent Uninsured: Hawaii Children Age 0-18 with 95% Confidence Intervals CPS Survey Years 2001-2005

10 13 October 2005Preliminary results. Revised October 2005. Subject to further revision. 10 Highlights Children Age 0-18: CPS 2003-2005 22,580 Uninsured Children Age 0-18 High Estimate=27,270 Low Estimate=17,890 16,920 appear to be Income Eligible for Free Medical Assistance under Medicaid, QUEST, SCHIP or Immigrant Children Program. 7% of all Children Age 0-18 are Uninsured

11 13 October 2005Preliminary results. Revised October 2005. Subject to further revision. 11 Number of Uninsured Children, Hawaii: Age 0-18 Survey (Years)Uninsured Children Age 0-18 CPS 2003-2005 (3-year average) 22,580 HHS 2001-2003 (3-year average) 10,461

12 13 October 2005Preliminary results. Revised October 2005. Subject to further revision. 12 Number of Uninsured Children, Hawaii: Age 0-17 Survey (Years)Uninsured Children Age 0-17 CPS 2003-2005 (3-year average) 21,240 HHS 2001-2003 (3-year average) 9,018 SLAITS-NSCH 1/2003-7/2004 (1 year) 15,295 SLAITS-CSHCN 2000- 2002 (1 year) 11,093

13 13 October 2005Preliminary results. Revised October 2005. Subject to further revision. 13 Hawai ` i Population: Children Age 0-18 by Eligibility, 2001-2003 (3-Year Average) Survey Year Medicaid QUEST Income Eligible SCHIP Income Eligible 201- 300% FPL 301% + FPL Total CPS 2002-2004 87,94870,32066,331106,926331,526 HHS 2001-2003 64,16067,95868,582108,010308,711

14 13 October 2005Preliminary results. Revised October 2005. Subject to further revision. 14 Comparison of CPS, HHS and SLAITS (age 0-17) Survey Year Medicaid QUEST Income Eligible SCHIP Income Eligible 201- 300% FPL 301% + FPL Total CPS 2002-2004 85,01267,10063,717101,037316,866 HHS 2001-2003 60,94164,57364,928101,367291,810 SLAITS-NSCH 1/2003-7/2004 65,23860,25456,438114,169296,099 SLAITS- CSHCN 2000-2002 60,08073,45962,53099,875295,944 Note: SLAITS and HHS Estimates Based on UHM Imputation for Missing Data

15 13 October 2005Preliminary results. Revised October 2005. Subject to further revision. 15 2005 US HHS Poverty Guidelines: Hawaii vs. 48 Contiguous States & DC Family SizeHawaii Annual Family Income 48 Contiguous States & DC Annual Family Income 1$11,010$9,570 2$14,760$12,830 3$18,510$16,090 4$22,260$19,350 5$26,010$22,610 6$29,760$25,870 7$33,510$29,130 8$37,260$32,390 Note: For Hawaii family size more than 8 persons add $3,750 for each additional person. For Mainland family size more than 8 persons add $3,260 for each additional person. Source: Federal Register, Vol.70, No.3. http://aspe.hhs.gov/poverty/05fedreg.pdfhttp://aspe.hhs.gov/poverty/05fedreg.pdf

16 13 October 2005Preliminary results. Revised October 2005. Subject to further revision. 16 SCHIP Federal Medical Assistance Percentage: Hawaii 2000-2005 Enhanced Federal Medical Assistance Percentage (FMAP): Hawaii 2000-2005 Federal Fiscal Year (FFY)Enhanced FMAP: SCHIP 200065.71% 200167.70% 200269.44% 200371.14% 200471.23% 200570.93% Source: Federal Register

17 13 October 2005Preliminary results. Revised October 2005. Subject to further revision. 17 Hawai ` i SCHIP Program Eligibility by Age and Federal Poverty Level

18 13 October 2005Preliminary results. Revised October 2005. Subject to further revision. 18 Uninsured Hawaii Children Age 0-18 by Income Eligibility: CPS 2001-2005 Survey Year Total Children 0-200% FPL Uninsured Children 0-200% FPL Percent Uninsured 0-200% FPL Children > 200% FPL Uninsured Children > 200% FPL Percent Uninsured > 200% FPL 2001294,828132,87922,65117.05%161,9487,2074.45% 2002326,952169,73121,20712.49%157,22110,1246.44% 2003340,545154,02015,2579.91%186,52510,7395.76% 2004327,080140,86015,20810.80%186,2209,8515.29% 2005301,951119,8619,4267.86%182,0907,2593.99% Source: U.S. Census Bureau, Current Population Survey (CPS), Annual Social and Economic (ASEC) Supplement, Hawaii Sample (2001-2005). Weighted tabulations, University of Hawai`i at Mānoa.

19 13 October 2005Preliminary results. Revised October 2005. Subject to further revision. 19 Uninsured Children by Program Eligibility: CPS 2001-2005 Survey Year EligibilityChildren Std. Err. 95% Conf. Int.UninsuredStd. Err.95% Conf. Int.PercentStd. Err.95% Conf. Int. 2001Medicaid77,5487,60062,17692,92014,4265,6163,06725,78518.60%6.90%4.64%32.56% 2002Medicaid90,9046,51678,005103,80214,1753,7336,78621,56515.59%3.95%7.77%23.42% 2003Medicaid84,6714,78275,18894,1539,6742,7154,29015,05711.43%3.22%5.04%17.81% 2004Medicaid81,9005,12871,73592,06410,5413,0424,51216,56912.87%3.65%5.64%20.10% 2005Medicaid56,9113,79249,37964,4446,8552,2112,46311,24612.04%3.81%4.48%19.61% 2001SCHIP55,3325,24344,57566,0898,2254,759017,98914.86%8.24%0.00%31.77% 2002SCHIP78,8274,51469,87387,7827,0322,4242,22411,8408.92%3.08%2.82%15.02% 2003SCHIP69,3494,21960,95577,7445,5831,7052,1908,9768.05%2.59%2.91%13.19% 2004SCHIP58,9604,38050,24767,6734,6682,2631679,1697.92%3.76%0.43%15.40% 2005SCHIP62,9504,21554,58071,3202,5711,285205,1224.08%2.03%0.05%8.12% 2001201-300%61,4944,78851,81771,1712,5491,78006,1454.14%2.93%0.00%10.07% 2002201-300%63,3344,27154,84771,8225,4132,0921,2559,5718.55%3.28%2.04%15.06% 2003201-300%62,6473,73655,22470,0707,6722,3702,96212,38212.25%3.78%4.73%19.76% 2004201-300%71,9423,20365,59378,2903,9341,7824027,4665.47%2.46%0.60%10.34% 2005201-300%65,3823,59858,24572,5183,7251,5037456,7055.70%2.30%1.14%10.25% 2001>300% FPL100,4546,91286,624114,2854,6583,347011,3564.64%3.26%0.00%11.17% 2002>300% FPL93,8873,87286,240101,5344,7111,5221,7067,7175.02%1.62%1.81%8.22% 2003>300% FPL123,8794,915114,180133,5773,0681,2675665,5692.48%1.03%0.44%4.51% 2004>300% FPL114,2794,940104,535124,0235,9171,9442,0839,7505.18%1.70%1.82%8.53% 2005>300% FPL116,7084,978106,892126,5243,5341,2181,1325,9363.03%1.06%0.93%5.12% Source: The Current Population Survey (2001-2005). Weighted tabulations, University of Hawai`i at Mānoa. Hawai ` i Children Age 0-18 by Medicaid-QUEST & SCHIP Program Eligibility: CPS 2001-2005

20 13 October 2005Preliminary results. Revised October 2005. Subject to further revision. 20 Hawaii Children by Program Eligibility: CPS 2001-2005 3-Year Moving Averages Survey YearEligibilityChildrenStd. Err.95% Conf. Int.UninsuredStd. Err.95% Conf. Int.Percent Std. Err. 95% Conf. Int. 2001 - 2003Medicaid84,3744,32975,85092,89812,7582,4577,92017,59615.12%2.76%9.68%20.56% 2002 - 2004Medicaid85,8253,18679,55892,09111,4631,8387,84715,07913.36%2.10%9.23%17.49% 2003 - 2005Medicaid74,4942,68769,20779,7809,0231,5425,98912,05712.11%2.05%8.08%16.14% 2001 - 2003SCHIP67,8363,30561,32274,3506,9471,8833,23510,65810.24%2.69%4.93%15.55% 2002 - 2004SCHIP69,0452,53264,06174,0305,7611,2393,3228,2008.34%1.80%4.80%11.89% 2003 - 2005SCHIP63,7532,49058,85068,6554,2741,0372,2326,3166.70%1.63%3.50%9.91% 2001 - 2003201-300%62,4922,90056,77668,2075,2111,2052,8377,5868.34%1.95%4.49%12.19% 2002 - 2004201-300%65,9742,17061,70470,2455,6731,2113,2898,0578.60%1.82%5.01%12.19% 2003 - 2005201-300%66,6572,03162,66170,6525,1101,1122,9227,2997.67%1.66%4.40%10.93% 2001 - 2003>300% FPL106,0733,97198,267113,8794,1461,2961,5986,6943.91%1.20%1.54%6.27% 2002 - 2004>300% FPL110,6812,682105,412115,9514,5659242,7496,3814.12%0.84%2.48%5.77% 2003 - 2005>300% FPL118,2892,882112,629123,9484,1738742,4575,8893.53%0.74%2.07%4.99% Source: The Current Population Survey (2001-2005). Weighted tabulations, University of Hawai`i at Mānoa. Hawai ` i Children Age 0-18 by Medicaid-QUEST & SCHIP Program Eligibility: CPS 2001-2005 3-Year Moving Averages

21 13 October 2005Preliminary results. Revised October 2005. Subject to further revision. 21 Uninsured Children Age 0-18 by Income Eligibility with 95% Confidence Intervals: CPS 2003-2005, 3-Year Average NOTE: Based on CPS Verification Question

22 13 October 2005Preliminary results. Revised October 2005. Subject to further revision. 22 Percent Uninsured Children Age 0-18 by Income Eligibility with 95% Confidence Intervals: CPS 2003-2005, 3-Year Average NOTE: Based on CPS Verification Question

23 13 October 2005Preliminary results. Revised October 2005. Subject to further revision. 23 Uninsured Hawai ` i Children Age 0-18 by Income Eligibility Before and After July 1 2000 Expansion. Survey Year Medicaid QUEST Income Eligible SCHIP Income Eligible 201- 300% FPL 301%+ FPL Total HHS 1998-1999 4,9623,7682,8442,34713,920 HHS 2001-2003 3,2884,0511,5771,71210,568

24 13 October 2005Preliminary results. Revised October 2005. Subject to further revision. 24 Mahalo! This research is funded in part by U.S. Department of Health and Human Services Health Resources & Services Administration State Planning Grant Hawaii State Department of Health.

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