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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, Prime Contract No. 1 P09 OA 00046-01. Sub-Contract Research Corporation of the University of Hawaii, Project No. 659075. 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. Labor Market Effects of the Pre-Paid Health Care Act of 1974: Estimates from the CPS 1988-2003 Sang-Hyop Lee Gerard Russo Lawrence Nitz Abdul Jabbar University of Hawai`i at Mānoa Hawai`i Coverage for All Project 29 March 2004

2 Preliminary results. Please do not quote without permission. Research Questions What is the impact of PHCA on hours worked? What is the impact of PHCA on insurance coverage?

3 Preliminary results. Please do not quote without permission. Data and Method Current Population Survey (CPS) March Demographic Supplement 1988-2003 Two separate analyses: 1988-1993 and 1994-2003 Analyze the performance of Hawaiian system after implementation of the PHCA relative to the other states and US US, Hawaii, Nevada, Michigan, California, and Florida Counter-factual analysis.

4 Preliminary results. Please do not quote without permission. Percent Insured by Type of Insurance, CPS 1994-2003 (%) Insured UninsuredTotal PublicPrivate MedicareMedicaid Sub TotalEmp. Sub TotalInsured Hawaii13.111.032.165.873.690.59.5100.0 US13.211.325.461.670.684.815.2100.0 Nevada12.416.820.964.471.682.317.7100.0 Michigan13.211.824.569.977.989.210.8100.0 California 10.9 14.425.654.762.880.020.0100.0 Florida18.110.629.853.865.281.918.1100.0

5 Preliminary results. Please do not quote without permission. Percent Insured by Type of Insurance, CPS 1988-1993 (%) Insured UninsuredTotal PublicPrivate MedicareMedicaid Sub TotalEmp. Sub TotalInsured Hawaii11.47.130.163.877.592.57.5100.0 US12.99.624.360.673.586.213.8100.0 Nevada10.74.919.761.572.581.518.5100.0 Michigan12.512.325.268.078.991.38.7100.0 California 10.9 12.325.254.666.381.518.5100.0 Florida17.68.429.651.968.081.918.1100.0

6 Preliminary results. Please do not quote without permission. Percent Distribution of Employees by Hours Worked: CPS 1994-2003

7 Preliminary results. Please do not quote without permission. Percent Distribution of Employees by Hours Worked: CPS 1988-1993

8 Preliminary results. Please do not quote without permission. Estimating the effect of PHCA Methodology: multinomial logit model Three categories: uninsured, employment based insurance, or other insurance Predictor variables: age, sex, income, working hours, ethnicity, industry of employment, and collective bargaining. Predict the effect of hours worked on probability in coverage: impact working hours holding other characteristics constant.

9 Preliminary results. Please do not quote without permission. The effect of PHCA on the percent uninsured: CPS 1994-2003

10 Preliminary results. Please do not quote without permission. The effect of PHCA on the percent covered by employment-based insurance: CPS 1994-2003

11 Preliminary results. Please do not quote without permission. The effect of PHCA on the percent covered by non-employment based insurance: CPS 1994-2003

12 Preliminary results. Please do not quote without permission. The effect of PHCA on the percent uninsured: CPS 1988-1993

13 Preliminary results. Please do not quote without permission. The effect of PHCA on the percent covered by employment-based insurance: CPS 1988-1993

14 Preliminary results. Please do not quote without permission. The effect of PHCA on the percent covered by non-employment based insurance: CPS 1988-1993

15 Preliminary results. Please do not quote without permission. Conclusion 1) PHCA increased the employer-provided health insurance coverage for full-time workers. 2) There has been changes in the distribution of health insurance by working hours. 3) Some workers who are unable to find full- time jobs with health insurance might have switched to other types of insurance. 4) Results from 88-93 are different than 94-03.

16 Preliminary results. Please do not quote without permission. 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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