Colorado Health Access Survey

Colorado Health Access

SurveyFirst 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

1. The ranks of Colorado’s uninsured are growing, even among those employed.

2. The ranks of the underinsured are growing as well.

3. Various populations are disproportionally impacted.

4. Fewer Coloradans have a “usual source of care.”

First Findings

2008-09 2011

678,000 Uninsured 829,000 uninsured

14% of population 16% of population

1. The number of uninsured is growing

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

0%20%40%60%80%

100%

20092011

Uninsured ColoradansRates of Uninsurance, Health Statistics Regions, Colorado, 2011

829,000 Coloradans

16% of population (2011)

Up from 678,000 Coloradans

14% of population (2008-2009)

Uninsured and Underinsured population, Colorado 2011

Under insuredUninsuredAll others

Nearly one third of Coloradans are un or underinsured.

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

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A Half Million Newly Insured:

Is Colorado Ready?Primary Care

Provider Needs following

Health Reform

Marketing, Education and Outreach Work Group

(MEOW)

December 13, 2011

14

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?

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Overview of results

Colorado New Visits and New Provider Estimates, 2016

Total Increased

Visits, Physician

s

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

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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

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Results: Newly insured Coloradans

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Where the results are available

www.coloradohealthinstitute.org/projects/NewlyInsured

Jeff Bontrager, MSPHDirector of Research on Coverage and Access

bontragerj@coloradohealthinstitute.org

http://www.cohealthaccesssurvey.org/

Thank You

www.coloradohealthinstitute.org/projects/NewlyInsured