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ColoradoSHAP Grantee Chartbook
Health Insurance Coverage Estimatesfrom the 2008 American Community Survey (ACS)
Prepared for:
State Health Access Program (SHAP)
Last Updated: July 21, 2010
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This chartbook was prepared for the U.S. Department of Health and Human Services
Health Resources and Services Administrations State Health Access Program (SHAP) by the
State Health Access Data Assistance Center (SHADAC).
5600 Fishers Lane
Rockville, MD 20857
HRSA Contact Person
Michelle Herzog
Ph. 301-443-0650
Email.mherzog@hrsa.gov
2221 University Ave SE, Suite 345
Minneapolis, MN 55414
Ph. 612-624-4802
Fax. 612-624-1493
Email.shadac@umn.edu
www.shadac.org/shap
Colorado SHAP Grantee Organization:Colorado Department of Health Care Policy and Financing
Project Director
Susan Williamson
Ph. 303-866-2618
Email. susan.williamson@state.co.us
mailto:mherzog@hrsa.govmailto:mherzog@hrsa.govmailto:mherzog@hrsa.govmailto:shadac@umn.edumailto:shadac@umn.edumailto:shadac@umn.edumailto:shadac@umn.edumailto:mherzog@hrsa.gov8/9/2019 Colorado State Chartbook
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Table of Contents PageIntroduction .................................................................................................................................................. 1
Summary Statistics ........................................................................................................................................ 1
Exhibit 1: Any Source of Health Insurance Coverage by Poverty Level, Age 0-64, ACS2008 ......................................................................................................................................................... 1
Maps and Data Tables ................................................................................................................................... 2
Exhibit 2.1: Sub-State Uninsurance Estimates, Age 0-64, ACS 2008 ....................................................... 3
Exhibit 2.2: Demographic Profile by Source of Health Insurance Coverage, Age 0-64,
ACS 2008 .................................................................................................................................................. 4
Exhibit 2.3: Sub-State Uninsurance Estimates, Age 0-64,
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Introduction
This chartbook of health insurance coverage estimates is designed to be an easily accessed resource for
State Health Access Program (SHAP) grantees. Estimates for key population groups within your state
are provided in summary map format, with detailed tables for reference. Data provided in thischartbook are from the 2008 American Community Survey (ACS).
Your chartbook includes the following information for your state:
Maps of uninsurance estimates for children and adults, as well as children and adults under200% FPL
Tables of health insurance coverage estimates for the above mentioned population groups, withvariance information
County-level estimates of uninsurance Demographic profiles of state populations
Summary Statistics
Any source of health insurance coverage for Colorado is shown in Exhibit 1. In 2008, 81.3% of the total
population age 0-64 had health insurance coverage. Nearly three quarters (72.6%) had private
coverage, while 10.7% reported having government coverage. This is in contrast to individuals under
200% of the Federal Poverty Level (FPL), of which only 61.9% had insurance, with 38.4% having private
coverage, and 25.3% having government coverage.
Exhibit 1: Any Source of Health Insurance Coverage by Poverty Level, Age 0-64, ACS 2008
Source: U.S. Census Bureau, 2008 American Community Survey.
Note: Those who report multiple types of insurance coverage (i.e., private or public) are
included in each category; therefore, totals may add to more than 100 percent.
18.7%
81.3%
72.6%
10.7%
38.1%
61.9%
38.4%
25.3%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
Uninsured Insured Private Coverage Government
Coverage
Total < 200% FPL
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Maps and Data Tables
Detailed uninsurance estimates begin with Exhibit 2.1. Each subpopulation is shown as a map, followed
by a detailed table. The estimates in the tables provide percent and standard error (for calculation of
confidence intervals). Additional subgroup estimates are available upon request.
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Exhibit2.1
:Sub-StateUninsuranceEstimates,Age0-6
4,
ACS2008
Source:U.S.CensusBurea
u,2008AmericanCommunitySurvey.
*Statisticallydifferentfromt
hestateuninsuranceestimateforpeop
leage0-64(18.7%).
Note:Sub-stateestimates
aretypicallycollectionsofcountiesandreflectthelowestlevelof
geographyavailableforasingleyearofACSdata.Inmostmetroare
assub-countyestimates
areavailable,
butwherepossiblethesub-countyestimatesareaggregatedtothecounty.
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Exhibit2.3
:Sub-StateUninsuranceEstimates,Age0-64,
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Exhibit 2.4: Demographic Profile by Source of Health Insurance Coverage,
Age 0-64,
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Exhibit 2.5: Sub-State Uninsurance Estimates, Age 0-64 by Federal Poverty Level (FPL), ACS 2008
All PovertyLevels
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Definitions: % = Percent; SE = Standard Error
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a
single year of ACS data. In most metro areas sub-county estimates are available, but where possible the sub-county
estimates are aggregated to the county.
* Statistically different from the state uninsurance estimate for population group (Age 0-64, 18.7%; Age 0-64
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Exhibit3.1
:Sub-StateUninsuranceEstimates,Age0-1
8,
ACS2008
Source:U.S.CensusBurea
u,2008AmericanCommunitySurvey.
*Statisticallydifferentfrom
thestateuninsuranceestimateforpeop
leage0-18(14.2%).
^Dataaresuppressedforsub-stateareaswithfewerthan50observ
ations.
Note:Sub-stateestimates
aretypicallycollectionsofcountiesandre
flectthelowestlevelof
geographyavailableforas
ingleyearofACSdata.Inmostmetroare
assub-countyestimates
areavailable,
butwherepossiblethesub-countyestimatesareaggre
gatedtothecounty.
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Exhibit 3.2: Demographic Profile by Source of Health Insurance Coverage, Age 0-18, ACS 2008
Definitions: % = Percent; SE = Standard Error
Note: Counts are presented in thousands.
Source: U.S. Census Bureau, 2008 American Community Survey.
Population Uninsured Insured PrivateCoverage
GovernmentCoverage
(000) % SE % SE % SE % SE
Race and Ethnic i ty
Hispanic 369 27.2 1.63 72.8 1.63 41.9 1.68 32.1 1.61
White Alone 766 8.5 0.53 91.5 0.53 81.8 0.77 10.9 0.66
Black Alone 47 9.3 2.23 90.7 2.23 57.6 4.39 36.2 4.35
Asian Alone 30 10.6 2.88 89.4 2.88 78.8 4.44 11.6 3.80
Mult ip le/other
non-Hispanic61 12.3 2.39 87.7 2.39 71.1 3.25 18.4 2.80
Tota l 1,272 14.2 0.63 85.8 0.63 68.8 0.82 18.4 0.68
Ag e0-18 1,272 14.2 0.63 85.8 0.63 68.8 0.82 18.4 0.68
19-24 -- -- -- -- -- -- -- -- --
25-44 -- -- -- -- -- -- -- -- --
45-64 -- -- -- -- -- -- -- -- --
Tota l 1,272 14.2 0.63 85.8 0.63 68.8 0.82 18.4 0.68
Poverty Level
0 -99% FPL 186 29.8 2.35 70.2 2.35 22.0 1.94 49.6 2.49
100-199% FPL 242 26.6 1.86 73.4 1.86 41.0 2.01 33.7 1.93
200-399% FPL 412 10.7 0.84 89.3 0.84 80.8 1.12 10.1 0.91
400%+ FPL 410 2.8 0.38 97.2 0.38 95.2 0.52 3.0 0.37
Tota l 1,250 14.1 0.63 85.9 0.63 69.0 0.83 18.2 0.69
Se x
Male 655 14.6 0.76 85.4 0.76 68.0 0.97 18.6 0.81
Female 618 13.7 0.75 86.3 0.75 69.6 1.00 18.2 0.85
Tota l 1,272 14.2 0.63 85.8 0.63 68.8 0.82 18.4 0.68
Work Status
Not work ing 21 18.9 4.13 81.1 4.13 73.0 4.30 9.7 2.15
Part -t ime 37 18.9 2.79 81.1 2.79 77.9 2.87 4.0 1.11
F u l l - t i m e 11 19.4 5.32 80.6 5.32 74.1 5.65 6.5 2.84
Tota l 69 19.0 2.22 81.0 2.22 75.8 2.30 6.1 0.99
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Exhibit3.3
:Sub-StateUninsuranceEstimates,Age0-18,
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Exhibit 3.4: Demographic Profile by Source of Health Insurance Coverage,
Age 0-18,
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Exhibit 3.5: Sub-State Uninsurance Estimates, Age 0-18 by Federal Poverty Level (FPL), ACS 2008
All PovertyLevels
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Definitions: % = Percent; SE = Standard Error
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a
single year of ACS data. In most metro areas sub-county estimates are available, but where possible the sub-county
estimates are aggregated to the county.
* Statistically different from the state uninsurance estimate for population group (Age 0-18, 14.2%; Age 0-18
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Exhibit4.1
:Sub-Stat
eUninsuranceEstimates,Age19-64,
ACS2008
Source:U.S.CensusBurea
u,2008AmericanCommunitySurvey.
*Statisticallydifferentfrom
thestateuninsuranceestimateforpeop
leage19-64(20.6%).
Note:Sub-stateestimates
aretypicallycollectionsofcountiesandre
flectthelowestlevelof
geographyavailableforas
ingleyearofACSdata.Inmostmetroare
assub-countyestimates
areavailable,
butwherepossiblethesub-countyestimatesareaggre
gatedtothecounty.
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Exhibit 4.2: Demographic Profile by Source of Health Insurance Coverage, Age 19-64, ACS 2008
Definitions: % = Percent; SE = Standard Error
Note: Counts are presented in thousands.
Source: U.S. Census Bureau, 2008 American Community Survey.
Population Uninsured Insured PrivateCoverage
GovernmentCoverage
(000) % SE % SE % SE % SE
Race and Ethnic i ty
Hispanic 558 41.0 1.23 59.0 1.23 50.6 1.23 10.3 0.62
White Alone 2,263 15.3 0.37 84.7 0.37 80.6 0.40 6.4 0.21
Black Alone 103 25.9 2.17 74.1 2.17 63.6 2.31 16.0 1.80
Asian Alone 86 18.5 2.43 81.5 2.43 78.2 2.53 4.5 0.93
Mult ip le/other
non-Hispanic75 26.7 2.40 73.3 2.40 65.3 2.52 11.3 1.42
Tota l 3,085 20.6 0.40 79.4 0.40 74.2 0.42 7.5 0.21
Ag e0-18 -- -- -- -- -- -- -- -- --
19-24 383 30.6 1.13 69.4 1.13 64.0 1.20 6.7 0.60
25-44 1,429 24.7 0.63 75.3 0.63 70.9 0.66 5.7 0.29
45-64 1,273 13.1 0.43 86.9 0.43 80.9 0.48 9.8 0.32
Tota l 3,085 20.6 0.40 79.4 0.40 74.2 0.42 7.5 0.21
Poverty Level
0 -99% FPL 325 46.1 1.50 53.9 1.50 34.6 1.43 21.2 1.10
100-199% FPL 437 42.0 1.24 58.0 1.24 46.9 1.27 13.4 0.76
200-399% FPL 884 22.4 0.73 77.6 0.73 73.9 0.76 6.3 0.34
400%+ FPL 1,425 7.3 0.33 92.7 0.33 91.6 0.35 3.3 0.17
Tota l 3,070 20.7 0.40 79.3 0.40 74.1 0.43 7.5 0.21
Se x
Male 1,549 22.5 0.53 77.5 0.53 72.9 0.54 7.4 0.28
Female 1,535 18.7 0.44 81.3 0.44 75.4 0.48 7.6 0.28
Tota l 3,085 20.6 0.40 79.4 0.40 74.2 0.42 7.5 0.21
Work Status
Not work ing 442 24.8 0.92 75.2 0.92 56.7 1.01 24.8 0.83
Part -t ime 523 25.4 0.84 74.6 0.84 67.5 0.89 8.7 0.54
F u l l - t i m e 2,120 18.6 0.44 81.4 0.44 79.4 0.46 3.6 0.17
Tota l 3,085 20.6 0.40 79.4 0.40 74.2 0.42 7.5 0.21
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Exhibit4.3
:Sub-StateUnin
suranceEstimates,Age19-64,
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Exhibit 4.4: Demographic Profile by Source of Health Insurance Coverage,
Age 19-64,
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Exhibit 4.5: Sub-State Uninsurance Estimates, Age 19-64 by Federal Poverty Level (FPL), ACS 2008
All PovertyLevels
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Definitions: % = Percent; SE = Standard Error
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a
single year of ACS data. In most metro areas sub-county estimates are available, but where possible the sub-county
estimates are aggregated to the county.
* Statistically different from the state uninsurance estimate for population group (Age 19-64, 20.6%; Age 19-64
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Appendix A. Technical Assistance Available from SHADAC
SHADAC has a contract with Health Resources and Services Administration (HRSA) at Health and Human
Services (HHS) to provide technical assistance to states that have received State Health Access Program
(SHAP) grants. This includes support for data collection, analysis and evaluation related to their SHAP
project work. A summary of assistance is provided below. Questions and requests can be directed to
Elizabeth Lukanen at 612-626-1537 orelukanen@umn.edu.
Data Assistance
Several SHADAC resources are available to help SHAP grantees access and utilize data relating to health
insurance coverage estimates, access to care, and understanding available data-specific technical
assistance resources. Resources include: SHADACs Data Center, an online table and chart generator;
issue briefs and technical briefs; and information on how to access microdata.
Web page: http://www.shadac.org/shap/technical-assistance/data
HRSA Benchmarks
SHADAC will also assist states in reporting HSRA benchmark data.
Web page: http://www.shadac.org/shap/technical-assistance/HRSA-Benchmarks
Evaluation
SHADAC staff are available to help SHAP grantees refine and implement evaluation plans, to ensure the
fidelity and success of SHAP-funded programs.
Web page: http://www.shadac.org/shap/technical-assistance/evaluations
Surveys
SHADAC has a variety of resources to help SHAP grantees conduct survey research and apply the results
to relevant audiences. SHADACs technical assistance can facilitate the sharing of information and
expertise among grantees, help policy makers understand the unique characteristics of state sub-
populations, and provide assistance in developing survey tools and methods.
Web page: http://www.shadac.org/shap/technical-assistance/surveys
State Reform Research and Strategies
SHADAC has provided evaluative information on health reform initiatives in states participating in the
State Health Access Reform Evaluation (SHARE) program. Many of these evaluations provide descriptive
information that may be useful for SHAP grantees.
Web page: http://www.shadac.org/shap/technical-assistance/ state-reform-research-and-strategies
mailto:elukanen@umn.edumailto:elukanen@umn.edumailto:elukanen@umn.eduhttp://www.shadac.org/shap/technical-assistance/datahttp://www.shadac.org/shap/technical-assistance/datahttp://www.shadac.org/shap/technical-assistance/HRSA-Benchmarkshttp://www.shadac.org/shap/technical-assistance/HRSA-Benchmarkshttp://www.shadac.org/shap/technical-assistance/evaluationshttp://www.shadac.org/shap/technical-assistance/evaluationshttp://www.shadac.org/shap/technical-assistance/surveyshttp://www.shadac.org/shap/technical-assistance/surveyshttp://www.shadac.org/shap/technical-assistance/%20state-reform-research-and-strategieshttp://www.shadac.org/shap/technical-assistance/%20state-reform-research-and-strategieshttp://www.shadac.org/shap/technical-assistance/%20state-reform-research-and-strategieshttp://www.shadac.org/shap/technical-assistance/surveyshttp://www.shadac.org/shap/technical-assistance/evaluationshttp://www.shadac.org/shap/technical-assistance/HRSA-Benchmarkshttp://www.shadac.org/shap/technical-assistance/datamailto:elukanen@umn.edu8/9/2019 Colorado State Chartbook
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Appendix B. Data Source
Source: U.S. Census Bureau, 2008 American Community Survey (ACS). Calculations by SHADAC.
Estimates for the ACS exclude military but include non-institutionalized group quarters such as
college/university housing, group homes intended for adults, residential treatment facilities for adults,workers group living quarters and Job Corps centers, and religious group quarters.
Population counts are presented in thousands.
Definitions: '%' = Percent; 'SE' = Standard error as a percent. Confidence intervals can be calculated
from the standard errors; for example, the 95% confidence interval is (1.96 * SE).
Insurance coverage note: Listed Medicaid rates include SCHIP and state-specific public programs. Those
who report multiple types of insurance coverage (i.e., private or public) are included in each category;
therefore, row totals may add to more than 100 percent. Active duty military coverage (e.g., TRICARE) is
considered employer-sponsored insurance, while VA coverage is considered government coverage.
ACS methodology note: The ACS asks respondents about their health insurance coverage at the time of
the interview.
For technical documentation on the ACS please visithttp://www.shadac.org/content/acs-info-and-
resources.
http://www.shadac.org/content/acs-info-and-resourceshttp://www.shadac.org/content/acs-info-and-resourceshttp://www.shadac.org/content/acs-info-and-resourceshttp://www.shadac.org/content/acs-info-and-resourceshttp://www.shadac.org/content/acs-info-and-resourceshttp://www.shadac.org/content/acs-info-and-resources8/9/2019 Colorado State Chartbook
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Appendix C. County Groupings in Sub-state Areas
Sub-State Area^ Counties
00101
Garfield
Jackson
Larimer (part)
Mesa (part)
Moffat
Rio Blanco
Routt
00102 Larimer (part)
00103 Mesa (part)
00200 Larimer (part)
00300 Weld
00400
Bent
Cheyenne
Crowley
Elbert
Kiowa
Kit Carson
Lincoln
Logan
Morgan
Phillips
ProwersSedgwick
Washington
Yuma
00501
Alamosa
Baca
Conejos
Costilla
Huerfano
Las Animas
OteroPueblo (part)
Rio Grande
Saguache
00502 Pueblo (part)
00600Archuleta
Delta
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Sub-State Area^ Counties
00600 (cont.)
Dolores
La Plata
MontezumaMontrose
San Juan
San Miguel
00700
Eagle
Grand
Gunnison
Hinsdale
Lake
Mineral
OurayPitkin
Summit
00801
Boulder (part)
Clear Creek
Gilpin
Jefferson (part)
00802 Boulder (part)
00803 Boulder (part)
00804
Adams (part)
Boulder (part)Jefferson (part)
00805Adams (part)
Jefferson (part)
00806 Adams (part)
00807 Adams (part)
00808Adams (part)
Arapahoe (part)
00809Adams (part)
Arapahoe (part)
00810Adams (part)
Arapahoe (part)
00811 Arapahoe (part)
00812 Denver (part)
00813 Denver (part)
00814 Denver (part)
00815Arapahoe (part)
Denver (part)
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Sub-State Area^ Counties
00816 Denver (part)
00817Adams (part)
Jefferson (part)00818 Jefferson (part)
00819 Jefferson (part)
00820Arapahoe (part)
Jefferson (part)
00821Douglas (part)
Jefferson (part)
00822 Douglas (part)
00901
El Paso
00902
0090300904
00905
01000
Chaffee
Custer
Fremont
Park
Teller
^ Sub-state areas are labeled according to Census Bureau-defined geographical areas known
at PUMAs (Public Use Microdata Areas). For more information on these areas, contact
SHADAC.
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AppendixD.C
oloradoMapofMajorCitie
s
Source:U.S.CensusBu
reau.
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AppendixE.
Co
loradoMapofCountyBou
ndaries
Source:U.S.CensusBureau.
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