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8/9/2019 Nevada State Chartbook
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NevadaSHAP Grantee Chartbook
Health Insurance Coverage Estimatesfrom the 2008 American Community Survey (ACS)
Prepared for:
State Health Access Program (SHAP)
Last Updated: July 29, 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
Nevada SHAP Grantee Organization:State of Nevada, Health Division
Project Director
Laura Hale
Ph. 775-684-4041
Email. ljhale@health.nv.gov
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 Nevada State Chartbook
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Table of Contents Page
Introduction .............. ................................................................................................................................... 1
Summary Statistics .... ................................................................................................................................... 1
Exhibit 1: Any Source of Health Insurance Coverage by Poverty Level, Age 0-64, ACS 2008 .................. 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 Nevada is shown in Exhibit 1. In 2008, 75.7% of the total
population age 0-64 had health insurance coverage. Over two thirds (69.2%) had private coverage,
while 9.0% reported having government coverage. This is in contrast to individuals under 200% of the
Federal Poverty Level (FPL), of which only 56.9% had insurance, with 40.6% having private coverage, and
18.9% 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.
24.3%
75.7%
69.2%
9.0%
43.1%
56.9%
40.6%
18.9%
0%
10%
20%
30%
40%
50%
60%
70%
80%
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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Exhibit 2.1: Sub-State Uninsurance Estimates, Age 0-64, ACS 2008
Source: U.S. Census Bureau, 2008 American Community Survey.
Note: No sub-state areas are statistically different from the state uninsurance estimate for people age 0-64 (24.3%). 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 for this map all sub-county estimates are aggregated to the county.
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Exhibit 2.2: Demographic Profile by Source of Health Insurance Coverage, Age 0-64, 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 640 39.2 1.34 60.8 1.34 53.2 1.39 9.1 0.74
White Alone 1,227 18.0 0.62 82.0 0.62 76.9 0.70 8.2 0.41
Black Alone 165 23.1 2.06 76.9 2.06 62.1 2.47 18.4 2.00
Asian Alone 136 14.3 1.39 85.7 1.39 84.3 1.43 2.8 0.50
Mult ip le/other
non-Hispanic105 22.3 1.98 77.7 1.98 68.9 2.34 11.6 1.60
Tota l 2,274 24.3 0.58 75.7 0.58 69.2 0.63 9.0 0.36
Ag e0-18 700 21.6 0.97 78.4 0.97 67.1 1.10 13.3 0.80
19-24 179 42.9 1.67 57.1 1.67 53.0 1.67 5.1 0.72
25-44 748 28.3 0.84 71.7 0.84 68.5 0.87 4.5 0.40
45-64 647 17.5 0.63 82.5 0.63 76.8 0.71 10.7 0.44
Tota l 2,274 24.3 0.58 75.7 0.58 69.2 0.63 9.0 0.36
Poverty Level
0 -99% FPL 266 48.6 2.00 51.4 2.00 28.4 1.78 25.5 1.79
100-199% FPL 395 39.5 1.62 60.5 1.62 48.9 1.69 14.4 1.10
200-399% FPL 766 24.0 0.95 76.0 0.95 72.8 0.99 5.5 0.40
400%+ FPL 836 9.7 0.55 90.3 0.55 88.7 0.59 4.3 0.28
Tota l 2,263 24.3 0.58 75.7 0.58 69.3 0.63 9.0 0.36
Se x
Male 1,159 25.1 0.68 74.9 0.68 68.6 0.72 9.4 0.42
Female 1,114 23.5 0.66 76.5 0.66 69.8 0.72 8.7 0.42
Tota l 2,274 24.3 0.58 75.7 0.58 69.2 0.63 9.0 0.36
Work Status
Not work ing 285 31.9 1.21 68.1 1.21 52.1 1.29 22.7 1.15
Part -t ime 226 35.1 1.34 64.9 1.34 60.7 1.35 5.9 0.59
Ful l - t ime 1,096 22.1 0.62 77.9 0.62 76.5 0.63 3.3 0.20
Tota l 1,607 25.7 0.57 74.3 0.57 70.0 0.59 7.1 0.29
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Exhibit 2.3: Sub-State Uninsurance Estimates, Age 0-64,
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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
Definitions: % = Percent; SE = Standard Error
Note: No sub-state areas are statistically different from the state uninsurance estimate for the population group (Age 0-64, 24.3%;
Age 0-64
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Exhibit 3.1: Sub-State Uninsurance Estimates, Age 0-18, ACS 2008
Source: U.S. Census Bureau, 2008 American Community Survey.
Note: No sub-state areas are statistically different from the state uninsurance estimate for people age 0-18 (21.6%). 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 for this map all sub-county estimates are aggregated to the county.
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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 261 33.8 1.87 66.2 1.87 51.5 1.95 16.9 1.49
White Alone 302 14.3 1.18 85.7 1.18 78.8 1.35 8.7 0.90
Black Alone 57 17.3 3.33 82.7 3.33 57.2 4.38 28.9 4.07
Asian Alone 33 8.9 2.30 91.1 2.30 90.8 2.32 1.2 0.62
Mult ip le/other
non-Hispanic48 15.1 2.39 84.9 2.39 73.6 3.09 12.9 2.38
Tota l 700 21.6 0.97 78.4 0.97 67.1 1.10 13.3 0.80
Ag e0-18 700 21.6 0.97 78.4 0.97 67.1 1.10 13.3 0.80
19-24 -- -- -- -- -- -- -- -- --
25-44 -- -- -- -- -- -- -- -- --
45-64 -- -- -- -- -- -- -- -- --
Tota l 700 21.6 0.97 78.4 0.97 67.1 1.10 13.3 0.80
Poverty Level
0 -99% FPL 103 37.9 3.11 62.1 3.11 28.7 2.76 36.7 3.01
100-199% FPL 167 32.5 2.33 67.5 2.33 50.3 2.51 19.7 2.07
200-399% FPL 242 17.9 1.48 82.1 1.48 77.7 1.60 5.9 0.83
400%+ FPL 180 6.9 0.97 93.1 0.97 91.2 1.09 3.4 0.71
Tota l 691 21.5 0.97 78.5 0.97 67.4 1.10 13.2 0.80
Se x
Male 361 20.1 1.07 79.9 1.07 68.7 1.24 13.5 0.96
Female 339 23.2 1.25 76.8 1.25 65.4 1.36 13.2 0.92
Tota l 700 21.6 0.97 78.4 0.97 67.1 1.10 13.3 0.80
Work Status
Not work ing 14 39.8 5.69 60.2 5.69 56.4 5.68 5.4 2.33
Part -t ime 13 35.3 7.97 64.7 7.97 63.0 7.84 2.9 1.28
Ful l - t ime 7 22.4 6.30 77.6 6.30 66.2 8.75 11.4 8.39
Tota l 33 34.5 4.20 65.5 4.20 61.0 4.20 5.6 2.08
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Exhibit 3.3: Sub-State Uninsurance Estimates, Age 0-18,
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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
Definitions: % = Percent; SE = Standard Error
Note: No sub-state areas are statistically different from the state uninsurance estimate for the population group (Age 0-18, 21.6%;
Age 0-18
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Exhibit 4.1: Sub-State Uninsurance Estimates, Age 19-64, ACS 2008
Source: U.S. Census Bureau, 2008 American Community Survey.
Note: No sub-state areas are statistically different from the state uninsurance estimate for people age 19-64 (25.5%). 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 for this map all sub-county estimates are aggregated to the
county.
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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 379 43.0 1.36 57.0 1.36 54.4 1.37 3.7 0.42
White Alone 925 19.2 0.64 80.8 0.64 76.2 0.69 8.1 0.40
Black Alone 108 26.1 2.06 73.9 2.06 64.6 2.21 12.9 1.40
Asian Alone 104 16.0 1.45 84.0 1.45 82.2 1.50 3.3 0.61
Mult ip le/other
non-Hispanic58 28.2 2.44 71.8 2.44 65.0 2.68 10.5 1.65
Tota l 1,573 25.5 0.57 74.5 0.57 70.1 0.59 7.1 0.29
Ag e0-18 -- -- -- -- -- -- -- -- --
19-24 179 42.9 1.67 57.1 1.67 53.0 1.67 5.1 0.72
25-44 748 28.3 0.84 71.7 0.84 68.5 0.87 4.5 0.40
45-64 647 17.5 0.63 82.5 0.63 76.8 0.71 10.7 0.44
Tota l 1,573 25.5 0.57 74.5 0.57 70.1 0.59 7.1 0.29
Poverty Level
0 -99% FPL 163 55.3 2.02 44.7 2.02 28.2 1.74 18.5 1.71
100-199% FPL 228 44.6 1.56 55.4 1.56 47.8 1.53 10.6 0.88
200-399% FPL 524 26.8 0.98 73.2 0.98 70.5 1.00 5.3 0.35
400%+ FPL 656 10.5 0.58 89.5 0.58 88.0 0.61 4.5 0.29
Tota l 1,572 25.5 0.57 74.5 0.57 70.1 0.59 7.1 0.29
Se x
Male 798 27.3 0.75 72.7 0.75 68.6 0.76 7.5 0.37
Female 775 23.6 0.63 76.4 0.63 71.8 0.67 6.7 0.36
Tota l 1,573 25.5 0.57 74.5 0.57 70.1 0.59 7.1 0.29
Work Status
Not work ing 272 31.5 1.22 68.5 1.22 51.9 1.31 23.5 1.19
Part -t ime 213 35.1 1.32 64.9 1.32 60.5 1.34 6.1 0.62
Ful l - t ime 1,089 22.1 0.63 77.9 0.63 76.6 0.63 3.2 0.19
Tota l 1,573 25.5 0.57 74.5 0.57 70.1 0.59 7.1 0.29
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Exhibit 4.3: Sub-State Uninsurance Estimates, Age 19-64,
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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
Definitions: % = Percent; SE = Standard Error
Note: No sub-state areas are statistically different from the state uninsurance estimate for the population group (Age 19-64, 25.5%;
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 Nevada 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 Nevada State Chartbook
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Appendix C. County Groupings in Sub-state Areas
Sub-State Area^ Counties
00100Washoe
00200
00300
Churchill
Elko
Esmeralda
Eureka
Humboldt
Lander
Lincoln
Mineral
NyePershing
White Pine
00400
Carson City*
Douglas
Lyon
Storey
00501
Clark
00502
00503
0050400505
00506
00507
00508
00509
00510
00511
^ 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.* Independent city.
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Appendix D. Nevada Map of Major Cities
Source: U.S. Census Bureau.
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Appendix E. Nevada Map of County Boundaries
Source: U.S. Census Bureau.
* Independent city.
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