Louisiana Health Insurance Survey, 2013

• Provides detailed data on Louisiana’s uninsured population

• Assists in planning programs and targeting outreach

• Estimates the Medicaid eligible population for state budget

• Helps in Federal reporting on LaCHIP• Small area estimates (Parish level estimates)• Provides answers to Louisiana specific

questions for DHH and other partners

Uses of LHIS

• Survey of 8500+ Louisiana Households• Landline and Cell Phone Survey• Weighting based on 2012 (population, age,

race, gender)/ 2011 (income) Census data• Statistical adjustment for bias due to

Medicaid misreporting• Small area estimation model for parish

uninsured rates

Methodology

Survey Sample (Households) Uninsured Children

2013 LHIS 8,628 4.4%

2012 ACS 32,686 5.3%

2012 CPS 1,817 11.6%

Comparison to CPS/ACS

• Medicaid undercount• Medicaid, LaCHIP, Bayou Health terminology• Question placement• Point-in-time vs calendar year

Some results from the 2013 LHIS…

2003 2005 2007 2009 2011 20130

20,000

40,000

60,000

80,000

100,000

120,000

140,000

160,000143,173

97,403

64,35558,201

42,011

51,98783,669

72,429

41,595 39,765

21,439

35,358

Figure 1: Uninsured Children (U19), 2003-2013

Uninsured Children Uninsured Medicaid Eligible Children

2003 2005 2007 2009 2011 20130

100,000

200,000

300,000

400,000

500,000

600,000

700,000

579,694

654,729

546,348 540,490

633,943 622,033

464,338

438,921368,744 380,806

415,922 411,143

Figure 5: Uninsured Nonelderly Adults (19-64, 2003-2013)

Uninsured Adults Uninsured Adults Under 200% FPL

<50% 50-100% 100-150% 150 - 200% 200-300% 300-500%0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

45.0%

35.7%

39.7%37.2%

30.9%

21.6%

9.1%

4.5% 5.9%4.4%

6.9%5.0%

2.3%

Figure 4: 2013 Uninsured Rates for Nonelderly Adults (19-64) and Children (U19) by Federal Poverty Level

Adults Children

FPL Category Percent Number0% to 13% FPL 35.1% 89,24913% to 100% FPL 39.3% 126,793100% to 138% FPL 37.2% 81,958138% to 150% FPL 37.3% 23,628150% to 200% FPL 30.9% 89,515200% to 250% FPL 23.5% 56,641250% to 300% FPL 20.1% 43,566300% to 400% FPL 13.8% 50,935

Uninsured Estimates for Adults (19-64) in Relation to the Federal Poverty Level

Adults Children

Employer 53.6% 41.7%

Purchased Coverage 7.9% 5.7%

Former Employer 4.1% 0.9%

Not in Household 1.8% 3.5%

Medicare 4.5% 0.9%

Military 4.2% 2.9%

Medicaid 8.9% 47.3%

Uninsured 22.0% 4.4%

2013 Sources of Coverage for Adults, Children

• Small area estimation, updated twice a year• Combines micro level data from survey with

parish demographic and administrative data• Separate models for Adults and Children• Models include all years of LHIS• Predictions based on these factors: income,

race, age, gender, Medicaid enrollment, free and reduced school lunch enrollment, and employment

Parish Results

Adults’ 2013 Uninsured Rates, Ages 19-64

Children’s 2013 Uninsured Rates, Under 19