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R E V I E W O F N E W D A T A F R O M T H E 2 0 1 2 1 - Y E A R A M E R I C A N C O M M U N I T Y S U R V E Y O N R A T E S O F I N S U R A N C E A N D I N C O M E D I S T R I B U T I O N
A N D 2 0 0 8 - 2 0 0 9 - 2 0 1 0 3 Y E A R D A T A T Y P E O F I N S U R A N C E F O R A L A S K A N A T I V E S A N D A M E R I C A N I N D I A N S
3 3 S T A T E 2 0 1 2 A C A A I A N D A T A S E TE D F O X A N D P H I L I P F O X , 2 0 1 4
Health Care Reform:Impact on uninsured
American Indians & Alaska Natives in 33 States with Indian Health Service
January 1, 2014Presentation of American Community Survey Estimates
Oregon
2012 Population American Indian and Alaska Native
Access to IHS Total Yes No
Total 118,034 31,195 86,839
Between 1 and 18 38,520 10,593 27,927 Between 19 and 25 13,449 3,724 9,725 Between 26 and 34 14,269 4,455 9,814
Between 35 and 54 29,588 6,835 22,753 Between 55 and 64 11,064 2,384 8,680 Between 65 and 99 9,990 2,676 7,314
2012 ACS Dataset Ed Fox & Philip Fox, January 31, 2014
American Indian and Alaska Native under 139% of FPL
0-138 Access to IHS Total Yes No
Total 43,940 10,078 33,862
Between 1 and 18 19,065 4,205 14,860 Between 19 and 25 4,214 879 3,335 Between 26 and 34 4,477 892 3,585
Between 35 and 54 11,056 2,641 8,415 Between 55 and 64 3,282 954 2,328 Between 65 and 99 1,471 394 1,077
2012 ACS Dataset Ed Fox & Philip Fox, January 31, 2014
American Indian and Alaska Native 139% to 300% of FPL
Between 139 and 300 Access to IHS Total Yes No
Total 38,433 14,150 24,283
Between 1 and 18 10,804 4,854 5,950 Between 19 and 25 6,023 2,439 3,584 Between 26 and 34 5,586 2,120 3,466
Between 35 and 54 7,683 2,833 4,850 Between 55 and 64 3,708 371 3,337 Between 65 and 99 4,156 1,256 2,900
2012 ACS Dataset Ed Fox & Philip Fox, January 31, 2014
American Indian and Alaska Native Total Uninsured 2012
Access to IHS Total Yes No
No health insurance coverage 26,175 8,777 17,398
Between 1 and 18 4,449 2,398 2,051 Between 19 and 25 4,432 1,828 2,604 Between 26 and 34 5,345 1,496 3,849
Between 35 and 54 9,879 2,423 7,456 Between 55 and 64 2,039 601 1,438 Between 65 and 99 31 31 -
American Indian and Alaska Native Uninsured 0-138% of FPL (Medicaid eligible)
0-138 Access to IHS Total Yes No
No health insurance coverage 13,053 4,027 9,026
Between 1 and 18 2,086 1,180 906 Between 19 and 25 1,864 462 1,402 Between 26 and 34 2,379 692 1,687
Between 35 and 54 5,796 1,452 4,344 Between 55 and 64 928 241 687 Between 65 and 99 - - -
American Indian and Alaska Native Uninsured 139% & 300% FPL (no-cost sharing eligible)
Between 139 and 300 Access to IHS Total Yes No
No health insurance coverage 8,861 3,580 5,281
Between 1 and 18 1,970 850 1,120 Between 19 and 25 1,882 1,229 653 Between 26 and 34 1,694 491 1,203
Between 35 and 54 2,395 781 1,614 Between 55 and 64 889 198 691 Between 65 and 99 31 31 -
American Indian and Alaska Native Uninsured 139 to 400% of FPL
Between 139-400 Access to IHS Total Yes No
No health insurance coverage 12,933 3,560 9,373
Between 1 and 18 3,207 968 2,239 Between 19 and 25 1,157 131 1,026 Between 26 and 34 2,426 1,065 1,361
Between 35 and 54 3,690 537 3,153 Between 55 and 64 822 327 495 Between 65 and 99 1,457 426 1,031
2012 ACS Dataset Ed Fox & Philip Fox, January 31, 2014
PercentageUninsured of Age Category
Access to IHSTotal Yes No
No health insurance coverage 22% 31% 18%
Between 1 and 18 14% 26% 8% Between 19 and 25 37% 56% 30% Between 26 and 34 29% 22% 31%
Between 35 and 54 27% 38% 24% Between 55 and 64 20% 39% 11% Between 65 and 99 1% 1% 1%
2012 ACS Dataset Ed Fox & Philip Fox, January 31, 2014
PercentageUninsured of Age Category under 139% of FPL
0-138 Access to IHSTotal Yes No
No health insurance coverage 27% 34% 23%
Between 1 and 18 14% 19% 11% Between 19 and 25 51% 54% 49% Between 26 and 34 41% 32% 46%
Between 35 and 54 34% 48% 27% Between 55 and 64 21% 44% 12% Between 65 and 99 5% 1% 8%
2012 ACS Dataset Ed Fox & Philip Fox, January 31, 2014
Percentage Uninsured of Age Category between 139 and 300% FPL
Between 139 and 300 Access to IHSYes No
No health insurance coverage 24% 29% 22%
Between 1 and 18 13% 20% 9% Between 19 and 25 42% 59% 32% Between 26 and 34 22% 16% 25%
Between 35 and 54 35% 30% 37% Between 55 and 64 30% 48% 10% Between 65 and 99 0% 0% 0%
2012 ACS Dataset Ed Fox & Philip Fox, January 31, 2014
Percentage Uninsured of Age Category between 300 and 400% FPL
300-400 Between 300-400 Access to IHSTotal Yes No
No health insurance coverage 23% 40% 16%
Between 1 and 18 23% 48% 6% Between 19 and 25 46% 92% 33% Between 26 and 34 20% 0% 30%
Between 35 and 54 25% 54% 14% Between 55 and 64 23% 24% 23% Between 65 and 99 1% 3% 0%
9 Slides with 2008-2009-2010 ACS
3 ye
ar e
stimate
s
2008-2010 ACS Ed Fox & Philip Fox, January 31, 2014
33 State Average 2008-2009-2010 ACS 3 year Total-AIAN OR
36% under 138 45,647 40%42% 138-400 46,335 40%21% over 400 23,567 20%
100% Total 115,548 100% IHS-OR
41% under 138 9,515 41%44% 138-400 9,732 42%15% over 400 3,800 16%
100% Total 23,048 100%% of Total 20% Uninsured OR
45% under 138 16,538 53%43% 138-400 12,171 39%14% over 400 2,295 7%
101% Total 31,004 100%% of Total 27% Medicaid-OR
66% under 138 21,046 71%29% 138-400 7,428 25%
4% over 400 1,190 4%100% Total 29,664 100%
% of Total 26% Medicare-OR
37% under 138 3,520 34%44% 138-400 4,748 45%18% over 400 2,204 21%99% Total 10,472 100%
% of Total 9% Private-OR
14% under 138 8,688 16%49% 138-400 26,688 48%37% over 400 19,970 36%
100% Total 55,347 100%% of Total 48%
Oregon
Medicaid (26%)
Medicare (9%)
Private (48%)
IHS ( 20%)
Uninsured 27%
Oregon: Uninsured, IHP accessto services, & insurance coverage
2008-2010 ACS Ed Fox & Philip Fox, January 31, 2014
IHS
Uninsured
Medicaid
Medicare
Private Ins
0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%
20%
27%
26%
9%
48%
Oregon
Uninsured, IHP accessto services, & insurance coverage
2008-2010 ACS Ed Fox & Philip Fox, January 31, 2014
Total Oregon AIAN Population
under 138
138-400
over 400
Total
45,647
46,335
23,567
115,548
40%
40%
20%under 138138-400over 400
Oregon AIAN Access to IHS
under 138
over 400
9,515 9,732
3,800 23,048
IHS-OR
41%
42%
16%
under 138138-400over 400
Oregon AIAN Uninsured
under 138
138-400
over 400
Total
- 20,000 40,000
16,538
12,171
2,295
31,004
53%39%
7%
under 138
138-400
Oregon AIAN Enrolled in Medicaid
71%
25% 4% under
138138-400over 400
under 138
138-400
over 400
Total
- 5,000 10,000 15,000 20,000 25,000 30,000
21,046
7,428
1,190
29,664
Oregon AIANs Enrolled in Medicare
34%
45%
21%
under 138 138-400
over 400
under 138
138-400
over 400
Total
- 5,000 10,000 15,000
3,520
4,748
2,204
10,472