kaiser slidesdownload 101101724
DESCRIPTION
Downloaded slides from Kaiser Family Foundation.TRANSCRIPT
Percent of Nonelderly Women Reporting No Doctor Visit in Past
Year Due to Cost, by Race/Ethnicity
Hispanic
American Indian/ Alaska Native
Black
White
Asian and NHPI
27.4%
21.9%
25.7%
14.7%
12.1%
Data: BRFSS, 2004-2006.Source: The Kaiser Family Foundation, Putting Women’s Health Care Disparities on the Map, available at: www.kff.org/womensdisparities/.
27%
27%
27%
31%
33%
45%
13%
Economic Priorities for President and Congress
Note: Asked of half sample.Source: KFF/HSPH The Public’s Health Care Agenda for the New President and Congress (conducted Dec. 4-14, 2008)
“Now I’m going to read some proposals for dealing with the current economic recession. For each, tell me if you think it should be a top priority for the new president and Congress, very important but not a top priority, somewhat important, or not that important.”
Repairing and rebuilding the country’s infrastructure, including bridges, roads, and
schools
Helping large businesses badly affected by the economic
downturn
Helping those who are newly unemployed to afford their health
insurance coverage
Cutting taxes for the middle class
Helping business keep or create jobs
Providing states with more federal dollars to help pay for health care needs of lower income
residents
Helping people who can’t pay their mortgages to stay in
their houses
Percent saying each should be a top priority
Decrease in State Revenues
Source: John Holahan and Bowen Garrett, Rising Unemployment, Medicaid, and the Uninsured, prepared for the Kaiser Commission on Medicaid and the Uninsured, January 2009.
1%
Increase in National
Unemployment Rate
=
1.0 1.1
Increase in Medicaid and CHIP
Enrollment(million)
Increase in Uninsured(million)
&
Impact of a 1% Point Increase in Unemployment on State Revenues,
Medicaid, CHIP & Uninsured
3-4%
Putting Off Care Because of Cost
Percent who say in the past 12 months, they or another family member in their household have done each because of the cost:
45%
9%
16%
20%
22%
26%
28%
31%
Relied on home remedies or over-the-counter drugs instead of going to see a
doctor
Skipped dental care or checkups
Put off or postponed getting health care you needed
Skipped a recommended medical test or treatment
Not filled a prescription for a medicine
Cut pills in half or skipped doses of medicine
Did ANY of the above
Had problems getting mental health care
Source: Kaiser Family Foundation Health Tracking Poll (conducted June 17-22, 2010)
Cumulative Changes in Health Insurance Premiums, Workers’ Contribution to Premiums, Inflation, and
Workers’ Earnings, 1999-2010
Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 1999-2010. Bureau of Labor Statistics, Consumer Price Index, U.S. City Average of Annual Inflation (April to April), 1999-2010; Bureau of Labor Statistics, Seasonally Adjusted Data from the Current Employment Statistics Survey, 1999-2010 (April to April).
Top 10 States by AIDS Diagnosis Rate per 100,000 Population, 2008
SOURCE: Kaiser Family Foundation, www.statehealthfacts.org, analysis of CDC, HIV Surveillance Report, Vol. 20, 2010.
12.3
13.2
15.5
16.8
17.6
19.7
23.5
24
26
27.6
93.3
United States
California
South Carolina
Delaware
New Jersey
Georgia
New York
Louisiana
Florida
Maryland
District of Columbia
Health Care Reform… Is Now the Right Time?
Which comes closer to describing your own views? Given the serious economic problems facing the country…
59% 61%62% 62%61%
35%37%37%34% 34%
0%
20%
40%
60%
80%
100%
Oct-08 Dec-08 Feb-09 Apr-09 Jun-09
It is more importantthan ever to take onhealth care reformnow
We cannot afford totake on health carereform right now
Note: “Don’t know/Refused” responses not shown.Sources: Kaiser Family Foundation surveys
44%
38%
26%
17%21%
17%
6%
0%
10%
20%
30%
40%
50%
60%
Dec-95 Oct-97 Oct-00 Jun-02 May-04 Apr-06 Mar-09
Per
cent
nam
ing H
IV/A
IDS
Percent of the public naming HIV/AIDS as the most urgent health problem facing the nation in an open-ended question
Trend in Share Naming HIV/AIDS as Nation’s Most Urgent Health Problem
Source: Kaiser Family Foundation Surveys.
Solvency Projections of the Part A Hospital Insurance Trust Fund, 1970-2009
812
1523
2816
466
1413
142
2009
2007
2005
2003
2001
1999
1997
1995
1993
1991
1990
1980
1970
Source: Intermediate projections from 1970-2009 Annual Reports of the Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds.
Projected Number of Years to Insolvency and Projected Year of Insolvency:
Report Year
(2020)
(2026)
(1972)
(1994)
(2003)
(1999)
(2001)
(2001)
(2015)
(2029)
(2019)
(2017)
(2005)
Some Tax Options
Note: Based on half sample. “Don’t know/Refused” responses not shown.Source: Kaiser Family Foundation Health Tracking Poll (conducted November 5-12, 2009)
Strongly favor
Somewhat favor
Please tell me if you would favor or oppose each of the following to help pay for health care reform and provide coverage for more of the uninsured.
34%
34%
22%
16%
14%
12%
17%
16%
16%
23%
29%
47%
Strongly oppose
Somewhat oppose
Increasing income taxes for people from families making more than $1 million a year and individuals making more than
$500,000
Having health insurance companies pay a tax for offering very expensive policies
Having health insurance companies pay a fee based on how much business they
have
Health Insurance Coverage in the U.S., 2008
Employer-Sponsored Insurance
52%
Uninsured15%
Private Non-Group5%
Medicare14%
Medicaid/Other Public
13%
NOTE: Includes those over age 65. Medicaid/Other Public includes Medicaid, SCHIP, other state programs, and military-related coverage. Those enrolled in both Medicare and Medicaid (1.9% of total population) are shown as Medicare beneficiaries. SOURCE: Kaiser Commission on Medicaid and the Uninsured/Urban Institute analysis of March 2009 CPS
Total = 300.5 million
Decrease in Employer
Sponsored Insurance
(million)2.8%
National Unemployme
nt Rate Increase
since 2008(from 7.2% in
Dec-08 to 10.0% in Nov-09)
=
2.8 3.0
Medicaid /CHIP
Enrollment Increase(million)
Uninsured Increase(million)
&
6.9
Note: Totals may not sum due to rounding and other coverage.Source: Based on John Holahan and Bowen Garrett, Rising Unemployment, Medicaid, and the Uninsured, prepared for the Kaiser Commission on Medicaid and the Uninsured, January 2009.
Impact of the Rise in Unemployment on Health Coverage, 2008 to 2009
It wouldn’t make much difference
Reform’s Impact on Own Family, Country
14%
28%
53%
42%
26%
23%
4%
4%
Better off
Worse off
It depends (vol.)
… the country as a whole
…you and your family
Note: “Don’t know/Refused” responses not shown.Source: Kaiser Family Foundation Health Tracking Poll (conducted September 11-18, 2009)
Do you think (you and your family/the country as a whole) would be better off or worse off if the president and Congress passed health care reform, or don’t you think it would make much difference?
Do you favor or oppose the federal government requiring health insurance companies to cover anyone who applies, even if they have a prior illness?
36%
25%
30%
12%
12%
14%
9%
52%
51%
35%
8% 6%
Strongly favor
Somewhat favor
Somewhat oppose
Strongly oppose
Democrats
Independents
Republicans
Covering Those with Prior Illnesses, by Party ID
Source: Kaiser Family Foundation Health Tracking Poll (conducted July 7-14, 2009). “Don’t know/Refused” responses not shown.
Views on Health Reform Law Among Seniors, Over Time
56%
51% 51%
46%
53%49%
12%14%
18% 17%13% 13%
32%35%
31%34%
38%
38%
0%
20%
40%
60%
80%
April 2010 May 2010 J une 2010 J uly 2010 August 2010 September 2010
NET favorable
NET unfavorable
Don’t know/Refused
Source: Kaiser Family Foundation Health Tracking Polls
As you may know, a new health reform bill was signed into law earlier this year. Given what you know about the new health reform law, do you have a generally favorable or generally unfavorable opinion of it?
AMONG SENIORS (age 65 and over)
Average Health Insurance Premiums and Worker Contributions for Family Coverage, 1999-2009
$4,247
$9,860
$1,543$3,515
1999 2009
Employer Contribution
Worker ContributionNote: The average worker contribution and the average employer contribution may not add to the average total premium due to rounding.
Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 1999-2009.
$5,791 128% Worker
Contribution Increase
131% Premium Increase
$13,375
Health Care Reform… Is Now the Right Time?
Which comes closer to describing your own views? Given the serious economic problems facing the country…
58%54% 54%
39% 41%36%
41% 39%
53% 55%57%56%59% 61%62% 62%61%
42%39%
35%37%37%34% 34%
0%
20%
40%
60%
80%
Oct08 Dec08 Feb09 Apr09 Jun09 Jul09 Aug09 Sep09 Oct09 Nov09 Dec09 Jan10
It is more importantthan ever to take onhealth care reform now
We cannot afford totake on health carereform right now
Note: Asked of half sample in Nov09 and Jan10. “Don’t know/Refused” responses not shown.Sources: Kaiser Family Foundation polls
When Will Key Provisions Start if Reform Passes?
If Congress and the president did pass a health care reform bill, when would you expect … ?
Note: Top item asked of half sample. “Don’t know/Refused” responses not shown.Source: Kaiser Family Foundation Health Tracking Poll (conducted October 8-15, 2009)
17%
13%
34%
36%
23%
25%
9%
11%
8%
7%
1%
1%
Never (vol.)
3 years from nowNext yearThis year
…that people without insurance
would begin to get financial help in
buying coverage
…that health insurance
companies would have to begin
accepting customers who
have pre-existing health problems
5 years from now
Further in the future than that
Percent who say hearing the proposed legislation would do each of the following makes them MORE likely to support it:
Health insurance exchange
Won’t change most people’s existing arrangements
Tax credits to small businesses
Pre-Passage: Most Popular Elements
Guaranteed issue
Note: Question wording abbreviated. See Topline: http://www.kff.org/kaiserpolls/8042.cfm. Only items with responses 60% and over shown here.Source: Kaiser Family Foundation Health Tracking Poll (conducted January 7-12, 2010)
60%
62%
63%
66%
67%
73%
60%
Extend dependent coverage through age 25
Medicaid expansion
Help close the Medicare doughnut hole
Medicaid/CHIP Income Eligibility for Children by Number of States, December
2009
4
23 24
< 200% FPL 200% - 249% FPL 250% or higher FPL(includes DC)
Number of States
Note: The Federal Poverty Line (FPL) for a family of three in 2009 is $18,310 per year. IL uses state funds to cover children above 200% FPL.; MA uses state funds to 400% FPL.SOURCE: Kaiser Commission on Medicaid and the Uninsured and Center on Budget and Policy Priorities, A Foundation for Health Reform: Findings of a 50 State Survey of Eligibility Rules, Enrollment and Renewal Procedures, and Cost-Sharing Practices in Medicaid and CHIP for Children and Parents During 2009. 2009.
10%
12%
13%
13%
20%
37%
Pre-Passage: Public Engagement in the Health Reform Debate
Source: Kaiser Family Foundation, Health Tracking Poll, December 2009.
During the past sixth months, have you personally done any of the following things in connection with the health care reform issue?
Participated in a forum or town meeting having to do with health care
reform
Did ANY of the above = 49%
Written to, emailed or spoken with your representative or another public
official
Personally contributed money to a political candidate or organization because of its positions on health care
reform
Tried to influence a friend or family member’s opinion
Written to, emailed or called a newspaper, website, radio or television station
Joined or became more active in a health care related organization
Percent saying “yes”
0
2
4
6
Among all 8- to 18-year-olds, amount of time spent with each medium in a typical day:
Children’s Media Use, By PlatformChildren’s Media Use, By Platform
4:29
2:31
1:29
0:38 0:25
TV content
Music/audio Computers
Print Movies
1:13
Video games
HOURS 10:45
Total media exposure
Note: Children may be engaged in more than one of these activities at the same time.Source: Kaiser Family Foundation, Generation M2: Media in the Lives of 8- to 18-Year-Olds, 2010.
1.29.99
2.39
3.19
2.10
1.71
1.33
.10 (- 0.28)
3.29
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Annual Change in Medicaid Enrollment in 50 States and DC, June 2000 to June 2009
SOURCE: Compiled by Health Management Associates from State Medicaid enrollment reports for the Kaiser Commission on Medicaid and the Uninsured. Available at: http://www.kff.org/medicaid/8050.cfm.
3.2%
7.5%
9.3%
5.6%
4.3% 3.2% 0.2% (-0.7%)
3.1%
7.5%
12-Month Growth Rate
Monthly Enrollment Change (in Millions)
June of
Public Support for Health ReformAs of right now, do you generally support or generally oppose the
health care proposals being discussed in Congress?
12%
9%
33%
18%
28%
Strongly Support
Somewhat Oppose
Not Sure
Source: Kaiser Family Foundation Health Tracking Poll (conducted March 10-15, 2010)
StronglyOppose
Somewhat Support
Medicare Part D Enrollees Who Reached the Coverage Gap in 2007
26%74%
Did not reach the coverage
gap
Reached the
coverage gap
Excludes Part D Enrollees Who Receive Low-Income Subsidies and Non-Users
NOTES: Estimates based on analysis of retail pharmacy claims for 1.9 million Part D enrollees in 2007.SOURCE: Georgetown University/NORC/Kaiser Family Foundation analysis of IMS Health LRx database, 2007.
43%
2%
56%
Do you feel you have enough information about the health reform law to understand how it will impact you personally, or not?
No, do not have
enough information
Yes, have enough
information
Don’t know/Refused
Please tell me if “confused” does or does not describe your feelings about the health reform law.
55%45%
Don’t know/Refused 1%
Not confused
Confused
Enough Information?
Source: Kaiser Family Foundation Health Tracking Poll (conducted April 9-14, 2010)
45%
54%
55%
44%
Confusion Declines but Remains Widespread
May 2010
April 2010
Describes Does not describe
Please tell me if CONFUSED does or does not describe your own feelings about the health reform law.
Note: “Don’t know/Refused” responses not shown.Source: Kaiser Family Foundation Health Tracking Poll (conducted May 11-16, 2010 and April 9-14, 2010)
Confidence in Ability to Pay for Care
Percent of those ages 18-64 saying they are not confident they have enough money or health insurance to pay for…
…the usual medical costs that you (and your family)
require
…a major illness, such as a heart attack, cancer, or a
serious injury that required hospitalization
Employer coverage
Non-group coverage
26%
19%
51%
40%
Sources: Kaiser Health Tracking Poll, conducted May 11-16, 2010; Kaiser Family Foundation, Survey of People Who Purchase Their Own Insurance (conducted March 19-April 2, 2010)
Medicare Hospital Insurance Trust Fund Projected to Be Solvent Through 2029
NOTE: ‘Insolvency’ refers to the depletion of the trust fund. SOURCE: Intermediate projections from 1990-2010 Annual Reports of the Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds.
Projected Number of Years to Insolvency (Projected Year of Insolvency):
19
8
11
12
15
28
25
10
5
7
10
13
2010
2009
2008
2006
2004
2002
2000
1998
1996
1994
1992
1990
(2019)
(2003)
(2002)
(2001)
(2001)
(2008)
(2025)
(2030)
(2018)
(2019)
(2029)
(2017)
As I read each of these areas for rebuilding the greater New Orleans area, please tell me how much progress you think has been made so far – a lot, some, not too much or none at all.
Progress Report Card: Tourism at Top; Crime at Bottom
Controlling crime and assuring public safety
Making medical facilities and services more available
Making public transportation more available
Rebuilding destroyed neighborhoods
Making affordable housing more available
Repairing the levees, pumps, and floodwalls
Attracting more business and jobs to New Orleans
Strengthening the public school system
64%
49%
48%
45%
37%
40%
32%
29%
11%
34%
49%
50%
50%
57%
59%
62%
65%
87%Strengthening the city as a tourist and convention site
A lot/some Not too much/None at all
Note: Based on half sample of respondents. Percentage who did not give an answer is not shown. Source: New Orleans Five Years After The Storm: A New Disaster Amid Recovery, Kaiser Family Foundation, August 2010
36%
20%
3%
20%
19%
Direction of the Country Most Important Factor in Vote
What will make the biggest difference in how you vote for Congress in your district:
Candidate’s character and
experience
Specific national issues
Direction of the nation as
a whole
Don’t know/Refused*
AMONG REGISTERED VOTERS
Local or state issues
* Don’t know/Refused includes Don’t vote/don’t plan to vote, All, None/other, and Don’t know/Refused responses.Source: Kaiser Family Foundation Health Tracking Poll (conducted September 14-19, 2010)
Average Annual Health Insurance Premiums and Worker Contributions for Family Coverage, 2005-
2010
Note: The average worker contribution and the average employer contribution may not add to the average total premium due to rounding.
Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 2005-2010.
$8,167$9,773
$2,713
$3,997
2005 2010
Worker Contribution
Employer Contribution
$10,880
$13,770
$1,284Worker
Contribution Increase
47%
20%
27%
55%
44% 42% 43% 45%
53%
Confusion on Rise in September
Percent who say they are “confused” about the health reform law:
Source: Kaiser Family Foundation Health Tracking Polls
SeptemberAugust
JulyJuneMayApril
Medicaid Enrollment Has Increased by Nearly 6 Million Since the Start of the
Recession
40.4
41.942.6 42.3
48.5
44.8
42.8
Dec-03 Dec-04 Dec-05 Dec-06 Dec-07 Dec-08 Dec-09
SOURCE: Analysis for KCMU by Health Management Associates, using compiled state Medicaid enrollment reports
Monthly Enrollment in Millions