1 Carmen DeNavas-Walt, Bernadette D. Proctor, and Jessica C. Smith, U.S. Census Bureau, Current Population Reports, P60-245, Income, Poverty, and Health Insurance Coverage in the United States: 2012 , U.S. Government Printing Office, Washington, DC, 2013 ( http://www.census.gov/prod/2013pubs/p60-245.pdf , accessed September 17, 2013).
CPS-ASEC health insurance coverage estimates for 2012 continue a two-year reversal of a decade-long increase in the number of uninsured Americans. There were significant declines in uninsurance rates overall and among subgroups such as children, Latinos, and nonworkers. Uninsurance rates did not get significantly worse for any of the subgroups
As discussed above, an estimated 15.4% of the population was uninsured, and this rate was significantly lower than the 2011 estimate of 15.7% uninsured. The stabilization of employer-sponsored coverage and the growth in Medicare coverage both contributed to this result.
The estimated percentage of children (under 19) who were uninsured fell from 9.7% in 2011 to 9.2% in 2012 (Table 1), a statistically significant change. The Children's Health Insurance Program Reauthorization Act (CHIPRA), signed by President Obama in 2009, has improved public coverage under Medicaid and CHIP with provisions such as Express Lan
The increase in health insurance coverage in 2012 represents a continuing and encouraging reversal in trends: from 2000-2010, the number of uninsured Americans went up each year. Since 2010, as the economy improved and the early features of the Affordable Care Act took effect, the number of uninsured has gone down. The decline in rates of empl
Medicaid managed care began in many states with a focus on enrolling children and families. However, a growing number of states now allow people with disabilities to enroll in managed care plans, and some states require that most seniors and people with disabilities do so. Frequently people who are "dualeligibles," enrolled in both Medicaid and Me
CHIPRA increased CHIP funding and gave states new flexibility to expand eligibility and increase participation rates among eligible children. CHIPRA authorized states to use Express Lane Eligibility (ELE), under which state CHIP or Medicaid agencies can use another public program’s eligibility findings to make them eligible for health coverage
Young adults are the age group most likely to be without health insurance coverage and, therefore, are a key target for outreach and enrollment activities. Nearly 5 in 10 (46 percent, or 1.3 million) uninsured young adults in single-person households who are eligible for the Health Insurance Marketplace may be able to purchase a bronze plan for $5
Approximately 6 in 10 eligible uninsured African Americans in the United States could obtain Health Insurance Marketplace tax credits, Medicaid, or the Children’s Health Insurance Program (CHIP). This ASPE Issue Brief discusses the demographics of the eligible uninsured African American population and new health insurance coverage options availa
Despite existing challenges to meeting the conditions needed to use EHR data for research, the experts we interviewed provided examples of innovative ways barriers were being overcome. Additionally, they were cautiously optimistic that some other barriers could overcome in relatively short time frames, potentially resulting in a “tipping point
Because of the previously mentioned limitations with using data from a single organization’s EHR for research, the ability to combine EHR data with other electronic data sources is often needed to strengthen study results, particularly for small populations. Combining EHR data across institutions can allow for a larger sample size to increase th
For electronic health records to help solve the challenges of conducting research on small n populations, several conditions need to be present. The first is a critical level of adoption of relatively advanced EHRs by a range of providers (e.g., primary care physicians, specialists, hospitals, laboratory, and pharmacy) so that information about su
Stigma—the “inferior status, negative regard, and relative powerless that society collectively assigns to individuals and groups that are associated with various conditions, statuses, and attributes” —was identified by the IOM as a major factor that affects access to or use of medical care by LGBT people. [90] Unfortunately, stigma and it
Even if members of small populations are included in the sample, challenges remain in collecting information through a survey questionnaire. These challenges include:
Unit Nonresponse
The Institute of Medicine sees EHRs as an essential part of a “learning health care system,” and many believe they are critical for the success of medical homes, accountable care organizations, and other provider payment and delivery system reforms resulting from the Affordable Care Act. The use of EHR data for research depends first of all on
Spillman B, Woff J, Freedman V, & Kasper J (2014). Informal Caregiving for Older Americans: An Analysis of the 2011 National Health and Aging Trends Study. Washington, DC: U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation. /report/informal-caregiving-older-americans-analysis-2011-
As a result of the Affordable Care Act (ACA), health insurance coverage is now more accessible and affordable for millions of Americans who serve as informal caregivers. The ACA invests in prevention and wellness, and provides individuals and families with important protections, such as ensuring that women are not charged higher premiums than men