Chartbook Section 2 Trends and Variation in Health Insurance Coverage Section 2: Trends and Variation in Health Insurance Coverage Distribution of Minnesota population by primary source of health insurance coverage Private health insurance trends A summary of the charts and graphs contained within is provided at Chartbook Summaries Section 2. Direct links are listed on each page. Please contact the Health Economics Program at 651-201-3550 or health.hep@state.mn.us if additional assistance is needed for accessing this information. DISTRIBUTION OF MINNESOTA POPULATION BY PRIMARY SOURCE OF HEALTH INSURANCE COVERAGE Distribution of Minnesota Population by Primary Source of Insurance Coverage, 2013 Total Population 5.4 Million TRICARE, 1.1% Portion of Private Health Insurance Medicare, 16.0% MA and MNCare, 13.9% Self-Insured, 37.7% Private Health Insurance, 60.8% FullyInsured, 23.1% Uninsured, 8.2% Sources: MDH Health Economics Program; U.S. Census Bureau, Annual Estimates of the Population for July 1, 2013. MA and MNCare includes Medical Assistance (MA) and MinnesotaCare (MNCare). Summary of graph 4 Distribution of Minnesota Population by Primary Source of Insurance Coverage, 2013 High-Risk Pool 0.5% Uninsured 8.2% MA and MNCare 13.9% Large Group 49.9% Medicare 16.0% TRICARE 1.1% Small Group 6.0% Non-Group 4.6% Sources: MDH Health Economics Program; U.S. Census Bureau, Annual Estimates of the Population for July 1, 2013. MA and MNCare includes Medical Assistance (MA) and MinnesotaCare (MNCare). High-Risk Pool includes Minnesota Comprehensive Health Association (MCHA) and the Pre-Existing Condition Insurance Plan (PCIP). Non-Group may also be referred to as individual market. Detail may not sum to total due to rounding. Summary of graph 5 Distribution of Minnesota Population by Primary Source of Insurance Coverage, 2004 to 2013 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Public: 25.6% 25.8% 25.9% 25.8% 26.4% 27.5% 28.8% 30.1% 30.5% 31.0% Medicare 13.5% 13.7% 13.9% 14.0% 14.3% 14.6% 14.8% 15.0% 15.5% 16.0% Medical Assistance 7.5% 7.7% 7.9% 8.0% 8.4% 9.1% 9.7% 11.2% 11.5% 11.5% MinnesotaCare 2.8% 2.6% 2.4% 2.2% 2.2% 2.3% 2.6% 2.7% 2.3% 2.4% General Assistance Medical Care 0.7% 0.7% 0.7% 0.4% 0.4% 0.5% 0.5% 0.0% 0.0% 0.0% TRICARE 1.1% 1.1% 1.1% 1.1% 1.0% 1.1% 1.1% 1.2% 1.1% 1.1% Private: 66.7% 66.7% 66.7% 67.0% 66.3% 63.5% 62.2% 60.9% 60.9% 60.8% Fully-Insured 27.8% 28.0% 27.8% 27.2% 27.1% 25.5% 24.2% 23.3% 23.1% 23.1% Self-Insured 38.9% 38.7% 39.0% 39.8% 39.3% 38.0% 38.0% 37.6% 37.8% 37.7% Uninsured 7.7% 7.5% 7.4% 7.2% 7.3% 9.0% 9.0% 9.0% 8.6% 8.2% Total 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% Sources: MDH Health Economics Program; U.S. Census Bureau, Annual Estimates of the Population for July 1, 2013. Detail may not sum to total due to rounding. 6 Minnesota Primary Source of Insurance Coverage Year-Over-Year Changes, 2004 to 2013 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Public: 1.7% 1.5% 1.1% 0.4% 2.9% 5.1% 5.5% 5.2% 2.0% 2.3% Medicare 1.5% 1.7% 2.3% 2.2% 2.7% 2.4% 2.5% 2.3% 4.1% 3.6% Medical Assistance 4.8% 3.9% 2.7% 2.8% 5.1% 9.1% 8.2% 15.9% 3.0% 1.2% MinnesotaCare -3.2% -6.8% -8.7% -5.8% -0.1% 5.8% 13.2% 3.8% -12.6% 4.3% General Assistance Medical Care -2.9% 9.0% -1.1% -42.7% 3.7% 15.1% 14.2% TRICARE 0.6% 0.5% 0.8% 2.1% -4.8% 5.4% 3.0% 4.9% -1.0% -6.8% Private -0.6% 0.4% 0.9% 1.3% -0.3% -3.7% -1.2% -1.5% 0.6% 0.7% Uninsured 8.1% -1.7% -1.5% -1.5% 2.4% 23.5% 1.4% 1.1% -4.1% -4.2% Total Population 0.6% 0.5% 0.8% 0.8% 0.8% 0.6% 0.9% 0.7% 0.6% 0.8% Sources: MDH Health Economics Program; U.S. Census Bureau, Annual Estimates of the Population for July 1, 2013. Percentages are not based on primary insurance coverage and may differ slightly from percentages based on dual-coverage enrollment. GAMC not represented after 2010 due to program ending in 2011. Detail may not sum to total due to rounding. 7 PRIVATE HEALTH INSURANCE TRENDS Private Health Insurance: Enrollment in FullyInsured and Self-Insured Plans, 2004 to 2013 Fully-Insured 70% Self-Insured 60% 50% 40% 30% 20% 10% 0% 2004 2005 2006 2007 2008 2009 2010 2011 Sources: MDH Health Economics Program; U.S. Census Bureau, Annual Estimates of the Population for July 1, 2013. Summary of graph 2012 2013 9 Distribution of Minnesota’s Private Health Insurance by Market Space 4,000 3,500 Population (in millions) 3,000 7.0% 7.6% 7.6% 13.2% 11.6% 9.9% 79.8% 80.9% 82.6% 2005 (N=3.4 million) 2009 (N=3.3 million) 2013 (N=3.3 million) 2,500 2,000 1,500 1,000 500 Large Group Small Group Non-Group Sources: MDH Health Economics Program; U.S. Census Bureau, Annual Estimates of the Population for July 1, 2013. Excludes high-risk pool population. Detail may not sum to total due to rounding. Summary of graph 10 Additional Information from the Health Economics Program Available Online Health Economics Program Home Page (www.health.state.mn.us/healtheconomics) Publications (www.health.state.mn.us/divs/hpsc/hep/publications/index.html) Health Care Market Statistics (Chartbook Updates) (www.health.state.mn.us/divs/hpsc/hep/chartbook/index.html) A summary of the charts and graphs contained within is provided at Chartbook Summaries Section 2. Direct links are listed on each page. Fully-insured includes MCHA (high-risk pool). Please contact the Health Economics Program at 651-201-3550 or health.hep@state.mn.us if additional assistance is needed for accessing this information . 11