Section 2: Trends and Variation in Health Insurance Coverage (PowerPoint)

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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.
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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.
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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
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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
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