Louisiana Health Insurance Survey, 2013
Uses of LHIS
• Provides detailed data on Louisiana’s uninsured
population
• Assists in planning programs and targeting
outreach
• Estimates the Medicaid eligible population for state
budget
• Helps in Federal reporting on LaCHIP
• Small area estimates (Parish level estimates)
• Provides answers to Louisiana specific questions for
DHH and other partners
Methodology
• Survey of 8500+ Louisiana Households
• Landline and Cell Phone Survey
• Weighting based on 2012 (population, age, race,
gender)/ 2011 (income) Census data
• Statistical adjustment for bias due to Medicaid
misreporting
• Small area estimation model for parish
uninsured rates
Comparison to CPS/ACS
Survey
Sample (Households)
Uninsured Children
2013 LHIS
8,628
4.4%
2012 ACS
32,686
5.3%
2012 CPS
1,817
11.6%
•
•
•
•
Medicaid undercount
Medicaid, LaCHIP, Bayou Health terminology
Question placement
Point-in-time vs calendar year
Some results from the
2013 LHIS…
Figure 1: Uninsured Children (U19), 2003-2013
160,000
143,173
140,000
120,000
97,403
100,000
80,000
83,669
64,355
72,429
60,000
58,201
51,987
42,011
40,000
41,595
39,765
20,000
35,358
21,439
0
2003
2005
Uninsured Children
2007
2009
2011
Uninsured Medicaid Eligible Children
2013
Figure 5: Uninsured Nonelderly Adults (19-64, 2003-2013)
700,000
600,000
654,729
633,943
622,033
415,922
411,143
2011
2013
579,694
546,348
540,490
500,000
400,000
464,338
438,921
300,000
368,744
380,806
2007
2009
200,000
100,000
0
2003
2005
Uninsured Adults
Uninsured Adults Under 200% FPL
Figure 4: 2013 Uninsured Rates for Nonelderly Adults (19-64) and
Children (U19) by Federal Poverty Level
45.0%
40.0%
39.7%
37.2%
35.7%
35.0%
30.9%
30.0%
25.0%
21.6%
20.0%
15.0%
10.0%
5.0%
4.5%
5.9%
6.9%
4.4%
9.1%
5.0%
2.3%
0.0%
<50%
50-100%
100-150%
Adults
150 - 200%
Children
200-300%
300-500%
Uninsured Estimates for Adults (19-64) in Relation to the Federal Poverty Level
FPL Category
0% to 13% FPL
13% to 100% FPL
100% to 138% FPL
138% to 150% FPL
150% to 200% FPL
200% to 250% FPL
250% to 300% FPL
300% to 400% FPL
Percent
35.1%
39.3%
37.2%
37.3%
30.9%
23.5%
20.1%
13.8%
Number
89,249
126,793
81,958
23,628
89,515
56,641
43,566
50,935
2013 Sources of Coverage for Adults, Children
Adults
Children
Employer
53.6%
41.7%
Purchased Coverage
7.9%
5.7%
Former Employer
4.1%
0.9%
Not in Household
1.8%
3.5%
Medicare
4.5%
0.9%
Military
4.2%
2.9%
Medicaid
8.9%
47.3%
Uninsured
22.0%
4.4%
Parish Results
• Small area estimation, updated twice a year
• Combines micro level data from survey with
parish demographic and administrative data
• Separate models for Adults and Children
• Models include all years of LHIS
• Predictions based on these factors: income, race,
age, gender, Medicaid enrollment, free and
reduced school lunch enrollment, and
employment
Adults’ 2013 Uninsured Rates, Ages 19-64
Children’s 2013 Uninsured Rates, Under 19