What Worked and What's Next? Strategies in Four States Leading ACA Enrollment Efforts

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Appendix Table 1: Selected Data on Demographics and Health Coverage in Colorado, Connecticut, Kentucky and Washington
  COLORADO CONNECTICUT KENTUCKY WASHINGTON
POPULATION & DEMOGRAPHICS  
Total Nonelderly Population (2011-12)1 4.5 million 3.0 million 3.7 million 6.0 million
Distribution of Nonelderly Population by Race/Ethnicity (2010-11)1
White 69% 69% 84% 68%
All People of Color 31% 31% 16% 32%
Black 4% 10% 8% 4%
Hispanic 21% 14% 4% 4%
Asian 3% 6% 1% 10%
Other Race/Ethnicity 2% 1% 2% 6%
Nonelderly Non-Citizens (2010-11)1 9% 13% 5% 14%
Nonelderly with Limited English Proficiency, 20112 6% 8% 2% 8%
Share of Total Population Living in a Non-Metropolitan Area1 Data Not Available 4% 43% 6%
Share of Total Population Living in Poverty, (2011-12)1 16% 21% 19% 19%
Median Annual Household Income (2009-11)3 $59,803 $67,165 $42,331 $59,370
UNINSURED  
Uninsured Rate Among Nonelderly (2011-12)1 17% 15% 24% 17%
Nonelderly Uninsured (2012-13)4 737,000 286,000 647,000 948,000
Share Eligible for Medicaid4 46% 38% 54% 47%
Share Eligible for Tax Credit Subsidies4 22% 25% 22% 23%
Share Ineligible for Financial Assistance4 33% 38% 23% 23%
MEDICAID & CHIP
Medicaid/CHIP  Eligibility Limits as a Share of the FPL5 2013 2014 2013 2014 2013 2014 2013 2014
Children 250% 265% 300% 323% 200% 218% 300% 317%
Pregnant Women 250% 265% 250% 263% 185% 200% 185% 198%
Parents (in a family of three) 106% 138% 191% 201% 57% 138% 71%6 138%
Childless Adults (for an individual) 20% 138% 70% 201% 0% 138% 0%6 138%
Change in Medicaid and CHIP Enrollment, Summer 2013 to April 20147 263,452 Data Not Available 265,091 364,724
34% 32% 33%
MARKETPLACE  
Marketplace Name Connect for Health CO Access Health CT Kynect WA Healthplanfinder
Portal Languages English and Spanish English English and Spanish English and Spanish
SHOP Marketplace in 2014? Yes Yes Yes In 2 counties
Number of Insurers Participating in Individual Marketplace8 10 3 3 8
Number of Individuals Who Selected a Plan, as of April 20149 125,402 79,192 82,747 163,207
Marketplace Enrollees as Share of Potential Marketplace Population, as of April 201410 25% 37% 27% 32%
1KCMU/Urban Institute estimates based on 2011-2012 ASEC Supplements to the CPS.
2 KCMU/Urban Institute analysis of 2010 American Community Survey.
3U.S. Census Bureau, Current Population Survey, 2009 to 2011 Annual Social and Economic Supplements.
Kaiser Family Foundation analysis based on January 2014 Medicaid eligibility levels and 2012-13 CPS.
5 Eligibility limits for parents and other adults include income disregards for 2013 and the standard 5 percentage point of the FPL disregard for 2014. Based on a national survey conducted by the KCMU and the Georgetown University Center for Children and Families, 2013 and Based on data from the Centers for Medicare and Medicaid Services (CMS), State Medicaid and CHIP Income Eligibility Standards Effective April 1, 2014.2014.
6 In Washington, prior to the ACA, adults with income up to 133% FPL were eligible for more limited coverage under the state’s’ Basic Health waiver.
7CMS, Medicaid & CHIP Monthly Applications, Eligibility Determinations, and Enrollment Reports: March 2014 (Updated) and April 2014; accessed June 4, 2014.
8Kaiser Family Foundation analysis of insurance company rate filings.
9KCMU analysis of Health Insurance Marketplace: Enrollment Reports. Office of the Assistant Secretary for Planning and Evaluation (ASPE), Department of Health and Human Services (HHS); November 2013 – April 2014.
10Based on data from Health Insurance Marketplace: March Enrollment Report, October 1, 2013 – April 19, 2014, Office of the Assistant Secretary for Planning and Evaluation (ASPE), Department of Health and Human Services (HHS); May 1, 2014 and State-by-State Estimates of the Number of People Eligible for Premium Tax Credits Under the Affordable Care Act, Kaiser Family Foundation, November 5, 2013.

 

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