Colorado State Chartbook

8/9/2019 Colorado State Chartbook

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ColoradoSHAP Grantee Chartbook

Health Insurance Coverage Estimatesfrom the 2008 American Community Survey (ACS)

Prepared for:

State Health Access Program (SHAP)

Last Updated: July 21, 2010


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July 21, 2010 www.shadac.org i

Colorado SHAP Grantee Chartbook

This chartbook was prepared for the U.S. Department of Health and Human Services

Health Resources and Services Administrations State Health Access Program (SHAP) by the

State Health Access Data Assistance Center (SHADAC).

5600 Fishers Lane

Rockville, MD 20857

HRSA Contact Person

Michelle Herzog

Ph. 301-443-0650

[email protected]

2221 University Ave SE, Suite 345

Minneapolis, MN 55414

Ph. 612-624-4802

Fax. 612-624-1493

[email protected]

www.shadac.org/shap

Colorado SHAP Grantee Organization:Colorado Department of Health Care Policy and Financing

Project Director

Susan Williamson

Ph. 303-866-2618

Email. [email protected]
mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]


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July 21, 2010 www.shadac.org ii


Table of Contents PageIntroduction .................................................................................................................................................. 1

Summary Statistics ........................................................................................................................................ 1

Exhibit 1: Any Source of Health Insurance Coverage by Poverty Level, Age 0-64, ACS2008 ......................................................................................................................................................... 1

Maps and Data Tables ................................................................................................................................... 2

Exhibit 2.1: Sub-State Uninsurance Estimates, Age 0-64, ACS 2008 ....................................................... 3

Exhibit 2.2: Demographic Profile by Source of Health Insurance Coverage, Age 0-64,

ACS 2008 .................................................................................................................................................. 4

Exhibit 2.3: Sub-State Uninsurance Estimates, Age 0-64,


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July 21, 2010 www.shadac.org 1


Introduction

This chartbook of health insurance coverage estimates is designed to be an easily accessed resource for

State Health Access Program (SHAP) grantees. Estimates for key population groups within your state

are provided in summary map format, with detailed tables for reference. Data provided in thischartbook are from the 2008 American Community Survey (ACS).

Your chartbook includes the following information for your state:

Maps of uninsurance estimates for children and adults, as well as children and adults under200% FPL

Tables of health insurance coverage estimates for the above mentioned population groups, withvariance information

County-level estimates of uninsurance Demographic profiles of state populations

Summary Statistics

Any source of health insurance coverage for Colorado is shown in Exhibit 1. In 2008, 81.3% of the total

population age 0-64 had health insurance coverage. Nearly three quarters (72.6%) had private

coverage, while 10.7% reported having government coverage. This is in contrast to individuals under

200% of the Federal Poverty Level (FPL), of which only 61.9% had insurance, with 38.4% having private

coverage, and 25.3% having government coverage.

Exhibit 1: Any Source of Health Insurance Coverage by Poverty Level, Age 0-64, ACS 2008

Source: U.S. Census Bureau, 2008 American Community Survey.

Note: Those who report multiple types of insurance coverage (i.e., private or public) are

included in each category; therefore, totals may add to more than 100 percent.

18.7%

81.3%

72.6%

10.7%

38.1%

61.9%

38.4%

25.3%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

Uninsured Insured Private Coverage Government

Coverage

Total < 200% FPL


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Maps and Data Tables

Detailed uninsurance estimates begin with Exhibit 2.1. Each subpopulation is shown as a map, followed

by a detailed table. The estimates in the tables provide percent and standard error (for calculation of

confidence intervals). Additional subgroup estimates are available upon request.


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Exhibit2.1

:Sub-StateUninsuranceEstimates,Age0-6

4,

ACS2008

Source:U.S.CensusBurea

u,2008AmericanCommunitySurvey.

*Statisticallydifferentfromt

hestateuninsuranceestimateforpeop

leage0-64(18.7%).

Note:Sub-stateestimates

aretypicallycollectionsofcountiesandreflectthelowestlevelof

geographyavailableforasingleyearofACSdata.Inmostmetroare

assub-countyestimates

areavailable,

butwherepossiblethesub-countyestimatesareaggregatedtothecounty.


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Exhibit2.3

:Sub-StateUninsuranceEstimates,Age0-64,


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Exhibit 2.4: Demographic Profile by Source of Health Insurance Coverage,

Age 0-64,


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Exhibit 2.5: Sub-State Uninsurance Estimates, Age 0-64 by Federal Poverty Level (FPL), ACS 2008

All PovertyLevels


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Definitions: % = Percent; SE = Standard Error

Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a

single year of ACS data. In most metro areas sub-county estimates are available, but where possible the sub-county

estimates are aggregated to the county.

* Statistically different from the state uninsurance estimate for population group (Age 0-64, 18.7%; Age 0-64


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Exhibit3.1

:Sub-StateUninsuranceEstimates,Age0-1

8,

ACS2008



*Statisticallydifferentfrom

thestateuninsuranceestimateforpeop

leage0-18(14.2%).

^Dataaresuppressedforsub-stateareaswithfewerthan50observ

ations.


aretypicallycollectionsofcountiesandre

flectthelowestlevelof

geographyavailableforas

ingleyearofACSdata.Inmostmetroare


areavailable,

butwherepossiblethesub-countyestimatesareaggre

gatedtothecounty.


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Exhibit 3.2: Demographic Profile by Source of Health Insurance Coverage, Age 0-18, ACS 2008


Note: Counts are presented in thousands.


Population Uninsured Insured PrivateCoverage

GovernmentCoverage

(000) % SE % SE % SE % SE

Race and Ethnic i ty

Hispanic 369 27.2 1.63 72.8 1.63 41.9 1.68 32.1 1.61

White Alone 766 8.5 0.53 91.5 0.53 81.8 0.77 10.9 0.66

Black Alone 47 9.3 2.23 90.7 2.23 57.6 4.39 36.2 4.35

Asian Alone 30 10.6 2.88 89.4 2.88 78.8 4.44 11.6 3.80

Mult ip le/other

non-Hispanic61 12.3 2.39 87.7 2.39 71.1 3.25 18.4 2.80

Tota l 1,272 14.2 0.63 85.8 0.63 68.8 0.82 18.4 0.68

Ag e0-18 1,272 14.2 0.63 85.8 0.63 68.8 0.82 18.4 0.68

19-24 -- -- -- -- -- -- -- -- --

25-44 -- -- -- -- -- -- -- -- --

45-64 -- -- -- -- -- -- -- -- --

Tota l 1,272 14.2 0.63 85.8 0.63 68.8 0.82 18.4 0.68

Poverty Level

0 -99% FPL 186 29.8 2.35 70.2 2.35 22.0 1.94 49.6 2.49

100-199% FPL 242 26.6 1.86 73.4 1.86 41.0 2.01 33.7 1.93

200-399% FPL 412 10.7 0.84 89.3 0.84 80.8 1.12 10.1 0.91

400%+ FPL 410 2.8 0.38 97.2 0.38 95.2 0.52 3.0 0.37

Tota l 1,250 14.1 0.63 85.9 0.63 69.0 0.83 18.2 0.69

Se x

Male 655 14.6 0.76 85.4 0.76 68.0 0.97 18.6 0.81

Female 618 13.7 0.75 86.3 0.75 69.6 1.00 18.2 0.85

Tota l 1,272 14.2 0.63 85.8 0.63 68.8 0.82 18.4 0.68

Work Status

Not work ing 21 18.9 4.13 81.1 4.13 73.0 4.30 9.7 2.15

Part -t ime 37 18.9 2.79 81.1 2.79 77.9 2.87 4.0 1.11

F u l l - t i m e 11 19.4 5.32 80.6 5.32 74.1 5.65 6.5 2.84

Tota l 69 19.0 2.22 81.0 2.22 75.8 2.30 6.1 0.99


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Exhibit3.3

:Sub-StateUninsuranceEstimates,Age0-18,


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Age 0-18,


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All PovertyLevels


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Exhibit4.1

:Sub-Stat

eUninsuranceEstimates,Age19-64,

ACS2008



*Statisticallydifferentfrom

thestateuninsuranceestimateforpeop

leage19-64(20.6%).


aretypicallycollectionsofcountiesandre

flectthelowestlevelof

geographyavailableforas

ingleyearofACSdata.Inmostmetroare


areavailable,

butwherepossiblethesub-countyestimatesareaggre

gatedtothecounty.


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Exhibit 4.2: Demographic Profile by Source of Health Insurance Coverage, Age 19-64, ACS 2008


Note: Counts are presented in thousands.


Population Uninsured Insured PrivateCoverage

GovernmentCoverage

(000) % SE % SE % SE % SE

Race and Ethnic i ty

Hispanic 558 41.0 1.23 59.0 1.23 50.6 1.23 10.3 0.62

White Alone 2,263 15.3 0.37 84.7 0.37 80.6 0.40 6.4 0.21

Black Alone 103 25.9 2.17 74.1 2.17 63.6 2.31 16.0 1.80

Asian Alone 86 18.5 2.43 81.5 2.43 78.2 2.53 4.5 0.93

Mult ip le/other

non-Hispanic75 26.7 2.40 73.3 2.40 65.3 2.52 11.3 1.42

Tota l 3,085 20.6 0.40 79.4 0.40 74.2 0.42 7.5 0.21

Ag e0-18 -- -- -- -- -- -- -- -- --

19-24 383 30.6 1.13 69.4 1.13 64.0 1.20 6.7 0.60

25-44 1,429 24.7 0.63 75.3 0.63 70.9 0.66 5.7 0.29

45-64 1,273 13.1 0.43 86.9 0.43 80.9 0.48 9.8 0.32

Tota l 3,085 20.6 0.40 79.4 0.40 74.2 0.42 7.5 0.21

Poverty Level

0 -99% FPL 325 46.1 1.50 53.9 1.50 34.6 1.43 21.2 1.10

100-199% FPL 437 42.0 1.24 58.0 1.24 46.9 1.27 13.4 0.76

200-399% FPL 884 22.4 0.73 77.6 0.73 73.9 0.76 6.3 0.34

400%+ FPL 1,425 7.3 0.33 92.7 0.33 91.6 0.35 3.3 0.17

Tota l 3,070 20.7 0.40 79.3 0.40 74.1 0.43 7.5 0.21

Se x

Male 1,549 22.5 0.53 77.5 0.53 72.9 0.54 7.4 0.28

Female 1,535 18.7 0.44 81.3 0.44 75.4 0.48 7.6 0.28

Tota l 3,085 20.6 0.40 79.4 0.40 74.2 0.42 7.5 0.21

Work Status

Not work ing 442 24.8 0.92 75.2 0.92 56.7 1.01 24.8 0.83

Part -t ime 523 25.4 0.84 74.6 0.84 67.5 0.89 8.7 0.54

F u l l - t i m e 2,120 18.6 0.44 81.4 0.44 79.4 0.46 3.6 0.17

Tota l 3,085 20.6 0.40 79.4 0.40 74.2 0.42 7.5 0.21


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Exhibit4.3

:Sub-StateUnin

suranceEstimates,Age19-64,


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Age 19-64,


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All PovertyLevels


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Appendix A. Technical Assistance Available from SHADAC

SHADAC has a contract with Health Resources and Services Administration (HRSA) at Health and Human

Services (HHS) to provide technical assistance to states that have received State Health Access Program

(SHAP) grants. This includes support for data collection, analysis and evaluation related to their SHAP

project work. A summary of assistance is provided below. Questions and requests can be directed to

Elizabeth Lukanen at 612-626-1537 [email protected].

Data Assistance

Several SHADAC resources are available to help SHAP grantees access and utilize data relating to health

insurance coverage estimates, access to care, and understanding available data-specific technical

assistance resources. Resources include: SHADACs Data Center, an online table and chart generator;

issue briefs and technical briefs; and information on how to access microdata.

Web page: http://www.shadac.org/shap/technical-assistance/data

HRSA Benchmarks

SHADAC will also assist states in reporting HSRA benchmark data.

Web page: http://www.shadac.org/shap/technical-assistance/HRSA-Benchmarks

Evaluation

SHADAC staff are available to help SHAP grantees refine and implement evaluation plans, to ensure the

fidelity and success of SHAP-funded programs.

Web page: http://www.shadac.org/shap/technical-assistance/evaluations

Surveys

SHADAC has a variety of resources to help SHAP grantees conduct survey research and apply the results

to relevant audiences. SHADACs technical assistance can facilitate the sharing of information and

expertise among grantees, help policy makers understand the unique characteristics of state sub-

populations, and provide assistance in developing survey tools and methods.

Web page: http://www.shadac.org/shap/technical-assistance/surveys

State Reform Research and Strategies

SHADAC has provided evaluative information on health reform initiatives in states participating in the

State Health Access Reform Evaluation (SHARE) program. Many of these evaluations provide descriptive

information that may be useful for SHAP grantees.

Web page: http://www.shadac.org/shap/technical-assistance/ state-reform-research-and-strategies
mailto:[email protected]:[email protected]:[email protected]://www.shadac.org/shap/technical-assistance/datahttp://www.shadac.org/shap/technical-assistance/datahttp://www.shadac.org/shap/technical-assistance/HRSA-Benchmarkshttp://www.shadac.org/shap/technical-assistance/HRSA-Benchmarkshttp://www.shadac.org/shap/technical-assistance/evaluationshttp://www.shadac.org/shap/technical-assistance/evaluationshttp://www.shadac.org/shap/technical-assistance/surveyshttp://www.shadac.org/shap/technical-assistance/surveyshttp://www.shadac.org/shap/technical-assistance/%20state-reform-research-and-strategieshttp://www.shadac.org/shap/technical-assistance/%20state-reform-research-and-strategieshttp://www.shadac.org/shap/technical-assistance/%20state-reform-research-and-strategieshttp://www.shadac.org/shap/technical-assistance/surveyshttp://www.shadac.org/shap/technical-assistance/evaluationshttp://www.shadac.org/shap/technical-assistance/HRSA-Benchmarkshttp://www.shadac.org/shap/technical-assistance/datamailto:[email protected]


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Appendix B. Data Source

Source: U.S. Census Bureau, 2008 American Community Survey (ACS). Calculations by SHADAC.

Estimates for the ACS exclude military but include non-institutionalized group quarters such as

college/university housing, group homes intended for adults, residential treatment facilities for adults,workers group living quarters and Job Corps centers, and religious group quarters.

Population counts are presented in thousands.

Definitions: '%' = Percent; 'SE' = Standard error as a percent. Confidence intervals can be calculated

from the standard errors; for example, the 95% confidence interval is (1.96 * SE).

Insurance coverage note: Listed Medicaid rates include SCHIP and state-specific public programs. Those

who report multiple types of insurance coverage (i.e., private or public) are included in each category;

therefore, row totals may add to more than 100 percent. Active duty military coverage (e.g., TRICARE) is

considered employer-sponsored insurance, while VA coverage is considered government coverage.

ACS methodology note: The ACS asks respondents about their health insurance coverage at the time of

the interview.

For technical documentation on the ACS please visithttp://www.shadac.org/content/acs-info-and-

resources.
http://www.shadac.org/content/acs-info-and-resourceshttp://www.shadac.org/content/acs-info-and-resourceshttp://www.shadac.org/content/acs-info-and-resourceshttp://www.shadac.org/content/acs-info-and-resourceshttp://www.shadac.org/content/acs-info-and-resourceshttp://www.shadac.org/content/acs-info-and-resources


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Appendix C. County Groupings in Sub-state Areas

Sub-State Area^ Counties

00101

Garfield

Jackson

Larimer (part)

Mesa (part)

Moffat

Rio Blanco

Routt

00102 Larimer (part)

00103 Mesa (part)

00200 Larimer (part)

00300 Weld

00400

Bent

Cheyenne

Crowley

Elbert

Kiowa

Kit Carson

Lincoln

Logan

Morgan

Phillips

ProwersSedgwick

Washington

Yuma

00501

Alamosa

Baca

Conejos

Costilla

Huerfano

Las Animas

OteroPueblo (part)

Rio Grande

Saguache

00502 Pueblo (part)

00600Archuleta

Delta


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00600 (cont.)

Dolores

La Plata

MontezumaMontrose

San Juan

San Miguel

00700

Eagle

Grand

Gunnison

Hinsdale

Lake

Mineral

OurayPitkin

Summit

00801

Boulder (part)

Clear Creek

Gilpin

Jefferson (part)

00802 Boulder (part)

00803 Boulder (part)

00804

Adams (part)

Boulder (part)Jefferson (part)

00805Adams (part)

Jefferson (part)

00806 Adams (part)

00807 Adams (part)

00808Adams (part)

Arapahoe (part)

00809Adams (part)

Arapahoe (part)

00810Adams (part)

Arapahoe (part)

00811 Arapahoe (part)

00812 Denver (part)

00813 Denver (part)

00814 Denver (part)

00815Arapahoe (part)

Denver (part)


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00816 Denver (part)

00817Adams (part)

Jefferson (part)00818 Jefferson (part)

00819 Jefferson (part)

00820Arapahoe (part)

Jefferson (part)

00821Douglas (part)

Jefferson (part)

00822 Douglas (part)

00901

El Paso

00902

0090300904

00905

01000

Chaffee

Custer

Fremont

Park

Teller

^ Sub-state areas are labeled according to Census Bureau-defined geographical areas known

at PUMAs (Public Use Microdata Areas). For more information on these areas, contact

SHADAC.


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AppendixD.C

oloradoMapofMajorCitie

s

Source:U.S.CensusBu

reau.


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AppendixE.

Co

loradoMapofCountyBou

ndaries

Source:U.S.CensusBureau.

Colorado State Chartbook

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