Gains in health coverage for children have been steady since 2008, but they picked up steam after 2013.
While the overall uninsured rate has dipped to a record low of 8.6%, the rate among children was even lower at 4.8% in 2015, according to a new report from the Georgetown University Health Policy Institute.
Between 2013 and 2015, about 1.3 million children gained coverage, mostly through Medicaid and the Children’s Health Insurance Program (CHIP) as coverage expanded under the Affordable Care Act (ACA). Employer-sponsored coverage for children remained stable during this period, according to the report, authored by Joan Alker, MPhil, and Alisa Chester, MA. The authors found that gains in coverage spanned a variety of ethnic and income groups, and that 41 states made progress.
Since 2008, raw numbers of uninsured children have continued to fall despite the recession. The number of uninsured children was 6.9 million in 2015, and that total declined slightly each year through 2013, before falling faster after 2013. The number of uninsured children was 5.2 million in 2013, 4.4 million in 2014, and 3.5 million in 2015.
The largest pockets of children who remain uninsured are Native American/Alaskan Native and Hispanic children, as well as those with incomes between 100% and 200% of the federal poverty level. The report calls these children the “near poor,” and uninsured rates here for children are 6.8%. Overrepresented among the uninsured are older children and those in the South, where many states did not expand Medicaid and families may be in the “coverage gap.”
Many reports have suggested that Hispanic children eligible for CHIP coverage lack it because while the children were born in the United States, their parents may be in the country illegally and are reluctant to sign them up for a government program. In 2015, 7.5% of Hispanic children were uninsured, compared with 3.5% white, non-Hispanic.
Uninsured rates for children have been declining for 30 years. The first wave came after Medicaid was extended to all children below the poverty level in the 1980s, and the second wave came after the creation of CHIP in 1997. Health coverage rates for children had stagnated, the report said, before the ACA was fully implemented over the course of 2014 and 2015.
The report finds a direct connection between improved coverage for parents and increased coverage for children. “Research has shown that extending new coverage to parents results in more children obtaining coverage,” the authors write.
States with the highest numbers of remaining uninsured children are: Texas, with 682,000 or 19.3% of all uninsured children; California, with 302,000 or 8.5%; Florida, with 284,000; Georgia, with 166,000; Arizona, with 134,000; Ohio, with 115,000; and Pennsylvania, with 111,000. The data were based on 2014, and Pennsylvania has since converted to conventional Medicaid expansion.
Collecting SDOH Data Can Assess Risk of Medical Nonadherence, Improve HEI and Star Ratings
April 18th 2024At The Academy of Managed Care Pharmacy (AMCP) 2024 annual meeting, a panel of presenters explored changes coming to Medicare that incorporate social determinants of health (SDOH) data to improve patient and health system outcomes.
Read More
Overcoming Employment Barriers for Lasting Social Impact: Freedom House 2.0 and Pathways to Work
April 16th 2024To help celebrate and recognize National Minority Health Month, we are bringing you a special month-long podcast series with our Strategic Alliance Partner, UPMC Health Plan. Welcome to our second episode, in which we learn all about Freedom House 2.0 and the Pathways to Work program.
Listen
Low-Volume Hospitals Had Higher Reoperation Rate, Postoperative Complications in CRC
April 18th 2024Patients opting for elective colorectal surgery to address colorectal cancer (CRC) could have different rates of reoperation and postoperative complications based on the size of the hospital.
Read More
Making Giant Strides in Maternity Health Through Baby Steps
April 9th 2024To help celebrate and recognize National Minority Health Month, we are kicking off a special month-long podcast series with our strategic alliance partner, UPMC Health Plan. Welcome to our first episode, which is all about the Baby Steps Maternity Program and its mission to support women throughout every step of their pregnancy journey.
Listen
Prices for care at hospital trauma centers vary across hospitals; drug shortages reached a record high during the first quarter of 2024; although 3 of the biggest makers of asthma inhalers pledged to cap out-of-pocket costs for some US patients at $35, these do not apply to daily inhalers used by the youngest kids with asthma.
Read More
Commonwealth Fund Report Details Pervasive Racial and Ethnic Disparities in US Health Care, Outcomes
April 18th 2024Using 25 health system performance indicators, the Commonwealth Fund 2024 State Health Disparities Report evaluated racial and ethnic disparities in health care and health outcomes both within and across US states and highlighted the urgent need for equitable health care policies and practices in the US.
Read More