Maine State Chartbook

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MaineSHAP Grantee Chartbook

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

Prepared for:

State Health Access Program (SHAP)

Last Updated: July 30, 2010


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July 30, 2010 www.shadac.org i

Maine 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

Maine SHAP Grantee Organization:State of Maine, Governors Office of Health Policy

Project Director

Trish Riley

Ph. 207-624-7442

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 30, 2010 www.shadac.org ii


Table of Contents Page

Introduction .............. ................................................................................................................................... 1

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

Exhibit 1: Any Source of Health Insurance Coverage by Poverty Level, Age 0-64, ACS 2008 .................. 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 30, 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 Maine is shown in Exhibit 1. In 2008, 87.7% of the total

population age 0-64 had health insurance coverage. Over two thirds (68.6%) had private coverage,

while 23.4% reported having government coverage. This is in contrast to individuals under 200% of the

Federal Poverty Level (FPL), of which only 81.1% had insurance, with 32.8% having private coverage, and

55.0% 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.

12.3%

87.7%

68.6%

23.4%18.9%

81.1%

32.8%

55.0%

0%10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

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


* Statistically different from the state uninsurance estimate for people age 0-64 (12.3%).

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

year of ACS data.


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Exhibit 2.2: Demographic Profile by Source of Health Insurance Coverage, Age 0-64, ACS 2008

Definitions: % = Percent; SE = Standard Error

Note: Counts are presented in thousands.


Population Uninsured Insured PrivateCoverage

GovernmentCoverage

(000) % SE % SE % SE % SE

Race and Ethnic i ty

Hispanic 12 14.8 5.94 85.2 5.94 65.9 8.58 21.6 6.75

White Alone 1,049 12.4 0.62 87.6 0.62 69.3 0.95 22.7 0.91

Black Alone 10 5.2 2.42 94.8 2.42 40.8 10.93 54.5 10.53

Asian Alone 8 12.7 6.56 87.3 6.56 80.8 7.49 7.8 3.98

Mult ip le/other

non-Hispanic27 13.6 3.15 86.4 3.15 48.8 5.60 43.8 5.61

Tota l 1,106 12.3 0.61 87.7 0.61 68.6 0.94 23.4 0.90

Ag e0-18 296 6.3 0.84 93.7 0.84 64.8 1.69 33.3 1.68

19-24 91 22.8 2.23 77.2 2.23 57.1 2.71 21.9 2.38

25-44 324 17.0 1.12 83.0 1.12 66.9 1.39 19.6 1.15

45-64 396 10.7 0.78 89.3 0.78 75.4 1.05 19.5 0.91

Tota l 1,106 12.3 0.61 87.7 0.61 68.6 0.94 23.4 0.90

P o v e r t y L e v e l

0 -99% FPL 146 18.1 1.88 81.9 1.88 20.6 2.28 66.1 2.69

100-199% FPL 202 19.4 1.81 80.6 1.81 41.7 2.28 46.9 2.51

200-399% FPL 365 13.3 1.09 86.7 1.09 78.1 1.38 12.0 0.98

400%+ FPL 369 5.8 0.67 94.2 0.67 92.4 0.75 4.8 0.48

Tota l 1,082 12.6 0.62 87.4 0.62 68.4 0.95 23.4 0.90

Se x

Male 546 14.1 0.80 85.9 0.80 68.0 1.08 22.5 0.98

Female 560 10.6 0.66 89.4 0.66 69.1 1.08 24.3 1.07

Tota l 1,106 12.3 0.61 87.7 0.61 68.6 0.94 23.4 0.90

Work Status

Not work ing 147 11.5 1.24 88.5 1.24 42.3 1.77 55.8 1.86

Part -t ime 161 19.8 1.51 80.2 1.51 61.5 1.74 22.2 1.50

Ful l - t ime 523 13.7 0.78 86.3 0.78 80.1 0.89 9.2 0.60

Tota l 831 14.5 0.66 85.5 0.66 69.8 0.86 20.0 0.74


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


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

ACS data.

* Statistically different from the state uninsurance estimate for population group (Age 0-64, 12.3%; Age 0-64


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Note: No sub-state areas are statistically different from the state uninsurance estimate for people age 0-18 (6.3%). Sub-state

estimates are typically collections of counties and reflect the lowest level of geography available for a single year of ACS data.


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* Sample size for this subpopulation is not sufficient to provide an estimate.



GovernmentCoverage

(000) % SE % SE % SE % SE


Hispanic 6 3.6 2.61 96.4 2.61 62.2 11.23 36.9 12.02

White Alone 270 6.3 0.90 93.7 0.90 65.5 1.76 32.7 1.74

Black Alone* 4 -- -- -- -- -- -- -- --

Asian Alone* 3 -- -- -- -- -- -- -- --

Mult ip le/other

non-Hispanic13 7.7 3.43 92.3 3.43 58.5 8.46 39.4 8.45

Tota l 296 6.3 0.84 93.7 0.84 64.8 1.69 33.3 1.68

Ag e0-18 296 6.3 0.84 93.7 0.84 64.8 1.69 33.3 1.68

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

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

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

Tota l 296 6.3 0.84 93.7 0.84 64.8 1.69 33.3 1.68

Poverty Level

0 -99% FPL 49 7.7 2.40 92.3 2.40 22.4 3.88 76.6 4.12

100-199% FPL 64 8.0 2.12 92.0 2.12 41.2 3.84 59.6 3.82

200-399% FPL 99 7.0 1.54 93.0 1.54 80.3 2.31 14.8 1.92

400%+ FPL 72 3.2 0.98 96.8 0.98 94.2 1.33 4.0 1.11

Tota l 284 6.4 0.87 93.6 0.87 65.0 1.72 32.8 1.70

Se x

Male 157 6.0 1.14 94.0 1.14 65.4 2.08 33.0 2.02

Female 139 6.6 1.02 93.4 1.02 64.2 2.09 33.7 2.10

Tota l 296 6.3 0.84 93.7 0.84 64.8 1.69 33.3 1.68

Work Status

Not work ing 5 23.0 8.83 77.0 8.83 40.5 8.63 42.9 9.05

Part -t ime 11 6.3 2.75 93.7 2.75 73.4 5.52 22.8 5.25

Ful l - t ime* 4 -- -- -- -- -- -- -- --

Tota l 20 12.0 3.16 88.0 3.16 64.3 4.56 26.9 4.04


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Exhibit 3.4: Demographic Profile by Source of Health Insurance Coverage,

Age 0-18,


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Note: No sub-state areas are statistically different from the state uninsurance estimate for the population group (Age 0-18, 6.3%; Age

0-18


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* Statistically different from the state uninsurance estimate for people age 19-64 (14.6%).

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

year of ACS data.


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*Sample size for this subpopulation is not sufficient to provide an estimate.



GovernmentCoverage

(000) % SE % SE % SE % SE


Hispanic 6 25.1 10.34 74.9 10.34 69.3 10.21 7.6 3.59

White Alone 779 14.4 0.67 85.6 0.67 70.6 0.86 19.3 0.74

Black Alone* 6 -- -- -- -- -- -- -- --

Asian Alone 5 16.3 7.95 83.7 7.95 79.1 8.30 4.6 2.67

Mult ip le/other

non-Hispanic14 18.8 3.97 81.2 3.97 40.2 5.11 47.6 5.43

Tota l 811 14.6 0.67 85.4 0.67 69.9 0.86 19.8 0.73

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

19-24 91 22.8 2.23 77.2 2.23 57.1 2.71 21.9 2.38

25-44 324 17.0 1.12 83.0 1.12 66.9 1.39 19.6 1.15

45-64 396 10.7 0.78 89.3 0.78 75.4 1.05 19.5 0.91

Tota l 811 14.6 0.67 85.4 0.67 69.9 0.86 19.8 0.73

Poverty Level

0 -99% FPL 97 23.3 2.13 76.7 2.13 19.6 2.39 60.7 2.69

100-199% FPL 138 24.7 2.10 75.3 2.10 41.9 2.16 41.1 2.27

200-399% FPL 265 15.7 1.16 84.3 1.16 77.2 1.31 10.9 0.86

400%+ FPL 298 6.5 0.72 93.5 0.72 92.0 0.77 5.0 0.49

Tota l 798 14.7 0.68 85.3 0.68 69.7 0.87 20.0 0.74

Se x

Male 390 17.4 0.93 82.6 0.93 69.0 1.06 18.3 0.84

Female 421 11.9 0.73 88.1 0.73 70.8 1.03 21.2 0.94

Tota l 811 14.6 0.67 85.4 0.67 69.9 0.86 19.8 0.73

Work Status

Not work ing 142 11.1 1.24 88.9 1.24 42.3 1.81 56.3 1.87

Part -t ime 150 20.8 1.60 79.2 1.60 60.6 1.81 22.2 1.55

Ful l - t ime 519 13.7 0.78 86.3 0.78 80.2 0.89 9.2 0.60

Tota l 811 14.6 0.67 85.4 0.67 69.9 0.86 19.8 0.73


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Exhibit 4.4: Demographic Profile by Source of Health Insurance Coverage,

Age 19-64,


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

ACS data.

* Statistically different from the state uninsurance estimate for population group (Age 19-64, 14.6%; Age 19-64


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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

00100Cumberland (part)

York (part)

00200 Cumberland (part)

00300Cumberland (part)

York (part)

00400

Cumberland (part)

Lincoln

Sagadahoc

00500

Hancock

Knox

Waldo (part)00600 Kennebec

00700 Androscoggin

00800

Franklin

Oxford

Somerset

00900

Penobscot

Piscataquis

Waldo (part)

01000Aroostook

Washington

^ 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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Appendix D. Maine Map of Major Cities

Source: U.S. Census Bureau.


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July 30 2010 www shadac org 22


Appendix E. Maine Map of County Boundaries

Source: U.S. Census Bureau.

Maine State Chartbook

Documents

Transcript of Maine State Chartbook