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New data coming soon
A. Medicaid: Holes in the Low-Income Safety Net?
Utah's Medicaid program is "minimalist" in several respects. .The percent of the population that is covered by Medicaid is very low:
Percent of Population Covered by Medicaid
RANK ORDER: 1=lowest proportion of population covered by Medicaid
State |
% Covered by Medicaid |
Rank |
New Hampshire |
6 |
1 |
Colorado |
7 |
2 |
Nevada |
7 |
2 |
New Jersey |
8 |
4 |
North Dakota |
8 |
4 |
Virginia |
8 |
4 |
Maryland |
9 |
7 |
Minnesota |
9 |
7 |
Delaware |
10 |
9 |
Hawaii |
10 |
9 |
Illinois |
10 |
9 |
Kansas |
10 |
9 |
Nebraska |
10 |
9 |
Utah |
10 |
9 |
Connecticut |
11 |
15 |
Florida |
11 |
15 |
Iowa |
11 |
15 |
Montana |
11 |
15 |
Pennsylvania |
11 |
15 |
Wyoming |
11 |
15 |
Idaho |
12 |
21 |
Indiana |
12 |
21 |
Ohio |
12 |
21 |
Oregon |
12 |
21 |
South Dakota |
12 |
21 |
Texas |
12 |
21 |
Washington |
12 |
21 |
Wisconsin |
12 |
21 |
Michigan |
13 |
29 |
Missouri |
13 |
29 |
North Carolina |
13 |
29 |
Oklahoma |
13 |
29 |
Georgia |
14 |
34 |
Massachusetts |
14 |
34 |
West Virginia |
14 |
34 |
Alabama |
15 |
37 |
Arkansas |
15 |
37 |
Kentucky |
15 |
37 |
Louisiana |
15 |
37 |
South Carolina |
15 |
37 |
Alaska |
16 |
42 |
Arizona |
16 |
42 |
California |
16 |
42 |
New Mexico |
17 |
45 |
Rhode Island |
17 |
45 |
Tennessee |
17 |
45 |
New York |
18 |
48 |
Vermont |
19 |
49 |
Maine |
20 |
50 |
Mississippi |
20 |
50 |
District of Columbia |
21 |
51 |
Source: Urban Institute and Kaiser Commission on Medicaid and the Uninsured estimates based on the Census Bureau's March 2005 and 2006 Current Population Survey (CPS: Annual Social and Economic Supplements).
One-third of Utah's uninsured are eligible for Medicaid (or CHIP) but not enrolled.
Efforts to retain enrollees or simplify enrollment are minimal at best.
Percent Reporting Lost Medicaid or CHIP as Reason for Being Uninsured
Source: Utah Department of Health (2001-06) Utah Health Status Survey.
Medicaid Minimalism: the portion of state funds that are dedicated to Medicaid.
Distribution of State General Fund Expenditures, Utah vs. U.S.
Medicaid Minimalism: reimbursements to providers, even providers of cost-effective primary care.
Medicaid Patients do not timely access to Primary and Preventive Care. Medicaid enrollees are slightly more likely than the uninsured to make inappropriate visits to the E.R. The reasons for their visits to the E.R. should have been addressed in a less expensive primary care setting.
Primary Care Sensitive Visits to
Utah Emergency Rooms by Payer, 2001
Source: Utah Office of Health Care Statistics (2004). Primary Care Sensitive Emergency Department Visits in Utah, 2001. Salt Lake City, UT: Utah Department of Health.
Medicaid-to-Medicare Fee Index, 2003
Rank |
Primary Care |
Obstetric Care |
Other Services |
|
United States |
0.62 |
0.84 |
0.73 |
1 |
New Jersey |
0.34 |
0.31 |
0.43 |
2 |
Rhode Island |
0.34 |
0.50 |
0.50 |
3 |
New York |
0.40 |
0.65 |
0.31 |
4 |
District of Columbia |
0.35 |
0.94 |
0.41 |
5 |
Pennsylvania |
0.43 |
0.90 |
0.61 |
6 |
Missouri |
0.50 |
0.71 |
0.56 |
7 |
California |
0.51 |
0.65 |
0.74 |
8 |
Michigan |
0.63 |
0.60 |
0.60 |
9 |
Illinois |
0.54 |
0.84 |
0.68 |
10 |
Florida |
0.60 |
0.82 |
0.58 |
11 |
Maine |
0.54 |
0.84 |
0.71 |
12 |
Indiana |
0.60 |
0.77 |
0.79 |
13 |
Ohio |
0.66 |
0.79 |
0.66 |
14 |
Texas |
0.62 |
0.82 |
0.82 |
15 |
New Hampshire |
0.67 |
0.96 |
0.54 |
16 |
Oklahoma |
0.67 |
0.81 |
0.73 |
17 |
Louisiana |
0.70 |
0.89 |
0.75 |
18 |
Utah |
0.66 |
0.86 |
0.75 |
19 |
Colorado |
0.68 |
0.86 |
0.75 |
20 |
Hawaii |
0.71 |
0.79 |
0.76 |
21 |
Kansas |
0.63 |
0.92 |
0.86 |
22 |
Kentucky |
0.63 |
1.11 |
0.83 |
23 |
Virginia |
0.73 |
0.84 |
0.77 |
24 |
Minnesota |
0.64 |
0.82 |
1.14 |
25 |
Maryland |
0.76 |
1.03 |
0.72 |
26 |
Massachusetts |
0.72 |
0.98 |
0.75 |
27 |
Georgia |
0.68 |
1.00 |
0.91 |
28 |
Connecticut |
0.74 |
1.16 |
0.62 |
29 |
South Dakota |
0.68 |
0.88 |
1.13 |
30 |
Vermont |
0.64 |
1.14 |
0.93 |
31 |
Montana |
0.75 |
0.97 |
1.00 |
32 |
Oregon |
0.75 |
1.17 |
0.76 |
33 |
Washington |
0.79 |
1.22 |
0.64 |
34 |
Wisconsin |
0.73 |
1.01 |
1.05 |
35 |
West Virginia |
0.82 |
1.19 |
0.83 |
36 |
South Carolina |
0.75 |
1.60 |
0.76 |
37 |
Alabama |
0.82 |
1.19 |
0.75 |
38 |
Mississippi |
0.90 |
0.85 |
0.99 |
39 |
North Dakota |
0.90 |
0.94 |
0.91 |
40 |
Idaho |
0.89 |
0.99 |
0.93 |
41 |
Arkansas |
0.96 |
0.78 |
1.15 |
42 |
Nebraska |
0.78 |
0.94 |
1.41 |
43 |
New Mexico |
0.93 |
0.95 |
1.00 |
44 |
Iowa |
0.94 |
1.01 |
1.00 |
45 |
North Carolina |
0.96 |
1.01 |
0.96 |
46 |
Nevada |
0.71 |
1.30 |
1.27 |
47 |
Delaware |
1.00 |
1.02 |
1.00 |
48 |
Wyoming |
0.96 |
1.07 |
1.12 |
49 |
Arizona |
1.01 |
1.17 |
1.05 |
50 |
Alaska |
1.38 |
1.38 |
1.36 |
51 |
Tennessee |
N/A 1 |
N/A 1 |
N/A 1 |
Medicaid Enrollment by County, December 2006
County |
Count |
Percent |
BEAVER |
896 |
13.9 |
BOX ELDER |
4,008 |
8.7 |
CACHE |
9,518 |
9.0 |
CARBON |
3,114 |
15.9 |
DAGGETT |
22 |
2.3 |
DAVIS |
17,293 |
6.0 |
DUCHESNE |
2,243 |
14.3 |
EMERY |
1,277 |
12.2 |
GARFIELD |
538 |
11.2 |
GRAND |
1,400 |
15.5 |
IRON |
6,013 |
13.8 |
JUAB |
1,035 |
11.1 |
KANE |
692 |
11.0 |
MILLARD |
1,722 |
13.0 |
MORGAN |
338 |
3.8 |
OUT OF STATE |
70 |
|
PIUTE |
297 |
21.6 |
RICH |
125 |
5.9 |
SALT LAKE |
77,716 |
7.8 |
SAN JUAN |
3,119 |
21.3 |
SANPETE |
3,612 |
14.0 |
SEVIER |
3,067 |
15.3 |
SUMMIT |
1,217 |
3.3 |
TOOELE |
4,075 |
7.5 |
UINTAH |
2,346 |
8.5 |
UTAH |
35,138 |
7.4 |
WASATCH |
1,144 |
5.4 |
WASHINGTON |
12,156 |
9.0 |
WAYNE |
288 |
11.4 |
WEBER |
20,660 |
9.6 |
|
|
|
Total (state Average) |
215,139 |
8.2 |
Source: Division of Health Care Financing, Utah Department of Health, 2006. Percent estimates are based on Census population data from July 1, 2006.
Assuming the need for Medicaid should reflect a community's poverty burden more than it should reflect its share of the general population, Utah's communities of color are under-enrolled in public programs. Medicaid Enrollment by Race/Ethnicity in December 2006
RACE |
COUNT |
% of Caseload |
Black |
5,138 |
3% |
Pacific Islander |
1,021 |
.6% |
White |
156,264 |
90% |
Asian |
3,721 |
2.2% |
American Indian |
6,540 |
3.8% |
Total |
172,684 |
100% |
|
|
|
|
|
|
Ethnicity |
COUNT |
% of Caseload |
Hispanic |
33,002 |
19% |
Not Hispanic |
139,348 |
81% |
Source: Division of Health Care Financing, Utah Department of Health, 2007
CHIP Enrollment by County
County |
Enrollees |
Percent |
BEAVER |
217 |
3.4% |
BOX ELDER |
630 |
1.4% |
CACHE |
1,590 |
1.5% |
CARBON |
263 |
1.3% |
DAGGETT |
4 |
0.4% |
DAVIS |
2,674 |
0.9% |
DUCHESNE |
387 |
17.2% |
EMERY |
235 |
2.3% |
GARFIELD |
150 |
3.1% |
GRAND |
256 |
2.8% |
IRON |
1,237 |
2.8% |
JUAB |
190 |
2.0% |
KANE |
133 |
2.1% |
MILLARD |
431 |
3.3% |
MORGAN |
91 |
1.0% |
OUT OF STATE |
16 |
|
PIUTE |
50 |
3.6% |
RICH |
40 |
1.9% |
SANPETE |
852 |
3.3% |
SEVIER |
556 |
2.8% |
SAN JUAN |
376 |
2.6% |
SALT LAKE |
10,826 |
1.1% |
SUMMIT |
334 |
0.9% |
TOOELE |
567 |
1.0% |
UNITAH |
385 |
1.4% |
UTAH |
6,466 |
1.4% |
WASATCH |
257 |
1.2% |
WEBER |
2,227 |
1.0% |
WASHINGTON |
2,966 |
2.2% |
WAYNE |
107 |
4.2% |
|
|
|
TOTAL |
34,513 |
1.3% |
ource: Division of Health Care Financing, Utah Department of Health, 2007
PCN Enrollment by County
County |
Enrollees |
Percent |
Beaver |
124 |
1.9% |
Box Elder |
304 |
0.7% |
Cache |
615 |
0.6% |
Carbon |
307 |
1.6% |
Daggett |
4 |
0.4% |
Duchesne |
195 |
1.3% |
Davis |
1,142 |
0.4% |
Emery |
151 |
1.4% |
Garfield |
79 |
1.7% |
Grand |
264 |
2.9% |
Iron |
591 |
1.4% |
Juab |
64 |
0.7% |
Kane |
84 |
1.3% |
Millard |
243 |
1.8% |
Morgan |
24 |
0.3% |
Piute |
53 |
3.9% |
Rich |
11 |
0.5% |
Sanpete |
488 |
1.9% |
Sevier |
356 |
1.8% |
San Juan |
185 |
1.3% |
Salt Lake |
4,678 |
0.5% |
Summit |
95 |
0.3% |
Tooele |
288 |
0.5% |
Uintah |
173 |
0.6% |
Utah |
2,290 |
0.5% |
Wasatch |
107 |
0.5% |
Weber |
1,147 |
0.5% |
Washington |
966 |
0.7% |
Wayne |
49 |
1.9% |
Unknown |
0 |
|
Out of State |
16 |
|
|
|
|
Total |
15,093 |
0.6% |
Source: Division of Health Care Financing, Utah Department of Health, 2007
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