Enroll America and Civis Analytics first created a data model that predicts who likely has, and does not have, health coverage in anticipation of the opening of the health insurance marketplaces in 2013. This model has been updated each year and is used to estimate the insurance status of non-elderly Americans from 2013 to 2016. Grouping individual-level estimates by geography, sex, age, and race/ethnicity enables us to understand the uninsured landscape across the country. Here we provide a detailed look at the 2016 uninsured population in Iowa, along with plan selection data from HHS and nationwide uninsured rates for context. All uninsured rates listed in this document are based on the Enroll America/Civis Analytics uninsured model.
Enroll America Uninsured Estimates
Public Enrollment Data
FOR IOWA
FOR IOWA
2016 Estimated Uninsured Rate for 18 to 64 year olds: 2013 Estimated Uninsured Rate for 18 to 64 year olds: Decrease from 2013 to 2016:
5.1% 13.6% 8.5%
plan_selection 2016 Marketplace Plan Selections: [1] Effectuated_Enrollment Effectuated Marketplace Enrollment, Mar. 2016: [2] financial_assistance Marketplace Enrollees With Financial Help: medicaid_chip Medicaid and CHIP Enrollment, Aug. 2016: [3] change_medicaid Increase in Medicaid/CHIP Enrollment Since OE1:
55,089 48,949 85% 619,055 25%
Chart 1: Iowa Uninsured Rates for 2013 and 2016 of Key Demographics Overall
Uninsured Rate
30
Race
Age
Gender
25 24
20 15 10 5
20 16
14 8
13 9
5
2013
18 15
15
13
12
12 7
5
Asian
Male
5
5
6
2016
12 5
10 5
5
0 National
Iowa
Black
White
Latino
National Map: 2016 Uninsured Rates by County
Female
18 - 34
35 - 44
45 - 54
55 - 64
Chart 2: Distribution of Uninsured Population by Demographic Groups Distribution of Uninsured by Race in Iowa 2% 2%
Black
90% 91%
White
2013
6% 5% 1% 1%
Latino Asian 0%
2016
20%
40%
60%
80%
100%
Distribution of Uninsured by Age in Iowa 42%
18 - 34
36% 18% 19%
35 - 44
Map Scale: Uninsured Rates per County
0%
5%
10%
15%
23% 0%
Table 1: 2016 Uninsured Rates in Most Populous Counties Overall Top 5 Most Populous Counties, Ordered by Population Size 1 2 3 4 5
### ### ### ### ###
Polk County Linn County Scott County Johnson County Black Hawk County
2016
18%
55 - 64
20%
2013
22% 22%
45 - 54
Race
5%
10%
15%
20%
25%
Gender
30%
35%
40%
Age
45%
Percent
Uninsured Rate
Black
White
Latino
Asian
Male
Female
18 - 34
35 - 44
45 - 54
55 - 64
4% 4% 5% 4% 6%
9% 7% 8% 6% 11%
4% 4% 4% 4% 5%
12% 7% 9% 7% 13%
7% 5% 6% 6% 8%
5% 4% 5% 5% 6%
4% 4% 4% 4% 6%
5% 5% 5% 5% 6%
4% 4% 4% 4% 6%
5% 4% 4% 4% 6%
4% 4% 4% 3% 6%
% of IA Uninsured Population 13% 5% 5% 4% 5%
Footnotes [1] Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services, Health Insurance Marketplaces 2016 Open Enrollment Period: Final Enrollment Report, March 2016. Available online at: https://aspe.hhs.gov/health-insurance-marketplaces-2016-open-enrollment-period-final-enrollment-report. [2] Centers for Medicare & Medicaid Services, March 31, 2016 Effectuated Enrollment Snapshot, June 2016. Available online at: https://www.cms.gov/Newsroom/MediaReleaseDatabase/Factsheets/2016-Fact-sheets-items/2016-06-30.html. [3] Centers for Medicare & Medicaid Services, Medicaid & CHIP: August 2016 Monthly Applications, Eligibility Determinations and Enrollment Report, November 2016. Available online at: https://www.medicaid.gov/medicaid/program-information/downloads/august-2016-enrollment-report.pdf.
1
Additional Enroll America Research, Blogs and Maps can be found at : https://www.enrollamerica.org/research-maps/ Iowa State Snapshot - Enroll America - November 2016