Knowing who has health insurance coverage and what type of coverage they have, and, importantly, who doesn’t have coverage, is a foundational building block in understanding health needs of a population (ability to access and utilize care and services), understanding affordability (costs of care both in dollars and in behavior changes), and is an important consideration when assessing quality of care and health outcomes.
State Health Compare provides annually updated state-level measures of health insurance coverage using single-year data from the U.S. Census Bureau’s American Community Survey (ACS) by multiple types of coverage including Medicare, employer-sponsored insurance (ESI), Medicaid, and individual coverage, as well as no insurance coverage, and across a number of breakdowns, including: age, citizenship, disability status, education, family income, health status, limited English proficiency, marital status, poverty level, race/ethnicity, sex, and work status.*
*As SHADAC and other organizations have documented, the COVID-19 pandemic was the cause of several substantial disruptions to data collection and dissemination efforts for the 2020 ACS, impacting 2020 single-year estimates of health insurance coverage. Though the 2016-2020 5-year data were able to be released as usual, SHADAC will continue to monitor any future changes to federal data releases directly or indirectly related to the pandemic.
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Comparing Federal Government Surveys that Count the Uninsured: 2021
SHADAC’s annual brief examining national and state-level rates of those without health insurance coverage from four major surveys: the American Community Survey (ACS), the Current Population Survey (CPS), the Medical Expenditure Panel Survey – Household Component (MEPS-HC), and the National Health Interview Survey (NHIS).
Addressing Data Quality Challenges in the 2020 American Community Survey
An annual webinar hosted by SHADAC featuring experts from the U.S. Census Bureau, discussing the unique challenges the Census Bureau faced in both data collection and production efforts for the 2020 ACS, resulting in a more limited set of "experimental" estimates being released.