State Variation and Health Reform

Source: Kaiser Family Foundation, July 2009

From the abstract:
As the health reform debate progresses, the impact of reform on individual states will vary based on their economic situation, current health insurance coverage, and health care expenditures. This analysis pulls together key information related to state variation, including:

* Economic Profile: poverty rate, major industry types, unemployment rates and budget shortfalls (Figure 1.3);
* Health Coverage of the Non-Elderly Population (Figure 2.3);
* Poor and Low-Income Uninsured (Figure 3.3 & Figure 3.4);
* Medicaid and CHIP Eligibility and Enrollment (Figure 4.3 & Figure 4.4);
* Medicaid Spending and Financing: Federal Matching Assistance Rates (FMAP) for 2009, state funding, and payments per enrollee (Figure 5.3 & Figure 5.4);
* Medicaid Spending by Service and Population (Figure 6.3);
* Access to Health Care: safety net delivery sites, workforce shortages, unmet health care need, managed care enrollment and provider payment rates (Figure 7.5);
* Health Care Costs: total expenditures, Medicare expenditures and average family premium costs (Figure 8.3); and
* Individual and Small-Group Markets: guaranteed issue and rating restrictions by the individual and small group markets, as well as enrollment in high risk pools (Figure 9.3).

Health reform initiatives will have differential effects on states. In general, states with more extensive poverty, higher budget shortfalls, lower eligibility levels for public programs, higher rates of uninsured, and more primary care shortages, will be more heavily impacted.

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