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In poll, state's uninsured cut nearly in half

Drop from 22.5% to 12.4% is largest in nation; private option credited

By Andy Davis

This article was published August 6, 2014 at 5:41 a.m.

Graph showing the 10 states with the largest reductions in percentage of uninsured comparing 2013 with midyear 2014.

Correction: The U.S. Census Bureau’s American Community Survey estimated that 434,160 Arkansas adults lacked insurance in 2012. An incorrect number for the census estimate was given in this article.

Arkansas had a bigger drop this year in the percentage of its adult residents who lack insurance than any other state, a survey released Tuesday found.

The survey by Gallup Inc. found that 12.4 percent of Arkansas adults lacked insurance as of midyear this year, a drop of 10.1 percentage points compared with 22.5 percent who lacked insurance last year.

As a result, the state went from having the second-highest rate of uninsured adults in the country, ahead of only Texas, to being tied with New Hampshire at No. 22 in the percentage of adults who reported having insurance.

The state with the second-highest drop was Kentucky, where the percentage of uninsured adults fell 8.5 percentage points, from 20.4 percent to 11.9 percent.

The survey was based on telephone interviews with 178,068 adults across the country from Jan. 2-Dec. 29, 2013, and 88,678 adults interviewed nationwide from Jan. 2-June 30 of this year.

According to the Gallup website, the 2013 results had a margin of error of plus or minus 1 to 2 percentage points for most states, but as high as 3.5 points for small-population states such as Wyoming, North Dakota, South Dakota, Delaware and Hawaii.

The error range for those small states for the 2014 results was high as plus or minus 5 percentage points.

Of the 10 states with the biggest reductions, the survey report noted that all had chosen to expand their Medicaid programs as allowed under the 2010 Patient Protection and Affordable Care Act, and all had either set up their own health insurance exchanges or, like Arkansas, helped set up their exchanges under partnerships with the federal government.

A state board created by the Arkansas Legislature last year is exploring the establishment of a state-run exchange that would replace the federal partnership exchange as early as next year.

Overall, in the 21 states that expanded their Medicaid programs and had a state-run or partnership exchange, the percentage of uninsured adults fell 4 percentage points, compared with a drop of 2.2 percentage points in states that met only one or neither of those criteria, Gallup reported.

Arkansas officials credited the state's expansion of Medicaid under the so-called private option, in which the Medicaid program buys coverage for eligible recipients on the health insurance exchange, for leading to the drop in the state's uninsured rate.

In a statement, Gov. Mike Beebe noted that the Gallup survey indicates the number of uninsured adults in the state fell by 45 percent.

"When we worked with the Arkansas Legislature to pass the Private Option, we said it would make Arkansas a national leader for innovative health-care solutions, and this report proves that to be true," Beebe said. "Even though not everyone was happy with the circumstances surrounding the Affordable Care Act in our state, we showed that we could find a bipartisan path to make the best of the situation and help our people."

Amy Webb, an Arkansas Department of Human Services spokesman, said in an email, "The Private Option is the reason Arkansas is at the top of the list.

"We can't say exactly how many enrollees were uninsured before, but we know these people are the working poor, and it's likely many couldn't afford insurance or it wasn't offered to them."

She noted that Texas, which did not expand Medicaid, had the highest rate of adults who lacked insurance in the country last year and as of midyear this year, although the rate fell from 27 percent of adults last year to 24 percent this year.

Authorized by the Arkansas Legislature last year, the expansion of the state's Medicaid program extended eligibility to adults with incomes of up to 138 percent of the poverty level: $16,105 for an individual, for instance, or $32,913 for a family of four.

As of June 30, 184,244 newly eligible Arkansans had been approved for coverage under the program.

In addition, the Arkansas Insurance Department reported that 38,126 Arkansans had enrolled in non-Medicaid plans on the exchange as of July 6.

Most people enrolled in such plans qualified for federal tax credits to help pay their premiums. The tax credits are available to people with incomes of less than 400 percent of the poverty level: for example, $45,960 for an individual or $94,200 for a family of four.

According to the U.S. Census Bureau's American Community Survey, about 475,000 Arkansas adults lacked insurance in 2012, the most recent year for which census estimates are available.

Paul Cunningham, executive vice president of the Arkansas Hospital Association, said he wasn't surprised that the percentage of Arkansans without insurance dropped.

A survey by the association of 42 hospitals in the state found that the number of uninsured patients treated in the emergency room dropped by 24 percent and the number admitted to the hospital dropped by 30 percent in the first three months of this year compared with the first quarter of last year.

The association is preparing a survey on patients' insurance status through the first six months of this year, he said.

The increase in patients' insurance coverage has helped offset the effect of cuts in Medicare reimbursement rates mandated under the Affordable Care Act and through automatic federal budget cuts, Cunningham said.

"It gives many hospitals a fighting chance," he said.

Arkansas Surgeon General Joe Thompson said the survey was "the only health care report that I've ever seen Arkansas in a space that didn't have Mississippi and Louisiana really close to it."

The rate of uninsured adults in Mississippi dropped 1.8 percentage points, to 20.6 percent, and in Louisiana by 3.3 percentage points, to 18.4 percent, according to the survey. Neither state expanded Medicaid nor established its own insurance exchange.

Thompson also noted that, before expanding its program, Arkansas had one of the most restrictive Medicaid programs in the country, with eligibility mostly limited to low-income children, the elderly, the disabled and parents with incomes of up to 17 percent of the poverty level.

"I think there's huge need out there," Thompson said. "People know they have conditions that they've not taken care of, and this was a mechanism that they could remove the financial barrier to getting care that they needed."

A section on 08/06/2014

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FreeSpiritMan says... August 6, 2014 at 2:09 p.m.

ddka ...... If you want people to believe you, post your policy #, carrier name, premium amount before increase, amount after increase and date of increase. That is how you substantiate spin onto fact. All, do not hold your breath waiting for this data.

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Populist says... August 6, 2014 at 2:28 p.m.

Nwar is correct that Arkansas will be a better place with more people having insurance. People who can afford health care will be happier more productive people. Healthy children will do better in school. The economy is moving in the right direction.

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FreeSpiritMan says... August 6, 2014 at 2:57 p.m.

dddka ........... Found you a health care program thats right up your alley:
Biblically-based bill-sharing collective called Medi-Share.
Check it out. But now, it is based on sharing for the collective good of all members. Sounds a little socialistic doesn't it, but, It's for Christians only. Be sure to get back with us and let us know if you qualify.

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FreeSpiritMan says... August 6, 2014 at 3:03 p.m.

dddka Medi-share says it bases it's design on the Book of Acts about setting up the first church: In case you are not aware of that content I will list it for you:
Acts: 2:44-45

44And all that believed were together, and had all things common; 45And sold their possessions and goods, and parted them to all men, as every man had need.

Acts: 4: 32-37

32 All the believers were one in heart and mind. No one claimed that any of their possessions was their own, but they shared everything they had. 33 With great power the apostles continued to testify to the resurrection of the Lord Jesus. And God’s grace was so powerfully at work in them all 34 that there were no needy persons among them. For from time to time those who owned land or houses sold them, brought the money from the sales 35 and put it at the apostles’ feet, and it was distributed to anyone who had need.
36 Joseph, a Levite from Cyprus, whom the apostles called Barnabas (which means “son of encouragement”), 37 sold a field he owned and brought the money and put it at the apostles’ feet.
*
This is sure an alternative for Obamacare for you and other like you to check out.
And just think it is Biblical based and for Christians only.

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FreeSpiritMan says... August 6, 2014 at 3:06 p.m.

Just need to add, for those of you who partake in the devils juice, you need not apply for Medi-Share.

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Packman says... August 6, 2014 at 4 p.m.

It must be understood libs define "success" according to the number of people sucking on the government teat. This data proves more than anything else Obamacare isn't about health care but expanding the number of entitlement addicts. How convenient the data omitted the percentages gained via Medicare expansion or subsidies. The biggest surprise in the data is that MORE people didn't sign up for free stuff. How is it 12% STILL have no health insurance. How can that be in a state where Obamacare has been fully implemented? Are these 12% no longer going to ER's or whatever it is the uninsured do to drive up health care costs? Which brings up another point. Did the cost of health care in America DROP as promised by BH Obama? Did family health insurance policies DROP by $2,500 as promised by BH Obama? Did people that liked their insurance get to keep it, as promised by BH Obama?
.
And it must be pointed out the useful idiots attribute all the gain to Obamacare and ignore the gains in health insurance coverage from people going back to work. What was the unemployment rate in Arkansas Jan. 1 2013 versus June 30 of 2014?
.
Sooner or later, they will run out of other people's money.

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DontDrinkDatKoolAid says... August 6, 2014 at 5:45 p.m.

FSM, ... God Gave man Free Will, you should check into that.

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Populist says... August 6, 2014 at 8:22 p.m.

I don't consider tax payments to be "my money." It is my contribution for living in this great country. There are any countries with low tax burdens and where the poor live in squalor. Why don't you go live in one of those if you prefer that system? While I think that benefits to adults should be tied to working, I don't begrudge children their healthcare or school lunches. Tom cotton is just Ebemezer Scrooge.

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