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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.

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

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

Print Headline: In poll, state’s uninsured cut nearly in half

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  • Dontsufferfools
    August 6, 2014 at 9:58 a.m.

    po wrote recently that he's in the top 5% wealth wise. Yet he kvetches constantly about some poor woman or child getting health insurance or eating potato chips on the public dollar. Po, go down to Islamorada and enjoy yourself. Quit worrying about the poor. You made it. Your political ideas are hack lame, you have no solutions. Go acquaint yourself with that libertarian in the Keys who has set up a pistol shooting range in the middle of his RV court and is driving his neighbors batty.

  • djigoo
    August 6, 2014 at 9:58 a.m.

    The "free lunch" is the one proposed by your side, Po....Get sick? Just go to the emergency room. Others will pick up the tab.

    ACA is working, and is working well. I'm sorry that'd you'd rather see your fellow Arkansawyers die rather than have coverage.

  • 000
    August 6, 2014 at 10:17 a.m.

    Well, in the 6.92% according to wiki's household income for 2012.
    You conveniently left out the part where I worked really hard to get there and the observations about those pobuckers whose economic prospects declined while they passively waited for the government to feed them.
    It never ceases to amaze me to observe the blithe facility with which proglibs give away another person's money.

  • ThinkFree
    August 6, 2014 at 10:30 a.m.

    "Arkansas officials credited the state's expansion of Medicaid under the so-called private option"
    Wait! You mean that private insurance is better than single payer??
    Also, I wonder if these results will translate into favorable polling for ACA. Remember, it has never polled positively, ever.

  • ThinkFree
    August 6, 2014 at 10:33 a.m.

    “I happen to think that the best social program is a job”

  • 000
    August 6, 2014 at 11:36 a.m.

    I just got back from Islamorada. How did you know, DSF? I don't put that stuff on facebook.

  • 000
    August 6, 2014 at 12:35 p.m.

    "You conveniently left out the part where I worked really hard to get there..."
    Hard work pays off.
    Ten years before, when I noted things were going to hell more rapidly than I had observed in my lifetime, I purposed to advantage myself. Ten years ago, I was only in the top 42.28%. We more than doubled our household income by perseverance. I completed a new degree. My wife completed two, one a doctorate. I built on to my wealth by embarking on a massive home remodel and addition during the height of the real estate fiasco. Labor and materials were much cheaper and I made out like a bandit, almost doubling my home's worth. At the same time, I observed my pobucker kin and friends. They commented on how much "discipline" and made snide remarks about "working your life away". All the while, they got poorer and more dependent. They truly believe they got "screwed", but I know different. They just wasted their time with pobuckery, confident the nannies would take care of them.

  • nwar
    August 6, 2014 at 12:55 p.m.

    I think what I like most about these new results is that, by and large, the people benefiting have jobs, but either their employers don't provide health insurance or they don't get paid enough to buy it. I have several friends that don't get the subsidies, but they are benefiting too because they had pre-existing conditions. If I end up having to pay a bit more, I don't mind, because like our friend po, I can afford it. In the end, Arkansas is going to end up being a better place to work and live. Watch us leave Mississippi and Louisiana in the dust.

  • Dontsufferfools
    August 6, 2014 at 1:56 p.m.

    I don't have much use for anecdotal evidence, po. I know wonderful people who got laid off in the last recession because of, and only because of, Wall Street shenanigans. There are 1,000 of them for every one of your lazy daughters.
    ACA polls positively when people are asked if they should not be kicked off their insurance when they get sick, or be barred from insurance for pre-existing conditions.

  • FreeSpiritMan
    August 6, 2014 at 2 p.m.

    Po ...... I suspect you may have to hire pallbearers for your funeral. It take a least 6 friends to carry to ass and the box.