Louisiana Health Insurance Survey 2017
rveynce SuInsuraealthana HLouisi2017Stephen R. Barnes, PhD Mike Henderson, PhD Dek Terrell, PhD Stephanie Virgets, MAThis survey prepared by theE. J. Ourso College of Business Economics & Policy Research GroupManship School of Mass Communication Public Policy Research LabSponsored by the Louisiana Department of Health
Executive SummaryThe Louisiana Health Insurance Survey (LHIS) has been the primary source of health insurancerelated data on Louisiana residents since its inception in 2003 and has helped the state track theeffects of economic and policy changes over time as well as identify areas of need to focus newefforts to increase insurance coverage and access to care. Over time, Louisiana has seen a dramaticdecrease in the number of uninsured children thanks in part to expansions of Medicaid for children.During that time, however, uninsured rates for adults remained relatively unchanged at about20 percent. Beginning on July 1, 2016, Louisiana expanded the Medicaid program for adults bymaking individuals with incomes up to 138 percent of the federal poverty level eligible for theprogram. The 2017 LHIS provides the first robust estimates of how Louisiana’s recent Medicaidexpansion has changed insurance coverage in the state. Following this expansion, Louisiana hasseen a dramatic decrease in uninsured rates among adults. In addition, this year’s survey includedseveral new questions about the adequacy of insurance coverage. Key findings from the 2017 LHISare as follows:Insurance Coverage for Children (under 19): Uninsured rates remain very low for children, in line with recent trends An estimated 28,990 children were uninsured in 2017, representing 2.4percent of children Among Medicaid-eligible children, 2.6 percent remain uninsured The most common type of coverage among children is Medicaid, with 53.9percent of children covered by the program. The second most common typeof coverage is employer, which covers an estimated 39.0 percent of children.Insurance Coverage for Non-Elderly Adults (19-64): Uninsured rates dropped dramatically following the state’s Medicaidexpansion An estimated 321,477 adults were uninsured in 2017, representing 11.4percent of non-elderly adults Uninsured rates in 2017 (11.4 percent among all adults) tend to be abouthalf of what they were in 2015 (22.7 percent among all adults). The most common type of coverage among adults is employer, which coversan estimated 52.6 percent of adults. The second most common type ofcoverage among adults is Medicaid, which covers an estimated 20.8 percentof adults.Adequacy of Health Insurance and Access to Medical Care: Among survey respondents, 87 percent indicated they did not delay care atany point in the prior 12 months while 13 percent had delayed care. Costs were the primary reason for delayed care with 47 percent of thosedelaying care listing it as the main reason for the delay. Difficulty getting an appointment was the second most common reason fordelaying care with 28 percent listing it as the main reason for delay. A large majority of respondents with insurance indicated that their plansmet their needs with 59 percent reporting their plans always met their needsand 26 percent reporting their plans usually met their needs. Most insured respondents indicated that their plans allowed them to seethe health care providers they needed with 65 percent reporting their plansalways allowed them to see the providers they needed and 23 percentreporting their plans usually allowed them to see the providers they needed.12017 Louisiana Health Insurance Survey
IntroductionThe Louisiana Health Insurance Survey (LHIS) is a biennial survey designed to assess health insurancecoverage in Louisiana. The survey was first conducted in 2003 with the most recent survey designedto measure health insurance coverage in 2017. The LHIS has helped state policy makers trackchanges in health insurance as the state’s economy, health care environment, and public policieshave changed. This year’s survey is particularly important, as it will be the first to assess coverageafter Louisiana’s Medicaid expansion in 2016, which is the largest expansion of coverage for adultssince the original introduction of the Medicaid program decades ago.A primary focus of the survey is developing robust estimates of the number of uninsured childrenand nonelderly adults in the state and within each of the nine Louisiana Department of Health (LDH)regions. However, the data collected through this effort also allows LSU and LDH researchers toassess sources of health insurance for those with coverage, summarize various characteristics of theinsured and uninsured populations, as well as evaluate the awareness of and responses to certainchanges in the market for health insurance.On June 1, 2016, LDH began accepting applications for Medicaid coverage beginning July 1, 2016from adults under 138 percent of the federal poverty level (FPL), also known as the Medicaidexpansion population. Previously, low-income adults could only receive Medicaid under certainrestrictive conditions, including disability and for parents with dependent children who have incomeunder 19 percent FPL. Consequently, uninsured rates among low-income adults had historicallybeen fairly high. The 2017 LHIS shows a significant decrease in uninsured adults, especially amonglower income ranges. If patterns of Medicaid coverage among adults follow the long-run patternsof Medicaid coverage among children in years after program expansion, uninsured rates may dropfurther in the coming years as awareness of insurance options increases among the general publicand the state finds new effective ways to engage eligible but uninsured individuals.In addition to changes in Medicaid coverage, Louisiana experienced rapidly-changing economicconditions between the 2015 and 2017 surveys. While the slowdown in oil and gas negativelyimpacted some parts of the state, the large-scale industrial expansion continued to drive up thedemand for labor. Previous research has documented that shifts in the demand for labor can leademployers to change employer offers of insurance as well as the generosity of those offers (Barnesand Terrell 2009). The unemployment rate fell in Louisiana from a high rate of 5.8 percent in January2017 to a low 4.7 percent in December 2017. Over the same period, per capita personal income inLouisiana rose from 42,257 to 43,491. These economic changes can be expected to contribute tohigher uninsured rates in early 2017, but lower uninsured rates later in the year.The 2017 LHIS includes responses from 8,557 households with over 22,800 Louisiana residentsrepresenting every parish in the state. This large sample size makes it possible to create detailedestimates for each LDH region and various subpopulations, like people in different age groupsand income levels. Since 2003, several improvements have been made to the survey throughtargeting specific groups to improve representativeness of the sample and facilitate methodologicalimprovements in the analysis. The LHIS 2017 uses three different sample groups: landline phones, cellphones, and a sample of residents currently covered by Medicaid (National Center for Health Statistics,2017, Table 1).The 2017 LHIS uses a cell phone sample of 73.8 percent, a substantial increase from previous yearsthat aligns the sample more closely with cell phone use in the general population. As of December2016, over 48 percent of households in Louisiana are cell phone only households and less than 7percent are landline only. These two groups are likely to have different patterns of health insurancecoverage so failing to properly account for these groups (as in a traditional landline-only survey)could lead to biased estimates of coverage.Prior research has documented that some people with Medicaid coverage may misreport byreporting no coverage, or a different type of coverage (Davern et al. 2007, Goidel et al. 2009). TheMedicaid subsample allows estimates of health insurance coverage to be adjusted to account for2017 Louisiana Health Insurance Survey2
the Medicaid undercount present in estimates from other large surveys that collect data on healthinsurance coverage like the American Community Survey (ACS) and Current Population Survey (CPS).Census surveys like the ACS and CPS consistently report lower rates of Medicaid than administrativedata and higher uninsured rates than the LHIS, at least partly as a result of the number of peopleon Medicaid or health insurance misreporting coverage status. This misreporting is known asthe Medicaid undercount. Some Medicaid enrollees may not realize or remember that they haveMedicaid coverage, or a survey respondent may misreport for other members of the household whenunsure about coverage of all members of the household. Other reasons a person might misreporttheir health insurance coverage are question placement, unfamiliar terminology, or intentionalmisreporting potentially to avoid a negative stigma associated with the programs.Therefore, the LHIS uses a Medicaid subsample to ask questions of households known to includeMedicaid enrollees and adjusts for the likelihood of misreporting Medicaid coverage on an individuallevel. This bias correction model uses a multinomial logit to predict misreporting using individual andhousehold characteristics. Separate models for children and adults are estimated using all availableyears of LHIS data allowing the probability of reporting an insurance type to vary over time and beinfluenced by race; income level; respondent characteristics including education, gender, and age;and the overall rate of Medicaid enrollment in the individual’s parish. Analysis for this report includesan individual-level bias correction model derived from the probability of misreporting estimated bythe multinomial logit. The size of the Medicaid undercount has varied over time and in the 2017 LHISaccounting for the Medicaid undercount reduces uninsured estimates by approximately 0.7 percentfor children and 0.5 percent for adults.The remainder of this report provides an overview of the major findings from the 2017 LHIS. First,we present a summary of insurance coverage for children followed by a similar section summarizingresults for adults. Section 3 highlights differences in insurance coverage for subgroups of thepopulation, which illustrates correlations between individual and household characteristics andinsurance coverage. Finally, Section 4 summarizes the results of several questions that capturechanges in the health insurance market.32017 Louisiana Health Insurance Survey
1 Uninsured ChildrenThe uninsured rate for children decreased slightly in 2017 to 2.4 percent, keeping the rate 5 percentor less in each LHIS since 2009 as shown in Figure 1.1. In terms of direct impact, this represents adrop from 45,000 uninsured children in 2015 to 28,990 in 2017. To help cover uninsured children,the state offers several different Medicaid programs, which have been expanded over time to offercoverage to more children in lower income families, a group that historically faced the greatestchallenges in securing insurance through an employer or affording premiums to purchase directly.Of those children who are Medicaid eligible, only 2.6 percent were uninsured in 2017.The estimated percent and number of uninsured children in each region of the state from 2017 LHISare presented in Table 1.1 along with estimates from the 2013 and 2015 LHIS for historical reference.At the regional level, Baton Rouge has the lowest uninsured rate for children. The historical patternof higher uninsured rates in Central Louisiana continues in 2017. While the Northeastern region ofthe state has historically had one of the highest uninsured rates, that region shows a reduction inestimated uninsured rates. The reduction in uninsured children is helped by changes in Medicaidenrollment. The Houma-Thibodaux and Acadiana regions have experienced the most challengingeconomic changes as a result of the downturn in oil and gas; uninsured rates for children haveremained relatively flat in those regions. Because Medicaid is so widely available to children, however,rates remain low overall across all regions.Uninsured Children and Medicaid Eligible Children,2003 – 8.0%80,0006.0%60,00040,0004.0%20,0002.0%00.0%All Children Number UninsuredMedicaid Eligible Children NumberAll Children Percent UninsuredMedicaid Eligible Children Percent2017 Louisiana Health Insurance Survey4
Table 1.1: Estimated Uninsured Children (Under 19) by PercentNumberNew Orleans 15.2 %10,7522.4 %4,8462.2%4,953Baton Rouge 24.0 %6,3873.2 %5,6741.3%2,165Houma-Thibodaux 34.8 %5,2073.2 %3,3802.6%2,835Acadiana 44.1 %6,4493.8%5,7043.2%5,083Southwest 54.0 %3,0443.4%2,2061.5%1,233Central 66.3 %5,4734.9%4,9996.1%4,337Northwest 72.8 %4,0854.4 %5,9623.4%4,576Northeast 84.1 %3,5185.8 %5,2741.9%1,573Northshore 94.6 %7,0714.6 %6,9551.4%2,235Statewide4.4 %51,9873.8 %45,0002.4%28,990Table 1.2 presents the estimated percent and number of uninsured Medicaid eligible children in each region of the state. Regionalpatterns of coverage change over time as regions face similar challenges in enrolling 100 percent of eligible children. Overall,rates are very low even among this lower income group, which has limited access to employer-sponsored health insurance andother options.Table 1.2: Estimated Uninsured Medicaid Eligible Children by PercentNumberNew Orleans 16.2 %8,4982.1 %2,5432.9%3,591Baton Rouge 24.2 %3,5963.6 %3,8162.1%1,715Houma-Thibodaux 36.4 %4,0544.3 %2,6142.3%1,296Acadiana 44.4 %3,9624.8%4,0861.8%1,505Southwest 52.5 %1,0923.0%1,0960.5%219Central 64.8 %2,8304.2%2,7597.5%3,319Northwest 72.8 %2,8345.2 %4,9575.1%3,972Northeast 84.8 %3,0595.1 %3,5110.2%133Northshore 95.9 %5,4344.4 %3,9721.8%1,555Statewide4.8 %35,3584.0 %29,3562.6%17,305Table 1.3 illustrates the general relationship between a child’s family income as a percent of FPL and insurance status. FPL is anincome benchmark issued annually by the U.S. Department of Health and Human Services used to determine eligibility for certainprograms and benefits including Medicaid. The specific threshold varies depending on household size, but for a family of four,the 2017 FPL threshold was 24,600.In Louisiana, to be eligible for Medicaid or the Louisiana Children’s Health Insurance Program (LaCHIP) as a child under 19 years ofage, income must be below 217 percent of FPL. Between 217 percent and 255 percent of FPL, children are eligible for the LaCHIPAffordable Plan, a Medicaid buy-in program that costs 50 per month per family. In the under 100 percent of FPL category,uninsured rates are slightly higher than at higher income groups. Although all of these children are eligible for Medicaid, theirparents may be unaware of their eligibility, uninformed about the Medicaid program, or facing other access problems.52017 Louisiana Health Insurance Survey
Table 1.3: Estimated Uninsured Children (Under 19) by FPLFPL CategoryPercentNumberUnder 100% FPL3.3%14,249100-150% FPL1.2%1,116150 - 200% FPL1.3%774200 - 250% FPL1.7%3,144250 - 300% FPL4.4%4,158300-400% FPL1.4%1,803Over 400%2.0%3,746Table 1.4 presents the sources of health insurance coverage for children in 2017. As noted previously, Medicaid is available for alarge number of low-income children in Louisiana, so more than one half or 53.9 percent of children in Louisiana are estimated tobe on Medicaid according to the 2017 LHIS. This is lower than in 2015, when nearly 60 percent of children were estimated to beon Medicaid. Employer-sponsored coverage is the next largest source of coverage for children, with approximately 39.0 percentof children enrolled in an employer sponsored health insurance program. Purchased coverage includes plans bought directlyfrom an insurer as well as plans purchased through the federal Health Insurance Marketplace. In addition, a small percentage ofchildren have health insurance through someone who is not a member of the respondent’s household, which is often the resultof coverage through a second parent not in the household. Because children can have more than one type of insurance coverage,totals across Table 1.4a and 1.4b may sum to more than 100 percent.Table 1.4a: Estimated Sources of Coverage for ChildrenRegionEmployer SponsoredPercentNumberPurchasedPercentFormer EmployerNumberPercentNumberNot in HouseholdPercentNumberNew Orleans 136.8%82,6792.6%5,8252.0%4,5043.6%8,095Baton Rouge aux 341.0%44,7612.5%2,7760.9%9435.4%5,872Acadiana 439.3%61,9166.5%10,2181.6%2,5932.8%4,487Southwest 542.4%34,1483.5%2,7893.0%2,4544.7%3,821Central 629.9%21,3791.8%1,3201.0%7234.3%3,072Northwest 732.8%44,2887.2%9,7580.6%8133.9%5,216Northeast 831.2%26,3944.5%3,7880.9%7823.3%2,817Northshore .0%466,8634.1%49,2231.3%15,5854.2%50,4452017 Louisiana Health Insurance Survey6
Table 1.4b: Estimated Sources of Coverage for New Orleans 10.9%2,1312.1%4,70157.7%129,6542.2%4,953Baton Rouge daux 31.5%1,6700.6%66654.7%59,6742.6%2,835Acadiana 41.4%2,2661.5%2,37152.2%82,3443.2%5,083Southwest 51.7%1,4073.6%2,87253.0%42,7281.5%1,233Central 61.2%8797.0%4,98857.1%40,8556.1%4,337Northwest 70.8%1,0147.1%9,59252.7%71,1523.4%4,576Northeast 82.4%2,0060.5%41363.3%53,6391.9%1,573Northshore 3%15,4932.6%31,69353.9%644,7032.4%28,9902017 Louisiana Health Insurance Survey
2 Uninsured AdultsMedicaid expansion for low-income adults began on July 1, 2016, after the previous installment ofthe LHIS in 2015. The 2017 survey is the first to capture the dramatic drop in uninsured non-elderlyadults in Louisiana, from 644,217 (22.7 percent) in 2015 to 321,477 (11.4 percent) in 2017. Thissuggests that the number of uninsured adults in Louisiana was cut in half by the policy change,and this number may drop further in future years as residents become more informed of Medicaidoptions and eligibility. A similar dramatic decrease in uninsured children was seen between 2003 and2009 with the expansion and marketing of the state’s Medicaid program for children in Louisiana.Table 2.1 displays the percent and number of uninsured adults by region. Houma-Thibodaux hasthe lowest rates of uninsured, while the Central and Southwest regions have the highest. The lowuninsured rates in Houma-Thibodaux are particularly remarkable given the challenging economicconditions facing the region as the oil and gas industry has suffered from low oil prices andunemployment has spiked. The expanded availability of Medicaid as a source of coverage helpedoffset the deteriorating economic conditions and lowered uninsured rates within the region. Themarked regional differences in previous years is much more muted in 2017 as rates in regions of thestate that historically had higher uninsured rates have decreased as a result of the Medicaid expansion.2.1Estimated Percent and Number of Uninsured Adults, 2003 – %20.1%30.0%22.7%22.0%22.7%20.0%321,477 15.0%300,00011.4% 10.0%200,000100,0005.0%00.0%NumberPercent2017 Louisiana Health Insurance Survey8
Table 2.1: Estimated Uninsured Adults by PercentNumberNew Orleans 120.6%110,90821.2%113,66611.5%61,436Baton Rouge 218.0%75,03918.8%79,94810.2%42,654Houma-Thibodaux 321.2%52,16221.9%54,5538.5%20,640Acadiana 420.7%76,49722.2%76,74510.9%40,787Southwest 521.4%38,53825.6%37,53215.2%26,802Central 621.0%40,18623.0%56,76114.7%27,625Northwest 726.9%88,17525.8%86,32311.3%37,234Northeast 826.3%58,30129.2%61,36012.6%26,985Northshore 2,03322.7%644,21711.4%321,477Table 2.2 shows the decreases in uninsured rates for lower-income adults. Between 2015 and 2017, the percentage of uninsuredadults fell from the mid-30s in income categories under 150 percent of FPL to under 20 percent in these same categories, withthe most dramatic difference occurring in the 24–100 percent of FPL category. In this category, uninsured rates declined from38.1 percent to 11.4 percent.Table 2.2: Estimated Uninsured Adults (19-64) by FPLFPL Category2015Percent2017NumberPercentNumberUnder 24% FPL35.1%99,55918.7%72,63124 – 100% FPL38.1%146,38411.4%26,885100 – 138% FPL35.5%81,77811.2%10,545138 – 150% FPL37.3%26,88813.0%16,638150 – 200% FPL27.4%79,09817.0%65,984200 – 250% FPL22.7%52,55013.4%50,228250 – 300% FPL19.7%42,1599.8%20,921300 – 400% FPL13.0%43,3027.2%23,930Historically, low-income parents had more access to Medicaid than childless adults. The LHIS has tracked the differences betweenthese groups for several years. In 2017, access to Medicaid is equally available to both groups, so it was expected that theremight be a closing of the gap between parents and childless adults. While there is evidence of a diminishing gap in 2017, parentsare still significantly more likely to have health insurance coverage than their childless peers.92017 Louisiana Health Insurance Survey
Table 2.3: Uninsured Estimates for Parents and Childless Adults by Region2015RegionParentsPercent2017Childless AdultsNumberPercentNumberParentsPercentChildless AdultsNumberPercentNumberNew Orleans 114.1%21,89724.1%93,7698.7%12,26312.4%49,173Baton Rouge hibodaux 318.3%14,09423.5%40,4595.9%3,8859.4%16,755Acadiana st 519.6%9,49128.6%28,0406.6%3,16518.4%23,636Central st st ore de17.1%150,52025.2%493,6987.2%57,32413.1%264,153As in the past, the largest source of coverage for adults in 2017 is employer-sponsored health insurance, which covers 52.6percent of the population. Medicaid is an increasingly important source of coverage since Medicaid expansion, with 20.8 percentof adults now enrolled in the program. There are still 11.4 percent of adults uninsured in Louisiana. Because some adults canhave coverage from more than one source, totals across Tables 2.4a and 2.4b may add up to more than 100 percent.Table 2.4a: Estimated Sources of Coverage for AdultsRegionEmployer SponsoredPercentNumberPurchasedPercentNumberFormer EmployerPercentNumberNot in HouseholdPercentNumberNew Orleans 151.2%274,5919.1%48,6453.3%17,6792.4%12,714Baton Rouge hibodaux 354.0%131,4547.5%18,1554.0%9,6930.9%2,311Acadiana st 554.5%96,0847.5%13,1754.3%7,6451.8%3,139Central 645.7%85,6015.3%10,0034.2%7,8680.5%868Northwest t re 7 Louisiana Health Insurance Survey10
Table 2.4b: Estimated Sources of Coverage for dicaidNumberPercentUninsuredNumberPercentNumberNew Orleans 16.5%35,0964.1%21,79223.3%124,95311.5%61,436Baton Rouge ,6101.9%4,53024.0%58,3238.5%20,640Acadiana st 57.2%12,6463.4%6,01116.0%28,13815.2%26,802Central est st re uma-Thibodaux 3The final two tables of this section display information about the adult population under 138 percent of FPL, the group thatis newly eligible for Medicaid. Just over 19 percent of adults under 138 percent of FPL remain on employer sponsored healthinsurance. A more sizeable 49.7 percent of low-income adults are now enrolled in Medicaid due to the expansion in 2016, upfrom 23.9 percent in 2015. Table 2.6 shows the uninsured adults under 138 percent of FPL by region. Houma-Thibodaux has thelowest rates of uninsured low-income adults in the state. Considerable improvement in insurance coverage has been made inevery region of the state, even in the regions with highest rates.Table 2.5: Estimated Sources of Coverage for Adults Under 138% of er Employer5.3%47,8293.4%24,743Not in ,430Uninsured36.5%327,72015.3%110,061Employer sponsoredMedicareMilitary112017 Louisiana Health Insurance Survey
Table 2.6: Estimated Uninsured Adults Under 138% of FPL, by RegionRegion2015Percent2017NumberPercentNumberNew Orleans 134.9%52,70214.3%19,383Baton Rouge 231.0%35,41218.3%17,256Houma-Thibodaux 337.2%26,18010.3%6,592Acadiana 437.6%41,62015.2%13,721Southwest 544.4%19,63519.8%8,931Central 636.3%30,42819.0%10,110Northwest 736.6%45,83215.2%13,244Northeast 839.5%35,84013.3%8,244Northshore 10,0622017 Louisiana Health Insurance Survey12
3 Correlates of Uninsured StatusIncome is still the most important predictor of uninsured status for adults, as shown in Figure 3.1.Though the number of uninsured adults has gone down across all incomes, higher income adults arestill least likely to be uninsured. Children have low uninsured rates across all income levels because oflongstanding Medicaid and LaCHIP enrollment programs in schools and other sources.3.118.0%Estimated Uninsured Rates by 0%0.0%Under100% FPL100 – 150% 150 – 200% 1200 – 250% 250 – 300% 300 – 400% Over 400%FPLFPLFPLFPLFPLFPLAdultsChildrenAnother factor that identifies significant differences in insurance status, especially for adults, isgender. Adult females are more likely to be insured than males, perhaps due to higher expectedutilization among non-elderly adults or lower risk tolerance.3.2Uninsured Rates by %2.0%0.0%132017 Louisiana Health Insurance Survey2.4%
Historically, uninsured rates for black children and adults have been higher than the overall uninsuredrates. While this pattern continues to be true in 2017, the overall reduction in uninsured rates amongadults following the Medicaid expansion has reduced this disparity, with only 1.6 percent more blackadults uninsured than white adults compared to a 5.6 percent differential in 2015.3.3Uninsured Rates by .0%3.1% 2.7%4.9%3.7%0.0%Education continues to be highly correlated with uninsured status, with less educated adultsconsiderably more likely to be uninsured. Even among the lowest educated adults, however,uninsured rates for each level of education is considerably below 2015 levels.13.425.0%Uninsured Rates by %0.0%Less thanhigh school1Completedhigh schoolSome college orassociates degreeCompleted fouryears of collegeGraduate degreeThe 2015 LHIS can be downloaded from the following address: IS 2015 Final.pdf2017 Louisiana Health Insurance Survey14
The age groups least likely to be covered by health insurance are young adults, with the highestrates among adults aged 19-26 years and among adults aged 27-44 years. These also tend to be thehealthiest age groups and thus, least in need of health services.3.5Uninsured Rates by .0%4.0%3.5%2.4%2.0%0.0%Figure 3.6 displays the rate of employer coverage for respondents and Figure 3.7 shows employercoverage for any employees by employer size. Larger companies are more likely to offer healthinsurance, but even employees of businesses of fewer than 50 employees report that at least half ofthese employers offer coverage to all employees, and almost 90 percent of businesses with fewerthan 50 employees offer at least some of their employees an insurance option.3.6Rate of Employer Coverage for Employees, by Sizeof .0%20.0%10.0%0.0%0 – 49 employees152017 Louisiana Health Insurance Survey50 – 99 employees100 or more employees
3.7Employer Insurance Offered to Any Employees, by Sizeof .0%88.6%88.0%87.0%86.0%0 – 49 employees50 – 99 employees100 or more employees2017 Louisiana Health Insurance Survey16
4 Changes in Health Care Insurance MarketThis section reports on questions developed for LHIS regarding major changes in the market. Thesequestions were designed to identify some of the perceptions and experiences people have inregard to health insurance, especially about branding of Medicaid, the Health Insurance Exchange/Marketplace, and quality and cost of health services. Some of these questions were asked in previousversions of the survey, and some are new.Figure 4.1 displays responses from a series of questions about program awareness. Respondentswere asked if they had heard of the state’s Medicaid program including options for state-specificterminology including LaCHIP, Healthy Louisiana, and Bayou Health. In addition, respondents wereasked about awareness of the Health Insurance Exchange/Marketplace. Awareness of the HealthInsurance Exchange/Marketplace has grow
The Louisiana Health Insurance Survey (LHIS) is a biennial survey designed to assess health insurance coverage in Louisiana. The survey was first conducted in 2003 with the most recent survey designed to measure health insurance coverage in 2017. The LHIS has helped state policy makers track changes in health insurance as the state's economy .
The Louisiana Health Insurance Survey (LHIS) is a biennial survey designed to assess health insurance coverage in Louisiana. The survey was first conducted in 2003. This report focuses on the results of the 2019 survey. The LHIS has helped state policy makers track changes in health insurance as Louisiana's economy, health care environment,
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children’s public health coverage programs. Louisiana has made children’s health insurance programs and 3 Stephen Barnes, Mike Henderson, Dek Terrell, and Stephanie Virgets, 2017 Louisiana Health Insurance Survey, The Economics & Policy Research Group and the Public Policy Research
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