Quick Health Facts 2010 - AARP...Total Medicare program payments (in millions), 2008 $5,429 $300,045...

Quick Health Facts 2010

SELECTED STATE DATA ON OLDER AMERICANS

AARP Public Policy Institute

years

C

E L E B R A T I N G

COMPILED BY LEIGH PURVIS

AARP PUBLIC POLICY INSTITUTE

Quick Health Facts 2010

SELECTED STATE DATA ON OLDER AMERICANS

Compiled by Leigh Purvis


August 2010

©2010, AARP

www.aarp.org/ppi

Reprinting with permission only.


i

Table of Contents

Page Introduction...................................................................................................................................ii Quick Health Facts.........................................................................................................................1 Data Documentation....................................................................................................................105 AARP State Offices.....................................................................................................................117

Acknowledgements I would like to thank the many individuals and organizations that shared data for the development of Quick Health Facts 2010. I also thank my colleagues within AARP’s Public Policy Institute—Lynda Flowers, Keith Lind, Lynn Nonnemaker, N. Lee Rucker, Shelly-Ann Sinclair, and Gerry Smolka—as well as Joyce Dubow within AARP Policy and Strategy—for invaluable assistance with the substantive content of this report. I extend a very special thank you to Carlos Figueiredo for data expertise and to Matthew Hlubny for assistance with cover design. The information compiled in this publication is presented for purposes of information, discussion, and debate and does not necessarily represent formal policies of AARP.

ii

Introduction Quick Health Facts 2010: Selected State Data on Older Americans presents major health system characteristics for each state and the District of Columbia. This report is designed to reflect current health care priorities, with a particular focus on data that is relevant to the provisions of the recently passed health care reform legislation. For example: The Demographics section presents data on the 50- to 64-year-old population that

shows what percentage of the population could be eligible for health insurance premium and cost-sharing assistance starting in 2014.

In the Medicare section, the number of Medicare Part B beneficiaries who paid an income-related premium in 2008 is an indicator of how many Medicare Part D enrollees could pay an income-related premium starting in 2011.

The Access to Care section includes data on private employers that currently offer health care coverage; many employers will be required to offer health insurance starting in 2014.

In some cases, indicators have been broken down into age subsets to highlight the variation among different age groups. Additional state-level data can be found in the AARP Public Policy Institute’s Across the States: Profiles of Long-Term Care and Independent Living series. The most recent edition provides state-level and national data for more than 140 long-term care-related indicators. This report is adapted from the State Profiles: Reforming the Health Care System series that was published annually from 1990 to 2000 and biennially from 2001 to 2005 by the AARP Public Policy Institute. Quick Health Facts is not a continuation of the State Profiles series; therefore, comparisons should not be made with information contained in past editions of State Profiles. In addition, data points presented in Quick Health Facts should not be combined to create new data points, as they are often derived from different data sources. This 2nd edition of Quick Health Facts presents the most up-to-date data available at the time of production. This publication, as well as state-specific versions, can also be accessed via the Internet at http://www.aarp.org/research/ppi/. For additional copies of Quick Health Facts 2010, please call the AARP Public Policy Institute at 202-434-3890.

Suggested citation: L. Purvis, Quick Health Facts 2010: Selected State Data on Older Americans, AARP Public Policy Institute, August 2010.

1

Alabama

Demographics State U.S. Distribution of population (projected) (%), 2010:

Age 50-64 20.0 18.9 Age 65-84 12.2 11.0 Age 85+ 1.9 2.0

Rural population (% of total), 2009 28.4 16.4 Per capita personal income (average), 2008 $33,655 $40,166 Family income (median), 2008 $54,000 $61,000 Distribution of persons age 50-64 by family income (%), 2008:

133% of poverty or below 7.8 9.5 134%-400% of poverty 45.3 39.7

Health Expenditures and Financing State U.S. Medicaid federal matching funds (%), FY2010 77.53 56.20 Medicaid payments by category of enrollee (% of total Medicaid spending), FY2007

Child 26.2 20.5 Adult 7.5 12.4 Elderly 29.4 24.7 Disabled 36.9 42.4

Total Medicaid expenditures as percent of total state spending, FY2008 11.0 20.7 State Medicaid expenditures as percent of state-only spending, FY2008 5.1 12.5 Total Medicare program payments (in millions), 2008 $5,429 $300,045 Medicare spending per enrollee (average), 2008 $8,306 $8,649 Average monthly Medicare Advantage payment rate, 2009 $829 $850 Average total premium (employer and employee) for single coverage at private employer, 2008 $4,139 $4,386 Average total premium (employer and employee) for family coverage at private employer, 2008 $11,119 $12,298

Health Status State U.S. Adults age 50+ in poor or fair general health (%), 2009 31.3 20.7 Adults age 18+ with a self-care limitation (in 1,000s), 2008 153 6,907 High blood pressure prevalence among adults age 50+ (%), 2009 58.1 49.1 Adults age 50+ who are overweight or obese (%), 2009 71.7 68.6 Adults age 50+ with diabetes (%), 2009 22.3 15.5 Adults age 50+ who currently smoke cigarettes (%), 2009 18.2 14.0 Adults age 50+ whose mental health was not good for >1 week in month (%), 2009 14.4 11.8

Utilization and Quality of Services State U.S. Adults age 50+ who did not visit a doctor due to cost (%), 2009 10.6 9.5 Adult immunization (%), 2009:

Pneumococcal pneumonia (age 65+) 66.3 68.2 Influenza (age 50+) 52.7 55.5

Women age 50+ receiving a mammogram (%), 2008 76.7 79.4 Adults age 50+ receiving a colonoscopy or sigmoidoscopy (%), 2008 55.2 56.3 Adults age 50+ receiving recommended screening and preventive care (%), 2006 37.2 42.3 At-risk adults who visited a doctor for a routine checkup in the past two years (%), 2007 86.6 84.6 Number of retail prescriptions filled per person by age (average), 2008

Age 19-64 17 12 Age 65+ 41 30

Medicare home health users (% of beneficiaries), 2008 7.9 7.1 Medicare home health visits per person served (average), 2008 34 38

2

Alabama

Medicare State U.S. Medicare beneficiaries, 2008:

Number (in 1,000s) 809 44,385 Percent of population 17.4 14.6

Disabled Medicare beneficiaries under age 65 (% of beneficiaries), 2008 23.9 16.5 Medicare beneficiaries with full or partial Medicaid (%), 2005 26.6 21.0 Private supplemental coverage among Medicare beneficiaries age 65+ (%), 2008:

Employer sponsored 33.2 32.9 Individually purchased 22.8 25.2

Medicare beneficiaries paying income-related Part B premium, 2008 21,208 1,929,693 Enrollment of Medicare beneficiaries in Medicare Advantage plans (%), 2010 21.1 24.1 Medicare beneficiaries with creditable prescription drug coverage (%), 2010 88.4 86.5 Medicare Part D enrollees receiving the low-income subsidy (in 1,000s), 2010 228 9,951 Non-low income Medicare Part D enrollees who hit the coverage gap (%), 2007 28 26

Medicaid State U.S. Medicaid enrollment by category of enrollee (% of total Medicaid enrollees), FY2007


Persons under age 65 in poverty with Medicaid (% under age 65 in poverty), 2008 51.6 46.3 Medicaid enrollment in managed care plans (%), as of December 2008 66.1 69.8

Access to Care State U.S. Distribution of persons under age 65 by type of health coverage (%), 2008

Uninsured 13.9 17.3 Employer 64.3 61.1 Other private 5.2 6.7 Medicaid 14.0 12.3 Other public 2.6 2.6

Number of uninsured adults age 50-64, 2008 110,088 7,507,723 Uninsured adults age 50-64 (%), 2008 12.7 13.4 Private employers that offer health insurance (%), 2008 62.9 56.4 Private employers with fewer than 50 employees that offer health insurance (%), 2008 48.1 43.2 Medicare certified home health agencies, 2010 148 10,135 Providers who accept Medicare fee as full payment (% of providers), 2009 97.7 95.9 Hospital beds (per 1,000 population), 2007 3.4 2.7 Number of nurse practitioners, 2009 1,838 157,782 Primary care physicians (per 100,000 population), 2008 98 126 Population underserved by primary care physicians (%), 2010 19.2 12.4 Uninsured persons with family income at or below 138% of poverty, 2008 236,556 18,957,643 Uninsured persons by race/ethnicity (%), 2008

White 12.3 12.6 Minority/ethnic 17.1 25.5

3

Alaska


Age 50-64 19.1 18.9 Age 65-84 7.3 11.0 Age 85+ 0.8 2.0





Total Medicaid expenditures as percent of total state spending, FY2008 8.4 20.7 State Medicaid expenditures as percent of state-only spending, FY2008 4.3 12.5 Total Medicare program payments (in millions), 2008 $413 $300,045 Medicare spending per enrollee (average), 2008 $7,043 $8,649 Average monthly Medicare Advantage payment rate, 2009 $855 $850 Average total premium (employer and employee) for single coverage at private employer, 2008 $5,293 $4,386 Average total premium (employer and employee) for family coverage at private employer, 2008 $13,383 $12,298





Age 19-64 7 12 Age 65+ 15 30


4

Alaska





Medicare beneficiaries paying income-related Part B premium, 2008 3,312 1,929,693 Enrollment of Medicare beneficiaries in Medicare Advantage plans (%), 2010 <1 24.1 Medicare beneficiaries with creditable prescription drug coverage (%), 2010 81.4 86.5 Medicare Part D enrollees receiving the low-income subsidy (in 1,000s), 2010 15 9,951 Non-low income Medicare Part D enrollees who hit the coverage gap (%), 2007 26 26






Number of uninsured adults age 50-64, 2008 21,571 7,507,723 Uninsured adults age 50-64 (%), 2008 16.6 13.4 Private employers that offer health insurance (%), 2008 46.0 56.4 Private employers with fewer than 50 employees that offer health insurance (%), 2008 31.6 43.2 Medicare certified home health agencies, 2010 13 10,135 Providers who accept Medicare fee as full payment (% of providers), 2009 91.0 95.9 Hospital beds (per 1,000 population), 2007 2.3 2.7 Number of nurse practitioners, 2009 650 157,782 Primary care physicians (per 100,000 population), 2008 121 126 Population underserved by primary care physicians (%), 2010 17.8 12.4 Uninsured persons with family income at or below 138% of poverty, 2008 40,222 18,957,643 Uninsured persons by race/ethnicity (%), 2008


5

Arizona


Age 50-64 18.6 18.9 Age 65-84 12.1 11.0 Age 85+ 1.8 2.0










Age 19-64 10 12 Age 65+ 26 30


6

Arizona













7

Arkansas


Age 50-64 19.5 18.9 Age 65-84 12.3 11.0 Age 85+ 2.0 2.0










Age 19-64 18 12 Age 65+ 35 30


8

Arkansas













9

California


Age 50-64 17.5 18.9 Age 65-84 9.8 11.0 Age 85+ 1.8 2.0










Age 19-64 8 12 Age 65+ 25 30


10

California


Number (in 1,000s) 4,492 44,385 Percent of population 12.2 14.6



Medicare beneficiaries paying income-related Part B premium, 2008 290,754 1,929,693 Enrollment of Medicare beneficiaries in Medicare Advantage plans (%), 2010 35.5 24.1 Medicare beneficiaries with creditable prescription drug coverage (%), 2010 88.4 86.5 Medicare Part D enrollees receiving the low-income subsidy (in 1,000s), 2010 1,225 9,951 Non-low income Medicare Part D enrollees who hit the coverage gap (%), 2007 22 26






Number of uninsured adults age 50-64, 2008 1,021,585 7,507,723 Uninsured adults age 50-64 (%), 2008 16.4 13.4 Private employers that offer health insurance (%), 2008 57.6 56.4 Private employers with fewer than 50 employees that offer health insurance (%), 2008 46.5 43.2 Medicare certified home health agencies, 2010 760 10,135 Providers who accept Medicare fee as full payment (% of providers), 2009 91.2 95.9 Hospital beds (per 1,000 population), 2007 1.9 2.7 Number of nurse practitioners, 2009 15,614 157,782 Primary care physicians (per 100,000 population), 2008 124 126 Population underserved by primary care physicians (%), 2010 10.0 12.4 Uninsured persons with family income at or below 138% of poverty, 2008 2,889,637 18,957,643 Uninsured persons by race/ethnicity (%), 2008


11

Colorado


Age 50-64 18.9 18.9 Age 65-84 9.2 11.0 Age 85+ 1.5 2.0










Age 19-64 8 12 Age 65+ 21 30


12

Colorado













13

Connecticut


Age 50-64 19.6 18.9 Age 65-84 11.8 11.0 Age 85+ 2.6 2.0










Age 19-64 12 12 Age 65+ 33 30


14

Connecticut













15

Delaware


Age 50-64 20.4 18.9 Age 65-84 12.3 11.0 Age 85+ 1.9 2.0










Age 19-64 13 12 Age 65+ 22 30


16

Delaware













17

District of Columbia


Age 50-64 16.0 18.9 Age 65-84 9.7 11.0 Age 85+ 1.9 2.0





Total Medicaid expenditures as percent of total state spending, FY2008 N/A 20.7 State Medicaid expenditures as percent of state-only spending, FY2008 N/A 12.5 Total Medicare program payments (in millions), 2008 $703 $300,045 Medicare spending per enrollee (average), 2008 $10,215 $8,649 Average monthly Medicare Advantage payment rate, 2009 $956 $850 Average total premium (employer and employee) for single coverage at private employer, 2008 $4,890 $4,386 Average total premium (employer and employee) for family coverage at private employer, 2008 $13,427 $12,298





Age 19-64 8 12 Age 65+ 17 30


18

District of Columbia













19

Florida


Age 50-64 20.8 18.9 Age 65-84 15.0 11.0 Age 85+ 2.8 2.0





Total Medicaid expenditures as percent of total state spending, FY2008 23.2 20.7 State Medicaid expenditures as percent of state-only spending, FY2008 15.0 12.5 Total Medicare program payments (in millions), 2008 $24,025 $300,045 Medicare spending per enrollee (average), 2008 $10,317 $8,649 Average monthly Medicare Advantage payment rate, 2009 $1,013 $850 Average total premium (employer and employee) for single coverage at private employer, 2008 $4,517 $4,386 Average total premium (employer and employee) for family coverage at private employer, 2008 $12,697 $12,298





Age 19-64 12 12 Age 65+ 28 30


20

Florida











Number of uninsured adults age 50-64, 2008 683,159 7,507,723 Uninsured adults age 50-64 (%), 2008 19.2 13.4 Private employers that offer health insurance (%), 2008 55.1 56.4 Private employers with fewer than 50 employees that offer health insurance (%), 2008 42.0 43.2 Medicare certified home health agencies, 2010 1,158 10,135 Providers who accept Medicare fee as full payment (% of providers), 2009 96.1 95.9 Hospital beds (per 1,000 population), 2007 2.8 2.7 Number of nurse practitioners, 2009 11,233 157,782 Primary care physicians (per 100,000 population), 2008 120 126 Population underserved by primary care physicians (%), 2010 16.0 12.4 Uninsured persons with family income at or below 138% of poverty, 2008 1,491,302 18,957,643 Uninsured persons by race/ethnicity (%), 2008


21

Georgia


Age 50-64 17.4 18.9 Age 65-84 8.9 11.0 Age 85+ 1.3 2.0










Age 19-64 12 12 Age 65+ 34 30


22

Georgia













23

Hawaii


Age 50-64 19.8 18.9 Age 65-84 12.2 11.0 Age 85+ 2.1 2.0









Women age 50+ receiving a mammogram (%), 2008 81.6 79.4 Adults age 50+ receiving a colonoscopy or sigmoidoscopy (%), 2008 55.5 56.3 Adults age 50+ receiving recommended screening and preventive care (%), 2006 N/A 42.3 At-risk adults who visited a doctor for a routine checkup in the past two years (%), 2007 84.0 84.6 Number of retail prescriptions filled per person by age (average), 2008

Age 19-64 8 12 Age 65+ 20 30


24

Hawaii













25

Idaho


Age 50-64 18.5 18.9 Age 65-84 10.2 11.0 Age 85+ 1.7 2.0










Age 19-64 10 12 Age 65+ 27 30


26

Idaho













27

Illinois


Age 50-64 18.1 18.9 Age 65-84 10.4 11.0 Age 85+ 2.0 2.0










Age 19-64 11 12 Age 65+ 34 30


28

Illinois













29

Indiana


Age 50-64 18.6 18.9 Age 65-84 10.7 11.0 Age 85+ 1.9 2.0










Age 19-64 14 12 Age 65+ 36 30


30

Indiana













31

Iowa


Age 50-64 19.5 18.9 Age 65-84 12.1 11.0 Age 85+ 2.8 2.0










Age 19-64 14 12 Age 65+ 33 30


32

Iowa













33

Kansas


Age 50-64 18.8 18.9 Age 65-84 11.0 11.0 Age 85+ 2.4 2.0










Age 19-64 13 12 Age 65+ 32 30


34

Kansas













35

Kentucky


Age 50-64 19.9 18.9 Age 65-84 11.3 11.0 Age 85+ 1.7 2.0










Age 19-64 16 12 Age 65+ 38 30


36

Kentucky













37

Louisiana


Age 50-64 18.8 18.9 Age 65-84 10.8 11.0 Age 85+ 1.8 2.0





Total Medicaid expenditures as percent of total state spending, FY2008 19.3 20.7 State Medicaid expenditures as percent of state-only spending, FY2008 8.8 12.5 Total Medicare program payments (in millions), 2008 $5,169 $300,045 Medicare spending per enrollee (average), 2008 $9,894 $8,649 Average monthly Medicare Advantage payment rate, 2009 $1,003 $850 Average total premium (employer and employee) for single coverage at private employer, 2008 $4,055 $4,386 Average total premium (employer and employee) for family coverage at private employer, 2008 $11,207 $12,298





Age 19-64 15 12 Age 65+ 39 30


38

Louisiana













39

Maine


Age 50-64 22.5 18.9 Age 65-84 13.2 11.0 Age 85+ 2.4 2.0










Age 19-64 12 12 Age 65+ 24 30


40

Maine













41

Maryland


Age 50-64 18.7 18.9 Age 65-84 10.4 11.0 Age 85+ 1.8 2.0










Age 19-64 10 12 Age 65+ 20 30


42

Maryland













43

Massachusetts


Age 50-64 19.4 18.9 Age 65-84 11.3 11.0 Age 85+ 2.4 2.0










Age 19-64 14 12 Age 65+ 34 30


44

Massachusetts













45

Michigan


Age 50-64 19.3 18.9 Age 65-84 10.8 11.0 Age 85+ 2.0 2.0










Age 19-64 12 12 Age 65+ 24 30


46

Michigan













47

Minnesota


Age 50-64 18.9 18.9 Age 65-84 10.2 11.0 Age 85+ 2.1 2.0










Age 19-64 9 12 Age 65+ 28 30


48

Minnesota













49

Mississippi


Age 50-64 19.1 18.9 Age 65-84 11.0 11.0 Age 85+ 1.8 2.0










Age 19-64 14 12 Age 65+ 41 30


50

Mississippi













51

Missouri


Age 50-64 19.3 18.9 Age 65-84 11.8 11.0 Age 85+ 2.1 2.0










Age 19-64 15 12 Age 65+ 42 30


52

Missouri













53

Montana


Age 50-64 22.5 18.9 Age 65-84 12.7 11.0 Age 85+ 2.3 2.0










Age 19-64 10 12 Age 65+ 28 30


54

Montana













55

Nebraska


Age 50-64 19.0 18.9 Age 65-84 11.3 11.0 Age 85+ 2.4 2.0










Age 19-64 13 12 Age 65+ 35 30


56

Nebraska













57

Nevada


Age 50-64 19.7 18.9 Age 65-84 11.0 11.0 Age 85+ 1.2 2.0










Age 19-64 10 12 Age 65+ 27 30


58

Nevada













59

New Hampshire


Age 50-64 21.3 18.9 Age 65-84 11.0 11.0 Age 85+ 1.9 2.0










Age 19-64 13 12 Age 65+ 25 30


60

New Hampshire













61

New Jersey


Age 50-64 19.0 18.9 Age 65-84 11.5 11.0 Age 85+ 2.2 2.0










Age 19-64 10 12 Age 65+ 28 30


62

New Jersey













63

New Mexico


Age 50-64 20.8 18.9 Age 65-84 12.2 11.0 Age 85+ 1.9 2.0










Age 19-64 8 12 Age 65+ 23 30


64

New Mexico













65

New York


Age 50-64 18.8 18.9 Age 65-84 11.4 11.0 Age 85+ 2.3 2.0










Age 19-64 11 12 Age 65+ 28 30


66

New York













67

North Carolina


Age 50-64 18.8 18.9 Age 65-84 10.8 11.0 Age 85+ 1.7 2.0










Age 19-64 14 12 Age 65+ 34 30


68

North Carolina

Medicare U.S. Medicare beneficiaries, 2008:












69

North Dakota


Age 50-64 20.4 18.9 Age 65-84 12.4 11.0 Age 85+ 2.9 2.0










Age 19-64 10 12 Age 65+ 33 30


70

North Dakota













71

Ohio


Age 50-64 19.6 18.9 Age 65-84 11.6 11.0 Age 85+ 2.1 2.0










Age 19-64 13 12 Age 65+ 25 30


72

Ohio













73

Oklahoma


Age 50-64 19.1 18.9 Age 65-84 11.8 11.0 Age 85+ 2.0 2.0










Age 19-64 12 12 Age 65+ 34 30


74

Oklahoma













75

Oregon


Age 50-64 20.1 18.9 Age 65-84 10.9 11.0 Age 85+ 2.1 2.0










Age 19-64 10 12 Age 65+ 23 30


76

Oregon













77

Pennsylvania


Age 50-64 20.3 18.9 Age 65-84 12.9 11.0 Age 85+ 2.7 2.0










Age 19-64 12 12 Age 65+ 29 30


78

Pennsylvania













79

Rhode Island


Age 50-64 19.3 18.9 Age 65-84 11.4 11.0 Age 85+ 2.7 2.0










Age 19-64 13 12 Age 65+ 32 30


80

Rhode Island













81

South Carolina


Age 50-64 20.2 18.9 Age 65-84 11.9 11.0 Age 85+ 1.8 2.0










Age 19-64 18 12 Age 65+ 38 30


82

South Carolina













83

South Dakota


Age 50-64 19.6 18.9 Age 65-84 11.9 11.0 Age 85+ 2.7 2.0










Age 19-64 10 12 Age 65+ 30 30


84

South Dakota













85

Tennessee


Age 50-64 19.5 18.9 Age 65-84 11.5 11.0 Age 85+ 1.8 2.0










Age 19-64 16 12 Age 65+ 44 30


86

Tennessee













87

Texas


Age 50-64 16.9 18.9 Age 65-84 9.1 11.0 Age 85+ 1.4 2.0










Age 19-64 10 12 Age 65+ 34 30


88

Texas











Number of uninsured adults age 50-64, 2008 856,011 7,507,723 Uninsured adults age 50-64 (%), 2008 21.2 13.4 Private employers that offer health insurance (%), 2008 48.8 56.4 Private employers with fewer than 50 employees that offer health insurance (%), 2008 32.5 43.2 Medicare certified home health agencies, 2010 2,114 10,135 Providers who accept Medicare fee as full payment (% of providers), 2009 94.5 95.9 Hospital beds (per 1,000 population), 2007 2.4 2.7 Number of nurse practitioners, 2009 8,142 157,782 Primary care physicians (per 100,000 population), 2008 95 126 Population underserved by primary care physicians (%), 2010 14.0 12.4 Uninsured persons with family income at or below 138% of poverty, 2008 2,655,889 18,957,643 Uninsured persons by race/ethnicity (%), 2008


89

Utah


Age 50-64 14.3 18.9 Age 65-84 7.8 11.0 Age 85+ 1.3 2.0










Age 19-64 11 12 Age 65+ 23 30


90

Utah













91

Vermont


Age 50-64 22.3 18.9 Age 65-84 12.2 11.0 Age 85+ 2.2 2.0










Age 19-64 13 12 Age 65+ 30 30


92

Vermont













93

Virginia


Age 50-64 19.0 18.9 Age 65-84 10.7 11.0 Age 85+ 1.7 2.0










Age 19-64 11 12 Age 65+ 27 30


94

Virginia













95

Washington


Age 50-64 19.7 18.9 Age 65-84 10.2 11.0 Age 85+ 1.9 2.0










Age 19-64 10 12 Age 65+ 22 30


96

Washington













97

West Virginia


Age 50-64 22.2 18.9 Age 65-84 13.8 11.0 Age 85+ 2.2 2.0










Age 19-64 17 12 Age 65+ 42 30


98

West Virginia













99

Wisconsin


Age 50-64 19.6 18.9 Age 65-84 11.2 11.0 Age 85+ 2.2 2.0










Age 19-64 11 12 Age 65+ 32 30


100

Wisconsin













101

Wyoming


Age 50-64 22.6 18.9 Age 65-84 12.0 11.0 Age 85+ 1.9 2.0










Age 19-64 11 12 Age 65+ 26 30


102

Wyoming













103

Puerto Rico


Age 50-64 17.9 18.9 Age 65-84 12.7 11.0 Age 85+ 1.8 2.0




Women age 50+ receiving a mammogram (%), 2008 80.4 79.4 Adults age 50+ receiving a colonoscopy or sigmoidoscopy (%), 2008 40.2 56.3 Medicare home health users (% of beneficiaries), 2008 1.5 7.1 Medicare home health visits per person served (average), 2008 26 38



Medicare Part D enrollees receiving the low-income subsidy (in 1,000s), 2010 6 9,951

Medicaid State U.S. Medicaid enrollment in managed care plans (%), as of December 2008 96.8 69.8

Access to Care State U.S. Medicare certified home health agencies, 2010 41 10,135 Population underserved by primary care physicians (%), 2010 33.4 12.4

104

Virgin Islands


Age 50-64 20.8 18.9 Age 65-84 13.4 11.0 Age 85+ 1.1 2.0

Health Status State U.S. Adults age 50+ in poor or fair general health (%), 2009 21.2 20.7 High blood pressure prevalence among adults age 50+ (%), 2009 48.6 49.1 Adults age 50+ who are overweight or obese (%), 2009 67.7 68.6 Adults age 50+ with diabetes (%), 2009 16.0 15.5 Adults age 50+ who currently smoke cigarettes (%), 2009 8.2 14.0 Adults age 50+ whose mental health was not good for >1 week in month (%), 2009 10.2 11.8



Women age 50+ receiving a mammogram (%), 2008 73.9 79.4 Adults age 50+ receiving a colonoscopy or sigmoidoscopy (%), 2008 36.0 56.3

Medicare State U.S. Medicare Part D enrollees receiving the low-income subsidy (in 1,000s), 2010 <1 9,951

Medicaid State U.S. Medicaid enrollment in managed care plans (%), as of December 2008 0.0 69.8

Access to Care State U.S. Medicare certified home health agencies, 2010 2 10,135 Population underserved by primary care physicians (%), 2010 34.8 12.4

105

Demographics Distribution of population (projected) (%), 2010 — AARP Public Policy Institute analysis using data from (1) U.S. Department of Commerce, Bureau of the Census, Population Division, Interim State Population Projections, 2005, “Interim State Projections of Population for Five-Year Age Groups and Selected Age Groups by Sex: July 1, 2004 to 2030.” Retrieved from the World Wide Web: http://www.census.gov/population/projections; and (2) U. S. Department of Commerce, Bureau of the Census, International Programs Center, International Data Base (IDB), “Mid-Year Population by Age and Sex,” July 2005 (for Commonwealth of Puerto Rico and U.S. Virgin Islands data). Retrieved from the World Wide Web: http://www.census.gov/ipc/www/idb/. EXPLANATION: Refers to the percentage of the total projected U.S. population age 50-64, age 65-84, and age 85 and older residing in each state and territory in 2010. Rural population (% of total), 2009 — AARP Public Policy Institute analysis using data from U.S. Department of Agriculture, Economic Research Service, "State Fact Sheets," 2010. Retrieved from the World Wide Web: http://www.ers.usda.gov. EXPLANATION: Refers to the percentage of the estimated state population residing in nonmetropolitan areas in 2009. As defined by the OMB, metropolitan areas are counties with a core urbanized area of at least 50,000 people and a total population of over 100,000 people. A county lying outside of a metropolitan area is counted as part of the metropolitan area if at least 25 percent of its total population commutes into the core metropolitan area. The commuting distance is a proxy for the significance of the economic tie that the surrounding county has to the core area. Per capita personal income (average), 2008 — U. S. Department of Commerce, Bureau of Economic Analysis, Regional Accounts Data, “Annual State Personal Income.” Retrieved from the World Wide Web: http://www.bea.doc.gov/bea/regional/spi. EXPLANATION: Refers to average annual per capita personal income from all sources (i.e., government and nongovernment) in 2008. Per capita personal income equals total personal income in a state divided by that state’s midyear population. Family income (median), 2008 — AARP Public Policy Institute analysis using data from U.S. Department of Commerce, Bureau of the Census, Current Population Survey 2009 March Supplement. EXPLANATION: Refers to the annual income earned by families (and related subfamilies) in 2009 from all sources. For each state, half of the families had higher incomes and half of the families had lower incomes than the median. Distribution of persons age 50-64 by family income (%), 2008 — AARP Public Policy Institute analysis using data from U.S. Department of Commerce, Bureau of the Census, Current Population Survey 2009 March Supplement. EXPLANATION: Refers to the percentage of noninstitutionalized persons age 50-64 with family (and related subfamily) income below 133 percent of poverty, and between 134 and 400 percent of poverty in 2008. In calendar year 2008, the federal poverty threshold for a family of four was $21,200. As part of the recently-passed health reform legislation, persons with household (family) income below 400 percent of poverty will be eligible for health insurance premium and cost-sharing assistance.

Health Expenditures and Financing Medicaid federal matching funds (%), FY2010 — U.S. Department of Health and Human Services, “Federal Register,” Volume 75, Number 83, April 30, 2010. Retrieved from the World Wide Web:

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http://www.archives.gov/federal_register/index.html. EXPLANATION: Refers to the share of expenditures for medical services under federally approved Medicaid plans (Title XIX) that will be paid with federal funds from October 1, 2009, through September 30, 2010. FY 2010 FMAPs are estimates and reflect additional federal Medicaid funding available for the second quarter (January 1, 2010 through March 31, 2010) of nine quarters under the American Recovery and Reinvestment Act of 2009. Federal payments to the Commonwealth of Puerto Rico and the U.S. territories are limited by statute to maximum annual dollar amounts. Medicaid payments by category of enrollee (% of total Medicaid spending), FY2007 — Kaiser Family Foundation, “Distribution of Medicaid Payments by Enrollment Group (in millions), FY2007,” 2010. Estimates from the Urban Institute and Kaiser Commission on Medicaid and the Uninsured based on data from Medicaid Statistical Information System and CMS-64 reports from the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, 2010. Retrieved from the World Wide Web: http://www.statehealthfacts.org. EXPLANATION: Refers to Medicaid payments made in FY2007. “Child” generally refers to enrollees age 17 and younger. “Adult” generally refers to enrollees age 18 to 64. However, some people under age 18 may have been classified as “adults” and some people age 18 and older may have been classified as “children” depending on why they qualified for the program and each state’s practices. “Elderly” refers to all enrollees age 65 and older. “Disabled” includes enrollees age 64 and under who were reported as eligible for Medicaid due to a disability. Spending includes both state and federal Medicaid payments. The payment amounts from the source data reflect payments for services during federal fiscal year 2007, based on date of payment. Total Medicaid expenditures as percent of total state spending, FY2008 — National Association of State Budget Officers, The Reforming States Group, and the Milbank Memorial Fund, “2008 State Expenditure Report,” Table 29, “Medicaid Expenditures as a Percent of Total Expenditures, Fiscal 2008” Fall 2009. EXPLANATION: Refers to total Medicaid spending (federal and state funds) as a percentage of total state expenditures in FY2008. Total state expenditures consist of state general funds, other state funds, and federal funds spent on elementary and secondary education, higher education, public assistance, Medicaid, corrections, transportation, and other services. State-only Medicaid expenditures as percent of state-only spending, FY2008 — AARP Public Policy Institute analysis using data from the National Association of State Budget Officers, The Reforming States Group, and the Milbank Memorial Fund, “2008 State Expenditure Report,” Table 1, “Total State Expenditures—Capital Inclusive ($ in Millions),” and Table 28, “Medicaid Expenditures ($ in Millions),” Fall 2009. EXPLANATION: Refers to state-funded Medicaid expenditures as a percentage of FY2008 state-funded budgets. Data do not include the federal portion of Medicaid spending, but do include funds from county/city government. Total Medicare program payments (in millions), 2008 — U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, “Table 3.5: Program Payments for Medicare Beneficiaries Residing in Urban and Rural Areas, by Area of Residence: Calendar Year 2008,” 2009 Medicare & Medicaid Statistical Supplement, 2009. EXPLANATION: Refers to Medicare program payments made for all Medicare beneficiaries in 2008. Medicare program payments represent unadjusted amounts paid for covered services incurred during a calendar year under Medicare fee-for-service only and exclude payments for managed care services. Program payments differ from benefit payments, which reflect estimates of interim and retroactive adjustments made to institutional providers as well as payments for managed care. Medicare spending per enrollee (average), 2008 — U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, “Table 3.5: Program Payments for Medicare Beneficiaries Residing in Urban and Rural Areas, by Area of Residence: Calendar Year 2008,” 2009 Medicare &

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Medicaid Statistical Supplement, 2009. EXPLANATION: Refers to the average Medicare program payment per Medicare beneficiary in 2008. Medicare program payments represent unadjusted amounts paid for covered services incurred during a calendar year under Medicare fee-for-service only and exclude payments for managed care services. Program payments differ from benefit payments, which reflect estimates of interim and retroactive adjustments made to institutional providers as well as payments for managed care. Average monthly Medicare Advantage payment rate, 2009 — Kaiser Family Foundation, “Average Monthly Payment Rates (Weighted), 2009,” 2010. Estimates based on data from Mathematica Policy Research, Inc. analysis of CMS Geographic Service Area Files. Retrieved from the World Wide Web: http://www.statehealthfacts.org. EXPLANATION: Refers to the average benchmark payment rate used to determine what Medicare pays Medicare Advantage plans to provide Part A and B benefits to their enrollees in 2009. The payment rate is weighted by Medicare Advantage enrollees in health maintenance organizations, local preferred provider organizations, private fee-for-service plans, and provider-sponsored organizations from the March 2009 Monthly MA Enrollment by State/County/Contract file. Medicare Advantage payment rates do not reflect actual payments to Medicare Advantage plans, which are adjusted based on health status, age, gender, working status, Medicaid eligibility, and institutionalized status of each Medicare enrollee. Data exclude health care prepayment plans and program of all-inclusive care for the elderly plans. Average total premium (employer and employee) for single coverage at private employer, 2008 — U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality, Center for Financing, Access and Cost Trends, 2008 Medical Expenditure Panel Survey: Insurance Component, Table II.C.1. Retrieved from the World Wide Web: http://www.meps.ahrq.gov. EXPLANATION: Refers to the average total (employer and employee share) insurance premium amount per enrolled employee at private employers offering coverage in 2008. MEPS is a series of national probability surveys conducted by AHRQ on the financing and utilization of medical care in the United States. Average total premium (employer and employee) for family coverage at private employer, 2008 — U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality, Center for Financing, Access and Cost Trends, 2008 Medical Expenditure Panel Survey: Insurance Component, Table II.D.1. Retrieved from the World Wide Web: http://www.meps.ahrq.gov. EXPLANATION: Refers to the average total (employer and employee share) insurance premium amount for family coverage at private employers offering coverage in 2008. MEPS is a series of national probability surveys conducted by AHRQ on the financing and utilization of medical care in the United States.

Health Status Adults age 50+ in poor or fair general health (%), 2009 — AARP Public Policy Institute analysis using data from the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Behavioral Risk Factor Surveillance System. EXPLANATION: Refers to the percentage of noninstitutionalized adults age 50 and older who reported their general health to be poor or fair in 2009. “General” health tends to reflect physical, rather than mental, health. The U.S. total is the median of states, the Commonwealth of Puerto Rico, and the U.S. Virgin Islands. Adults age 18+ with a self-care limitation (in 1,000s), 2008 — AARP Public Policy Institute analysis using data from U.S. Department of Commerce, Bureau of the Census, 2008 American Community Survey. EXPLANATION: Refers to the percentage of noninstitutionalized persons age 18 and older in

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2008 who reported having a physical, mental or emotional condition lasting 6 months or more that made it difficult for them to dress, bathe, or get around inside the home. The U.S. total includes the Commonwealth of Puerto Rico. High blood pressure prevalence among adults age 50+ (%), 2009 — AARP Public Policy Institute analysis using data from the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Behavioral Risk Factor Surveillance System. EXPLANATION: Refers to the percentage of noninstitutionalized adults age 50 and older who reported that they had ever been told by a doctor, nurse or other health professional that they had high blood pressure in 2009. Percentages do not include women reporting gestational hypertension. The U.S. total is the median of states, the Commonwealth of Puerto Rico, and the U.S. Virgin Islands. Adults age 50+ who are overweight or obese (%), 2009 — AARP Public Policy Institute analysis using data from the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Behavioral Risk Factor Surveillance System. EXPLANATION: Refers to the percentage of all noninstitutionalized adults age 50 and older in 2009 whose Body Mass Index (BMI) was over 25.0. According to the CDC, a BMI between 25.0 and 29.9 is considered overweight, and BMI of 30.0 or more is considered obese. BMI is calculated as weight in kilograms divided by height in meters squared. Figures presented may underestimate the prevalence of overweight among adults because people tend to underreport their weight. The U.S. total is the median of states, the Commonwealth of Puerto Rico, and the U.S. Virgin Islands. Adults age 50+ with diabetes (%), 2009 — AARP Public Policy Institute analysis using data from U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Behavioral Risk Factor Surveillance System. EXPLANATION: Refers to the percentage of noninstitutionalized adults age 50 and older who reported that they had ever been told by a doctor that they had diabetes in 2009. Percentages do not include women reporting gestational diabetes. The U.S. total is the median of states, the Commonwealth of Puerto Rico, and the U.S. Virgin Islands. Adults age 50+ who currently smoke cigarettes (%), 2009 — AARP Public Policy Institute analysis using data from the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Behavioral Risk Factor Surveillance System. EXPLANATION: Refers to the percentage of noninstitutionalized adults age 50+ who reported currently smoking cigarettes in 2009. The U.S. total is the median of states, the Commonwealth of Puerto Rico, and the U.S. Virgin Islands. Adults age 50+ whose mental health was not good for >1 week in month (%), 2009 — AARP Public Policy Institute analysis using data from the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System. EXPLANATION: Refers to the percentage of noninstitutionalized adults age 50 and older who reported that their mental health was not good for at least 8 days during the past 30 days in 2009. The U.S. total is the median of states, the Commonwealth of Puerto Rico, and the U.S. Virgin Islands.

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Utilization and Quality of Services Adults age 50+ who did not visit a doctor due to cost (%), 2009 — AARP Public Policy Institute analysis using data from the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Behavioral Risk Factor Surveillance System. EXPLANATION: Refers to the percentage of all noninstitutionalized adults age 50 and older in 2009 who reported that there was a time during the past 12 months when they needed to see a doctor but did not because of the cost. The U.S. total is the median of states, the Commonwealth of Puerto Rico, and the U.S. Virgin Islands. Adult immunization (%), 2009 — AARP Public Policy Institute analysis using data from U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Behavioral Risk Factor Surveillance System. EXPLANATION: Refers to the percentage of noninstitutionalized adults age 65 and older who reported that they had ever received a pneumonia shot and the percentage of noninstitutionalized adults age 50 and older who reported receiving a flu shot in the past 12 months. The U.S. total is the median of states, the Commonwealth of Puerto Rico, and the U.S. Virgin Islands. Women age 50+ receiving a mammogram (%), 2008 — AARP Public Policy Institute analysis using data from U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Behavioral Risk Factor Surveillance System. EXPLANATION: Refers to the percentage of noninstitutionalized women age 50 and older in 2008 who reported receiving at least one screening or diagnostic mammography service in the past 12 months. The U.S. total is the median of states, the Commonwealth of Puerto Rico, and the U.S. Virgin Islands. Adults age 50+ receiving a colonoscopy or sigmoidoscopy (%), 2008 — AARP Public Policy Institute analysis using data from U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Behavioral Risk Factor Surveillance System. EXPLANATION: Refers to the percentage of noninstitutionalized adults age 50 and older in 2008 who reported ever having a colonoscopy or sigmoidoscopy and also reported having a colonoscopy or sigmoidoscopy within the past 10 years. The U.S. total is the median of states, the Commonwealth of Puerto Rico, and the U.S. Virgin Islands. Adults age 50+ receiving recommended screening and preventive care (%), 2006 — D. McCarthy, S.K.H. How, C. Schoen, J.C. Cantor, and D. Belloff on behalf of the Commonwealth Fund Commission on a High Performance Health System, “The Commonwealth Fund State Scorecard, 2009,” The Commonwealth Fund, October 2009. EXPLANATION: Percent of adults age 50 and older who have received: sigmoidoscopy or colonoscopy in the last ten years or a fecal occult blood test in the last two years; a mammogram in the last two years (women only); a pap smear in the last three years (women only); and a flu shot in the past year and a pneumonia vaccine ever (age 65 and older only). N/A = data not available. At-risk adults who visited a doctor for a routine checkup in the past two years (%), 2007 — D. McCarthy, S.K.H. How, C. Schoen, J.C. Cantor, and D. Belloff on behalf of the Commonwealth Fund Commission on a High Performance Health System, “The Commonwealth Fund State Scorecard, 2009,” The Commonwealth Fund, October 2009. EXPLANATION: Refers to the percent of adults age 50 and older, or in fair or poor health, or ever told they have diabetes or pre-diabetes, acute myocardial infarction, heart disease, stroke, or asthma who visited a doctor in the past two years.

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Number of retail prescriptions filled per person by age (average), 2008 — Kaiser Family Foundation, “Retail Prescription Drugs Filled at Pharmacies (Annual per Capita by Age), 2008,” 2010. Estimates based on data from Vector One™: National from Verispan, L.L.C.: Special data request, 2009 and U.S. Census Bureau, Selected Age Groups by States and Puerto Rico: July 1, 2008. Retrieved from the World Wide Web: http://www.statehealthfacts.kff.org. EXPLANATION: Refers to the average number of all products filled with a prescription and dispensed in retail pharmacies, including new prescriptions and refills of both brand name and generic drugs, by persons age 19 to 64 and persons age 65 and older, in 2008. The Vector One™: National collects data from a panel of retail pharmacies, third party payers, and data providers. Retail pharmacies included independent pharmacies, chain pharmacies, food stores, and mass merchandisers found in 814 defined regional zones. These data exclude prescriptions filled by mail order. US totals include prescriptions filled in pharmacies for persons whose residence is unknown. Medicare home health users (% of beneficiaries), 2008 — AARP Public Policy Institute analysis using data from (1) U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, “Table VII.14a, Medicare Home Health Agency Utilization: Calendar Year 2008,” 2009 Data Compendium, December 2009; and (2) U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, “Table VII.3, Medicare Enrollment by State: 2008,” 2009 Data Compendium, December 2009. EXPLANATION: Refers to the percentage of Medicare beneficiaries in traditional (fee-for-service) Medicare who used home health services in 2008. Provider based data are derived from bills for services performed in 2008 and recorded in CMS central records as of June 2009. Medicare home health visits per person served (average), 2008 — U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, “Table VII.14a, Medicare Home Health Agency Utilization: Calendar Year 2008,” 2009 Data Compendium, December 2009. EXPLANATION: Refers to the average number of Medicare home health visits received per traditional (fee-for-service) Medicare beneficiary who used home health services in 2008. Provider based data are derived from bills for services performed in 2008 and recorded in CMS central records as of June 2009. The U.S. total includes the Commonwealth of Puerto Rico and the U.S. Virgin Islands.

Medicare Medicare beneficiaries, 2008 — U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, Office of Research, Development, and Information, 2009 Data Compendium, December 2009. Number in 1,000s is an AARP Public Policy Institute calculation based on data from “Table VII.3: Medicare Enrollment by State, 2008.” Percent of population is based on data from “Table VII.4: Medicare Enrollment as a Percent of Resident Population by State, 2008.” EXPLANATION: Refers to the total number of beneficiaries (in 1,000s) enrolled in the Medicare program as of 2008 and the total number of beneficiaries enrolled in the Medicare program as of 2008 as a percentage of total state population as of July 1, 2008. Disabled Medicare beneficiaries under age 65 (% of beneficiaries), 2008 — AARP Public Policy Institute analysis using data from U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, “Table 2.8: Medicare Enrollment: Hospital Insurance and/or Supplementary Medical Insurance for Aged and Disabled Enrollees and Total Resident Population by State of Residence as of July 1, 2008,” 2009 Medicare & Medicaid Statistical Supplement, 2009. EXPLANATION: Refers to the percentage of Medicare beneficiaries, enrolled as of July 1, 2008, who were under age 65 and qualified for Medicare by receiving Social Security Disability Insurance (SSDI) cash payments for at least

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two years, or having end-stage renal disease (ESRD), or being diagnosed with amyotropic lateral sclerosis (ALS), commonly known as Lou Gehrig’s Disease. Medicare beneficiaries with full or partial Medicaid (%), 2005 — Kaiser Family Foundation, “Dual Eligibles as a Percent of Total Medicare Enrollees, 2005,” 2010. Calculations based on data from (1) U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services Statistics: Medicare State Enrollment, U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services; and (2) Urban Institute estimates based on data from the Medicaid Statistical Information System. Retrieved from the World Wide Web: http://www.statehealthfacts.org. EXPLANATION: Refers to the percentage of noninstitutionalized Medicare beneficiaries of all ages who also had full or partial Medicaid coverage during 2005. Medicare beneficiaries with full Medicaid coverage qualify for full Medicaid benefits, including long-term care provided both in institutions and in the community as well as prescription drugs. For this group, Medicaid may also pay Medicare premiums and cost sharing. Medicare beneficiaries with partial Medicaid coverage are not eligible for full Medicaid benefits but may receive assistance with some or all of their Medicare premiums and cost sharing. Dual eligibles data are for FY2005 and Medicare enrollment data are as of July 2005. Private supplemental coverage among Medicare beneficiaries age 65+ (%), 2008 — AARP Public Policy Institute analysis using data from the U.S. Department of Commerce, Bureau of the Census, Current Population Survey 2009 March Supplement. EXPLANATION: Refers to the percentage of noninstitutionalized Medicare beneficiaries age 65 and over who had employer-provided (retirement or other) health insurance at any time during 2008 and the percentage of noninstitutionalized Medicare beneficiaries age 65 and over who had privately purchased individual supplemental coverage (e.g., Medigap) at any time during 2008. Employer-sponsored coverage and individually purchased coverage does not preclude the possibility of coverage from another source at some time during the year. Medicare beneficiaries paying income-related Part B premium, 2008 — Social Security Administration and Internal Revenue Service, “2008 IRMAA Beneficiaries by State Based on IRS Match,” 12/10/2007. Retrieved from the World Wide Web: http:// www.ssa.gov/legislation/IRMAABstate2008.pdf. EXPLANATION: Refers to high-income Medicare beneficiaries that paid increased Part B premiums in 2008. Historically, the government has paid approximately 75 percent of the Part B premium and the beneficiary paid the remaining 25 percent. However, starting in January 2007, beneficiaries enrolled in Medicare Part B with incomes above a set threshold were required to pay a higher percentage of their total Part B premium costs. This increase was phased in from 2007 to 2009. In 2008, single Medicare beneficiaries making more than $82,000 per year and married Medicare beneficiaries making more than $164,000 per year were required to pay this higher premium. U.S. total includes the Commonwealth of Puerto Rico and the U.S. Virgin Islands. Data excludes 1,551 beneficiaries for which zip codes were not available. Enrollment of Medicare beneficiaries in MA plans (%), 2010 — Avalere Health LLC, “MA Impact Analysis,” 2010 (unpublished table). Data were drawn from the Avalere Health LLC MA Impact database. EXPLANATION: Refers to the percentage of total Medicare beneficiaries in each state who were enrolled in Medicare Advantage plans as of March 2010. “<1” = less than one percent enrollment. Medicare beneficiaries with creditable prescription drug coverage (%), 2010 — AARP Public Policy Institute calculations using data from the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, “Total Medicare Beneficiaries with Drug Coverage by Stand-alone PDP, Medicare Advantage, RDS, and Creditable Coverage by State, as of February 16, 2010,” 2010. Retrieved from the World Wide Web: http://www.cms.gov/PrescriptionDrugCovGenIn/01_Overview.asp. EXPLANATION: Refers to the percentage of total Medicare beneficiaries who had creditable prescription drug coverage as of February 16, 2010. Creditable drug coverage is defined as drug coverage

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that meets or exceeds the actuarial value of the standard Part D benefit. Excludes approximately 1.4 million beneficiaries with coverage for whom data are currently not available at the state level. U.S. total includes the U.S. territories and beneficiaries whose address information is being updated. Medicare Part D enrollees receiving the low-income subsidy (in 1,000s), 2010 — AARP Public Policy Institute calculations using data from U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, “LIS by State, as of February 16, 2010,” 2010. Retrieved from the World Wide Web: http://www.cms.gov/PrescriptionDrugCovGenIn/01_Overview.asp. EXPLANATION: Refers to the number of Medicare beneficiaries who were receiving the low-income subsidy as of February 2010. Medicare beneficiaries with income below 150% of poverty ($16,245/individual; $21,855/couple in 2009, which will remain in effect until at least May 31, 2010) and limited resources ($12,510/individual; $25,010/couple) are eligible for additional premium and cost-sharing assistance for prescriptions drugs under Part D of the Medicare program. U.S. total includes the U.S. territories and beneficiaries whose address information is being updated. “<1” = less than 1,000 enrollees. Non-low income Medicare Part D enrollees who hit the coverage gap (%), 2007 — J. Hoadley, E. Hargrave, J. Cubanski, and T. Neumann, “The Medicare Part D Coverage Gap: Costs and Consequences in 2007,” Kaiser Family Foundation, August 2008. EXPLANATION: Refers to the percentage of Medicare Part D enrollees that did not receive the Part D low-income subsidy, filled at least one prescription, and fell into the Medicare Part D coverage gap in 2007. The Medicare Part D coverage gap, also known as the doughnut hole, is the period when enrollees are responsible for 100 percent of their prescription drug costs.

Medicaid Medicaid enrollment by category of enrollee (% of total Medicaid enrollees), FY2007 — Kaiser Family Foundation, “Distribution of Medicaid Enrollees by Enrollment Group, FY2007,” 2010. Estimates from the Urban Institute and Kaiser Commission on Medicaid and the Uninsured estimates based on data from Medicaid Statistical Information System reports from the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, 2010. Retrieved from the World Wide Web: http://www.statehealthfacts.org. EXPLANATION: Refers to the distribution of persons enrolled in Medicaid for any length of time during FY2007 based on their eligibility category. These individuals may not have actually used any services during this period, but they were reported as enrolled in the program and were eligible to receive services in at least one month. “Child” generally refers to enrollees age 17 and younger. “Adult” generally refers to enrollees age 18 to 64. However, some people under age 18 may have been classified as “adults” and some people age 18 and older may have been classified as “children” depending on why they qualified for the program and each state’s practices. “Elderly” refers to all enrollees age 65 and older. “Disabled” refers to enrollees age 64 and under who were reported as eligible for Medicaid due to a disability. The enrollment estimates differ slightly from similar estimates posted by Centers for Medicare and Medicaid Services because adjustments to the data have been made for several states where some individuals appeared to be categorized incorrectly. Figures may not sum due to rounding. Persons under age 65 in poverty with Medicaid (% under age 65 in poverty), 2008 — AARP Public Policy Institute analysis using data from U.S. Department of Commerce, Bureau of the Census, Current Population Survey 2009 March Supplement. EXPLANATION: Refers to the percentage of all noninstitutionalized persons under age 65 with family (and related subfamily) income at or below 100 percent of the federal poverty threshold in 2008 who reported being covered by Medicaid during 2008.

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Medicaid enrollment in managed care plans (%), as of December 2008 — U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, "Medicaid Managed Care Enrollment as of December 31, 2008." Retrieved from the World Wide Web: http://www2.cms.gov/MedicaidDataSourcesGenInfo/05_MdManCrPenRateandExpEnrll.asp. EXPLANATION: Refers to the percentage of Medicaid beneficiaries enrolled in Medicaid managed care plans as of December 31, 2008. The Medicaid enrollment data reflect unduplicated counts and include individuals in state health reform plans that expand eligibility beyond traditional Medicaid eligibility standards. The managed care enrollment data reflect unduplicated counts and include enrollees receiving comprehensive benefits and limited benefits. The U.S. total includes the Commonwealth of Puerto Rico and the U.S. Virgin Islands.

Access to Care Distribution of persons under age 65 by type of health coverage (%), 2008 — AARP Public Policy Institute analysis using data from U.S. Department of Commerce, Bureau of the Census, Current Population Survey 2009 March Supplement. EXPLANATION: Refers to the percentage of noninstitutionalized individuals under age 65 by primary source of health insurance in 2008. Individuals with more than one source of coverage during the year were assigned to a single source according to the order of the categories listed below. Uninsured, i.e., not covered by private health insurance (employer or other) and did not receive

publicly financed health coverage (Medicaid or other) at any time during the year. An employer, as either a current/former employee or a dependent of a current/former employee. Some other private source of coverage not offered through a person’s current or former employer or

union. This category includes both group and individually-purchased coverage but consists primarily of individually-purchased insurance.

Medicaid. Some other public program other than Medicaid, such as Medicare or CHAMPUS (Civilian Health

and Medical Program of the Uniformed Services). Number of uninsured adults age 50-64, 2008 — AARP Public Policy Institute analysis using data from U.S. Department of Commerce, Bureau of the Census, Current Population Survey 2008 March Supplement. EXPLANATION: Refers to the number of noninstitutionalized persons between the ages of 50 and 64 who reported having no type of health insurance coverage (public or private) throughout 2008. Uninsured adults age 50-64 (%), 2008 — AARP Public Policy Institute analysis using data from U.S. Department of Commerce, Bureau of the Census, Current Population Survey 2008 March Supplement. EXPLANATION: Refers to noninstitutionalized persons between the ages of 50 and 64 who reported having no type of health insurance coverage (public or private) throughout 2008 as a percentage of all persons between the ages of 50 and 64. Private employers that offer health insurance (%), 2008 — U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality, Center for Financing, Access and Cost Trends, 2008 Medical Expenditure Panel Survey: Insurance Component, Table II.A.2. Retrieved from the World Wide Web: http://www.meps.ahrq.gov. EXPLANATION: Refers to percentage of private employers that offered health insurance to their employees in 2008. MEPS is a series of national probability surveys conducted by AHRQ on the financing and utilization of medical care in the United States. Private employers with fewer than 50 employees that offer health insurance (%), 2008 — U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality, Center for

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Financing, Access and Cost Trends, 2008 Medical Expenditure Panel Survey: Insurance Component, Table II.A.2. Retrieved from the World Wide Web: http://www.meps.ahrq.gov. EXPLANATION: Refers to percentage of private employers with fewer than 50 employees that offered health insurance to their employees in 2008. MEPS is a series of national probability surveys conducted by AHRQ on the financing and utilization of medical care in the United States. Medicare-certified home health agencies, 2010 — U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, “Home Health Care Facilities,” April 15, 2010. Retrieved from the World Wide Web: http://data.medicare.gov. EXPLANATION: Refers to the number of Medicare-certified home health agencies reported as of April 15, 2010. The U.S. total includes the Commonwealth of Puerto Rico and the U.S. Virgin Islands. Providers who accept Medicare fee as full payment (% of providers), 2009 — U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, “Table VII.20: Medicare Part B Participating Physicians and Other Practitioners by State,” 2009 Data Compendium, December 2009. EXPLANATION: Refers to the percentage of physicians and other health care suppliers submitting Medicare claims as of January 2009 that are enrolled in the Medicare participating physician and supplier program. This program requires that physicians and suppliers agree to accept the Medicare fee as the total amount they will bill for Medicare-covered services (i.e., “accept assignment”), thereby restricting the patient’s financial exposure to Medicare-approved coinsurance amounts only. Hospital beds (per 1,000 population), 2007 — Kaiser Family Foundation, “Hospital Beds per 1,000 Population, 2007,” 2010. Estimates are based on data from: (1) Health Forum LLC, an affiliate of the American Hospital Association, 2008 AHA Annual Survey, special data request, March 2010; (2) U.S. Census Bureau, Annual Population Estimates by State, July 1, 2008 Population. Retrieved from the World Wide Web: http://www.statehealthfacts.org. EXPLANATION: Refers to the number of beds, cribs and pediatric bassinets that were regularly maintained for inpatient use by registered community (nonfederal, short-term, general and other special) hospitals in 2007. Federal hospitals, long term care hospitals, psychiatric hospitals, institutions for the mentally retarded, and alcoholism and other chemical dependency hospitals are not included. Number of nurse practitioners, 2009 — Kaiser Family Foundation, “Total Nurse Practitioners, 2009,” 2010. Estimates are based on data from the Pearson Report 2010, The American Journal for Nurse Practitioners, March 2010. Retrieved from the World Wide Web: http://www.statehealthfacts.org. EXPLANATION: Refers to the number of nurse practitioners in 2009 as reported by each state's board of nursing. Primary care physicians (per 100,000 population), 2008 — AARP Public Policy Institute analysis using data from: (1) Kaiser Family Foundation, “Nonfederal Primary Care Physicians, 2008,” 2010. Estimates are based on data from the American Medical Association, Physicians Professional Data, Special Data Request, 2008. Retrieved from the World Wide Web: http://www.statehealthfacts.org; and (2) U.S. Department of Commerce, Bureau of the Census, Current Population Survey 2009 March Supplement. EXPLANATION: Refers to the number of licensed, nonfederal primary care physicians who reported being engaged in patient care as of December 2008 per 100,000 population. Nonfederal physicians are not employed by the federal government and includes allopathic physicians and osteopathic physicians. Population underserved by primary care physicians (%), 2010 — AARP Public Policy Institute analysis using data from U.S. Department of Health and Human Services, Health Resources and Services Administration, “Health Professional Shortage Areas: State Population and HPSA Designation Population Statistics” (as of May 27, 2010), HRSA Geospatial Data Warehouse. Retrieved from the World Wide

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Web: http://datawarehouse.hrsa.gov/quickaccessreports.aspx. EXPLANATION: Refers to the percentage of the state population considered to be underserved by primary care physicians as of May 27, 2010. "Underserved," as defined by HRSA, refers to a population-to-practitioner ratio greater than 2,000:1. “Practitioners” are defined as all non-federal doctors of medicine and doctors of osteopathy providing direct patient care who practice principally in general or family practice, general internal medicine, pediatrics, or obstetrics and gynecology. The U.S. total includes the Commonwealth of Puerto Rico and the U.S. Virgin Islands. Uninsured persons with family income at or below 138% of poverty, 2008 — AARP Public Policy Institute analysis using data from U.S. Department of Commerce, Bureau of the Census, Current Population Survey 2009 March Supplement. EXPLANATION: Refers to the percentage of noninstitutionalized persons under age 65 with family (and related subfamily) income at or below 138 percent of the federal poverty level. In calendar year 2008, the federal poverty threshold for a family of four was $21,200. The recently-passed health reform legislation creates a national floor of 133 percent of the federal poverty level for Medicaid eligibility. However, the new law also eliminates the historical income disregards for these new groups and establishes a new across-the-board 5 percent disregard, effectively raising the income eligibility threshold to 138 percent of the federal poverty level. Uninsured persons by race/ethnicity (%), 2008 — AARP Public Policy Institute analysis using data from U.S. Department of Commerce, Bureau of the Census, Current Population Survey 2009 March Supplement. EXPLANATION: Refers to the percentage of noninstitutionalized white and minority/ethnic persons under age 65 who reported having no type of health insurance coverage (public or private) throughout 2008. Persons who defined their racial origin as White only were categorized as White. Persons who defined their racial origin as Black, American Indian or Asian/Pacific Islander or defined their ethnicity as Hispanic (of any race) were categorized as minority/ethnic.

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AARP State Offices*

Alabama Office 201 Monroe St # 1880 Montgomery, AL 36104 Phone: 1-866-542-8167 Fax: 334-954-3050 Region: Southeast

Alaska Office 3601 C St # 1420 Anchorage, AK 99503 Phone: 1-866-227-7447 Fax: 907-341-2270 Region: West

Arizona Office 201 E Washington St # 1795 Phoenix, AZ 85004 Phone: 1-866-389-5649 Fax: 602-256-2928 Region: West

Arkansas Office 1701 Centerview Dr # 205 Little Rock, AR 72211 Phone: 1-866-554-5379 Fax: 501-227-7710 Region: Southwest

California – Pasadena Office 200 S Los Robles Ave # 400 Pasadena, CA 91101 Phone: 1-866-448-3615 Fax: 626-583-8500 Region: West

California – Sacramento Office 1415 L St # 960 Sacramento, CA 95814 Phone: 1-866-448-3614 Fax: 916-446-2223 Region: West

California – San Francisco Office 150 Post St # 450 San Francisco, CA 94108 Phone: 1-866-448-3615 Fax: 415-986-3467 Region: West

Colorado Office 303 E 17th Ave # 510 Denver, CO 80203 Phone: 1-866-554-5376 Fax: 303-764-5999 Region: Southwest

Connecticut Office 21 Oak St # 104 Hartford, CT 06106 Phone: 1-866-295-7279 Fax: 860-249-7707 Region: Northeast

Delaware Office 1100 N Market St # 1201 Wilmington, DE 19801 Phone: 1-866-227-7441 Fax: 302-571-1984 Region: Northeast

District of Columbia Office 601 E St NW #A1-200 Washington, DC 20049 Phone: 202-434-7700 Fax: 202-434-7710 Region: Southeast

Florida – Miramar Office 3350 SW 148th Ave # 120 Miramar, FL 33027 Phone: 1-866-595-7678 Fax: 954-438-7871 Region: Southeast

Florida – St. Petersburg Office 400 Carillon Pkwy # 100 St. Petersburg, FL 33716 Phone: 1-866-595-7678 Fax: 727-369-5191 Region: Southeast

Florida – Tallahassee Office 200 W College Ave # 304 Tallahassee, FL 32301 Phone: 1-866-595-7678 Fax: 850-222-8968 Region: Southeast

Georgia Office 999 Peachtree St NE # 1110 Atlanta, GA 30309 Phone: 1-866-295-7281 Fax: 404-881-6997 Region: Southeast

Hawaii Office 1132 Bishop St # 1920 Honolulu, HI 96813 Phone: 1-866-295-7282 Fax: 808-537-2288 Region: West

Idaho Office 3080 E Gentry Way # 100 Meridian, ID 83642 Phone: 1-866-295-7284 Fax: 208-288-4424 Region: West

Illinois – Chicago Office 222 N LaSalle St # 710 Chicago, IL 60601 Phone: 1-866-448-3613 Fax: 312-372-2204 Region: Midwest

Illinois – Springfield Office 300 W Edwards St 3rd Fl Springfield, IL 62708 Phone: 1-866-448-3617 Fax: 217-522-7796 Region: Midwest

Indiana State Office One N Capitol Ave # 1275 Indianapolis, IN 46204 Phone: 1-866-448-3618 Fax: 317-423-2211 Region: Midwest

Iowa Office 600 E Court Ave # 100 Des Moines, IA 50309 Phone: 1-866-554-5378 Fax: 515-244-7767 Region: Midwest

118

AARP State Offices*

Kansas Office 555 S Kansas Ave # 201 Topeka, KS 66603 Phone: 1-866-448-3619 Fax: 785-232-8259 Region: Southwest

Kentucky Office 10401 Linn Station Rd # 121 Louisville, KY 40223 Phone: 1-866-295-7275 Fax: 502-394-9918 Region: Midwest

Louisiana Office 301 Main St # 1012 Baton Rouge, LA 70825 Phone: 1-866-448-3620 Fax: 225-387-3400 Region: Southwest

Maine Office 1685 Congress St Portland, ME 04102 Phone: 1-866-554-5380 Fax: 207-775-5727 Region: Northeast

Maryland Office 200 St Paul Place # 2510 Baltimore, MD 21202 Phone: 1-866-542-8163 Fax: 410-895-0269 Region: Southeast

Massachusetts Office One Beacon St # 2301 Boston, MA 02108 Phone: 1-866-448-3621 Fax: 617-723-4224 Region: Northeast

Michigan Office 309 N Washington Sq # 110 Lansing, MI 48933 Phone: 1-866-227-7448 Fax: 517-482-2794 Region: Midwest

Minnesota Office 30 E 7th St # 1200 St Paul, MN 55101 Phone: 1-866-554-5381 Fax: 651-221-2636 Region: Midwest

Mississippi Office 6360 I-55 North # 160 Jackson, MS 39211 Phone: 1-866-554-5382 Fax: 601-991-3342 Region: Southwest

Missouri Office 700 W 47th St # 110 Kansas City, MO 64112 Phone: 1-866-389-5627 Fax: 816-561-3107 Region: Southwest

Montana Office 30 W 14th St # 301 Helena, MT 59601 Phone: 1-866-295-7278 Fax: 406-441-2230 Region: West

Nebraska Office 301 S 13th St # 201 Lincoln, NE 68508 Phone: 1-866-389-5651 Fax: 402-323-6913 Region: Midwest

New Hampshire Office 900 Elm St # 702 Manchester, NH 03101 Phone: 1-866-542-8168 Fax: 603-629-0066 Region: Northeast

New Jersey Office 101 Rockingham Row Princeton, NJ 08540 Phone: 1-866-542-8165 Fax: 609-987-4634 Region: Northeast

New Mexico Office 535 Cerrillos Rd # A Santa Fe, NM 87501 Phone: 1-866-389-5636 Fax: 505-820-2889 Region: Southwest

Nevada Office 5820 S Eastern Ave # 190 Las Vegas, NV 89119 Phone: 1-866-389-5652 Fax: 702-938-3225 Region: West

New York – New York Office 780 Third Ave 33rd Fl New York, NY 10017 Phone: 1-866-227-7442 Fax: 212-644-6390 Region: Northeast

New York – Albany Office One Commerce Plaza # 706 Albany, NY 12260 Phone: 1-866-542-8166 Fax: 518-434-6949 Region: Northeast

New York – Rochester Office 435 E Henrietta Rd Monroe Community Hospital Rochester, NY 14620 Phone: 585-760-5451 Fax: 585-760-5456 Region: Northeast

North Carolina Office 1511 Sunday Dr # 312 Raleigh, NC 27607 Phone: 1-866-389-5650 Fax: 919-755-9684 Region: Southeast

North Dakota Office 107 W Main Ave # 125 Bismarck, ND 58501 Phone: 1-866-554-5388 Fax: 701-221-2242 Region: Midwest

119

AARP State Offices*

Oklahoma Office 126 N Bryant Ave Edmond, OK 73034 Phone: 1-866-295-7277 Fax: 405-844-7772 Region: Southwest

Ohio Office 17 S High St # 800 Columbus, OH 43215 Phone: 1-866-389-5653 Fax: 614-224-9801 Region: Midwest

Oregon Office 9200 SE Sunnybrook Blvd # 410 Clackamas, OR 97015 Phone: 1-866-554-5360 Fax: 503-652-9933 Region: West

Pennsylvania – Harrisburg Office 30 N Third St # 750 Harrisburg, PA 17101 Phone: 1-866-389-5654 Fax: 717-236-4078 Region: Northeast

Pennsylvania – Philadelphia Office One Liberty Place 1650 Market St # 675 Philadelphia, PA 19103 Phone: 1-866-389-5654 Fax: 215-665-8529 Region: Northeast

Puerto Rico Office 654 Munoz Rivera Ave # 901 San Juan, PR 00918 Phone: 1-866-542-8169 Fax: 787-754-2211 Region: Northeast

Rhode Island Office 10 Orms St # 200 Providence, RI 02904 Phone: 1-866-542-8170 Fax: 401-272-0876 Region: Northeast

South Carolina Office 1201 Main St # 1280 Columbia, SC 29201 Phone: 1-866-389-5655 Fax: 803-251-4379 Region: Southeast

South Dakota Office 5101 S Nevada St # 150 Sioux Falls, SD 57108 Phone: 1-866-542-8172 Fax: 605-361-2323 Region: Midwest

Tennessee Office 150 4th Ave North # 180 Nashville, TN 37219 Phone: 1-866-295-7274 Fax: 615-313-8414 Region: Southwest

Texas – Austin Office 98 San Jacinto Blvd # 750 Austin, TX 78701 Phone: 1-866-227-7443 Fax: 512-480-9799 Region: Southwest

Texas – Houston Office 2323 S Shepherd # 1100 Houston, TX 77019 Phone: 1-866-227-7443 Fax: 832-325-2213 Region: Southwest

Texas – Dallas Office 8144 Walnut Hill Lane # 700 Dallas, TX 75231 Phone: 1-866-554-5377 Fax: 214-265-4061 Region: Southwest

Utah Office 6975 Union Park Center # 320 Midvale, UT 84047 Phone: 1-866-448-3616 Fax: 801-561-2209 Region: West

Vermont Office 199 Main St # 225 Burlington, VT 05401 Phone: 1-866-227-7451 Fax: 802-651-9805 Region: Northeast

Virgin Islands – St Croix Office 93B Estate Diamond Christensted, VI 00820 Phone: 1-866-389-5633 Fax: 340-692-2544 Region: Southeast

Virgin Islands – St Thomas Office 210 – 3A Altona St Thomas, VI 00802 Phone: 1-866-389-5633 Fax: 340-692-2544 Region: Southeast

Virginia Office 707 E Main St # 910 Richmond, VA 23219 Phone: 1-866-542-8164 Fax: 804-819-1923 Region: Southeast

120

AARP State Offices*

Washington – Olympia Office 1063 S Capitol Way # 217 Olympia, WA 98501 Phone: Fax: Region: West

Washington – Seattle Office 9750 Third Ave NE # 450 Seattle, WA 98115 Phone: 1-866-227-7457 Fax: 206-517-9350 Region: West

West Virginia Office 300 Summers St # 400 Charleston, WV 25301 Phone: 1-866-227-7458 Fax: 304-344-4633 Region: Southeast

Wisconsin Office 222 W Washington Ave # 600 Madison, WI 53703 Phone: 1-866-448-3611 Fax: 608-251-7612 Region: Midwest

Wyoming Office 2020 Carey Ave Mezzanine Cheyenne, WY 82001 Phone: 1-866-663-3290 Fax: 307-634-3808 Region: West

* Information is current as of March 2010. For more information on an office in your state, please call AARP at (800) 424-3410

Publication of the Health TeamPublic Policy Institute

601 E Street, N.W.Washington, DC 20049

www.aarp.org/ppi

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Quick Health Facts 2010 - AARP...Total Medicare program payments (in millions), 2008 $5,429 $300,045...

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Transcript of Quick Health Facts 2010 - AARP...Total Medicare program payments (in millions), 2008 $5,429 $300,045...