Browsing by Author "Balihe, Philomene"

Now showing 1 - 9 of 9
  • Thumbnail Image
    Item
    Health Reform Monitoring Survey – Texas, Issue Brief #12: Change in Insurance Status of Adult Texans by Demographic Group as of March 2015.
    (2015) Marks, Elena M.; Ho, Vivian; Balihe, Philomene; James A. Baker III Institute for Public Policy
    In March 2015, as the second open enrollment period of the Affordable Care Act’s (ACA) Health Insurance Marketplace was drawing to a close, we surveyed adult Texans ages 18 to 64 to examine changes in insurance status since the opening of the Marketplace. As we reported in Issue Brief #11, the overall rate of uninsured adult Texans fell by more than 30%, from 24.6% to 16.9%. In this brief, we examine the change in uninsured rates based on eight demographic characteristics to understand the relative changes among groups. We also compare the Texas data to the national HRMS data and report on similarities and differences between Texas and the US.
  • Thumbnail Image
    Item
    Health Reform Monitoring Survey – Texas, Issue Brief #13: Characteristics of Uninsured Texans as of March 2015
    (2015) Marks, Elena M.; Ho, Vivian; Balihe, Philomene; James A. Baker III Institute for Public Policy
    In March 2015, near the close of the Health Insurance Marketplace’s second open enrollment period, we surveyed adult Texans ages 18 to 64 to understand who remained uninsured and why, and to identify the differences, if any, in the characteristics of the uninsured population before the opening of the Marketplace in September 2013, and March 2015. Our survey indicates that the 16.9% of adult Texans who remain uninsured are more likely to be Hispanic, middle aged, low income and without a college degree. This corresponds with the pre-Marketplace data which indicated that these same groups were more likely to uninsured in 2013. The majority (57.1%) of the remaining uninsured cited costs as the biggest factor in their lack of insurance, and also reported that the prospect of a fine was not an important consideration to them.
  • Thumbnail Image
    Item
    Health Reform Monitoring Survey – Texas, Issue Brief #14: Comparison of Affordability and Utilization of Health Care Services by Insured and Uninsured Adult Texans
    (2015) Marks, Elena M.; Ho, Vivian; Balihe, Philomene; James A. Baker III Institute for Public Policy
    In March 2015, we surveyed adult Texans ages 18 to 64 to assess affordability and utilization of health care services by insured and uninsured Texans. Texas has made strong gains in coverage since the opening of the Marketplace in January 2014, and research by the Urban Institute suggests that coverage gains will increase access to and reduce the costs of health care for those who have gained coverage. We also examined self-reported health status for insured and uninsured Texans. Our results showed that those without coverage had more trouble paying medical bills than those with insurance and that they also skipped care due to costs more so than those with insurance. Self-reported health status was similar for the two groups regarding physical health, but uninsured respondents reported more days of poor mental health than the insured respondents.
  • Thumbnail Image
    Item
    Health Reform Monitoring Survey – Texas, Issue Brief #15: The Impact of the Affordable Care Act on Texas Workers
    (James A. Baker III Institute for Public Policy;Episcopal Health Foundation, 2015) Ho, Vivian; Marks, Elena M.; Balihe, Philomene; James A. Baker III Institute for Public Policy
    In March 2015, near the close of the Affordable Care Act’s (ACA) Health Insurance Marketplace’s second open enrollment period, we surveyed adult Texans ages 18 to 64 to understand the changes in insurance status, if any, for Texas workers since the January 2014 effective date of many provisions of the ACA. Despite predictions that the ACA would erode Employer Sponsored Insurance (ESI), the data show that Texas workers experienced gains in ESI. In particular, lower income workers saw significant gains in ESI and in individually purchased plans. Lower income workers remain the largest group of uninsured working Texans and, despite the available subsidies in the Marketplace, the majority reported that they remain uninsured because the costs of coverage are too high.
  • Thumbnail Image
    Item
    Health Reform Monitoring Survey – Texas, Issue Brief #16: Characteristics and Changes in Rates of the Uninsured in Texas and the United States as of September 2015
    (2016) Marks, Elena M.; Ho, Vivian; Balihe, Philomene; James A. Baker III Institute for Public Policy
    In September 2015, just before the third open enrollment period of the Affordable Care Act’s (ACA) Health Insurance Marketplace was about to open, we surveyed adult Texans ages 18 to 64 to examine changes in insurance status since the opening of the Marketplace. We then compared their responses to those of the United States population as a whole, as reported by the Urban Institute. We also looked at the changes for various demographic groups based on age, gender, race/ethnicity and income. The data show that Texans, like all Americans, experienced meaningful drops in the rates of the uninsured. As of September 2015, the uninsured rate among adults ages 18 to 64 in Texas and the U.S. was 18.5% (a 21.4% drop) and 10.4% (a 40.9% drop), respectively.
  • Thumbnail Image
    Item
    Health Reform Monitoring Survey – Texas, Issue Brief #17: Affordability of Health Services among Non-Elderly Texas Adults
    (2016) Sim, Shao-Chee; Marks, Elena M.; Ho, Vivian; Balihe, Philomene; James A. Baker III Institute for Public Policy
    In September 2015, just before the third open enrollment period of the Affordable Care Act’s (ACA) Health Insurance Marketplace was about to open, we surveyed Texans ages 18 to 64 to see whether they had trouble paying health care bills or skipped various types of care due to cost. We compared their responses to data from September 2013 to learn whether affordability had changed based on insurance status or income level. We also compared the Texas data to similar national data regarding affordability.
  • Thumbnail Image
    Item
    Health Reform Monitoring Survey – Texas, Issue Brief #18: Why were 20% of Adult Texans Uninsured in 2015?
    (2016) Marks, Elena M.; Sim, Shao-Chee; Ho, Vivian; Balihe, Philomene; James A. Baker III Institute for Public Policy
    In September 2015, just before the third open enrollment period of the Affordable Care Act’s (ACA) Health Insurance Marketplace was about to open, we surveyed Texans ages 18 to 64 to understand the reasons why the uninsured population remained uninsured two years after the implementation of the ACA’s , major insurance coverage provisions. We looked at the group of uninsured as a whole and by demographic subgroups including race/ethnicity and age. Our analysis shows that for the full group of uninsured adults, the overwhelming reason cited for remaining uninsured because they did not want health insurance, and even fewer cited lack of information as a reason.
  • Thumbnail Image
    Item
    Health Reform Monitoring Survey – Texas, Issue Brief #19: Health Insurance Literacy among Adult Texans
    (2016) Marks, Elena M.; Sim, Shao-Chee; Ho, Vivian; Balihe, Philomene; James A. Baker III Institute for Public Policy
    In September 2015, just before the third open enrollment period of the Affordable Care Act’s (ACA) Health Insurance Marketplace was about to open, we surveyed Texans ages 18 to 64 to assess their confidence level in understanding the basic terminology about health insurance plans. Our data show that approximately one-quarter of adult Texans lacked confidence in their understanding of some of the most basic health plan terms, including premium and co-payment. Uninsured Texans were significantly more likely to report a lack of confidence in understanding health plan terminology than their insured counterparts. White Texans generally reported greater confidence than Black respondents. Hispanic respondents reported the least confidence in their understanding of health plan terminology.
  • Thumbnail Image
    Item
    Health Reform Monitoring Survey- Texas, Issue Brief #20: Insured Texans lack clear understanding of their health insurance plans
    (James A. Baker III Institute for Public Policy;Episcopal Health Foundation, 2016-03) Sim, Shao-Chee; Marks, Elena M.; Ho, Vivian; Balihe, Philomene; James A. Baker III Institute for Public Policy
    In September 2015, just before the third open enrollment period of the Affordable Care Act's (ACA) Health Insurance Marketplace was about to open, we surveyed insured Texans ages 18 to 64 to assess their confidence level in understanding the basic terminology about health insurance plans and in how they use their health insurance plans. Our data show that, as compared to Texans with employer-sponsored insurance (ESI) and those with public health insurance, Texans with individual plans were more likely to lack confidence in understanding health insurance terminology. Texans with individual plans also expressed more difficulty in understanding how to use their health insurance plans.