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Trends in Health Insurance Coverage in the U.S.: The Impact of the Economy

Monday, December 06, 2010

The rising number of uninsured, who they are and how they might obtain health insurance coverage were much debated during the consideration and passage of health reform in the last year. In the meantime, rising unemployment rates and an economic recession have exacerbated the declines in health insurance coverage. According to the Current Population Survey, 50 million Americans were uninsured for all of 2009. The Medicaid and CHIP programs have offered a safety net of coverage for some of those facing financial hardship and have helped to prevent more people from being uninsured. Even as they continue to face severely strained budgets, states are enrolling record numbers of beneficiaries in Medicaid.

With state revenues lagging and state budgets required to be balanced, how are states responding to the challenge of insuring the uninsured? How does the continued rise in the uninsured affect different regions of the country? What assistance has the federal government provided? How will the health reform law address these issues, and when? What is the federal government doing now as health reform implementation continues to move forward towards 2014?

To address these and related questions, the Alliance for Health Reform and the Kaiser Commission on Medicaid and the Uninsured sponsored a December 6 briefing. Panelists were: John Holahan, Urban Institute; Sherry Glied, assistant secretary for planning and evaluation, HHS; Janet Olszewski, Michigan Department of Community Health; and Kimberly Belshe, California Health and Human Services Agency. Ed Howard of the Alliance and Diane Rowland of the Kaiser Commission co-moderated. A new analysis of the uninsured by Mr. Holohan was published December 6 by the journal Health Affairs.


 Diane Rowland, Kaiser Commission on Medicaid and the Uninsured, Moderator
 John Holahan, Urban Institute, Speaker
 Sherry Glied, U.S. Department of Health and Human Services, Speaker
 Janet Olszewski, Michigan Department of Community Health, Speaker
 Kimberly Belshe, California Health and Human Services Agency, Speaker
(Click on the camera icon to see a video of the speaker's presentation.)

Transcript, Event Summary and/or Webcast and Podcast

Transcript: Trends in Health Insurance Coverage in the U.S.: The Impact of the Economy (Adobe Acrobat PDF), 12/6/2010
Event Summary: Event Summary (Word Document), 12/6/2010
Full Webcast/Podcast: Trends in Health Insurance Coverage in the U.S.: The Impact of the Economy

The full webcast and podcast for this briefing, as well as videos of individual speakers' presentations, are provided by Kaiser Family Foundation.

Speaker Presentations

John Holahan (PowerPoint), 12/6/2010
Sherry Glied (PowerPoint), 12/6/2010
Kim Belshe (PowerPoint), 12/6/2010
Janet Olszewski (PowerPoint), 12/6/2010

(If you want to download one or more slides from these presentations, contact us at info@allhealth or click here for instructions.)

Source Materials

Agenda (Word Document), , 12/2/2010
Materials List (Word Document), , 12/2/2010
Event Summary (Word Document), , 12/6/2010

Offsite Materials (briefing documents saved on other websites)

An Update on State Budget Cuts, , 11/5/2010
- By Nicholas Johnson and Phil Oliff and Erica Williams
Five Facts about the Uninsured (Adobe Acrobat PDF),Kaiser Commission on Medicaid and the Uninsured , 11/1/2010
Medicaid Enrollment: December 2009 Data Snapshot (Adobe Acrobat PDF),Kaiser Commission on Medicaid and the Uninsured , 11/1/2010
State Fiscal Conditions and Medicaid (Adobe Acrobat PDF),Kaiser Commission on Medicaid and the Uninsured , 10/1/2010
The Uninsured: A Primer, Kaiser Commission on Medicaid and the Uninsured , 10/1/2009
The Uninsured and the Difference Health Insurance Makes (Adobe Acrobat PDF),Kaiser Commission on Medicaid and the Uninsured , 11/1/2010
Health Insurance Coverage in America, 2009, Kaiser Family Foundation , 12/6/2010
State Health Facts, Kaiser Family Foundation , 11/1/2010
What if states ditch Medicaid?, The Washington Post-Ezra Klein Blog, 11/8/2010
- By Suzy Khimm
State Medicaid Reform After Obamacare, The Heritage Foundation, 11/16/2010
- By Nina Owcharenko
Comparing Federal Government Surveys that Count the Uninsured (Adobe Acrobat PDF),SHADAC: State Health Access Data Assistance Center, 11/1/2010
Medicaid Expansion -- The Soft Underbelly of Health Care Reform?, The New England Journal of Medicine , 11/25/2010
- Sommers, Benjamin D. and Arnold M. Epstein
State Policymakers’ Priorities for Successful Implementation of Health Reform, National Academy for State Health Policy, 5/1/2010
- By Alan Weil
Eligible but Uninsured: Closing the Insurance Gap for Latinos, Boston University of Public Health, 11/21/2010
- By Elana Zak


Sherry Glied, assistant secretary for planning and evaluation at HHS, discusses why the number of Americans without health insurance keeps going up. From the Dec. 6 briefing cosponsored by the Kaiser Commission on Medicaid and the Uninsured. (10 min.)

John Holahan of the Urban Institute reviewed recent trends in health insurance coverage at the Dec. 6 briefing cosponsored by the Kaiser Commission on Medicaid and the Uninsured. (15 min.)

Kimberly Belshe, secretary of health and human services for California, discussed the implementation of the Affordable Care Act in the Golden State at the Dec. 6 briefing cosponsored by the Kaiser Commission on Medicaid and the Uninsured. (16 min.)


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