Sources | The State of State Health

DEMOGRAPHICS

Population

Date

Sources:

here

Age

Date

Sources:

here

Race/Ethnicity

Date

Sources:

here

Notes:
“Other” Includes individuals who reporting, American Indian, Alaska Native Native Hawaiian, and or Other/Pacific Islander.
Hispanic origin is considered an ethnicity, not a race. Hispanics may be of any race.
The sum of the five race/ethnicity groups adds to more than the total population because individuals may report more than one race.

Income

Date

Sources:

here

COST

The Cost of Failure

Date:

Sources:

The Cost of Failure
Institute of Medicine, Hidden Costs, Value Lost: Uninsurance in America (Washington, D.C.: National Academies Press, 2003), available here
Elizabeth Richardson Vigdor, “Coverage Does Matter: The Value of Health Forgone by the Uninsured,” in Hidden Costs, Value Lost: Uninsurance in America, Institute of Medicine (Washington, D.C.: National Academies Press, 2003), 129–69, available here
Wilhelmine Miller, Elizabeth Richardson Vigdor, and Willard G. Manning, “Covering the Uninsured: What is it Worth?” Health Affairs web exclusive (March 31, 2004): 157-167, available here
Sarah Axeen & Elizabeth Carpenter, “Cost of Failure: The Economic Losses of the Uninsured,” New America Foundation, March 2008, available here

Population:
U.S. Census Bureau, Population Division, “Annual Estimates of the Population for the United States, Regions, States, and Puerto Rico: April 1, 2000 to July 1, 2007,” available here

GDP:
Department of Commerce, Bureau of Economic Analysis, Regional Economic Accounts, “Gross Domestic Product by State, 2007,” accessed October 2008, available here

Number of Uninsured:
Carmen DeNavas-Walt, Bernadette D. Proctor, & Jessica C. Smith, “Income, Poverty, and Health Insurance Coverage in the United States, 2007,” U.S. Census Bureau, Current Population Reports, August 2008, available here

Notes:
This metric is based on an Institute of Medicine report that estimated the “Cost of Failure” to be between $65 and $135 million in 2001. These updated numbers reflect the growth of our GDP, the increased number of uninsured, and the increased population of the United States since 2001.

Per Capita Health Spending

Date:

Sources:

here

State Spending on Medicaid & SCHIP

Date:

Sources:

Medicaid:
Table 28, Medicaid Expenditures, 2006 State Expenditure Report, National Association of State Budget Officers, available here
D.C. Department of Health, "Medicaid Fact Sheet FY 2007," available here

SCHIP:
The Kaiser Family Foundation statehealthfacts.org. Data Source: Net Reported Medicaid and SCHIP Expenditures, FY 2007. The Centers for Medicare and Medicaid Services (CMS), Special Data Request, January 2008, available here

Notes:
The most current information on state SCHIP spending in 2007 comes from the Kaiser Family Foundation’s StateHealthFacts.org. The most current information on state Medicaid spending is the 2007 estimates from National Association of State Budget Officers (NASBO). These estimates will be updated in December 2008, NASBO releases the final numbers for state spending on Medicaid in 2007.

Medicaid & SCHIP Spending as a Share of Total State Spending

Date:

Sources:

Total State Spending:
Table 1, Total State Expenditures – Capital Inclusive, 2006 State Expenditure Report, National Association of State Budget Officers, available here
"FY 2007 Proposed Budget and Financial Plan - Executive Summary," Office of the Chief Financial Officer, District of Columbia, available here

Notes:
The most current information on state SCHIP spending in 2007 comes from the Kaiser Family Foundation’sStateHealthFacts.org. The most current information on total state spending and state Medicaid spending is the 2007 estimates from National Association of State Budget Officers (NASBO). These estimates will be updated in December 2008, NASBO releases the final numbers for total state spending and state spending on Medicaid in 2007.

Full Cost of Family Employer-Sponsored Health Insurance

Date:

Sources:

Family Employer-Sponsored Health Insurance:
Medical Expenditure Panel Survey, Insurance Component, ”Table II.D.1: Average total family premium (in dollars) per enrolled employee at private-sector establishments that offer health insurance by firm size and State: United States, various years” accessed October 2008, available here

Median Household Income:
U.S. Census Bureau, “Income of Households by State,” 1996-1997 & 2006-2007, Housing and Household Economic Statistics Division, accessed October 2008, available here

Full Cost of Family Employer-Sponsored Health Insurance as a Share of Median Household Income

Date:

Sources:

Median Household Income:
U.S. Census Bureau, “Income of Households by State,” 1996-1997 & 2006-2007, Housing and Household Economic Statistics Division, accessed October 2008, available here

Employee Contribution to Full Cost of Family Employer-Sponsored Health Insurance

Date:

Sources:

Employee Contribution To The Full Cost Of A Family Employer-Sponsored Insurance:

here

Employee Contribution to Full Cost of Family Employer-Sponsored Health Insurance as a Share of Median Household Income

Date:

Sources:

Employee Contribution To The Full Cost Of A Family Employer-Sponsored Insurance:
Medical Expenditure Panel Survey, Insurance Component, “Table II.D.2: Average total employee contribution (in dollars) per enrolled employee for family coverage at private-sector establishments that offer health insurance by firm size and State: United States, various years” accessed October 2008, available here

Median Household Income:
U.S. Census Bureau, “Income of Households by State,” 1996-1997 & 2006-2007, Housing and Household Economic Statistics Division, accessed October 2008, available here

Full Cost of Individual Employer-Sponsored Health Insurance

Date:

Sources:

Individual Employer-Sponsored Health Insurance:
Medical Expenditure Panel Survey, Insurance Component, “Table II.C.1: Average total single premium (in dollars) per enrolled employee at private-sector establishments that offer health insurance by firm size and State: United States, various years” accessed October 2008, available here

Median Annual Wage:
Bureau of Labor Statistics, Occupational Employment Statistics, “State Occupational Employment and Wage Estimates,” 2001, 2006, & 2007, accessed October 2008, available here
Bureau of Labor Statistics, Occupational Employment Statistics, “National Occupational Employment and Wage Estimates,” 2001, 2006, & 2007., accessed October 2008, available here

Full Cost of Individual Employer Sponsored Health Insurance as a Share of Median Annual Wage

Date:

Sources:

Employee Contribution to Full Cost of Individual Employer-Sponsored Health Insurance

Date:

Sources:

Employee Contribution To The Full Cost Of An Individual Employer-Sponsored Health Insurance:
Medical Expenditure Panel Survey, Insurance Component, “Table II.C.2: Average total employee contribution (in dollars) per enrolled employee for single coverage at private-sector establishments that offer health insurance by firm size and State: United States, various years” accessed October 2008, available here

Employee Contribution to Full Cost of Individual Employer-Sponsored Health Insurance as a Share of Median Annual Wage

Date:

Sources:

COVERAGE

Type of Insurance Coverage

Date:

Sources:

here

Employer Offer, Eligibility, & Enrollment Rates

Date:

Sources:

Percentage Of Workers Offered Health Insurance:
Medical Expenditure Panel Survey, Insurance Component, “Table II.B.2.a: Percent of private-sector employees eligible for health insurance at establishments that offer health insurance by firm size and State: United States, various years” accessed October 2008, available here

Percentage Of Workers Eligible For Health Insurance:
Medical Expenditure Panel Survey, Insurance Component, “Table II.B.2.a (1): Percent of private-sector employees eligible for health insurance that are enrolled in health insurance at establishments that offer health insurance by firm size and State: United States, various years” accessed October 2008, available here

Percentage Of Workers Enrolled In Health Insurance:
Medical Expenditure Panel Survey, Insurance Component, “Table II.B.2.a (1): Percent of private-sector employees eligible for health insurance that are enrolled in health insurance at establishments that offer health insurance by firm size and State: United States, various years” accessed October 2008, available here

Benefits: Average Co-pays & Deductibles

Date:

Sources:

Average Copayment:
Medical Expenditure Panel Survey, Insurance Component, “Table II.F.5: Average copayment (in dollars) for an office visit to a physician per employee enrolled in a health insurance plan that had a physician copayment at private-sector establishments by firm size and State: United States, various years” accessed October 2008, available here

Average Deductible:
Medical Expenditure Panel Survey, Insurance Component, “Table II.F.3: Average family deductible (in dollars) per employee enrolled with family coverage in a health insurance plan that had a deductible at private-sector establishments by firm size and State: United States, various years” accessed October 2008, available here

QUALITY

Overall Quality of Care

Date:

Sources:

here

Life Expectancy

Date:

Sources:

here

Infant Mortality

Date:

Sources:

here

Heart Disease

Date:

Sources:

Share Of The Population With Heart Disease (2005):
Centers for Disease Control and Prevention (CDC), “Prevalence of Heart Disease --- United States, 2005,” Morbidity and Mortality Weekly Report, Vol. 56 No. 6, February 16, 2007, 113-118, available here

Acute Myocardial Infarction (Deaths per 1,000 admissions) (2004):
Agency for Healthcare Quality and Research, 2007 National Healthcare Quality Report: Data Tables Appendix, “Table 1.60b: Deaths per 1,000 admissions with acute myocardial infarction (AMI) as principal diagnosis (excluding transfers to another hospital), age 18 and over, by State, 2003 and 2004,” available here

Congestive Heart Failure (Deaths per 1,000 admissions) (2004):
Agency for Healthcare Quality and Research, 2007 National Healthcare Quality Report: Data Tables Appendix, “Table 1.61b: Deaths per 1,000 admissions with congestive heart failure (CHF) as principal diagnosis (excluding obstetric and neonatal admissions and transfers to another hospital), age 18 and over, by State, 2003 and 2004,” available here

Overall Quality of Heart Disease Care
Agency for Healthcare Quality and Research, “2007 State Snapshots,” Derived from 2007 National Healthcare Quality Report. March 2008. Rockville, MD: Agency for Healthcare Research and Quality, available here

Cancer

Date:

Sources:

Incidence (per 100,000)
U.S. Cancer Statistics Working Group. “United States Cancer Statistics: 1999-2004 Incidence and Mortality Web-based Report” Centers for Disease Control and Prevention, and National Cancer Institute; available here

Deaths (per 100,000)
U.S. Cancer Statistics Working Group, “United States Cancer Statistics: 2004 Incidence and Mortalit,” Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute; 2007 available here

Overall Quality of Cancer Care
Agency for Healthcare Quality and Research, “2007 State Snapshots,” Derived from 2007 National Healthcare Quality Report. March 2008. Rockville, MD: Agency for Healthcare Research and Quality, available here

Diabetes

Date:

Sources:

Share Of The Population With Diabetes (2007):
Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey Data, 2007, available here

Hospital Admissions With Long-Term Complications (2004):
Agency for Healthcare Quality and Research, 2007 National Healthcare Quality Report: Data Tables Appendix, “Table 1.31b: Admissions for diabetes with long-term complications (excluding obstetric admissions and transfers from other institutions) per 100,000 population, age 18 and over, by State, 2003 and 2004,” available here

Overall Quality of Diabetes Care
Agency for Healthcare Quality and Research, “2007 State Snapshots,” Derived from 2007 National Healthcare Quality Report. March 2008. Rockville, MD: Agency for Healthcare Research and Quality, available here

Obesity

Date:

Sources:

Obesity and Overweight:
Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey Data, 2007, available here

Smoking

Date:

Sources:

Share Of Population Who Smokes (2007):
Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey Data, 2007, available here

Percent Who Have Tried To Quit (2001):
Centers for Disease Control and Prevent, Sustaining State Programs for Tobacco Control: Data Highlights 2006, “Table 1. Smoking Prevalence (Adult and Youth), Percentage of Smokers Who Tried to Quit Past Year, Smoking-Attributable Deaths, Projected Deaths,” available here

Smoking attributable deaths per 100,000 (2001):
Centers for Disease Control and Prevent, Sustaining State Programs for Tobacco Control: Data Highlights 2006, “Table 1. Smoking Prevalence (Adult and Youth), Percentage of Smokers Who Tried to Quit Past Year, Smoking-Attributable Deaths, Projected Deaths,” available here

Costs attributable to smoking (2004)
Centers for Disease Control and Prevent, Sustaining State Programs for Tobacco Control: Data Highlights 2006, “Table 4. Smoking-Attributable Costs (2004)” available here

OUTLOOK: 2016

Full Cost of Family Employer-Sponsored Health Insurance (2016)

Date:

Sources:

Family Employer-Sponsored Health Insurance:

here

Median Household Income:
U.S. Census Bureau, “Income of Households by State,” 1996-1997 & 2006-2007, Housing and Household Economic Statistics Division, accessed October 2008, available here

Notes:
The 2016 projections for the full cost of family employer-sponsored health insurance and the median household income are constructed by applying a compound annual growth rate based on historical data for each measure spanning ten years from 1997 to 2006.

Annual Rate of Growth: Full Cost of Family Employer-Sponsored Health Insurance vs. Median Household Income

Date:

Sources:

Family Employer-Sponsored Health Insurance:
Medical Expenditure Panel Survey, Insurance Component, “Table II.D.1: Average total family premium (in dollars) per enrolled employee at private-sector establishments that offer health insurance by firm size and State: United States, various years” accessed October 2008, available here

Median Household Income:
U.S. Census Bureau, “Income of Households by State,” 1996-1997 & 2006-2007, Housing and Household Economic Statistics Division, accessed October 2008, available here

Notes:
The annual rate of growth for each measure is based on historical data spanning 10 years from 1997 to 2006. The 2016 projections of the full cost of family employer-sponsored health insurance and the median household income are constructed by applying these compounded annual growth rates.

Full Cost of Family Employer-Sponsored Health Insurance as a Share Median Household Income (2016)

Date:

Sources:

Median Household Income:
U.S. Census Bureau, “Income of Households by State,” 1996-1997 & 2006-2007, Housing and Household Economic Statistics Division, accessed October 2008, available here

Notes:
The 2016 projections for the full cost of family employer-sponsored health insurance and the median household income are constructed by applying a compounded annual growth rate based on historical data for each measure spanning ten years from 1997 to 2006.

Employee Contribution to Full Cost of Family Employer-Sponsored Health Insurance (2016)

Date:

Sources:

Notes:
The 2016 projections for the employee contribution to the full cost of an employer-sponsored insurance are constructed by applying a compounded annual growth rate based on historical data for each measure spanning ten years from 1997 to 2006.

Annual Rate of Growth: Employee Contribution to Full Cost of Family Employer-Sponsored Health Insurance vs. Median Household Income

Date:

Sources:

Employee Contribution To The Full Cost Of A Family Employer-Sponsored Insurance
Medical Expenditure Panel Survey, Insurance Component, “Table II.D.2: Average total employee contribution (in dollars) per enrolled employee for family coverage at private-sector establishments that offer health insurance by firm size and State: United States, various years” accessed October 2008, available here

Median Household Income
U.S. Census Bureau, “Income of Households by State,” 1996-1997 & 2006-2007, Housing and Household Economic Statistics Division, accessed October 2008, available here

Notes:
The annual rate of growth for each measure is based on historical data spanning 10 years from 1997 to 2006. The 2016 projections of the employee contribution to the full cost of family employer-sponsored health insurance and the median household income are constructed by applying these compounded annual growth rates.

Employee Contribution to Full Cost of Family Employer-Sponsored Health Insurance as a Share of Median Household Income (2016)

Date:

Sources:

Median Household Income:
U.S. Census Bureau, “Income of Households by State,” 1996-1997 & 2006-2007, Housing and Household Economic Statistics Division, accessed October 2008, available here

Notes:
The 2016 projections for the employee contribution to the full cost of a family employer-sponsored health insurance plan and the median household income are constructed by applying a compounded annual growth rate based on historical data for each measure spanning ten years from 1997 to 2006.

Full Cost of Individual Employer-Sponsored Health Insurance (2016)

Date:

Sources:

Notes:
The 2016 projections for the full cost of individual employer-sponsored health insurance and the median annual wage are constructed by applying a compounded annual growth rate based on historical data for each measure spanning ten years from 1997 to 2006.

Annual Rate of Growth: Full Cost of Individual Employer-Sponsored Health Insurance vs. Median Annual Wage

Date:

Sources:

Notes:
The annual rate of growth for each measure is based on historical data spanning 10 years from 1997 to 2006. The 2016 projections of the full cost of individual employer-sponsored health insurance and the median annual wage are constructed by applying these compounded annual growth rates.

Full Cost of Individual Employer-Sponsored Health Insurance as a Share of Median Annual Wage (2016)

Date:

Sources:

Employee Contribution to Full Cost of Individual Employer-Sponsored Health Insurance (2016)

Date:

Sources:

Employee Contribution To The Full Cost Of An Individual Employer-Sponsored Health Insurance:
Medical Expenditure Panel Survey, Insurance Component, ”Table II.C.2: Average total employee contribution (in dollars) per enrolled employee for single coverage at private-sector establishments that offer health insurance by firm size and State: United States, various years” accessed October 2008, available here

Notes:
The 2016 projections for the employee contribution to the full cost of an individual employer-sponsored insurance plan are constructed by applying a compounded annual growth rate based on historical data for each measure spanning ten years from 1997 to 2006.

Annual Rate of Growth: Employee Contribution to Full Cost of Individual Employer-Sponsored Health Insurance vs. Median Annual Wage

Date:

Sources:

Notes:
The annual rate of growth for each measure is based on historical data spanning 10 years from 1997 to 2006. The 2016 projections of the employee contribution to the full cost of individual employer-sponsored health insurance and the median annual wage are constructed by applying these compounded annual growth rates.

Employee Contribution to Full Cost of Individual Employer-Sponsored Health Insurance as a Share of Median Annual Wage (2016)

Date:

Sources:

Notes:
The 2016 projections for the **employee contribution to the full cost of a individual employer-sponsored health insurance ** plan and the median annual wage are constructed by applying a compounded annual growth rate based on historical data for each measure spanning ten years from 1997 to 2006.

Benefits: Average Copayments (2006-16)

Date:

Sources:

Notes:
The 2016 projections for average co-payments are constructed by applying a compounded annual growth rate based on historical data spanning ten years from 1997 to 2006.

Benefits: Average Deductibles (2006-16)

Date:

Sources:

Notes:
The 2016 projections for average deductibles are constructed by applying a compounded annual growth rate based on historical data spanning ten years from 1997 to 2006.