KHI News Service

New interactive map shows state-based impact of Obamacare

By KHI NEWS SERVICE | July 31, 2013

Kaiser Family Foundation

A new interactive map allows users to zoom in on an area to see how the number and composition of individuals enrolled in Medicaid or without insurance coverage could change if a state expands Medicaid.

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Kaiser Family Foundation

The new interactive map shows, for example, that Johnson County would have its uninsured population decreased by 51.4 percent, which is slightly more than the statewide average impact of fully implementing Obamacare.

View larger photo

A new online tool provides detailed, state-based projections of the impact of the Affordable Care Act (ACA) on Medicaid enrollment and the uninsured in local communities across the nation.

The interactive map — called Zooming In On Health Reform: Understanding the Potential Impact of the ACA on Medicaid and the Uninsured at the Local Level — is one of several interactive tools from the Kaiser Family Foundation intended to help people understand the key elements of the health reform law and the implications for states.

The tool's estimates reflect the projected impact if all states were to undertake the expansion. In Kansas, Gov. Sam Brownback has so far declined to expand Medicaid under the health reform law.

The map breaks down Kansas into seven regions with the following potential decreases in uninsured populations, should the state expand its Medicaid program in the future:

  • 59.6% — Lawrence/Leavenworth/Lansing area
  • 52.2% — Manhattan/Emporia/Junction City area
  • 51.4% — Johnson County
  • 51.4% — Wichita/Newtown area
  • 50.9% — Shawnee County
  • 49.8% — Salina/Hutchinson/Dodge City area
  • 43.7% — Wyandotte County
  • 51.1% — Kansas average

State and Local Coverage Changes under Full Implementation of the Affordable Care Act

Download .PDF

The interactive map and a companion brief released today reveal substantial geographic variations in the health reform law's impact.

The tool allows users to identify communities that could experience the largest declines in the uninsured and where the remaining uninsured populations are likely to be concentrated, as well as to identify key local areas for enrollment outreach.

Users can enter zip codes or place names to compare different states, counties, and localities, and to examine the characteristics of the changing Medicaid and uninsured populations by race, age, gender and language spoken at home, and to assess the impact of going forward with the optional Medicaid expansion for a state.

KHI News Service coverage of Medicaid expansion

Medicaid Access Coalition launches online "ticker" showing foregone federal dollars (2/13/14)
→ KHI report: Nearly 182,000 Kansans in the ‘Eligibility Gap’ (1/11/14)
House speaker says Medicaid expansion is "up to the governor" (1/10/14)
KS Senate president says Medicaid expansion unlikely to gain approval this session (1/7/14)
Profiles of the coverage gap: Kathleen Christian (1/6/14)
Efforts continue to expand Medicaid in Kansas and Missouri (1/6/14)
Hospital association hires former Bush HHS secretary to help craft a plan Kansas Republicans might support (12/23/13)
Iowa wins approval to expand Medicaid by using federal funds to buy private insurance (12/11/13)
White House officials hold call to urge Medicaid expansion in Kansas (11/21/13)
Republican governor talks up plan to expand Medicaid — his way (10/28/13)
Challenger says Brownback owes voters a decision on Medicaid expansion (10/22/13)
Nearly 5.2M Americans fall in coverage gap in states not expanding Medicaid (10/16/13)
Sebelius: Feds flexible on how states expand Medicaid (9/22/13)
Sebelius says Kansas and Missouri are missing the boat on Medicaid expansion (9/20/13)
Medicaid expansion coalition finds strength in numbers (9/17/13)
Republican Gov. Corbett proposes expanding Pennsylvania Medicaid (9/16/13)
Kansas lawmakers urged to consider Medicaid expansion by Wesley CEO (8/29/13)
Estimating maneuver could help more people gain from Obamacare: How the poor might qualify for Affordable Care Act subsidies in states that don't expand Medicaid (8/12/13)
Report: States not expanding Medicaid stand to benefit most from doing so (7/18/13)
CMS won’t penalize hospitals in states slow to expand Medicaid (5/14/13)
Insurer Centene: We can do Arkansas-style Medicaid (5/14/13)
The Arkansas Medicaid Model: What you need to know about the 'private option' (5/2/13)
Nothing to be done about coverage gap in states not expanding Medicaid, feds say (4/29/13)
Brownback says he's listening to Medicaid expansion proponents, opponents (4/5/13)
Oregon shows costs of putting Medicaid enrollees in private coverage (3/29/13)
Governor urged to expand Medicaid eligibility (3/27/13)
Arkansas Medicaid expansion attracts other states' interest (3/26/13)
Senate president prefers options remain open on Medicaid expansion (3/25/13)
States urged to expand Medicaid with private insurance (3/22/13)
Senate budget amendment underscores opposition to Medicaid expansion (3/21/13)
Study: Kansas employers face millions a year in possible penalties without Medicaid expansion (3/15/13)
More than 30 Kansas groups pushing for Medicaid expansion (3/12/13)
Health insurers see big opportunities in health law’s Medicaid expansion (3/8/13)
Medicaid expansion supporters to step up lobbying efforts (3/7/13)
Budget committee hears resolution opposing Medicaid expansion (2/22/13)
Legislators focusing on Medicaid expansion cost estimates (2/19/13)
Kansas hospital group study predicts expanding Medicaid would generate 4,000 jobs (2/18/13)
Brownback officials release their cost projections for Medicaid expansion (2/8/13)
Medicaid expansion bill introduced (1/22/13)
Kansas hospitals worried about loss of dollars for charity care (1/14/13)
Brownback compiling own estimate of Medicaid expansion cost (12/20/12)
Group urges Brownback to expand Medicaid eligibility (11/9/12)
Debate begins on possible Kansas Medicaid expansion (10/25/12)
Amerigroup CEO says states ‘need’ to go along with Medicaid expansion (7/11/12)
Kansas hospitals ready to get on with federal health reform, spokesman says (7/2/12)
Kansas AG claims partial victory in health reform case (6/29/12)
High court upholds Affordable Care Act, but ruling puts limits on Medicaid expansion (6/28/12)

→ Kansas Hospital Association: An opportunity for the Kansas Medicaid program
→ Americans for Prosperity-Kansas: Well-intentioned policies do more harm than good
→ Health Reform Resource Project: The cost of not expanding Medicaid
→ Rep. Jim Ward: Medicaid expansion essential for healthier Kansas
→ Rep. David Crum: Reasons for opposing Medicaid expansion
→ National Academy for State Health Policy: Much ado about Arkansas: Medicaid in the insurance exchange

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