Analysis of 2019 Medical Case Management Client Health Insurance Survey Results

The 2019 Medical Case Management Client Health Insurance Survey conducted by the Ryan White Planning Council gathered crucial data on clients within the EMA, focusing on health insurance coverage and related services. Results show the number of uninsured clients, those with Medicaid, Medicare, private insurance, and Affordable Care Act enrollment. A comparison with previous years highlights trends in insurance coverage for different regions, emphasizing the impact of policies like the Affordable Care Act on the surveyed population.

• Health Insurance Survey
• Medical Case Management
• Ryan White Planning Council
• Affordable Care Act
• Client Health

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1. 2019 Medical Case Management Client Health Insurance Survey May 2, 2019

2. The Ryan White Planning Council began collecting health insurance information on all clients within our EMA in 2014. This was done in order to determine the effects of the Affordable Care Act on our clients and to ensure that funding continues to be allocated to services that PLWHA depend upon. Each year we have updated this survey in order to zero in on the information that we feel will be most useful in order to identify any areas that may need to be re-evaluated. About the 2019 Medical Case Management Client Health Insurance Survey

3. Total Clients Surveyed by region 1 (New Haven) 744 2 (Waterbury) 326 3 (Bridgeport) 620 4 (Stamford/Norwalk) 346 5 (Danbury) 137 TOTAL FOR EMA 2173

4. 1 2 3 4 5 2019 Client Health Insurance Results New Haven Waterbury Bridgeport Stmfd/Norwalk Danbury Total Number of Clients Surveyed 744 326 620 346 137 How many are uninsured 83 29 81 44 32 How many are uninsured due to being uninsurable 83 24 71 44 32 From all uninsured, how many have CADAP 83 29 81 44 32 How many clients have Medicaid 447 159 308 168 43 How many clients have Medicare 148 59 70 60 39 Of those, how many have Medicare Part D 117 52 51 60 34 How many clients have Medicare and CADAP 38 18 38 23 4 How many clients have Medicare & Medicaid (Husky) 105 28 70 34 22 How many clients are enrolled in the Affordable Care Act 12 20 31 33 12 From clients who have ACA, how many currently use CIPA 11 17 20 33 12 Private Insurance - Not from exchange (e.g. Employer Paid) 79 30 60 59 15 From all clients who have private insurance, how many use CIPA 6 10 2 20 6 From those who have Private Insurance or the Affordable Care Act, how many also have CADAP Veterans Affairs (VA) Insurance 57 39 83 92 23 5 1 0 0 0

5. 2019 2018 2017 COMPARISON FOR REGION 1: NEW HAVEN Total Number of Clients Surveyed 744 602 652 How many are uninsured 83 62 71 How many are uninsured due to being uninsurable 83 - - From all uninsured, how many have CADAP 83 62 71 How many clients have Medicaid 447 304 381 How many clients have Medicare 148 - - Of those, how many have Medicare Part D 117 - - How many clients have Medicare and CADAP 38 - - How many clients have Medicare & Medicaid (Husky) 105 52 75 How many clients are enrolled in the Affordable Care Act 12 15 13 From clients who have ACA, how many currently use CIPA 11 15 7 Private Insurance - Not from exchange (e.g. Employer Paid) 79 57 56 From all clients who have private insurance, how many use CIPA 6 - - From those who have Private Insurance or the Affordable Care Act, how many also have CADAP Veterans Affairs (VA) Insurance 57 41 50 5 5 2

6. 2019 2018 2017 COMPARISON FOR REGION 2: WATERBURY Total Number of Clients Surveyed 326 297 417 How many are uninsured 29 44 54 How many are uninsured due to being uninsurable 24 - - From all uninsured, how many have CADAP 29 44 48 How many clients have Medicaid 159 172 176 How many clients have Medicare 59 - - Of those, how many have Medicare Part D 52 - - How many clients have Medicare and CADAP 18 - - How many clients have Medicare & Medicaid (Husky) 28 10 42 How many clients are enrolled in the Affordable Care Act 20 9 10 From clients who have ACA, how many currently use CIPA 17 7 3 Private Insurance - Not from exchange (e.g. Employer Paid) 30 18 88 From all clients who have private insurance, how many use CIPA 10 - - From those who have Private Insurance or the Affordable Care Act, how many also have CADAP Veterans Affairs (VA) Insurance 39 25 29 1 1 0

7. 2019 2018 2017 COMPARISON FOR REGION 3: BRIDGEPORT Total Number of Clients Surveyed 620 659 611 How many are uninsured 81 96 81 How many are uninsured due to being uninsurable 71 - - From all uninsured, how many have CADAP 81 91 78 How many clients have Medicaid 308 330 323 How many clients have Medicare 70 - - Of those, how many have Medicare Part D 51 - - How many clients have Medicare and CADAP 38 - - How many clients have Medicare & Medicaid (Husky) 70 69 58 How many clients are enrolled in the Affordable Care Act 31 26 20 From clients who have ACA, how many currently use CIPA 20 11 11 Private Insurance - Not from exchange (e.g. Employer Paid) 60 66 42 From all clients who have private insurance, how many use CIPA 2 - - From those who have Private Insurance or the Affordable Care Act, how many also have CADAP Veterans Affairs (VA) Insurance 83 68 50 0 0 0

8. 2019 2018 2017 COMPARISON FOR REGION 4: STAMFORD/NORWALK Total Number of Clients Surveyed 346 325 329 How many are uninsured 44 51 43 How many are uninsured due to being uninsurable 44 - - From all uninsured, how many have CADAP 44 51 43 How many clients have Medicaid 168 154 152 How many clients have Medicare 60 - - Of those, how many have Medicare Part D 60 - - How many clients have Medicare and CADAP 23 - - How many clients have Medicare & Medicaid (Husky) 34 27 30 How many clients are enrolled in the Affordable Care Act 33 25 31 From clients who have ACA, how many currently use CIPA 33 25 29 Private Insurance - Not from exchange (e.g. Employer Paid) 59 49 45 From all clients who have private insurance, how many use CIPA 20 - - From those who have Private Insurance or the Affordable Care Act, how many also have CADAP Veterans Affairs (VA) Insurance 92 73 74 0 0 0

9. 2019 2018 2017 COMPARISON FOR REGION 5: DANBURY Total Number of Clients Surveyed 137 135 130 How many are uninsured 32 33 40 How many are uninsured due to being uninsurable 32 - - From all uninsured, how many have CADAP 32 33 40 How many clients have Medicaid 43 52 47 How many clients have Medicare 39 - - Of those, how many have Medicare Part D 34 - - How many clients have Medicare and CADAP 4 - - How many clients have Medicare & Medicaid (Husky) 22 18 1 How many clients are enrolled in the Affordable Care Act 12 8 2 From clients who have ACA, how many currently use CIPA 12 6 2 Private Insurance - Not from exchange (e.g. Employer Paid) 15 11 19 From all clients who have private insurance, how many use CIPA 6 - - From those who have Private Insurance or the Affordable Care Act, how many also have CADAP Veterans Affairs (VA) Insurance 23 8 11 0 0 0

10. COMPARISON FOR ENTIRE EMA 2019 2018 2017 Total Number of Clients Surveyed 2173 2018 2140 How many are uninsured 269 286 289 How many are uninsured due to being uninsurable 254 - - From all uninsured, how many have CADAP 269 281 280 How many clients have Medicaid 1125 1012 1079 How many clients have Medicare 376 - - Of those, how many have Medicare Part D 314 - - How many clients have Medicare and CADAP 121 - - How many clients have Medicare & Medicaid (Husky) 259 176 206 How many clients are enrolled in the Affordable Care Act 108 83 76 From clients who have ACA, how many currently use CIPA 93 64 52 Private Insurance - Not from exchange (e.g. Employer Paid) 243 201 250 From all clients who have private insurance, how many use CIPA 44 - - From those who have Private Insurance or the Affordable Care Act, how many also have CADAP Veterans Affairs (VA) Insurance 294 215 214 6 6 2

11. Uninsured by Region Details 1 2 3 4 5 Reason Total (New Haven) (Waterbury) (Bridgeport) (Stmd/Norwalk) (Danbury) 58 40 64 47 29 238 Undocumented 2018 Undocumented 2019 83 24 71 44 32 254 Over Income for Medicaid 4 1 5 Cannot afford private insurance premiums 1 1 Failed to Redetermine 1 3 2 Missed Open Enrollment Had a Fraud claim and couldn t apply in CT 1 1 1 1 Started new job 1 1 Client declines following up with paperwork 1 1 Lost insurance due to laid off 1 1