Erie County Poverty Summit
The Erie County Poverty Summit selected Census and Medicaid data for Erie County on August 23, 2017. The 2017 Federal Poverty Guidelines and Official Poverty Measure are discussed, along with an overview of Erie County's population, poverty rate, and median income. Details on poverty levels by age, sex, and total population are also provided. Criticisms of the official poverty measure are highlighted, raising important considerations for understanding poverty data.
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Erie County Poverty Summit Selected Census / Medicaid Data for Erie County August 23, 2017
2017 Federal Poverty Guidelines Household Size 1 2 3 4 5 100% 133% 150% 200% $12,060 16,240 20,420 24,600 28,780 $16,040 21,599 27,159 32,718 38,277 $18,090 24,360 30,630 36,900 43,170 $24,120 32,480 40,840 49,200 57,560 The full table of 2017 Poverty Guidelines is attached as Appendix A. A reminder that the US Census suggests that 15.6% of Erie County s population is in poverty.
Official Poverty Measure The U.S. Census Bureau determines poverty status by comparing pre-tax cash income against a threshold that is set at three times the cost of a minimum food diet in 1963, updated annually for inflation using the Consumer Price Index and adjusted for family size, composition, and age of householder. "Family" is defined by the official poverty measure as persons living together who are related by birth, marriage, or adoption. Thresholds do not vary geographically. In 2015, the most recent year for which data are available, the official national poverty rate was 13.5 percent. Criticisms of the official poverty measure include: Its "headcount" approach identifies only the share of people who fall below the poverty threshold, but does not measure the depth of economic need; It does not reflect modern expenses and resources, by excluding significant draws on income such as taxes, work expenses, and out-of-pocket medical expenses, and excluding potentially sizable resources such as in-kind benefits (e.g., food assistance); It does not vary by geographic differences in cost of living within the contiguous United States; It is not adjusted for changes in the standard of living over time; and Its strict definition of measurement units "family" as persons living in the same household who are related by birth, marriage, or adoption does not reflect the nature of many 21st century households, including those made up of cohabitors, unmarried partners with children from previous relationships, and foster children.
An Overview of Erie County US Census Data (As of July 1, 2016) Erie County New York State Population 921,046 19,745,289 Percent in Poverty 15.6% 15.4% Median Income $ 51,247 $ 59,269
Below poverty level Percent below poverty level Total Population for whom poverty status is determined 895,449 134,715 15.00% US Census Poverty Status 2011-2015 for Erie County, NY AGE Under 18 years 189,496 43,713 23.10% Under 5 years 48,965 13,304 27.20% 5 to 17 years Related children of householder under 18 years 18 to 64 years 140,531 30,409 21.60% 188,710 42,992 22.80% 561,389 78,843 14.00% 18 to 34 years 200,457 38,865 19.40% 35 to 64 years 360,932 39,978 11.10% 60 years and over 200,283 17,333 8.70% 65 years and over 144,564 12,159 8.40% SEX Male 431,409 59,086 13.70% Female 464,040 75,629 16.30%
US Census Poverty Status 2011-2015 for Erie County, NY Below poverty level Percent below poverty level RACE AND HISPANIC OR LATINO ORIGIN Total White alone 708,668 66,877 9.40% Black or African American alone 117,554 42,908 36.50% American Indian and Alaska Native alone 4,039 1,005 24.90% Asian alone Native Hawaiian and Other Pacific Islander alone Two or more races 26,450 8,483 32.10% 259 90 34.70% 20,005 6,581 32.90% Hispanic or Latino origin (of any race) 43,394 16,575 38.20% White alone, not Hispanic or Latino 690,420 61,564 8.90%
ALL INDIVIDUALS WITH INCOME BELOW THE FOLLOWING POVERTY RATIOS US Census Poverty Status 2011-2015 for Erie County, NY 50 percent of poverty level 64,650 125 percent of poverty level 170,726 150 percent of poverty level 206,578 185 percent of poverty level 258,542 200 percent of poverty level 278,890 300 percent of poverty level 422,018 400 percent of poverty level 555,893 500 percent of poverty level 664,047
US Census Poverty Status 2011-2015 for Erie County, NY Below poverty level Percent below poverty level Total Worked full-time, year-round in the past 12 months 79,675 2,063 2.60% Worked less than full-time, year-round in the past 12 months 45,118 16,677 37.00% Did not work 81,039 32,318 39.90%
An Overview of Medicaid The US s major public health program for low- income Americans. Currently financing health care for over 50 million people. Covers low-income children and parents Elderly Disabled Authorized by Title 19 of the Social Security Act, Medicaid is a means-tested program. Differs from Medicare in that Medicare is focused on clients age 65 and older.
Medicaid Costs For The Years 2013 - 2017 2017 AB 2013 2014 2015 2016 Medicaid Costs 1,494,882,895 $ 1,641,112,506 $ 1,779,884,241 $ 1,841,989,349 $ 931,596,169 $ Erie County's Portion of Medicaid Costs 217,880,408 $ 211,425,799 $ 203,562,478 $ 205,528,355 $ 203,834,038 $ Medicaid Clients 230,763 259,421 277,058 282,844 260,100 Medicaid Cost Per Client $ 6,478.00 $ 6,326.06 $ 6,424.23 $ 6,512.39 N/A A Medicaid costs for 2017 are as of June 30, 2017 and are incomplete. B Erie County's portion of Medicaid costs for 2017 are for the entire fiscal year. Erie County s population was 921,046 on July 1, 2016. About 31% of the population in Erie County is on some form of Medicaid.
Unique Erie County Medicaid Recipients by Age and Race Race / Ethnicity / Age B 2017 A 2008 2010 2012 2014 2016 Age (65 and Over) White Black/African American Hispanic/Latino Asian/Pacific Islander American Indian/Alaska Native Not Available/More Than One Race 18,552 5,759 1,487 560 143 1,010 18,553 5,372 1,395 741 142 912 17,881 5,041 1,375 850 150 861 17,689 4,838 1,370 977 151 918 16,732 4,497 1,331 1,036 133 882 14,597 4,077 1,256 963 127 752 Age (21-64) White Black/African American Hispanic/Latino Asian/Pacific Islander American Indian/Alaska Native Not Available/More Than One Race 51,645 36,730 10,030 2,511 736 4,515 57,756 38,347 10,554 4,172 902 4,576 59,941 39,239 11,084 5,225 1,031 4,760 72,238 41,841 12,040 6,815 1,088 8,795 77,004 43,086 12,751 7,592 1,121 10,597 69,034 39,674 11,690 6,964 1,066 9,117 Age (0-20) White Black/African American Hispanic/Latino Asian/Pacific Islander American Indian/Alaska Native Not Available/More Than One Race 19,577 18,890 6,087 1,332 387 3,604 24,133 22,522 7,508 2,465 504 4,334 29,382 26,443 9,208 3,665 640 4,977 35,547 30,396 10,860 5,214 762 7,882 39,975 34,183 12,307 6,798 886 11,933 37,095 32,902 11,740 6,738 822 11,486 Totals 183,555 204,888 221,753 259,421 282,844 260,100 A - 2017 data covers the period January 1, 2016 through June 30, 2017 and is not final. B - Medicaid clients self-identify for race and ethnicity.
Erie County Medicaid Clients by Year and Residing Zip Code 2017 A 24,357 16,545 17,117 16,739 Zip Code 14215 14213 14207 14211 14206 14201 14218 14210 14212 14225 14220 14150 Top Twelve Total Overall Total 183,555 Percentage of the top twelve to the Overall Total 2008 18,192 11,215 10,924 11,711 6,279 5,885 5,436 5,502 4,901 5,267 5,374 5,238 2010 19,584 13,668 12,703 12,800 2012 20,900 12,276 13,554 13,717 2014 23,907 14,779 15,825 15,771 2016 24,041 16,925 16,759 16,159 7,099 6,461 6,301 6,137 5,508 6,074 6,015 6,014 7,743 6,122 7,007 6,409 6,047 6,868 6,274 6,641 8,897 7,001 8,227 7,239 7,254 8,502 7,268 8,259 9,009 7,564 8,492 7,415 7,764 8,501 7,346 8,378 9,128 7,263 8,931 7,367 8,013 8,920 7,359 8,441 95,924 108,364 204,888 113,558 221,753 132,929 259,421 138,353 282,844 140,180 260,100 52% 53% 51% 51% 49% 54% A 2017 data covers the period January 1, 2017 through June 30, 2017.
Medicaid Average Claims Per Recipient Race / Ethnicity B 2017 A 2014 2015 2016 White Black/African American Hispanic/Latino Asian/Pacific Islander American Indian/Alaska Native Not Available/More Than One Race 31.8 23.2 21.5 14.3 21.3 22.3 34.5 24.4 23.3 14.9 22.9 24.2 32.7 23.7 22.6 14.8 21.3 23.3 17.2 12.7 11.7 8.0 11.2 11.8 Overall Claims Per Recipient 26.4 28.2 26.9 14.2 A - 2017 data is for the period January 1, 2017 through June 30, 2017, and is incomplete. B - Medicaid clients self-identify for race and ethnicity.
Zip 14202 shows average White claims of 64.5 and average Black claims of 45.6 Zip 14227 shows average White claims of 32.5 and average Black claims of 34.7 14202 14227 Primary Diagnosis Class White Mental Disorders - All DSM Signs, Symptoms and Ill Defined Conditions Diseases of the Nervous System Neoplasms Circulatory System Diseases Mental Disorders - All DSM Congenital Anomalies Diseases of the Nervous System Signs, Symptoms and Ill Defined Conditions Certain Causes of Perinatal Morbidity Black Mental Disorders - All DSM Signs, Symptoms and Ill Defined Conditions Genitourinary System Diseases Diseases of the Nervous System Circulatory System Diseases Congenital Anomalies Certain Causes of Perinatal Morbidity Mental Disorders - All DSM Congenital Anomalies Signs, Symptoms and Ill Defined Conditions Diseases of the Nervous System Endocrine, Nutritional and Metabolic
Of the 147,845 Medicaid cases in the Medicaid Income Dataset, 68,721 cases have income, while 79,124 have no recorded income. This means 46% of Medicaid cases have income. The average income of all Medicaid cases, including those cases with an income of zero, is $6,452.10 annually. Not including all cases with a zero income, the average income is $13,855.65. For comparison, the Federal Poverty Level for a family of four in 2017 is $24,600 annually. New York State has a minimum wage of $9.70 per hour as of January 1, 2017. Working 40 hour weeks, for 50 weeks a year, one person would make $19,400 annually. The total income earned by the Medicaid Income Dataset for the period June 30, 2016 through July 1, 2017 was $953,916,566.80. The maximum income for any one Medicaid client in the Medicaid Income Dataset was slightly over $60,000.00. One client in the Medicaid Income Dataset had five different sources of income, providing an annual income of about $25,000 annually. 10,680 clients in the Medicaid Income Dataset had income over $19,400, most likely indicating they were working for more than the New York State Minimum Wage. This represents slightly more than 5% of the persons in our study.
Medicaid Income Dataset - Top Eleven Income Categories as of July 1, 2017 Income Category Annual Income Number of Clients * Number of Cases ** Salaries SSI Benefit Social Security Disability Benefit Social Security Retirement Benefit Other Social Security Survivor's Benefit Child Support Payments Unemployment Insurance Benefit Compensation Lump Sum Payments (PA only) Net Business Income/Income from Self-Employment Social Security Benefit - Dependent Total 287,046,638.52 $ 212,473,779.24 170,546,068.08 63,763,000.08 34,494,309.84 16,960,624.80 16,726,783.08 16,494,287.64 12,949,815.12 9,324,041.40 8,309,311.80 849,088,659.60 $ 20,510 30,395 17,912 5,831 5,466 2,029 5,626 1,648 19,132 30,374 17,773 5,674 5,464 1,855 4,998 1,635 33 33 1,518 2,368 70,894 1,498 1,861 66,088 * clients can have more than one income **cases can have more than one client with income, the client can also have more than one income.
The Medicaid Drugs in Erie County with the Most Filled Prescriptions are: 2017 A 2014 2015 2016 1 2 3 4 5 6 7 8 9 Hydrocodone-Acetaminophen Ibuprofen Omeprazole Lisinopril Metformin HCL Ventolin HFA Atorvastatin Calcium Amlodipine Besylate Levothyroxine Sodium Aspirin Amoxicillin Gabapentin Hydrocodone-Acetaminophen Ibuprofen Omeprazole Lisinopril Atorvastatin Calcium Ventolin HFA Metformin HCL Amlodipine Besylate Levothyroxine Sodium Gabapentin Aspirin Amoxicillin Ibuprofen Omeprazole Hydrocodone-Acetaminophen Atorvastatin Calcium Lisinopril Metformin HCL Ventolin HFA Amlodipine Besylate Levothyroxine Sodium Gabapentin Amoxicillin Aspirin Ibuprofen Atorvastatin Calcium Omeprazole Lisinopril Hydrocodone-Acetaminophen Metformin HCL Ventolin HFA Amlodipine Besylate Gabapentin Levothyroxine Sodium Amoxicillin Vitamin D 10 11 12 All Prescriptions Filled Just Above Scripts Filled 2,644,861 2,998,951 3,139,873 1,305,355 544,758 637,545 665,978 274,451 Percent of Total 20.60% 21.26% 21.21% 21.03% A The 2017 data includes all prescriptions filed between January 1, 2017 and June 30, 2017. The 2017 data is not final.
