The share of Americans under 65 without health insurance fell in 280 counties and rose in 80 counties from 2020 to 2021 as Medicaid expanded coverage during the COVID-19 pandemic, the Census Bureau reported Thursday.
are the latest from the Small Area Health Insurance Estimates program, the only federal source that estimates health insurance rates within all 3,142 U.S. counties. It also breaks down coverage by ethnicity, region and age.
“The county-level health insurance coverage estimates…reflect an overall decrease in uninsured rates since 2019,” James Mouser, a Census Bureau survey statistician, told The Washington Times. “This period coincides with various economic and policy changes, including mandated continuous coverage for those with Medicaid for the duration of the COVID-19 pandemic.”
The CDC report stopped one month short of April, when Medicaid ended a continuous enrollment policy implemented during COVID that had kept states from performing annual eligibility reviews to disenroll patients. Health policy advocacy group KFF, which tracks disclosures, reported that 41 states had booted nearly 3.8 million Americans out of Medicaid as of Tuesday. Disenrollment rates ranged from 82% of beneficiaries in Texas to 8% in Wyoming.
According to the Census Bureau report, estimated county uninsured rates ranged from 2.4% to 46.3% of people under 65 in 2021, with a median rate of 10.4% of county residents uninsured.The number of counties with fewer than 10% of residents lacking insurance was lowest in the Northeast and Midwest, while the South had the largest share of counties with uninsurance rates over 15%.
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