North Rural Counties · 2020. 10. 19. · 2 COVERAE AT A LANCE NORTH RURAL COUNTIES Enrollment and Percent of County Subsidized Enrollees and Percent of County Unsubsidized Enrollees

1

3.1%

OCTOBER 2020 BUTTE, COLUSA, DEL NORTE, GLENN, HUMBOLDT, LAKE, LASSEN, MENDOCINO, MODOC, NEVADA, PLUMAS, SHASTA, SIERRA, SISKIYOU, SUTTER, TEHAMA, TRINITY, YUBA

North Rural CountiesNorth Rural Counties

›› Coverage in California at a Glance

CALIFORNIA TOTAL POPULATION: 39.6M

Population1,2 Uninsured, 20183

Uninsured, Incomes < 138% Federal Poverty

Level (FPL), 20183

231,256 8,000* (3.5%) 2,000* (5.4%)

180,040 7,000* (4.1%) -

136,373 6,000* (4.9%) 2,000* (4.1%)

99,696 9,000* (8.9%) 1,000* (4.0%)

96,807 7,000* (6.8%) 2,000* (9.7%)

87,606 8,000* (9.6%) 3,000* (16.0%)

78,041 3,000* (3.3%) 1,000* (4.7%)

64,382 4,000* (5.9%) 3,000* (10.3%)

63,373 13,000* (10.9%) 8,000* (20.0%)

27,897

21,464

43,540

13,000* (9.7%) -31,185

27,424

18,699

12,862

8,938

2,930

BUTTE

SHASTA

HUMBOLDT

NEVADA

SUTTER

MENDOCINO

YUBA

LAKE

TEHAMA

GLENN

COLUSA

SISKIYOU

LASSEN

DEL NORTE

PLUMAS

TRINITY

MODOC

SIERRA

Aggregated Data for Tehama, Glenn, Colusa

Aggregated Data for Siskiyou,Lassen, Del Norte, Plumas,

Trinity, Modoc, Sierra

* Data for these counties are considered statistically unstable or may be unavailable because of low sample size.

North Rural Counties1 TOTAL POPULATION 1.2M

Employee-Sponsored Coverage3, 2018*

BUTTE 101,000 (45.3%)

SHASTA 65,000 (36.9%)

HUMBOLDT 46,000* (35.4%)

NEVADA 27,000 (28.1%)

SUTTER 35,000 (35.5%)

MENDOCINO 32,000 (37.5%)

YUBA 25,000 (33.2%)

LAKE 13,000 (20.2%)

TEHAMA GLENN

COLUSA38,000 (32.9%)

SISKIUYOU LASSEN

DEL NORTE PLUMAS TRINITY MODOC SIERRA

51,000 (37.5%)* Data for these counties are considered statistically unstable.

Figure 1. Potential Impact of COVID-19 on Employer-Sponsored Coverage

COVID-19 Impact on Unemployment Rates4,5

0

5%

10%

15%

20%

February June

5.4%

6.8% 6.1% 7.8% 9.5% 6.1% 7.7%6.7% 8.4% 5.6% 3.9%

5.4%3.9%

3.6%

8.9%

4.7%6.9%

June 2020Post-COVID Statewide Unemployed Rate

June 2020 Post-COVID Statewide Unemployed Rate

Percent change Feb - June 2020

February 2020 Pre-COVID Statewide Unemployed Rate

February 2020 Pre-COVID Statewide Unemployed Rate

8.5%

12.2%

5.4%12.2%

5.4%11.5%

3.9%11.7%

3.6%13.1%

8.9%15.0%

4.7%12.4%

6.9%14.3%

5.8%14.2%

6.2%11.8%

7.1%12.8%

12.4%5.8%

9.4%6.2%

12.5%

13.7%7.3%

9.6%

9.8%6.9%

11.3%

11.5% 11.7%13.1%

15.0%

12.4%14.3%

12.4%

5.8%

14.2%

6.2%

11.8%

15.1%

15.1%4.3%

* These data points are considered statistically unstable due to low sample size.

BUTTE SHASTA NEVADA SUTTER MENDOCINO YUBA LAKE SISKIYOULASSEN

DEL NORTEPLUMASTRINITYMODOCSIERRA

HUMBOLDT

BUTTE

SHASTA

NEVADA

SUTTER

MENDOCINO

YUBA

LAKE

TEHAMA

TEHAMAGLENN

COLUSA

HUMBOLDT

GLENN

COLUSA

LASSEN

DEL NORTE

PLUMAS

TRINITY

MODOC

SIERRA

SISKIYOU

0 5 10 15 200 3 6 9 12 15

19.8%18.4%

8.5%

11.0%

9.8%

2

COVERAGE AT A GLANCE | NORTH RURAL COUNTIES

Enrollment and Percent of County

Subsidized Enrollees and Percent of County

Unsubsidized Enrollees and Percent of County

BUTTE 7,260 3.1% 6,850 94.4% 420 5.8%

SHASTA 7,580 4.2% 7,260 95.8% 320 4.2%

HUMBOLDT 6,270 4.6% 5,890 93.9% 380 6.1%

NEVADA 7,260 7.3% 6,700 92.3% 560 7.7%

SUTTER 4,720 4.9% 4,550 96.4% 170 3.6%

MENDOCINO 4,290 4.9% 4,010 93.5% 280 6.5%

YUBA 2,260 2.9% 2,180 96.5% 90 4.0%

LAKE 2,190 3.4% 2,070 94.5% 120 5.5%

TEHAMA 2,230 3.5% 2,170 97.3% 60 2.7%

GLENN 960 3.4% 920 95.8% 40 4.2%

COLUSA 850 4.0% 830 97.6% 30 3.5%

SISKIYOU 1,600 3.7% 1,500 93.8% 90 5.6%

LASSEN 500 1.6% 480 96.0% 20 4.0%

DEL NORTE 670 2.4% 640 95.5% 30 4.5%

PLUMAS 980 5.2% 920 93.9% 60 6.1%

TRINITY 540 4.2% 510 94.4% 20 3.7%

MODOC 260 2.9% 250 96.2% 10 3.8%

SIERRA 110 3.8% 100 90.9% 10 9.1%

Under 138% FPL

Between 138 and 400% FPL


Over 600% FPL

BUTTE 1.8% 88.7% 5.6% 0.8%

SHASTA 1.2% 91.0% 4.9% 0.9%

HUMBOLDT 2.4% 87.4% 5.7% 1.3%

NEVADA 2.2% 84.6% 7.9% 1.7%

SUTTER 1.5% 93.0% 3.4% 0.6%

MENDOCINO 1.6% 87.9% 5.8% 0.9%

YUBA 1.8% 92.5% 3.1% 0.4%

LAKE 3.2% 87.7% 5.5% 0.9%

TEHAMA 2.7% 90.1% 5.4% 0.4%

Under 138% FPL



Over 600% FPL

GLENN 1.2% 94.1% 3.5% 1.2%

COLUSA 2.1% 91.7% 4.2% 1.0%

SISKIYOU 1.9% 90.0% 4.4% 1.3%

LASSEN 2.0% 88.0% 10.0% 2.0%

DEL NORTE 1.5% 91.0% 4.5% 1.5%

PLUMAS 3.1% 86.7% 6.1% 1.0%

TRINITY 1.9% 90.7% 3.7% 1.9%

MODOC* 3.8% 92.3% 3.8% 3.8%

SIERRA* 9.1% 100% 9.1% 9.1%

COVERED CALIFORNIAFigure 2. Covered California Enrollment by County, March 20206

Figure 3. Covered California Enrollment by FPL, March 20206

Unsubsidized

Subsidized

47,83094.7%

2,7105.4%

Total Enrolled 50,530 (4.1%)

North Rural Counties

* Covered California’s privacy policy rounds all figures to the nearest 10, as a results, grand totals shown maybe slightly different from the totals in the individual plan data.

Figure 5. Impact of COVID-19 on Covered California Enrollment7

BUTTESHASTA

HUMBOLDTNEVADASUTTER

MENDOCINOYUBALAKE

TEHAMAGLENN

COLUSASISKIYOU

LASSENDEL NORTE

PLUMASTRINITYMODOC

SIERRA

0 1,000 2,000 3,000 4,000 5,000 6,000 7,000 8,000

Health Net

Anthem Blue Cross

Kaiser Permanente

Blue Shield

PRE-COVID-19 • Feb 1 - Mar 19, 2020 COVID-19 • Mar 20 - June 5, 202040%48%24%11%18%

100%-6%

29%-14%

150%100%

17%50%

0%50%

100%0%0%

81%91%

46%78%60%

133%77%

130%89%75%

233%71%

100%25%

133%-33%

100%0%

COVID-19 SEP* Enrollment and Percent Change from 2019

350340210210200180150

9060504070303030222010

670610380480400350230230170

70100120

607070202010

BUTTESHASTAHUMBOLDTNEVADASUTTERMENDOCINOYUBALAKETEHAMAGLENNCOLUSASISKIYOULASSENDEL NORTEPLUMASTRINITYMODOCSIERRA

BUTTESHASTAHUMBOLDTNEVADASUTTERMENDOCINOYUBALAKETEHAMAGLENNCOLUSASISKIYOULASSENDEL NORTEPLUMASTRINITYMODOCSIERRA

33


COVERED CALIFORNIAFigure 4. Covered California Enrollment by Health Plan, March 20206

* SEP=Special Enrollment Period

Mar 20 -June 5

Feb 1 - Mar 19

CALIFORNIA

23.6%125.3%

Butte Shasta Humboldt Nevada Sutter Mendocino Yuba Lake Tehama

Enrollment by Health Plan9

Anthem Blue Cross

Partnership Health Plan

of CA


of CAAnthem Blue

CrossAnthem Blue

Cross


of CAAnthem Blue

Cross


of CAAnthem Blue

Cross

22,057 59,315 52,786 11,310 20,955 35,256 16,212 29,812 8,881

CA Health and Wellness





39,449 8,362 10,852 9,516 12,211

Fee-for-Service Enrollment8, 9

13,262 1,669 1,939 4,283 8,090 2,588 5,978 1,349 5,576

Glenn Colusa Siskiyou Lassen Del Norte Plumas Trinity Modoc Sierra

Enrollment by Health Plan9

Anthem Blue Cross

Anthem Blue Cross


of CA


of CA


of CAAnthem Blue

Cross


of CA


of CAAnthem Blue

Cross

2,582 4,552 16,829 7,339 11,228 2,628 4,542 3,578 347





7,609 3,344 2,568 230

Fee-for-Service Enrollment8, 9

2,179 1,829 917 330 317 1,148 104 – 192

4


MEDI-CAL

31.5%

of Californians are Enrolled in

Medi-Cal Statewide

Lake 31,161 (48.4%)

Colusa 9,725 (45.3%)

Trinity 4,646 (36.1%)

Mendocino 37,844 (43.2%)

Glenn 12,370 (44.3%)

Del Norte 11,545 (42.1%) Modoc 3,578 (40.0%)Siskiyou 17,746 (40.8%)

Tehama 26,668 (42.1%)

Plumas 6,344 (33.9%)

Butte 74,768 (32.3%)

Yuba 31,706 (40.6%)

Sutter 39,897 (41.2%)

Nevada 23,955 (24.0%)

Sierra 769 (26.2%)

Lassen 7,669 (24.6%)Shasta 60,984 (33.9%)

Humboldt 54,725 (40.1%)

Figure 6. Medi-Cal Enrollment by Population and Percent of County, March 20208,9

Figure 7. Medi-Cal Enrollment, by County, June 2020

55


About ITUP

Insure the Uninsured Project (ITUP) is a Sacramento-based nonprofit health policy institute that for more than two decades has provided expert analysis and facilitated convenings for California policymakers and decisionmakers focused on health reform.

The mission of ITUP is to promote innovative and workable policy solutions that expand health care access and improve the health of Californians, through policy-focused research and broad- based stakeholder engagement.

ITUP is generously supported by the

following funders:

§ California Community Foundation

§ California Health Care Foundation

§ Kaiser Permanente

§ The California Endowment

§ The California Wellness Foundation

@ITUP

@InsuretheUninsuredProject

@InsuretheUninsuredProject

www.itup.org

NOTES All decimals rounded to nearest tenth.

1. United States Census Bureau, 2018 ACS Demographic and Housing Estimates, Accessed: August 3, 2020.

2. United States Census Bureau, 2018 ACS 5-Year Demographic and Housing Estimates, Accessed: August 3, 2020.

3. UCLA Center for Health Policy Research, 2018 California Health Interview Survey, Public Use File, Accessed: August 3, 2020.

4. State of California Employment Development Department, Local Area Profile, June 2020.

5. State of California Employment Development Department, Local Area Profile, February 2020.

6. Covered California, March 2020 Active Member Profile, Accessed: August 3, 2020.

7. Covered California, Special Enrollment Data by County, June 12, 2020.

8. Department of Health Care Services, March 2020 Medi-Cal Certified Eligibles Data Table by County and Aid Code Group, June 2020, Accessed: August 4, 2020.

9. Department of Health Care Services, Medi-Cal Managed Care Enrollment Report, June 2020, Accessed: August 4, 2020.

10. Department of Finance, May Revision, Health and Human Services, May 14, 2020.

MEDI-CAL

Medi-Cal Enrollment is expected to increase by 2 MILLION ENROLLEES due to the COVID-19 Pandemic.10
https://twitter.com/ITUPhttps://www.linkedin.com/company/1785850/https://www.facebook.com/insuretheuninsuredproject/http://www.itup.orghttps://data.census.gov/cedsci/table?g=0400000US06_0500000US06027,06043,06051,06109&d=ACS%205-Year%20Estimates%20Data%20Profiles&tid=ACSDP5Y2018.DP05&hidePreview=truehttps://data.census.gov/cedsci/table?g=0400000US06_0500000US06027,06043,06051,06109&d=ACS%205-Year%20Estimates%20Data%20Profiles&tid=ACSDP5Y2018.DP05&hidePreview=truehttps://hbex.coveredca.com/data-research/https://coveredca.com/pdfs/Special-Enrollment-Data-County.pdfhttps://data.chhs.ca.gov/dataset/medi-cal-managed-care-enrollment-report

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North Rural Counties · 2020. 10. 19. · 2 COVERAE AT A LANCE NORTH RURAL COUNTIES Enrollment and Percent of County Subsidized Enrollees and Percent of County Unsubsidized Enrollees