According to the Census Bureau report “Health Insurance Coverage in the United States: 2020, “8.6% of people had no health insurance at all last year. That’s a total of 28 million people. Who are these people? According to the Kaiser Family Foundation,” non-elderly ” adults who are in working families.
Using data from the US Census Bureau, 24/7 Wall St. identified the county with the best health insurance coverage. Counties are ranked based on the share of residents under age 65 (the Medicare eligibility age) who are uninsured.
Most of the counties with the best life insurance were found primarily in the Midwest and Northeast. More than half of Massachusetts’ 14 counties are well ranked, in large part because the state was a national leader in health care reform, enacting laws that led to near universal coverage nearly half a decade before the Affordable Care Act was enacted under the Obama administration. .
The county with the best health insurance coverage is Norfolk County, Massachusetts. Here are the details:
- Adults under 65, without health insurance: 2.1%
- Adults under 65, Medicare (or multiple types) coverage: 1.8% (215th lowest of 2,946 counties)
- Adults under 65, Medicaid coverage (or more types): 14.6% (493rd lowest)
- Adults under 65, VA coverage (or multiple types): 0.5% (166th lowest)
- Adults under 65, employer insurance (or multiple types): 77.5% (27th highest)
- Adults under 65, direct insurance (or several types): 10.6% (1,186th higher)
- Adults under 65, Tricare / military insurance (or more types): 0.6% (282nd lowest)
Methodology: To determine the county with the best health insurance coverage in the country, 24/7 Wall St. looked at five-year estimates of the percentage of the uninstitutionalized civilian population under 65 without health insurance as of ‘American Community Survey 2019 from the Census Bureau (ACS).
Of the 3,220 counties or county equivalents, 3,142 had boundaries that fell under one of the 50 states or the District of Columbia.
Counties were excluded if the non-institutionalized civilian population under 65 was less than 1,000 or if the sampling error associated with data from one county was deemed too high.
Sampling error was defined as too high if the coefficient of variation (a statistical assessment of the reliability of an estimate) for the uninsured rate for a county under 65 was greater than 15% and greater two standard deviations above the average coefficient of variation for all counties. ‘less than 65 uninsured rates. We also excluded counties that had too high a sampling error for their civilian non-institutionalized population under 65, using the same definition.
We selected the under 65 age group because Americans become Medicare eligible at age 65 and the uninsured rate for the population above that age is less than 1% on the scale. national. However, because the Census Bureau does not publish insurance coverage estimates specifically for the under 65 age group, we aggregated the data from more granular age breakdowns.
To ensure that the sampling error of each aggregate estimate can be assessed using the definition above, we calculated a margin of error for each aggregate estimate using the methodology for estimating variance by replicating successive differences recommended and used by the Census Bureau.
The remaining 2,946 places have been classified according to their uninsured rates for those under 65. To break the ties, we used the number of insureds from the same population group.
The shares of the population covered by each type of insurance (Medicare, Medicaid, VA, Employer, Direct Purchase and Tricare / Military) are for the same cohort and are also aggregated from ACS estimates over five years. The estimates reflect the people covered by this type of insurance alone or in combination with other types on the list. Thus, when a person is covered by more than one type of insurance, he is included in each group.
Click here to see all of the counties with the best health insurance coverage.