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ThinkNow Research Hispanic Healthcare Coverage

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A recent survey conducted through the ThinkNow Research monthly Omnibus shows that a significantly higher number of respondents report having healthcare coverage in May 2014 as compared to November 2013. This increase was seen among both Hispanic and non-Hispanic respondents surveyed.

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Affordable Care Act & Health Care Trends July 2014
❶ Research Methodology ❷ Results ❸ Appendix: Sample Profile Contents 2
Methodology Method Onlinevia ThinkNow Research Omnibus Study Survey Dates Wave 1: November2013 Wave 2: May2014 Hispanic Sample: Wave 1 n=502 Wave 2 n=504 •Age18-64 •Self-identify as Hispanic Non-Hispanic Sample: Wave1 n=302 Wave 2 n=306 Recruited from… •Age18-64 •Confirm not of Hispanic origin Weighting: Weightsapplied with respect to gender, age and region for each sample to targets defined by the U.S. Census Bureau. 3
Research Highlights
Research Highlights • As a result of the launch of the Affordable Care Act, significantly more Hispanic and non-Hispanic adults reported having healthcare coverage in May 2014 compared to November 2013 (open enrollment for 2014 ran from October ‘13 – March ‘14). • For Hispanics, the increase was clearly driven by the Least Acculturated who in November ’13 had by far the lowest health insurance coverage compared to Biculturals and the Most Acculturated. As of May ‘14, the proportion of the Least Acculturated with healthcare coverage is now even with the other two segments (approx. 8-in-10). • Among Hispanics, much of the increase came from the purchase of individual health insurance plans. Among non-Hispanics, more are taking advantage of employer-based coverage. • Hispanics report higher levels of approval of the ACA compared to non-Hispanics. The Least Acculturated, are the most likely to approve of the law. • In general, Hispanics report a greater understanding of the health insurance exchanges that are applicable in their state compared to late 2013. More are also aware of the penalties for not enrolling. 5
Detailed Findings
Health Insurance Coverage Q: Do you currently have health insurance? A: Yes (any form) Base: All respondents Both Hispanic and non-Hispanic adults have seen a rise in healthcare coverage since late last year. 77% 76% 83% 85% 0% 20% 40% 60% 80% 100% All Hispanics Non-Hispanics Nov. 2013 May 2014  indicates statistically significant differences (95% confidence)   7
Health Insurance Coverage by Acculturation Q: Do you currently have health insurance? A: Yes (any form) Base: All respondents The increase among Hispanics is driven by the Least Acculturated segment of the population. 58% 82% 78% 82% 85% 79% Low Acculturation Bicultural High Acculturation Nov. 2013 May 2014  indicates statistically significant differences (95% confidence)  Nov ‘13 May‘14 LessAcculturated 16% 13% Bicultural 58% 60% More Acculturated 26% 26% 8
Types of Health Insurance Coverage Q: Do you currently have health insurance? Base: All respondents More Hispanics reported purchasing an individual healthcare plan compared to last year. For non-Hispanics, more are taking advantage of employer-based coverage. 42% 40% 31% 39% 13% 20% 16% 16% 15% 17% 20% 18% 77% 83% 76% 85% Through my job Purchased an individual plan On Medicare or Medicaid Covered by spouse's plan/ employer Covered by parent's plan/ employer Other coverage (VA, Military, etc.)  indicates statistically significant differences (95% confidence) Nov’13 May ‘14 Nov’13 May ‘14 All Hispanics Non-Hispanics    9
Types of Health Insurance Coverage by Acculturation Q: Do you currently have health insurance? Base: All respondents For the Least Acculturated group, the increase in coverage is coming from purchase of individual plans and through their employer. 32% 43% 47% 43% 38% 33% 6% 15% 16% 22% 9% 18% 13% 18% 15% 16% 18% 18% 58% 82% 82% 85% 78% 79% Through my job Purchased an individual plan On Medicare or Medicaid Covered by spouse's plan/ employer Covered by parent's plan/ employer Other coverage (VA, Military, etc.)  indicates statistically significant differences (95% confidence) Nov’13 May ‘14 Nov’13 May ‘14 Nov’13 May ‘14 Low Acculturation Bicultural High Acculturation  10
Satisfaction with Health Insurance Coverage Q: How satisfied are you with the health insurance you currently have? Base: Respondents with health insurance coverage While coverage may be higher, Hispanics are reporting lower levels of satisfaction with their coverage than was the case in late 2013. This is driven mainly by a decline among bicultural Hispanics. 89% 84% 85% 84% 84% 86% 92% 83% 86% 87% 42% 43% 43% 46% 47% 43% 35% 38% 55% 55% Very/Somewhat Satisfied Very satisfied  indicates statistically significant differences (95% confidence) Nov’13 May ‘14 Nov’13 May ‘14 Nov’13 May ‘14 Nov’13 May ‘14 Nov’13 May ‘14 All Hispanics Non-Hispanics Low Acculturation Bicultural High Acculturation   11
How Pleased Are They With Affordable Care Act? Q: To the best of your understanding of the new law, how pleased or displeased are you that the Affordable Care Act, also known as Obamacare, took effect this year? Base: All respondents Hispanics report higher levels of satisfaction with the ACA compared to non-Hispanics. 50% 50% 35% 42% 45% 58% 59% 51% 32% 42% 25% 20% 14% 21% 21% 24% 30% 20% 18% 18% Very/Somewhat pleased Very pleased  indicates statistically significant differences (95% confidence)   Nov’13 May ‘14 Nov’13 May ‘14 Nov’13 May ‘14 Nov’13 May ‘14 Nov’13 May ‘14 All Hispanics Non-Hispanics Low Acculturation Bicultural High Acculturation Satisfaction is highest among Least Acculturated. 12
Understanding of Exchanges Q: Depending on the state in which they live, people will either enroll in a health insurance exchange established by their state government or they will use the federal health insurance exchange. In the state in which you live, people enroll in...? Base: All respondents In general, Hispanics report a greater understanding of the health insurance exchanges that are applicable in their state than was the case in late 2013. 45% 47% 29% 32% 29% 56% 55% 47% 31% 44% 17% 20% 16% 24% 15% 20% 16% 21% 19% 20% 39% 33% 55% 44% 56% 24% 29% 33% 50% 36% In your state, do people enroll via…? A state government exchange The federal health insurance exchange Do not know  indicates statistically significant differences (95% confidence)      Nov’13 May ‘14 Nov’13 May ‘14 Nov’13 May ‘14 Nov’13 May ‘14 Nov’13 May ‘14 All Hispanics Non-Hispanics Low Acculturation Bicultural High Acculturation  13
Changing Employer Coverage to Satisfy ACA Q: If you currently receive health insurance as part of the benefits of your job, do you need to switch your plan in order tosatisfy the requirements of the Affordable Care Act? Base: Respondents with coverage provided through their employer While still more likely than non-Hispanics to say this is the case, Hispanics are less likely than they were in late 2013 to say that they have had to switch plans offered through their employer as a result of the ACA. 44% 20% 24% 57% 18% 34% 20% 63% 33% 16% All Hispanics Non-Hispanics Column1 LowAcculturation* Bicultural HighAcculturation Nov. 2013 May 2014  indicates statistically significant differences (95% confidence) * Caution: very low survey samples (n<30), statistical testing suppressed   14
Have Pre-Existing Conditions Q: Do you have a pre-existing health condition that requires regular medication? Base: All respondents Just over 40% of Hispanics and non-Hispanics alike report having a pre-existing health condition that requires regular medications. 44% 46% 36% 49% 38% 43% 42% 44% 43% 41% All Hispanics Non-Hispanics Column1 Low Acculturation Bicultural High Acculturation Nov. 2013 May 2014  indicates statistically significant differences (95% confidence) 15
Household Member With Pre-Existing Condition Q: Does a member of your household have a pre-existing health condition that requires regular medication? Base: All respondents Fewer Hispanics reported having members of their household who suffer from chronic medical conditions compared to late 2013. 52% 43% 49% 54% 49% 44% 39% 42% 45% 45% All Hispanics Non-Hispanics Column1 LowAcculturation Bicultural HighAcculturation Nov. 2013 May 2014  indicates statistically significant differences (95% confidence)   16
Appendix: Sample Profile
Sample Profile Nov.2013 Hispanics May 2014 Hispanics Nov.2013 Non-Hispanics May 2014 Non-Hispanics Base(n=) 502 504 302 306 Gender: Male 51% 51% 49% 49% Female 49% 49% 51% 51% Age: 18 to 24 20% 20% 15% 15% 25 to 34 27% 27% 20% 20% 35 to 44 24% 24% 20% 20% 45 to 54 18% 18% 23% 23% 55 to 64 11% 11% 21% 21% Mean age 37 37 41 41 Census Region: Northeast 15% 14% 19% 19% Midwest 9% 9% 24% 24% South 36% 36% 37% 37% West 40% 40% 20% 20% 18
Sample Profile Nov.2013 Hispanics May 2014 Hispanics Nov.2013 Non-Hispanics May 2014 Non-Hispanics Base(n=) 502 504 302 306 Education: Less than HighSchool graduate 7% 5% 5% 3% High School Graduate/GED 20% 20% 23% 25% Some college/AA/Technical 33% 40% 38% 38% College graduateor more 40% 35% 34% 34% HouseholdIncome: Less than $50,000 43% 45% 54% 48% $50,000 to less than $100,000 38% 36% 30% 34% $100,000 or more 13% 13% 12% 13% Prefer not to state 6% 5% 4% 4% Mean ($000) $58 $57 $51 $56 Marital Status: Married or living with partner 63% 63% 57% 51% Single, never married 27% 28% 29% 36% Separated/divorced/widowed 9% 9% 13% 13% Prefer not to answer 1% 1% 1% 1% Have Children <18 in HH 60% 57% 44% 37% 19
Sample Profile Nov.2013 Hispanics May 2014 Hispanics Base(n=) 502 504 Language Spokenat Home: Spanish only 9% 9% Spanish mostly 30% 28% Spanish and English equally 26% 28% English mostly 17% 19% English only 18% 15% Acculturation Lessacculturated 16% 13% Bicultural 58% 60% More acculturated 26% 26% Born in U.S. 70% 74% Bornoutside of U.S. 30% 26% Countryof Origin Mexican/Mexican-American 63% 61% Puerto Rican 14% 16% South American 10% 14% Central American 5% 7% Cuban 8% 6% Dominican 4% 3% 20
CONTACT INFO: 2100 W. Magnolia Blvd. Suite A-B Burbank, CA 91506 Main Phone: 877-200-2710 Mario X. Carrasco, M.A. 818-843-0220 x101 mario@thinknowresearch.com Roy Eduardo Kokoyachuk, MBA 818-843-0220 x102 roy@thinknowresearch.com

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ThinkNow Research Hispanic Healthcare Coverage

  • 1. Affordable Care Act & Health Care Trends July 2014
  • 2. ❶ Research Methodology ❷ Results ❸ Appendix: Sample Profile Contents 2
  • 3. Methodology Method Onlinevia ThinkNow Research Omnibus Study Survey Dates Wave 1: November2013 Wave 2: May2014 Hispanic Sample: Wave 1 n=502 Wave 2 n=504 •Age18-64 •Self-identify as Hispanic Non-Hispanic Sample: Wave1 n=302 Wave 2 n=306 Recruited from… •Age18-64 •Confirm not of Hispanic origin Weighting: Weightsapplied with respect to gender, age and region for each sample to targets defined by the U.S. Census Bureau. 3
  • 5. Research Highlights • As a result of the launch of the Affordable Care Act, significantly more Hispanic and non-Hispanic adults reported having healthcare coverage in May 2014 compared to November 2013 (open enrollment for 2014 ran from October ‘13 – March ‘14). • For Hispanics, the increase was clearly driven by the Least Acculturated who in November ’13 had by far the lowest health insurance coverage compared to Biculturals and the Most Acculturated. As of May ‘14, the proportion of the Least Acculturated with healthcare coverage is now even with the other two segments (approx. 8-in-10). • Among Hispanics, much of the increase came from the purchase of individual health insurance plans. Among non-Hispanics, more are taking advantage of employer-based coverage. • Hispanics report higher levels of approval of the ACA compared to non-Hispanics. The Least Acculturated, are the most likely to approve of the law. • In general, Hispanics report a greater understanding of the health insurance exchanges that are applicable in their state compared to late 2013. More are also aware of the penalties for not enrolling. 5
  • 7. Health Insurance Coverage Q: Do you currently have health insurance? A: Yes (any form) Base: All respondents Both Hispanic and non-Hispanic adults have seen a rise in healthcare coverage since late last year. 77% 76% 83% 85% 0% 20% 40% 60% 80% 100% All Hispanics Non-Hispanics Nov. 2013 May 2014  indicates statistically significant differences (95% confidence)   7
  • 8. Health Insurance Coverage by Acculturation Q: Do you currently have health insurance? A: Yes (any form) Base: All respondents The increase among Hispanics is driven by the Least Acculturated segment of the population. 58% 82% 78% 82% 85% 79% Low Acculturation Bicultural High Acculturation Nov. 2013 May 2014  indicates statistically significant differences (95% confidence)  Nov ‘13 May‘14 LessAcculturated 16% 13% Bicultural 58% 60% More Acculturated 26% 26% 8
  • 9. Types of Health Insurance Coverage Q: Do you currently have health insurance? Base: All respondents More Hispanics reported purchasing an individual healthcare plan compared to last year. For non-Hispanics, more are taking advantage of employer-based coverage. 42% 40% 31% 39% 13% 20% 16% 16% 15% 17% 20% 18% 77% 83% 76% 85% Through my job Purchased an individual plan On Medicare or Medicaid Covered by spouse's plan/ employer Covered by parent's plan/ employer Other coverage (VA, Military, etc.)  indicates statistically significant differences (95% confidence) Nov’13 May ‘14 Nov’13 May ‘14 All Hispanics Non-Hispanics    9
  • 10. Types of Health Insurance Coverage by Acculturation Q: Do you currently have health insurance? Base: All respondents For the Least Acculturated group, the increase in coverage is coming from purchase of individual plans and through their employer. 32% 43% 47% 43% 38% 33% 6% 15% 16% 22% 9% 18% 13% 18% 15% 16% 18% 18% 58% 82% 82% 85% 78% 79% Through my job Purchased an individual plan On Medicare or Medicaid Covered by spouse's plan/ employer Covered by parent's plan/ employer Other coverage (VA, Military, etc.)  indicates statistically significant differences (95% confidence) Nov’13 May ‘14 Nov’13 May ‘14 Nov’13 May ‘14 Low Acculturation Bicultural High Acculturation  10
  • 11. Satisfaction with Health Insurance Coverage Q: How satisfied are you with the health insurance you currently have? Base: Respondents with health insurance coverage While coverage may be higher, Hispanics are reporting lower levels of satisfaction with their coverage than was the case in late 2013. This is driven mainly by a decline among bicultural Hispanics. 89% 84% 85% 84% 84% 86% 92% 83% 86% 87% 42% 43% 43% 46% 47% 43% 35% 38% 55% 55% Very/Somewhat Satisfied Very satisfied  indicates statistically significant differences (95% confidence) Nov’13 May ‘14 Nov’13 May ‘14 Nov’13 May ‘14 Nov’13 May ‘14 Nov’13 May ‘14 All Hispanics Non-Hispanics Low Acculturation Bicultural High Acculturation   11
  • 12. How Pleased Are They With Affordable Care Act? Q: To the best of your understanding of the new law, how pleased or displeased are you that the Affordable Care Act, also known as Obamacare, took effect this year? Base: All respondents Hispanics report higher levels of satisfaction with the ACA compared to non-Hispanics. 50% 50% 35% 42% 45% 58% 59% 51% 32% 42% 25% 20% 14% 21% 21% 24% 30% 20% 18% 18% Very/Somewhat pleased Very pleased  indicates statistically significant differences (95% confidence)   Nov’13 May ‘14 Nov’13 May ‘14 Nov’13 May ‘14 Nov’13 May ‘14 Nov’13 May ‘14 All Hispanics Non-Hispanics Low Acculturation Bicultural High Acculturation Satisfaction is highest among Least Acculturated. 12
  • 13. Understanding of Exchanges Q: Depending on the state in which they live, people will either enroll in a health insurance exchange established by their state government or they will use the federal health insurance exchange. In the state in which you live, people enroll in...? Base: All respondents In general, Hispanics report a greater understanding of the health insurance exchanges that are applicable in their state than was the case in late 2013. 45% 47% 29% 32% 29% 56% 55% 47% 31% 44% 17% 20% 16% 24% 15% 20% 16% 21% 19% 20% 39% 33% 55% 44% 56% 24% 29% 33% 50% 36% In your state, do people enroll via…? A state government exchange The federal health insurance exchange Do not know  indicates statistically significant differences (95% confidence)      Nov’13 May ‘14 Nov’13 May ‘14 Nov’13 May ‘14 Nov’13 May ‘14 Nov’13 May ‘14 All Hispanics Non-Hispanics Low Acculturation Bicultural High Acculturation  13
  • 14. Changing Employer Coverage to Satisfy ACA Q: If you currently receive health insurance as part of the benefits of your job, do you need to switch your plan in order tosatisfy the requirements of the Affordable Care Act? Base: Respondents with coverage provided through their employer While still more likely than non-Hispanics to say this is the case, Hispanics are less likely than they were in late 2013 to say that they have had to switch plans offered through their employer as a result of the ACA. 44% 20% 24% 57% 18% 34% 20% 63% 33% 16% All Hispanics Non-Hispanics Column1 LowAcculturation* Bicultural HighAcculturation Nov. 2013 May 2014  indicates statistically significant differences (95% confidence) * Caution: very low survey samples (n<30), statistical testing suppressed   14
  • 15. Have Pre-Existing Conditions Q: Do you have a pre-existing health condition that requires regular medication? Base: All respondents Just over 40% of Hispanics and non-Hispanics alike report having a pre-existing health condition that requires regular medications. 44% 46% 36% 49% 38% 43% 42% 44% 43% 41% All Hispanics Non-Hispanics Column1 Low Acculturation Bicultural High Acculturation Nov. 2013 May 2014  indicates statistically significant differences (95% confidence) 15
  • 16. Household Member With Pre-Existing Condition Q: Does a member of your household have a pre-existing health condition that requires regular medication? Base: All respondents Fewer Hispanics reported having members of their household who suffer from chronic medical conditions compared to late 2013. 52% 43% 49% 54% 49% 44% 39% 42% 45% 45% All Hispanics Non-Hispanics Column1 LowAcculturation Bicultural HighAcculturation Nov. 2013 May 2014  indicates statistically significant differences (95% confidence)   16
  • 18. Sample Profile Nov.2013 Hispanics May 2014 Hispanics Nov.2013 Non-Hispanics May 2014 Non-Hispanics Base(n=) 502 504 302 306 Gender: Male 51% 51% 49% 49% Female 49% 49% 51% 51% Age: 18 to 24 20% 20% 15% 15% 25 to 34 27% 27% 20% 20% 35 to 44 24% 24% 20% 20% 45 to 54 18% 18% 23% 23% 55 to 64 11% 11% 21% 21% Mean age 37 37 41 41 Census Region: Northeast 15% 14% 19% 19% Midwest 9% 9% 24% 24% South 36% 36% 37% 37% West 40% 40% 20% 20% 18
  • 19. Sample Profile Nov.2013 Hispanics May 2014 Hispanics Nov.2013 Non-Hispanics May 2014 Non-Hispanics Base(n=) 502 504 302 306 Education: Less than HighSchool graduate 7% 5% 5% 3% High School Graduate/GED 20% 20% 23% 25% Some college/AA/Technical 33% 40% 38% 38% College graduateor more 40% 35% 34% 34% HouseholdIncome: Less than $50,000 43% 45% 54% 48% $50,000 to less than $100,000 38% 36% 30% 34% $100,000 or more 13% 13% 12% 13% Prefer not to state 6% 5% 4% 4% Mean ($000) $58 $57 $51 $56 Marital Status: Married or living with partner 63% 63% 57% 51% Single, never married 27% 28% 29% 36% Separated/divorced/widowed 9% 9% 13% 13% Prefer not to answer 1% 1% 1% 1% Have Children <18 in HH 60% 57% 44% 37% 19
  • 20. Sample Profile Nov.2013 Hispanics May 2014 Hispanics Base(n=) 502 504 Language Spokenat Home: Spanish only 9% 9% Spanish mostly 30% 28% Spanish and English equally 26% 28% English mostly 17% 19% English only 18% 15% Acculturation Lessacculturated 16% 13% Bicultural 58% 60% More acculturated 26% 26% Born in U.S. 70% 74% Bornoutside of U.S. 30% 26% Countryof Origin Mexican/Mexican-American 63% 61% Puerto Rican 14% 16% South American 10% 14% Central American 5% 7% Cuban 8% 6% Dominican 4% 3% 20
  • 21. CONTACT INFO: 2100 W. Magnolia Blvd. Suite A-B Burbank, CA 91506 Main Phone: 877-200-2710 Mario X. Carrasco, M.A. 818-843-0220 x101 [email protected] Roy Eduardo Kokoyachuk, MBA 818-843-0220 x102 [email protected]