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Wisconsin

SHAP Grantee Chartbook

Health Insurance Coverage Estimates


from the 2008 American Community Survey (ACS)

Prepared for:

State Health Access Program (SHAP)

Last updated: August 25, 2010


Wisconsin SHAP Grantee Chartbook

This chartbook was prepared for the U.S. Department of Health and Human Services Health
Resources and Services Administration’s State Health Access Program (SHAP) by the State
Health Access Data Assistance Center (SHADAC).

5600 Fishers Lane


Rockville, MD 20857 2221 University Ave SE, Suite 345
HRSA Contact Person Minneapolis, MN 55414
Michelle Herzog Ph. 612-624-4802
Ph. 301-443-0650 Fax. 612-624-1493
Email. mherzog@hrsa.gov Email. shadac@umn.edu
www.shadac.org/shap

Wisconsin SHAP Grantee Organization:


Wisconsin Department of Health Services
Division of Health Care Access and Accountability
Project Director
Jim Johnston
Ph. 608-267-7283
Email. james.johnston@wi.gov

March 2010
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Wisconsin SHAP Grantee Chartbook

Table of Contents
Introduction .................................................................................................................................................. 1
Summary Statistics ........................................................................................................................................ 1
Exhibit 1: Any Source of Health Insurance Coverage by Poverty Level, Age 0-64, ACS 2008 .................. 1
Maps and Data Tables................................................................................................................................... 2
Exhibit 2.1: Sub-State Uninsurance Estimates, Age 0-64, ACS 2008 ....................................................... 3
Exhibit 2.2: Demographic Profile by Source of Health Insurance Coverage, Age 0-64, ACS 2008 .......... 4
Exhibit 2.3: Sub-State Uninsurance Estimates, Age 0-64, <200% FPL, ACS 2008 .................................... 5
Exhibit 2.4: Demographic Profile by Source of Health Insurance Coverage, Age 0-64, <200% FPL, ACS
2008 .......................................................................................................................................................... 6
Exhibit 2.5: Sub-State Uninsurance Estimates, Age 0-64 by Federal Poverty Level (FPL), ACS 2008 ...... 7
Exhibit 3.1: Sub-State Uninsurance Estimates, Age 0-18, ACS 2008 ....................................................... 8
Exhibit 3.2: Demographic Profile by Source of Health Insurance Coverage, Age 0-18, ACS 2008 .......... 9
Exhibit 3.3: Sub-State Uninsurance Estimates, Age 0-18, <200% FPL, ACS 2008 .................................. 10
Exhibit 3.4: Demographic Profile by Source of Health Insurance Coverage, Age 0-18, <200% FPL, ACS
................................................................................................................................................................ 11
Exhibit 3.5: Sub-State Uninsurance Estimates, Age 0-18 by Federal Poverty Level (FPL), ACS 2008 .... 12
Exhibit 4.1: Sub-State Uninsurance Estimates, Age 19-64, ACS 2008 ................................................... 13
Exhibit 4.2: Demographic Profile by Source of Health Insurance Coverage, Age 19-64, ACS 2008 ...... 14
Exhibit 4.3: Sub-State Uninsurance Estimates, Age 19-64, <200% FPL, ACS 2008 ................................ 15
Exhibit 4.4: Demographic Profile by Source of Health Insurance Coverage, Age 19-64, <200% FPL, ACS
................................................................................................................................................................ 16
Exhibit 4.5: Sub-State Uninsurance Estimates, Age 19-64 by Federal Poverty Level (FPL), ACS 2008 .. 17
Appendix A. Technical Assistance Available from SHADAC ....................................................................... 18
Appendix B. Data Source............................................................................................................................ 19
Appendix C. County Groupings in Sub-state Areas .................................................................................... 20
Appendix D. Wisconsin Map of Major Cities.............................................................................................. 23
Appendix E. Wisconsin Map of County Boundaries ................................................................................... 24

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Wisconsin SHAP Grantee Chartbook

Introduction
This chartbook of health insurance coverage estimates is designed to be an easily accessed resource for
State Health Access Program (SHAP) grantees. Estimates for key population groups within your state
are provided in summary map format, with detailed tables for reference. Data provided in this
chartbook are from the 2008 American Community Survey (ACS).

Your chartbook includes the following information for your state:

 Maps of uninsurance estimates for children and adults, as well as children and adults under
200% FPL
 Tables of health insurance coverage estimates for the above mentioned population groups, with
variance information
 County-level estimates of uninsurance
 Demographic profiles of state populations

Summary Statistics
Any source of health insurance coverage for Wisconsin is shown in Exhibit 1. In 2008, 89.8% of the total
population age 0-64 had health insurance coverage. Over three fourths (78.2%) had private coverage,
while 14.7% reported having government coverage. This is in contrast to individuals under 200% of the
Federal Poverty Level (FPL), of which only 78.2% had insurance, with 42.8% having private coverage, and
39.7% having government coverage.

Exhibit 1: Any Source of Health Insurance Coverage by Poverty Level, Age 0-64, ACS 2008

100% 89.8%
90%
78.2% 78.2%
80%
70%
60%
50% 42.8% 39.7%
40%
30% 21.8%
20% 14.7%
10.2%
10%
0%
Uninsured Insured Private Coverage Government
Coverage
Total < 200% FPL

Source: U.S. Census Bureau, 2008 American Community Survey.


Note: Those who report multiple types of insurance coverage (i.e., private or public) are included
in each category; therefore, totals may add to more than 100 percent.

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Wisconsin SHAP Grantee Chartbook

Maps and Data Tables


Detailed uninsurance estimates begin with Exhibit 2.1. Each subpopulation is shown as a map, followed
by a detailed table. The estimates in the tables provide percent and standard error (for calculation of
confidence intervals). Additional subgroup estimates are available upon request.

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Wisconsin SHAP Grantee Chartbook

Exhibit 2.1: Sub-State Uninsurance Estimates, Age 0-64, ACS 2008

Source: U.S. Census Bureau, 2008 American Community Survey.


* Statistically different from the state uninsurance estimate for people age 0-64 (10.2%).
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single
year of ACS data. In most metro areas sub-county estimates are available, but for this map all sub-county estimates are
aggregated to the county. In some of these cases the aggregations do not exactly match county boundaries; this typically
occurs in metro areas and affects a very small geographic area.

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Wisconsin SHAP Grantee Chartbook

Exhibit 2.2: Demographic Profile by Source of Health Insurance Coverage, Age 0-64, ACS 2008

Private Government
Population Uninsured Insured
Coverage Coverage
(000) % SE % SE % SE % SE
Race and Ethnicity
Hispanic 273 27.2 2.25 72.8 2.25 53.5 2.51 22.9 1.85
White Alone 4,043 8.5 0.26 91.5 0.26 82.8 0.39 11.6 0.32
Black Alone 281 14.9 1.34 85.1 1.34 46.1 2.41 42.0 2.41
Asian Alone 116 13.5 2.24 86.5 2.24 73.8 3.29 16.5 2.77
Multiple/other
116 15.5 2.19 84.5 2.19 55.5 3.08 32.4 2.89
non-Hispanic
Total 4,828 10.2 0.29 89.8 0.29 78.2 0.43 14.7 0.36
Age
0-18 1,391 5.3 0.40 94.7 0.40 75.1 0.78 22.7 0.74
19-24 471 22.7 1.06 77.3 1.06 68.2 1.19 11.3 0.74
25-44 1,448 12.5 0.49 87.5 0.49 77.8 0.60 11.8 0.43
45-64 1,519 8.5 0.34 91.5 0.34 84.4 0.44 11.1 0.35
Total 4,828 10.2 0.29 89.8 0.29 78.2 0.43 14.7 0.36
P o ve r t y L e ve l
0-99% FPL 515 23.6 1.31 76.4 1.31 30.9 1.48 50.0 1.64
100-199% FPL 718 20.6 1.00 79.4 1.00 51.3 1.39 32.3 1.24
200-399% FPL 1,598 9.5 0.44 90.5 0.44 85.1 0.60 8.4 0.43
400%+ FPL 1,926 3.5 0.24 96.5 0.24 95.0 0.29 3.7 0.21
Total 4,757 10.3 0.29 89.7 0.29 78.1 0.43 14.6 0.36
Se x
Male 2,432 11.6 0.36 88.4 0.36 78.2 0.48 13.4 0.38
Female 2,396 8.7 0.33 91.3 0.33 78.1 0.51 15.9 0.44
Total 4,828 10.2 0.29 89.8 0.29 78.2 0.43 14.7 0.36
Work Status
Not working 461 16.5 0.85 83.5 0.85 57.9 1.07 34.3 0.99
Part-time 675 15.2 0.67 84.8 0.67 72.9 0.81 14.7 0.63
Full-time 2,387 10.5 0.34 89.5 0.34 85.4 0.40 6.1 0.24
Total 3,523 12.2 0.32 87.8 0.32 79.4 0.39 11.4 0.27
Definitions: % = Percent; SE = Standard Error
Note: Counts are presented in thousands.
Source: U.S. Census Bureau, 2008 American Community Survey.

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Wisconsin SHAP Grantee Chartbook

Exhibit 2.3: Sub-State Uninsurance Estimates, Age 0-64, <200% FPL, ACS 2008

Source: U.S. Census Bureau, 2008 American Community Survey.


* Statistically different from the state uninsurance estimate for people age 0-64 under 200% FPL (21.8%).
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single
year of ACS data. In most metro areas sub-county estimates are available, but for this map all sub-county estimates are
aggregated to the county. In some of these cases the aggregations do not exactly match county boundaries; this typically
occurs in metro areas and affects a very small geographic area.

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Wisconsin SHAP Grantee Chartbook

Exhibit 2.4: Demographic Profile by Source of Health Insurance Coverage,


Age 0-64, <200% FPL, ACS 2008

Private Government
Population Uninsured Insured
Coverage Coverage
(000) % SE % SE % SE % SE
Race and Ethnicity
Hispanic 141 36.0 3.28 64.0 3.28 34.1 3.34 34.5 3.01
White Alone 834 20.3 0.88 79.7 0.88 48.1 1.20 36.2 1.12
Black Alone 163 17.3 1.92 82.7 1.92 26.0 2.95 59.7 3.17
Asian Alone 44 25.6 4.94 74.4 4.94 46.5 5.93 33.2 5.73
Multiple/other
50 18.5 3.22 81.5 3.22 31.2 4.25 53.8 4.59
non-Hispanic
Total 1,232 21.8 0.82 78.2 0.82 42.8 1.06 39.7 1.02
Age
0-18 454 9.9 1.03 90.1 1.03 41.8 1.64 53.9 1.64
19-24 187 29.4 1.97 70.6 1.97 55.5 2.27 18.2 1.46
25-44 344 29.5 1.38 70.5 1.38 38.4 1.43 35.0 1.35
45-64 248 27.4 1.32 72.6 1.32 41.0 1.42 36.3 1.34
Total 1,232 21.8 0.82 78.2 0.82 42.8 1.06 39.7 1.02
P o ve r t y L e ve l
0-99% FPL 515 23.6 1.31 76.4 1.31 30.9 1.48 50.0 1.64
100-199% FPL 718 20.6 1.00 79.4 1.00 51.3 1.39 32.3 1.24
200-399% FPL -- -- -- -- -- -- -- -- --
400%+ FPL -- -- -- -- -- -- -- -- --
Total 1,232 21.8 0.82 78.2 0.82 42.8 1.06 39.7 1.02
Se x
Male 578 25.5 1.06 74.5 1.06 42.3 1.28 36.4 1.18
Female 654 18.6 0.92 81.4 0.92 43.2 1.19 42.6 1.19
Total 1,232 21.8 0.82 78.2 0.82 42.8 1.06 39.7 1.02
Work Status
Not working 214 26.5 1.55 73.5 1.55 29.5 1.59 49.2 1.69
Part-time 223 27.2 1.55 72.8 1.55 45.3 1.83 30.4 1.57
Full-time 363 31.0 1.27 69.0 1.27 50.6 1.37 21.4 1.06
Total 800 28.7 0.92 71.3 0.92 43.5 1.02 31.3 0.87
Definitions: % = Percent; SE = Standard Error
Note: Counts are presented in thousands.
Source: U.S. Census Bureau, 2008 American Community Survey.

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Wisconsin SHAP Grantee Chartbook

Exhibit 2.5: Sub-State Uninsurance Estimates, Age 0-64 by Federal Poverty Level (FPL), ACS 2008

All Poverty
<200% FPL
Levels
% SE % SE
County
Ashland, Bayfield, Burnett, Douglas, Iron, Price, Rusk,
Sa w y e r , T a y l o r , W a s h b u r n 13.2 * 1.3 22.1 2.7
Brown 9.8 1.4 29.0 4.4
B a r r o n , C l a r k , D u n n , P o l k , St . C r o i x 14.2 * 1.4 33.6 * 4.3
Chippewa, Eau Claire 11.2 1.9 18.4 4.4
A d a m s , F o r e s t , J u n e a u , L a n g l a d e , L i n c o ln , O n e id a , P o r t a g e ,
Vilas, Wood 11.3 1.0 22.4 2.6
B u f f a l o , C r a w f o r d , J a c k s o n , M o n r o e , P e p i n , P ie r c e ,
Trempealeau, Vernon 13.6 1.9 29.0 5.4
Grant, Green, Iowa, Lafayette, Richland 12.2 1.6 21.1 4.4
La Crosse 8.6 1.6 19.3 4.6
C o l u m b i a , D o d g e , Sa u k 7.8 1.3 14.0 * 2.8
Dane 8.5 0.9 21.6 3.0
Door, Florence, Kewaunee, Manitowoc, Marinette, Oconto 10.8 1.6 23.7 4.2
F o n d d u L a c , G r e e n L a k e , M a r q u e t t e , M e n o m in e e , S h a w a n o ,
Waupaca, Waushara 8.6 1.0 16.7 * 2.5
Calumet, Outagamie, Winnebago 8.2 * 0.8 17.8 2.4
Marathon 9.3 1.5 32.7 5.5
Jefferson, Walworth 7.6 * 1.1 12.5 * 3.0
Kenosha 10.2 2.0 20.6 6.0
Racine 8.7 1.5 18.6 4.2
Milwaukee 13.7 * 0.9 22.9 1.9
Waukesha 5.4 * 0.8 12.3 * 3.0
Ozaukee, Washington 5.9 * 1.0 20.9 5.4
Rock 12.3 1.8 23.3 4.8
Sh e b o y g a n 6.3 * 1.3 14.8 4.6
Definitions: % = Percent; SE = Standard Error
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single
year of ACS data. In most metro areas sub-county estimates are available, but for this map all sub-county estimates are
aggregated to the county. In some of these cases the aggregations do not exactly match county boundaries; this typically
occurs in metro areas and affects a very small geographic area.
* Statistically different from the state uninsurance estimate for population group (Age 0-64, 10.2%; Age 0-64 <200% FPL, 21.8%).
Source: U.S. Census Bureau, 2008 American Community Survey.

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Wisconsin SHAP Grantee Chartbook

Exhibit 3.1: Sub-State Uninsurance Estimates, Age 0-18, ACS 2008

Source: U.S. Census Bureau, 2008 American Community Survey.


* Statistically different from the state uninsurance estimate for people age 0-18 (5.3%).
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single
year of ACS data. In most metro areas sub-county estimates are available, but for this map all sub-county estimates are
aggregated to the county. In some of these cases the aggregations do not exactly match county boundaries; this typically
occurs in metro areas and affects a very small geographic area.

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Wisconsin SHAP Grantee Chartbook

Exhibit 3.2: Demographic Profile by Source of Health Insurance Coverage, Age 0-18, ACS 2008

Private Government
Population Uninsured Insured
Coverage Coverage
(000) % SE % SE % SE % SE
Race and Ethnicity
Hispanic 116 14.5 2.26 85.5 2.26 52.9 3.29 37.3 3.05
White Alone 1,070 4.3 0.41 95.7 0.41 82.4 0.71 16.0 0.65
Black Alone 107 5.5 1.21 94.5 1.21 37.0 3.70 60.2 3.63
Asian Alone 42 3.8 1.34 96.2 1.34 73.6 5.06 29.9 5.42
Multiple/other
57 7.1 1.98 92.9 1.98 53.8 4.24 42.9 4.23
non-Hispanic
Total 1,391 5.3 0.40 94.7 0.40 75.1 0.78 22.7 0.74
Age
0-18 1,391 5.3 0.40 94.7 0.40 75.1 0.78 22.7 0.74
19-24 -- -- -- -- -- -- -- -- --
25-44 -- -- -- -- -- -- -- -- --
45-64 -- -- -- -- -- -- -- -- --
Total 1,391 5.3 0.40 94.7 0.40 75.1 0.78 22.7 0.74
P o ve r t y L e ve l
0-99% FPL 183 11.2 1.72 88.8 1.72 23.0 2.14 71.9 2.37
100-199% FPL 271 9.0 1.27 91.0 1.27 54.5 2.12 41.8 2.02
200-399% FPL 492 4.3 0.52 95.7 0.52 88.3 0.85 9.7 0.75
400%+ FPL 411 1.6 0.27 98.4 0.27 96.6 0.44 2.9 0.42
Total 1,357 5.3 0.41 94.7 0.41 75.3 0.79 22.4 0.74
Se x
Male 708 5.6 0.46 94.4 0.46 74.7 0.89 22.9 0.85
Female 683 5.1 0.53 94.9 0.53 75.4 0.96 22.4 0.91
Total 1,391 5.3 0.40 94.7 0.40 75.1 0.78 22.7 0.74
Work Status
Not working 16 17.6 4.48 82.4 4.48 69.0 5.40 14.7 4.02
Part-time 54 7.3 1.58 92.7 1.58 84.1 2.31 10.0 1.92
Full-time 16 27.7 5.66 72.3 5.66 66.4 5.80 8.4 2.95
Total 86 12.9 1.73 87.1 1.73 78.1 2.10 10.6 1.53
Definitions: % = Percent; SE = Standard Error
Note: Counts are presented in thousands.
Source: U.S. Census Bureau, 2008 American Community Survey.

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Wisconsin SHAP Grantee Chartbook

Exhibit 3.3: Sub-State Uninsurance Estimates, Age 0-18, <200% FPL, ACS 2008

Source: U.S. Census Bureau, 2008 American Community Survey.


* Statistically different from the state uninsurance estimate for people age 0-18 under 200% FPL (9.9%).
^ Data are suppressed for sub-state areas with fewer than 50 observations.
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single
year of ACS data. In most metro areas sub-county estimates are available, but for this map all sub-county estimates are
aggregated to the county. In some of these cases the aggregations do not exactly match county boundaries; this typically
occurs in metro areas and affects a very small geographic area.

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Wisconsin SHAP Grantee Chartbook

Exhibit 3.4: Demographic Profile by Source of Health Insurance Coverage,


Age 0-18, <200% FPL, ACS 2008

Private Government
Population Uninsured Insured
Coverage Coverage
(000) % SE % SE % SE % SE
Race and Ethnicity
Hispanic 66 17.8 3.25 82.2 3.25 35.5 4.31 53.5 4.28
White Alone 268 9.6 1.35 90.4 1.35 49.2 2.01 46.9 1.99
Black Alone 74 5.5 1.46 94.5 1.46 23.9 4.13 74.2 3.91
Asian Alone 16 5.0 2.89 95.0 2.89 43.1 9.00 62.8 8.94
Multiple/other
28 8.1 3.24 91.9 3.24 32.9 5.62 62.9 5.93
non-Hispanic
Total 454 9.9 1.03 90.1 1.03 41.8 1.64 53.9 1.64
Age
0-18 454 9.9 1.03 90.1 1.03 41.8 1.64 53.9 1.64
19-24 -- -- -- -- -- -- -- -- --
25-44 -- -- -- -- -- -- -- -- --
45-64 -- -- -- -- -- -- -- -- --
Total 454 9.9 1.03 90.1 1.03 41.8 1.64 53.9 1.64
P o ve r t y L e ve l
0-99% FPL 183 11.2 1.72 88.8 1.72 23.0 2.14 71.9 2.37
100-199% FPL 271 9.0 1.27 91.0 1.27 54.5 2.12 41.8 2.02
200-399% FPL -- -- -- -- -- -- -- -- --
400%+ FPL -- -- -- -- -- -- -- -- --
Total 454 9.9 1.03 90.1 1.03 41.8 1.64 53.9 1.64
Se x
Male 232 10.0 1.12 90.0 1.12 42.1 1.87 53.7 1.87
Female 222 9.8 1.40 90.2 1.40 41.5 1.96 54.2 2.03
Total 454 9.9 1.03 90.1 1.03 41.8 1.64 53.9 1.64
Work Status
Not working 7 23.5 8.34 76.5 8.34 52.3 9.76 26.3 7.92
Part-time 9 13.1 4.81 86.9 4.81 53.4 8.00 35.4 7.94
Full-time* 6 -- -- -- -- -- -- -- --
Total 22 25.4 5.00 74.6 5.00 48.6 5.66 27.8 4.90

Definitions: % = Percent; SE = Standard Error


Note: Counts are presented in thousands.
*Sample size for this subpopulation is not sufficient to provide an estimate.
Source: U.S. Census Bureau, 2008 American Community Survey.

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Wisconsin SHAP Grantee Chartbook

Exhibit 3.5: Sub-State Uninsurance Estimates, Age 0-18 by Federal Poverty Level (FPL), ACS 2008

All Poverty
<200% FPL
Levels
% SE % SE
County
Ashland, Bayfield, Burnett, Douglas, Iron, Price, Rusk,
Sa w y e r , T a y l o r , W a s h b u r n 7.4 1.6 9.3 2.8
Brown 3.1 1.2 7.9 3.7
B a r r o n , C l a r k , D u n n , P o l k , St . C r o i x 12.0 * 2.2 25.6 * 5.9
Chippewa, Eau Claire 4.8 1.9 10.4 4.8
A d a m s , F o r e s t , J u n e a u , L a n g l a d e , L i n c o ln , O n e id a , P o r t a g e ,
Vilas, Wood 4.7 1.1 8.9 2.6
B u f f a l o , C r a w f o r d , J a c k s o n , M o n r o e , P e p i n , P ie r c e ,
Trempealeau, Vernon 10.5 3.8 24.0 9.3
Grant, Green, Iowa, Lafayette, Richland 11.1 3.1 19.3 6.9
La Crosse 2.9 1.6 7.2 4.6
C o l u m b i a , D o d g e , Sa u k 3.3 1.4 3.2 * 1.6
Dane 3.3 1.1 7.1 3.9
Door, Florence, Kewaunee, Manitowoc, Marinette, Oconto 7.3 2.6 11.3 6.0
F o n d d u L a c , G r e e n L a k e , M a r q u e t t e , M e n o m in e e , S h a w a n o ,
Waupaca, Waushara 4.7 1.7 6.4 2.4
Calumet, Outagamie, Winnebago 2.6 * 0.7 2.8 * 1.3
Marathon 6.6 2.1 20.8 6.7
Jefferson, Walworth 3.7 1.2 5.3 3.2
Kenosha 4.6 3.0 9.2 7.3
Racine 3.6 1.8 5.8 3.8
Milwaukee 7.4 1.3 10.0 2.3
Waukesha 1.8 * 1.0 -- --
Ozaukee, Washington 2.9 1.3 9.2 7.4
Rock 7.2 2.2 10.8 4.6
Sh e b o y g a n 12.0 * 2.2 -- --
Definitions: % = Percent; SE = Standard Error
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single
year of ACS data. In most metro areas sub-county estimates are available, but for this map all sub-county estimates are
aggregated to the county. In some of these cases the aggregations do not exactly match county boundaries; this typically
occurs in metro areas and affects a very small geographic area.
* Statistically different from the state uninsurance estimate for population group (Age 0-18, 5.3%; Age 0-18<200% FPL, 9.9%).
-- Data are suppressed for sub-state areas with fewer than 50 observations.
Source: U.S. Census Bureau, 2008 American Community Survey.

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Wisconsin SHAP Grantee Chartbook

Exhibit 4.1: Sub-State Uninsurance Estimates, Age 19-64, ACS 2008

Source: U.S. Census Bureau, 2008 American Community Survey.


* Statistically different from the state uninsurance estimate for people age 19-64 (12.1%).
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single
year of ACS data. In most metro areas sub-county estimates are available, but for this map all sub-county estimates are
aggregated to the county. In some of these cases the aggregations do not exactly match county boundaries; this typically
occurs in metro areas and affects a very small geographic area.

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Wisconsin SHAP Grantee Chartbook

Exhibit 4.2: Demographic Profile by Source of Health Insurance Coverage, Age 19-64, ACS 2008

Private Government
Population Uninsured Insured
Coverage Coverage
(000) % SE % SE % SE % SE
Race and Ethnicity
Hispanic 157 36.6 2.72 63.4 2.72 53.9 2.62 12.4 1.32
White Alone 2,973 10.0 0.28 90.0 0.28 83.0 0.36 10.1 0.26
Black Alone 174 20.6 1.73 79.4 1.73 51.7 2.14 30.8 1.88
Asian Alone 74 19.0 3.01 81.0 3.01 73.9 3.24 9.0 1.58
Multiple/other
59 23.6 3.06 76.4 3.06 57.2 3.31 22.2 2.68
non-Hispanic
Total 3,438 12.1 0.32 87.9 0.32 79.4 0.38 11.4 0.27
Age
0-18 -- -- -- -- -- -- -- -- --
19-24 471 22.7 1.06 77.3 1.06 68.2 1.19 11.3 0.74
25-44 1,448 12.5 0.49 87.5 0.49 77.8 0.60 11.8 0.43
45-64 1,519 8.5 0.34 91.5 0.34 84.4 0.44 11.1 0.35
Total 3,438 12.1 0.32 87.9 0.32 79.4 0.38 11.4 0.27
P o ve r t y L e ve l
0-99% FPL 331 30.5 1.46 69.5 1.46 35.3 1.63 37.8 1.47
100-199% FPL 447 27.6 1.16 72.4 1.16 49.4 1.26 26.6 1.06
200-399% FPL 1,106 11.8 0.52 88.2 0.52 83.6 0.61 7.8 0.39
400%+ FPL 1,515 4.0 0.28 96.0 0.28 94.5 0.31 4.0 0.22
Total 3,400 12.2 0.32 87.8 0.32 79.3 0.39 11.5 0.27
Se x
Male 1,724 14.1 0.44 85.9 0.44 79.6 0.49 9.5 0.31
Female 1,713 10.2 0.36 89.8 0.36 79.2 0.46 13.4 0.36
Total 3,438 12.1 0.32 87.9 0.32 79.4 0.38 11.4 0.27
Work Status
Not working 446 16.5 0.87 83.5 0.87 57.5 1.08 35.0 1.00
Part-time 621 15.9 0.71 84.1 0.71 71.9 0.85 15.1 0.65
Full-time 2,371 10.4 0.34 89.6 0.34 85.5 0.40 6.0 0.24
Total 3,438 12.1 0.32 87.9 0.32 79.4 0.38 11.4 0.27
Definitions: % = Percent; SE = Standard Error
Note: Counts are presented in thousands.
Source: U.S. Census Bureau, 2008 American Community Survey.

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Wisconsin SHAP Grantee Chartbook

Exhibit 4.3: Sub-State Uninsurance Estimates, Age 19-64, <200% FPL, ACS 2008

Source: U.S. Census Bureau, 2008 American Community Survey.


* Statistically different from the state uninsurance estimate for people age 19-64 under 200% FPL (28.8%).
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single
year of ACS data. In most metro areas sub-county estimates are available, but for this map all sub-county estimates are
aggregated to the county. In some of these cases the aggregations do not exactly match county boundaries; this typically
occurs in metro areas and affects a very small geographic area.

August 25, 2010 www.shadac.org 15


Wisconsin SHAP Grantee Chartbook

Exhibit 4.4: Demographic Profile by Source of Health Insurance Coverage,


Age 19-64, <200% FPL, ACS 2008

Private Government
Population Uninsured Insured
Coverage Coverage
(000) % SE % SE % SE % SE
Race and Ethnicity
Hispanic 74 52.2 3.81 47.8 3.81 32.9 3.38 17.5 2.29
White Alone 565 25.4 0.94 74.6 0.94 47.5 1.14 31.0 0.97
Black Alone 89 27.3 2.62 72.7 2.62 27.8 2.59 47.5 3.01
Asian Alone 28 37.5 6.00 62.5 6.00 48.4 5.86 15.9 3.40
Multiple/other
22 32.1 4.85 67.9 4.85 29.0 4.69 41.9 4.99
non-Hispanic
Total 778 28.8 0.93 71.2 0.93 43.4 1.01 31.4 0.87
Age
0-18 -- -- -- -- -- -- -- -- --
19-24 187 29.4 1.97 70.6 1.97 55.5 2.27 18.2 1.46
25-44 344 29.5 1.38 70.5 1.38 38.4 1.43 35.0 1.35
45-64 248 27.4 1.32 72.6 1.32 41.0 1.42 36.3 1.34
Total 778 28.8 0.93 71.2 0.93 43.4 1.01 31.4 0.87
P o ve r t y L e ve l
0-99% FPL 331 30.5 1.46 69.5 1.46 35.3 1.63 37.8 1.47
100-199% FPL 447 27.6 1.16 72.4 1.16 49.4 1.26 26.6 1.06
200-399% FPL -- -- -- -- -- -- -- -- --
400%+ FPL -- -- -- -- -- -- -- -- --
Total 778 28.8 0.93 71.2 0.93 43.4 1.01 31.4 0.87
Se x
Male 346 35.9 1.40 64.1 1.40 42.4 1.49 24.8 1.12
Female 432 23.2 1.03 76.8 1.03 44.1 1.16 36.7 1.09
Total 778 28.8 0.93 71.2 0.93 43.4 1.01 31.4 0.87
Work Status
Not working 207 26.6 1.56 73.4 1.56 28.8 1.54 49.9 1.69
Part-time 214 27.8 1.58 72.2 1.58 45.0 1.86 30.1 1.56
Full-time 358 30.7 1.27 69.3 1.27 50.8 1.38 21.4 1.07
Total 778 28.8 0.93 71.2 0.93 43.4 1.01 31.4 0.87
Definitions: % = Percent; SE = Standard Error
Note: Counts are presented in thousands.
Source: U.S. Census Bureau, 2008 American Community Survey.

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Wisconsin SHAP Grantee Chartbook

Exhibit 4.5: Sub-State Uninsurance Estimates, Age 19-64 by Federal Poverty Level (FPL), ACS 2008

All Poverty
<200% FPL
Levels
% SE % SE
County
Ashland, Bayfield, Burnett, Douglas, Iron, Price, Rusk,
Sa w y e r , T a y l o r , W a s h b u r n 15.3 * 1.5 29.6 3.1
Brown 12.6 1.7 40.5 * 5.2
B a r r o n , C l a r k , D u n n , P o l k , St . C r o i x 15.1 1.4 37.9 * 4.4
Chippewa, Eau Claire 13.5 2.1 22.0 5.2
A d a m s , F o r e s t , J u n e a u , L a n g l a d e , L i n c o ln , O n e id a , P o r t a g e ,
Vilas, Wood 13.6 1.2 29.0 3.1
B u f f a l o , C r a w f o r d , J a c k s o n , M o n r o e , P e p i n , P ie r c e ,
Trempealeau, Vernon 14.8 1.7 32.0 5.0
Grant, Green, Iowa, Lafayette, Richland 12.6 1.4 22.1 3.9
La Crosse 10.7 * 1.9 24.6 5.2
C o l u m b i a , D o d g e , Sa u k 9.5 1.4 20.4 * 3.6
Dane 10.4 1.1 27.0 3.4
Door, Florence, Kewaunee, Manitowoc, Marinette, Oconto 12.0 * 1.5 30.1 4.3
F o n d d u L a c , G r e e n L a k e , M a r q u e t t e , M e n o m in e e , S h a w a n o ,
Waupaca, Waushara 10.1 * 1.1 22.2 * 3.2
Calumet, Outagamie, Winnebago 10.5 1.0 27.2 3.6
Marathon 10.6 1.7 40.5 6.6
Jefferson, Walworth 9.1 1.3 15.7 * 3.6
Kenosha 12.7 * 2.4 29.5 8.3
Racine 11.1 1.9 27.7 6.0
Milwaukee 16.6 * 1.0 32.0 2.1
Waukesha 6.8 * 1.0 19.0 * 4.1
Ozaukee, Washington 7.3 1.1 26.5 6.0
Rock 14.4 1.9 32.5 5.0
Sh e b o y g a n 8.8 * 1.8 22.8 6.2
Definitions: % = Percent; SE = Standard Error
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single
year of ACS data. In most metro areas sub-county estimates are available, but for this map all sub-county estimates are
aggregated to the county. In some of these cases the aggregations do not exactly match county boundaries; this typically
occurs in metro areas and affects a very small geographic area.
* Statistically different from the state uninsurance estimate for population group (Age 0-64, 12.1%; Age 0-64 <200% FPL, 28.8%).
Source: U.S. Census Bureau, 2008 American Community Survey.

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Wisconsin SHAP Grantee Chartbook

Appendix A. Technical Assistance Available from SHADAC


SHADAC has a contract with Health Resources and Services Administration (HRSA) at Health and Human
Services (HHS) to provide technical assistance to states that have received State Health Access Program
(SHAP) grants. This includes support for data collection, analysis and evaluation related to their SHAP
project work. A summary of assistance is provided below. Questions and requests can be directed to
Elizabeth Lukanen at 612-626-1537 or elukanen@umn.edu.

Data Assistance
Several SHADAC resources are available to help SHAP grantees access and utilize data relating to health
insurance coverage estimates, access to care, and understanding available data-specific technical
assistance resources. Resources include: SHADAC’s Data Center, an online table and chart generator;
issue briefs and technical briefs; and information on how to access microdata.
Web page: http://www.shadac.org/shap/technical-assistance/data

HRSA Benchmarks
SHADAC will also assist states in reporting HSRA benchmark data.
Web page: http://www.shadac.org/shap/technical-assistance/HRSA-Benchmarks

Evaluation
SHADAC staff are available to help SHAP grantees refine and implement evaluation plans, to ensure the
fidelity and success of SHAP-funded programs.
Web page: http://www.shadac.org/shap/technical-assistance/evaluations

Surveys
SHADAC has a variety of resources to help SHAP grantees conduct survey research and apply the results
to relevant audiences. SHADAC’s technical assistance can facilitate the sharing of information and
expertise among grantees, help policy makers understand the unique characteristics of state sub-
populations, and provide assistance in developing survey tools and methods.

Web page: http://www.shadac.org/shap/technical-assistance/surveys

State Reform Research and Strategies


SHADAC has provided evaluative information on health reform initiatives in states participating in the
State Health Access Reform Evaluation (SHARE) program. Many of these evaluations provide descriptive
information that may be useful for SHAP grantees.

Web page: http://www.shadac.org/shap/technical-assistance/ state-reform-research-and-strategies

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Wisconsin SHAP Grantee Chartbook

Appendix B. Data Source


Source: U.S. Census Bureau, 2008 American Community Survey (ACS). Calculations by SHADAC.
Estimates for the ACS exclude military but include non-institutionalized group quarters such as
college/university housing, group homes intended for adults, residential treatment facilities for adults,
workers’ group living quarters and Job Corps centers, and religious group quarters.

Population counts are presented in thousands.

Definitions: '%' = Percent; 'SE' = Standard error as a percent. Confidence intervals can be calculated
from the standard errors; for example, the 95% confidence interval is ±(1.96 * SE).

Insurance coverage note: Listed Medicaid rates include SCHIP and state-specific public programs. Those
who report multiple types of insurance coverage (i.e., private or public) are included in each category;
therefore, row totals may add to more than 100 percent. Active duty military coverage (e.g., TRICARE) is
considered employer-sponsored insurance, while VA coverage is considered government coverage.

ACS methodology note: The ACS asks respondents about their health insurance coverage at the time of
the interview.
For technical documentation on the ACS please visit http://www.shadac.org/content/acs-info-and-
resources.

August 25, 2010 www.shadac.org 19


Wisconsin SHAP Grantee Chartbook

Appendix C. County Groupings in Sub-state Areas

Sub-State Area^ Counties

Ashland
Bayfield
Burnett
Douglas
Iron
00100
Price
Rusk
Sawyer
Taylor
Washburn
00200
Brown
00300
Barron
Clark
00400 Dunn
Polk
St. Croix
Chippewa
00500
Eau Claire
Adams
Forest
Juneau
Langlade
00600 Lincoln
Oneida
Portage
Vilas
Wood
Buffalo
Crawford
Jackson
Monroe
00700
Pepin
Pierce
Trempealeau
Vernon
00800 Grant

August 25, 2010 www.shadac.org 20


Wisconsin SHAP Grantee Chartbook

Sub-State Area^ Counties

Green
Iowa
00800 (cont.)
Lafayette
Richland
00900 La Crosse
Columbia
01000 Dodge
Sauk
01100
Dane
01200
Door
Florence
Kewaunee
01300
Manitowoc
Marinette
Oconto
Fond du Lac
Green Lake
Marquette
01400 Menominee
Shawano
Waupaca
Waushara
Calumet
01500 Outagamie
Winnebago
01600 Marathon
Jefferson
01700
Walworth
01800 Kenosha
01900 Racine
02001
02102
02002
Milwaukee
02003
02004
02101
02202
Waukesha
02201
August 25, 2010 www.shadac.org 21
Wisconsin SHAP Grantee Chartbook

Sub-State Area^ Counties

02203 Waukesha (cont.)


Ozaukee
02300
Washington
02400 Rock
02500 Sheboygan
^ Sub-state areas are labeled according to Census Bureau-defined geographical areas known
at PUMAs (Public Use Microdata Areas). For more information on these areas, contact
SHADAC.

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Wisconsin SHAP Grantee Chartbook

Appendix D. Wisconsin Map of Major Cities

Source: U.S. Census Bureau

August 25, 2010 www.shadac.org 23


Wisconsin SHAP Grantee Chartbook

Appendix E. Wisconsin Map of County Boundaries

Source: U.S. Census Bureau

August 25, 2010 www.shadac.org 24