New Mexico, US - SAMHSA Store

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New Mexico, US - SAMHSA Store

Enrollment under the Medicaid ExpansionandHealth Insurance ExchangesA Focus on Those with BehavioralHealth Conditions in New Mexico


Data Sources• National Survey on Drug Use and Health– Sponsored by SAMHSA– National and state estimates on prevalence ofbehavioral health conditions and treatment– 2008 – 2010 data– Approximately 67,500 interviews per year• American Community Survey– Sponsored by the U.S. Bureau of the Census– National and State population estimates, includingcounts of uninsured by income level– 2010 data– Approximately 1.9 million persons in sample2


Methods for Estimating Uninsured with M/SUConditions by FPL• From NSDUH, identified by State the number ofuninsured persons aged 18-64 with income:– Between 133% and 400% of the Federal poverty level(FPL) eligible for health insurance exchanges– Less than 139% of the FPL eligible for Medicaidexpansion• Calculated NSDUH prevalence rates for serious mentalillness (SMI) and substance use disorder (SUD) byState, for the above groups• Applied SMI/SUD prevalence rates to AmericanCommunity Survey counts of uninsured by State3


Prevalence of Serious Mental Illness Among Adults Ages 18 – 64by Current Medicaid Status and Eligibility for Medicaid Expansionor Health Insurance Exchanges: New Mexico, US20%18%16%14%Prevalence Rate12%10%8%6%4%2%0%11.7% 11.5% 7.0% 4.3% 6.0% 2.8%Current MedicaidPopulation(New Mexico: 145,956)NM CI: 7.1% - 18.1%U.S. CI: 10.8% - 12.7%Medicaid ExpansionPopulation(New Mexico: 170,472)NM CI: 2.5% - 7.3%U.S. CI: 6.3% - 7.7%Health InsuranceExchange Population(New Mexico: 157,091)NM CI: 1.1% - 6.9%U.S. CI: 5.5% - 6.6%INationalNewMexicoConfidenceInterval4CI = Confidence IntervalSources: 2008 – 2010 National Survey on Drug Use and Health (Revised March 2012)2010 American Community Survey


Prevalence of Serious Psychological Distress Among Adults Ages 18 – 64by Current Medicaid Status and Eligibility for Medicaid Expansion orHealth Insurance Exchanges: New Mexico, US40%35%30%Prevalence Rate25%20%15%NationalNewMexico10%5%0%22.1% 25.4% 14.9% 11.2% 13.3% 6.1%Current MedicaidPopulation(New Mexico: 145,956)NM CI: 18.3% - 34.2%U.S. CI: 21% - 23.2%Medicaid ExpansionPopulation(New Mexico: 170,472)NM CI: 6.6% - 18.3%U.S. CI: 14% - 15.9%Health InsuranceExchange Population(New Mexico: 157,091)NM CI: 3.6% - 10.3%U.S. CI: 12.5% - 14.2%IConfidenceInterval5CI = Confidence IntervalSources: 2008 – 2010 National Survey on Drug Use and Health (Revised March 2012)2010 American Community Survey


Prevalence of Substance Use Disorders Among Adults Ages 18 – 64 byCurrent Medicaid Status and Eligibility for Medicaid Expansion or HealthInsurance Exchanges: New Mexico, US30%25%Prevalence Rate20%15%10%5%NationalNewMexicoI ConfidenceInterval0%12.4% 17.7% 14.2% 8.4% 14.6% 17.6%Current MedicaidPopulation(New Mexico: 145,956)NM CI: 11.9% - 25.6%U.S. CI: 11.5% - 13.3%Medicaid ExpansionPopulation(New Mexico: 170,472)NM CI: 5.4% - 12.9%U.S. CI: 13.2% - 15.2%Health InsuranceExchange Population(New Mexico: 157,091)NM CI: 12.1% - 25%U.S. CI: 13.7% - 15.6%6CI = Confidence IntervalSources: 2008 – 2010 National Survey on Drug Use and Health (Revised March 2012)2010 American Community Survey


Prevalence of Behavioral Conditions Among HealthInsurance Exchange Population: New Mexico, US30%25%Uninsured Adults Ages 18 - 64 with Incomes Between133- 399% of the Federal Poverty Level (New Mexico: 157,091)NationalPrevalence Rate20%15%10%INewMexicoConfidenceInterval5%0%6.0% 2.8% 13.3% 6.1% 14.6% 17.6%Serious Mental IllnessNM CI: 1.1% - 6.9%U.S. CI: 5.5% - 6.6%Serious PsychologicalDistressNM CI: 3.6% - 10.3%U.S. CI: 12.5% - 14.2%Substance UseDisorderNM CI: 12.1% - 25%U.S. CI: 13.7% -15.6%7CI = Confidence IntervalSources: 2008 – 2010 National Survey on Drug Use and Health (Revised March 2012)2010 American Community Survey


Prevalence of Behavioral Conditions Among MedicaidExpansion Population: New Mexico, USPrevalence Rate20%18%16%14%12%10%8%6%4%2%0%Uninsured Adults Ages 18-64 with Incomes< 139% of the Federal Poverty Level (New Mexico: 170,472)7.0% 4.3% 14.9% 11.2% 14.2% 8.4%Serious MentalIllnessNM CI: 2.5% - 7.3%U.S. CI: 6.3% - 7.7%Serious PsychologicalDistressNM CI: 6.6% - 18.3%U.S. CI: 14% - 15.9%SubstanceUse DisorderNM CI: 5.4% - 12.9%U.S. CI: 13.2% - 15.2%INationalNewMexicoConfidenceInterval8CI = Confidence IntervalSources: 2008 – 2010 National Survey on Drug Use and Health (Revised March 2012)2010 American Community Survey


Methods for Estimating Population Characteristics• From NSDUH, calculated the national prevalence rates forSMI, serious psychological distress (SPD), and SUD byincome group with demographic populations of interest (e.g.,uninsured non-Hispanic whites with income


Characteristics of 18-64 Year-Olds with a Serious MentalIllness (SMI) Projected in Medicaid Expansion Population*NewNational MexicoFemale 61% 62%Age 18-34 53% 55%Race/EthnicityNon-Hispanic White 66% 40%Non-Hispanic Black 13% 2%Other 5% 22%Hispanic 16% 36%Education< High School 26% 32%High School Graduate 38% 34%College 37% 34%Most common characteristics ofpersons with SMI in Medicaid expansionpopulation in New Mexico are:• Female• Non-Hispanic White or Hispanic* Population with income less than 139% ofthe Federal Poverty Level and uninsured10Sources: 2008 – 2010 National Survey on Drug Use and Health (Revised March 2012)2010 American Community Survey


Characteristics of 18-64 Year-Olds with a Substance UseDisorder (SUD) Projected in Medicaid Expansion Population*NewNational MexicoMale 75% 75%Age 18-34 63% 65%Race/EthnicityNon-Hispanic White 51% 28%Non-Hispanic Black 20% 3%Other 4% 16%Hispanic 25% 53%Education< High School 37% 44%High School Graduate 32% 29%College 31% 28%Most common characteristics ofpersons with SUD in Medicaidexpansion population in New Mexicoare:• Male• 18-34 years old• Hispanic or Non-Hispanic White• High School Education or less* Population with income less than 139% ofthe Federal Poverty Level and uninsured11Sources: 2008 – 2010 National Survey on Drug Use and Health (Revised March 2012)2010 American Community Survey


Characteristics of 18-64 Year-Olds with a Serious MentalIllness (SMI) Projected in Health Insurance Exchange*NewNational MexicoFemale 60% 62%Age 18-34 57% 54%Race/EthnicityNon-Hispanic White 68% 52%Non-Hispanic Black 10% 1%Other 5% 17%Hispanic 17% 30%Education< High School 18% 17%High School Graduate 38% 36%College 44% 47%Most common characteristics ofpersons with SMI in exchangepopulation in New Mexico are:• Female• Non-Hispanic White or Hispanic• College Graduate* Population with income from 133% to 399%of the Federal Poverty Level and uninsured12Sources: 2008 – 2010 National Survey on Drug Use and Health (Revised March 2012)2010 American Community Survey


Characteristics of 18-64 Year-Olds with a Substance UseDisorder (SUD) Projected in Health Insurance Exchange*NewNational MexicoMale 73% 71%Age 18-34 69% 67%Race/EthnicityNon-Hispanic White 52% 36%Non-Hispanic Black 14% 1%Other 5% 15%Hispanic 29% 48%Education< High School 26% 25%High School Graduate 38% 37%College 36% 38%Most common characteristics ofpersons with SUD in exchangepopulation in New Mexico are:• Male• 18-34 years old• Hispanic or Non-Hispanic White* Population with income from 133% to 399% ofthe Federal Poverty Level and uninsured13Sources: 2008 – 2010 National Survey on Drug Use and Health (Revised March 2012)2010 American Community Survey

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