Public Health Insurance as Poverty Reducer?

By Martha Heberlein

I wanted to share an interesting tidbit that I couldn’t squeeze into my earlier blog on the supplemental poverty measure (SPM). As I mentioned, one of the new parameters included in the SPM is out-of-pocket spending on medical expenses. Well, if you look at those in poverty under the two definitions, it’s clear that they have an impact.

Official Poverty Measure

Supplemental Poverty Measure

Private Coverage

4.8%

7.5%

Public Coverage

37.6%

31.7%

Uninsured

29.2%

30.7%

Those with public coverage only actually see their rate of poverty decline when out-of-pocket medical expenses are included. (One could assume that this is the result of the cost sharing limitations in Medicaid and CHIP.) On the other hand, the privately-insured and the uninsured both see their rate of poverty rise when medical out-of-pocket spending is taken into account.

Perhaps one of the things that helps reduce the poverty rate for children under the supplemental measure is their coverage in Medicaid and CHIP?

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