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Key Points
- Uninsurance rates have decreased from 2021.
- Mississippi’s public healthcare coverage rates were 10% higher than the national average in 2022.
- Almost half of Mississippi children have private healthcare coverage.
- Public coverage rates decline as children get older.
- The uninsurance rate for Native American children in 2022 is less than a fourth of the 2019 uninsurance rate.
- Higher income levels correlate with higher amounts of private healthcare coverage while lower income levels result in higher public healthcare coverage and uninsurance.
- Over 200,000 children at or below 138% were covered by public health insurance.
- Almost three quarters of Mississippi children at or below 214% FPL are covered by public health insurance.
- The amount of children ineligible for Medicaid, CHIP, or marketplace subsidy has increased from 2021 to 2022.
- In 2022, only 8.4% of families reported having no working adult. Over 80% reported to having one full-time working adult in the family.
Source
Researchers from the State Health Access Data Assistance Center (SHADAC) at the University of Minnesota compiled Mississippi data from the 2021 and 2022 United States Census Bureau’s American Community Survey (ACS) at the request of the Center for Mississippi Health Policy. The ACS asks a representative sample of households about their health insurance coverage. This chartbook summarizes the responses given by households for children ages 0 to 18 years. Data found at Integrated Public Use Microdata Series (IPUMS) (https://usa.ipums.org/usa/index.shtml).
Mississippi Health Coverage Trends by Type
Children 0-18 Years of Age | Data Range: 2013 – 2022
Private, Individually Purchased Healthcare & Public Healthcare Coverage Rates Have Increased from 2021.
Uninsurance Rates Have Decreased From 2021.
Statewide trends in private healthcare coverage rates for Mississippi children under 19 years of age showed an increase from 2019 to 2022. Private individually purchased health insurance coverage increased from 3.7% to 5.4%. Employment-based and military insurance healthcare coverage experienced a slight decrease from 2021 (43.5%) to 2022 (43.0%), but was overall still higher than it was in 2019 (41.2%).
Uninsurance rates drop from 2021 (6.4%) to 2022 (5.6%), and public healthcare coverage rates decrease from 2019 (49.2%) to 2022 (46.0%).
Health Coverage Comparison, United States Versus Mississippi
Children 0-18 Years of Age | Data Range: 2021 – 2022
Mississippi’s Public Healthcare Coverage Was 10% Higher Than the National Rate In 2022
In 2021, Mississippi’s private healthcare coverage for children was lower than the national private coverage rates. However, Mississippi’s public healthcare coverage was higher than the national rate, so child uninsurance rate (6.4%) was lower than the national child uninsurance rate (12.0%).
In 2022, Mississippi’s child uninsurance rate decreased from 6.4% to 5.6%, making it almost equal to the national rate (5.1%).
Both national and state private healthcare coverage rates, employee-based/military and individually purchased, decreased from 2021 to 2022. Inversely, public healthcare coverage rates increased during this time. The differences shown in these comparisons are significant and likely a result of the Medicaid changes made by the American Rescue Plan Act in 2021.
Distribution By Type of Coverage in Mississippi
Children 0-18 Years of Age | Data Range: 2021 – 2022
Private and Public Healthcare Coverage Slightly Increased for Mississippi Children from 2021 to 2022.
The Rate of Uninsured Children Has Slightly Decreased for Mississippi Children from 2021 to 2022.
In 2021, there was a higher distribution of private healthcare coverage (47.7%) amongst Mississippi children aged 0-18 years than public healthcare coverage (45.8%). The remainder (6.4%) were uninsured.
In 2022, there was an increase in both private (48.4%) and public (46%) healthcare coverage amongst Mississippi Children aged 0-18 years. The remainder (5.6%) were uninsured. Note, this percentage of uninsured is less than the previous year.
Coverage by Age Group in Mississippi
Children 0-18 Years of Age | Data Range: 2021 – 2022
As Children Get Older, Public Coverage Rates Decline.
In 2022, public healthcare coverage rates were higher than the previous year’s across all age groups, except 6-12 years. Additionally, private healthcare coverage rates were lower in 2022 than in 2021 for age groups <1year
old and 1-5years old, but were higher for age groups 6-12 years old and 13-18 years old.
In 2022, uninsurance rates were higher for the age group <1year old than the previous year, but were lower for the 6-12 and 13-18 years old age groups.
Overall, in both 2021 and 2022 public healthcare coverage rates decline as children progress in age while private coverage and uninsurance rates increase as children get older.
Uninsurance by Race and Ethnicity in Mississippi
Children 0-18 Years of Age | Data Range: 2011 – 2022
In 2021, uninsurance rates were lowest for Black children (5.1%) and second lowest for White children. Uninsurance rates were highest for Native American children (16.5%) and second highest for “Other” children (13.6%). Hispanic children experienced uninsurance rates of 13%.
In 2022, this scale is repeated. However, all groups experienced a decrease in uninsurance rates. The uninsurance rate for Native American children in 2022 is less than a fourth of the 2019 rate. Similarly, the uninsurance rate for Hispanic children is less than half of the 2019 rate.
Percent Insured by Federal Poverty Level (FPL) In Mississippi
Children 0-18 Years of Age | Data Range: 2021 – 2022
In both 2021 and 2022, we see a correlation between higher income levels and private insurance coverage. The same relationship can be seen between lower levels of income and public healthcare coverage and uninsurance.
To better understand the income levels illustrated in this chart, 138% on the Federal Poverty Level equates to an annual income of $17,609 for an individual and $36,156 for a family of four. To be considered 400% FPL, the
annual income of an individual must be at least $51,000 and $104,800 for a family of four.
Number Insured by Federal Poverty Level (FPL) in Mississippi
Children 0-18 Years of Age | Data Range: 2021 – 2022
Over 200,000 Children at or Below 138% FPL Were Covered by Public Health Insurance
According to 2022 data, over 200,000 at or below 138% FPL were covered by public health insurance. Within the next FPL group 139%-214%, we see the number of children covered by public health coverage significantly decrease.
The number of children covered by private insurance increases as the household income levels increase from 138% FPL. Inversely, we see that the levels of uninsurance among children increases as the household income levels decrease from 401% FPL.
Distribution by Type of Coverage
Children 0-18 Years of Age | Data Range: 2021 – 2022
Almost 3/4 of Children at or Below 214% FPL Are Covered by Public Health Insurance.
Public health insurance covers almost three-quarters (71.5%) of children with family incomes below 214% FPL in Mississippi, while one-fifth (22.3%) are covered by some kind of private insurance. The remainder (6.2%) of children
living in this income group lacks any type of coverage. These children are possibly eligible for the Medicaid and CHIP programs.
Coverage Eligibility Based on FPL and Age
Children 0-18 Years of Age | Data Range: 2021 – 2022
The Amount of Children Ineligible for Medicaid, Chip, or Marketplace Subsidy Increased from 2021 to 2022.
In 2022, the percentage of children ineligible for marketplace subsidy and public healthcare coverage (16.3%) was more than it was in 2021 (13.3%). There was also a decrease in children eligible for Medcaid (39.5) and CHIP (26%) coverage in 2022. However, there was an increase in children eligible
for marketplace subsidy in 2022 (23.2%).
Distribution by Family Work Status
Children 0-18 Years of Age | Data Range: 2021 – 2022
In 2022, 81% of families had at least one, fulltime working adult and 10.6% of families had at least one, part-time working adult. Only 8.4% of families reported having no working adult.
