The Gallup poll referenced in this Fargo forum Article can be found here, www.gallup.com/poll/184514/uninsured-rates-continue-drop-states.aspx
The Fargo Forum is also looking for stories about people who were able to get insurance under the Affordable Care Act and North Dakota's expansion of Medicaid. Please email the Forum's reporter at:
pspringer@forumcomm.com.
Mike
Barry, 50, of Fargo, N.D., photographed in his apartment on Wednesday,
August 12, 2015, describes the Affordable Care Act as a "god-send" for
his health and well-being. According to a new Gallup ranking, North
Dakota's uninsured rate has dropped 8.1 percent since 2013. Nick Wagner /
The Forum
Access to health care 'a godsend' for previously uninsured man
FARGO – Not long ago, Mike Barry was going to a homeless health
clinic to take care of his chronic health conditions, which include
diabetes, high blood pressure and pulmonary disease.
But
about two years ago, he gained access to health insurance because North
Dakota expanded its Medicaid program. He's one of almost 19,000 who
picked up Medicaid coverage — a big factor in the drop in the uninsured
rate in North Dakota, which fell from 15 percent in 2013 to 6.9 percent
in the first half of this year, according to a new Gallup survey.
Now the 50-year-old Fargo man has access to a primary-care doctor and a team of specialists, a dietitian and a diabetes coach.
"I
know there's been a lot of discussion about the Affordable Care Act,"
Barry said, referring to the health reform law that allowed states to
expand Medicaid and provides health insurance premium subsidies for
others. "For me, it's been a godsend. It's opened a lot of doors."
North
Dakota is one of the 10 states that has experienced the greatest
reduction in the rate of those who are not covered by health insurance
from 2013 to 2015, according to the survey.
Over the same period,
when the national uninsured rate fell from 17.3 percent to 11.7 percent,
Minnesota's uninsured rate decreased from 9.5 percent to 4.6 percent,
Gallup reported. Minnesota was one of seven states to fall below 5
percent.
Most states have seen the uninsured rate drop, a trend
Gallup attributes to expanded health insurance coverage provided through
the Affordable Care Act, often called Obamacare.
The states with the largest decreases in the uninsured rate usually had both expanded Medicaid and created their own exchanges.
Minnesota did both, while North Dakota decided to participate in the federal health insurance exchange.
Adam Hamm, North Dakota's insurance commissioner, offered a guarded assessment of the Gallup figures.
"In
my nearly eight years as insurance commissioner, I've seen numerous
estimates and surveys regarding the number of uninsured North Dakotans
ranging anywhere from 7 percent to 15 percent," Hamm said in a
statement. "This survey is simply one more data point to consider."
Another
reading on the uninsured population came Wednesday from the Centers for
Disease Control and Prevention, which estimates that 11.5 percent were
uninsured nationwide in 2014. In North Dakota, the rate was 7.3 percent
and 6.5 percent in Minnesota.
Two health insurance executives said
they weren't surprised by the sharp drop in the uninsured rate, as
portrayed in the trend figures from the Gallup surveys.
In
addition to the almost 19,000 who gained coverage through expansion of
Medicaid eligibility in North Dakota, another 18,171 are covered through
the health insurance exchange, according to figures from March, the
most recent available.
That means 36,000 to 37,000 residents in
North Dakota recently gained health insurance coverage, said Jeff
Sandene, interim president of the Sanford Health Plan, which provides
insurance for Medicaid expansion in the state.
"That's a big
number," he said. "It really doesn't surprise me," he added, referring
to the 8.1-percentage point drop shown by the Gallup surveys. "I didn't
know the exact number."
Besides expansion of health insurance
through the Affordable Care Act, the strong economy in North Dakota has
helped broaden coverage, according to Sandene and Pat Bellmore, chief
marketing officer for Blue Cross Blue Shield of North Dakota.
The North Dakota Blues have seen more employers provide health insurance for the first time, Bellmore said.
"A
lot of it is the tight labor market," he said. To attract and keep
workers, employers must offer competitive benefits, including health
insurance, Bellmore added.
Those who previously lacked health
insurance now have the benefit of accessing health care, including
preventive care that is directed by a primary care physician and carried
out by a team of providers, Sandene said.
Barry is a case in
point. In addition to his primary-care doctor at Sanford Medical Center,
he now sees specialists for his diabetes, kidney problems and leg
problems, as well as a diabetes coach and dietitian. A community
paramedic visits him once a week to monitor his conditions.
"It's allowed me to access things I wouldn't have had access to," he said.
As
a result of the more intensive and coordinated care, Barry's chronic
conditions have stabilized and he is seeing some improvement, he said. A
35-year veteran of restaurant work, Barry has been sidelined by his
chronic health problems.
"At least I know what the problems are, what I can do, what can be done about it," he said. "It takes the guesswork out."
Bellmore
and Sandene expect more individuals to get health insurance through the
exchanges, as penalties continue to rise for those who lack coverage —
suggesting, they said, the uninsured rate should continue to decline.