Center/o Mississippi

Perey

 

ALMOST ONE-FIFTH
OF ADULTS IN
THE STATE, BELOW
400" FPL, AGES 18-64,

ARE UNINSURED.

COMPARED TO U.S. ADULTS,
ADULTS IN MISSISSIPPI
HAVE HIGHER RATES
OF UNINSURANCE
AND LOWER PRIVATE
INSURANCE RATES.

COMPARISON OF MISSISSIPPI
RATE OF UNINSURED ADULTS
TO THE NATIONAL RATE

2019

 

US MS

1138*FPL = 400% FPL

This fact sheet provides the number and percentage of adults ages
18 - 64 without health insurance at the county level in Mississippi
and compares rates for years 2016 and 2019, the most recent data.
Under the Affordable Care Act, Adults with household incomes below
138% of the Federal Poverty Level (FPL) would qualify for expanded
Medicaid coverage currently not elected by the state. Adults from
households with incomes below 400% FPL qualify for federal support
(subsidies) to buy health insurance through a Health Insurance Exchange.
Data is from the 2019 Small Area Health Insurance Estimates (SAHIE)
calculated by the United States Census Bureau.

FIG. 1 PERCENTAGE RATE OF UNINSURED MS ADULTS COUNTY MAP

BELOW 138% FPL BELOW 400% FPL
2016 2019 2016 2019
£ ! a
# a
ee |
Loa i =
wae fl
am ZZ e Z ma
a .
|
a
i
Rate of Uninsurance Rate of Uninsurance
20.0% 150.0% 15.0% 35.0%

Top Five Counties in 2019 with Highest
Uninsured Rating: Scott (46.1%);
Pontotoc (42.6%); Leake (42.5%);
Neshoba (42.0%); George (40.5%)

Top Five Counties in 2019 with Highest
Uninsured Rating: Scott (33.1%);
Neshoba (32.4%); Leake (32.0%);
Pontotoc (28.8%); George (27.9%)

FIG.2 NUMBER OF UNINSURED MS ADULT TREND, 2016 - 2019

        
   

288,175 286,506

284,546 292,439

153,654 144,506

2016 2017 2018 2019
1) 138% FPL §) 400% FPL

Source: Small Area Health Insurance Estimates (SAHIE). (2016 & 2019). U.S. Census Bureau.
lof4

Center for Mississippi Health Policy | Fact Sheet: UNINSURED ADULTS BY COUNTY = OCTOBER 2021
lm UNINSURED ADULTS AT OR BELOW 138% FPL BY COUNTY

Number (Rate*)
of Uninsured
2019
ADAMS 1,762 (32.3%)
ALCORN 1,832 (31.6*)
AMITE 615 (34.8%)
ATTALA 928 (31.0%)
BENTON 479 (33.2%)
BOLIVAR 1,992 (29.1%)
CALHOUN 882 (36.1*)
CARROLL 412 (35.4)
CHICKASAW 894 (33.1%)
CHOCTAW 385 (31.2%)
CLAIBORNE 464 (26.8*)
CLARKE 776 (34.8*)
CLAY 1,047 (30.9%)
COAHOMA 1,386 (26.8*)
COPIAH 1,513 (33.7%)
COVINGTON 1,106 (37.3%)
DESOTO 5,369 (34.7*)
FORREST 4,274 (30.7%)
FRANKLIN 366 (34.3*)
GEORGE 1,185 (40.5%)
GREENE 499 (38.0%)
GRENADA 1,081 (31.2%)
HANCOCK 2,249 (36.5)
HARRISON 10,716 (36.1%)
HINDS 11,378 (31.8")
HOLMES 1,152 (25.7)
HUMPHREYS 947 (27.4")
ISSAQUENA 59 (31.6%)
ITAWAMBA 989 (34.3)
JACKSON 5,965 (35.6*)
JASPER 934 (37.2%)
JEFFERSON 459 (29.4%)
JEFFERSON DAVIS 685 (33.5*)
JONES 3,700 (36.8*)
KEMPER 586 (35.4%)

* Change in
Number

2016 - 19
+8.9%
8.9%
-13.7°
-4,2*
2.9%
+4.9*
-20.9*
-25.7*
-27.6°
-10.4*
-18.3*
-6.8*
-16.8"
+1.7*
-5.4*
-14.6*
+0.1*
-14.6*
-2.5%
+9.9%
-16.0*
7.1%
-13.8"
-4.4°
"14.3"
-17.4*
-8.4*
-23.7*
-26.8*
-8.2*
8.9%
-25.7*
-25.3*
-5.7*
-10.6*

LAFAYETTE
LAMAR
LAUDERDALE
LAWRENCE
LEAKE

LEE
LEFLORE
LINCOLN
LOWNDES
MADISON
MARION
MARSHALL
MONROE

MONTGOMERY

NESHOBA
NEWTON
NOXUBEE
OKTIBBEHA
PANOLA
PEARL RIVER
PERRY

PIKE
PONTOTOC
PRENTISS
QUITMAN
RANKIN
SCOTT
SHARKEY
SIMPSON
SMITH
STONE
SUNFLOWER

TALLAHATCHIE

TATE
TIPPAH

Number (Rate")

of Uninsured
2019
2,990 (34.4*)
2,787 (34.1*)
3,304 (30.9%)
568 (32.7%)
1,611 (42.5%)
3,586 (33.7*)
1,719 (27.2%)
1,710 (36.3%)
2,528 (28.9%)
2,919 (38.0*)
1,555 (36.5)
1,661 (33.1*)
1,508 (32.1%)
475 (29.9%)
2,042 (42.0%)
1,181 (36.1%)
712 (33.6%)
3,169 (26.2%)
1,926 (32.3*)
2,559 (36.3")
714 (36.9*)
2,303 (29.5*)
1,971 (42.6%)
1,463 (34.0%)
465 (27.5*)
4,910 (39.0*)
2,373 (46.1%)
282 (31.1*)
1,550 (34.9%)
795 (39.8%)
818 (35.6*)
1,294 (26.8)
725 (30.0*)
1,291 (34.3")
1,116 (32.6*)

20f4

* Change in
Number

2016 - 19
+3.3*
+0.7*

4.1%
-21.5"
+5.5%

-4,.9%
-11.5*

-5.8*
-25.6"

2.9%

+1.1%

-4,4*

-8.5*
-28.4"

+11.5*
+0.4*
-31.5*

-2.8"

-3.0*

-3.4%

9.5%
+4,8"

+13.0*

2.3%
-21.3*
+8.7*
+3.8*

-4.6"
+1.3*

7.3%
+7.0*
-21.0°
-14.2*

-3.3%
-14,7*

Number (Rate")

of Uninsured
2019

TISHOMINGO - 1,047 (35.8*)
TUNICA 579 (25.1*)

UNION 1,434 (38.0*)
WALTHALL 885 (35.1%)

WARREN 2,182 (32.3%)

WASHINGTON 9 2,321 (24.8%)

WAYNE 1,105 (35.3%)
WEBSTER 482 (32.7%)
WILKINSON 456 (31.0*)
WINSTON 893 (33.8*)
YALOBUSHA 540 (29.2")

YAZOO 1,336 (29.0*)

Total Number of Uninsured
Total Percent of Change

CHANGE IN PERCENTAGE OF UNINSURED
ADULTS FROM 2016 TO 2019 (138% FPL)

 

* Changein
Number

2016-19
-0.7*
2.6"
-17.0*
12.2%
+0.1*
-26.7*

-4.0*

-6.0*

9.4%
21.3"
-23.3*
-10.9*

144,506
-6.0%

-25.0* -20.0* -15.0* -10.0* -5.0* 0.0% 15.0*

DECREASE

INCREASE

 

Center for Mississippi Health Policy | Fact Sheet: UNINSURED ADULTS BY COUNTY = OCTOBER 2021
lm UNINSURED ADULTS AT OR BELOW 400* FPL BY COUNTY

of Uninsured © Number
2019 2016-19

ADAMS 3,236 (25.3%) +16.7*
ALCORN 3,723 (23.9%) +3.7*
AMITE 1,252 (25.9*) - -6.4*
ATTALA 1,872 (24.3%)  +9.1*
BENTON 953 (24.4%) +12.2*
BOLIVAR 3,282 (24.6%) +-8.0*
CALHOUN 1,708 (26.3%) - -9.4*
CARROLL 900 (24.4%) -8.7*
CHICKASAW ~-= 1,865 (25.4*) --9.2"
CHOCTAW 754 (22.4%) --+1.6"
CLAIBORNE 737 (20.0%) -9.5%
CLARKE 1,553 (24.4%) +1.0*
CLAY 1,981 (23.4%) - -5.9%
COAHOMA 2,278 (22.5%) +2.6*
COPIAH 2,975 (24.4*) +4.0*
COVINGTON 2,128 (25.4%) --2.6*
DESOTO 13,885 (21.4%) +11.6°
FORREST 7,835 (23.5%) -6.2*
FRANKLIN 701 (23.1%) 0.0%
GEORGE 2,564 (27.9%) +20.5*
GREENE 1,059 (24.4%) = -5.8%
GRENADA 2,097 (23.6%) -3.8"
HANCOCK 4,877 (25.5%) +1.6"
HARRISON 22,526 (26.5*) = +3.7*
HINDS 23,513 (23.7*) 1.4%
HOLMES 1,766 (21.8*) - -10.6*
HUMPHREYS 876 (23.1") -4.8*
ISSAQUENA 114 (23.9%) -7.3*
ITAWAMBA 2,335 (24.5%) -3.6"
JACKSON 13,278 (23.8*) +0.7"
JASPER 1,667 (24.9%) = --6.3%
JEFFERSON 747 (23.2%) -13.5*
JEFFERSON DAVIS 1,217 (24.3*) = -11.2"
JONES 7,125 (26.3*) ---2.5*
KEMPER 1,056 (26.4%) - -9.0*

Number (Rate*) * Change in

LAFAYETTE
LAMAR
LAUDERDALE
LAWRENCE
LEAKE

LEE
LEFLORE
LINCOLN
LOWNDES
MADISON
MARION
MARSHALL
MONROE

MONTGOMERY

NESHOBA
NEWTON
NOXUBEE
OKTIBBEHA
PANOLA
PEARL RIVER
PERRY

PIKE
PONTOTOC
PRENTISS
QUITMAN
RANKIN
SCOTT
SHARKEY
SIMPSON
SMITH
STONE
SUNFLOWER

TALLAHATCHIE

TATE
TIPPAH

Number (Rate*)

of Uninsured
2019

5,289 (25.2%)
5,748 (24.4*)
6,604 (23.1%)
1,155 (22.5*)
3,063 (32.0%)
8,396 (24.6*)
2,836 (22.5%)
3,479 (26.0*)
5,056 (21.4*)
6,996 (23.3*)
2,895 (27.7%)
3,412 (23.3*)
3,313 (23.0%)

899 (22.3%)
4,026 (32.4*)
2,315 (26.6")
1,337 (26.5%)
4,762 (21.0*)
3,764 (24.4%)
5,660 (25.9*)
1,363 (25.9%)
4,064 (23.5%)
4,019 (28.8*)
2,732 (25.0%)

764 (22.5%)

* Change in
Number

2016-19

+10.8*
+7.2"
+2.2%
-12.0*
+8.6*
+10.7*
-2.4*
+4.2*
-13.3*
+8.7*
+10.0*
+3.4"
+1.3*
-16.9*
+16.7*
+3.0*
-10.8*
2.7"
+6.8*
+9.7"
-4.0*
+4.2%
+14,3*
+1.8"
-12.0*

12,564 (24.7%) +24.9%

4,083 (33.1%)
493 (25.6%)
2,984 (25.9%)
1,695 (27.6%)
1,898 (26.1%)
2,246 (22.3%)
1,231 (23.4%)
2,722 (24.8%)
2,341 (23.5%)

30f4

+4.8*
+1.2*
+12.1*
+8.7"
+23.1*
-10.3"
-10.5*
+2.0*
-1,5%

TISHOMINGO
TUNICA
UNION
WALTHALL
WARREN
WASHINGTON
WAYNE
WEBSTER
WILKINSON
WINSTON
YALOBUSHA
YAZOO

Number (Rate*)

of Uninsured
2019
2,097 (25.6")
895 (18.9%)
3,241 (26.4*)
1641 (26.2*)
4,431 (24.2*)
4,254 (21.0%)
2,170 (25.8")
939 (22.8%)
806 (23.7%)
1,866 (25.4*)
1,078 (20.3%)
2,382 (23.5%)

Total Number of Uninsured
Total Percent of Change

CHANGE IN PERCENTAGE OF UNINSURED
ADULTS FROM 2016 TO 2019 (400% FPL)

-20.0*
DECREASE

-15.0*

5.0" 0

10.0*

*® Change in

Number
2016-19
+6.4*
-0.2°
+0.3"
-4,3*
+11.6*
"10.9%
+3.0*
+1.2*
-2.7*
-4.1*
-7.7*
-5.1%

292,439
2.8%

25.0*
INCREASE

 

Center for Mississippi Health Policy | Fact Sheet: UNINSURED ADULTS BY COUNTY = OCTOBER 2021
li RATES OF UNINSURANCE INCREASED FROM 2016 TO 2019

State-level rates of uninsurance among Mississippi adults with
incomes at or below 400% FPL increased from 2016 to 2019 but
continued to fall for adults below 138% FPL (sidebar page 1). During
the same period, 18 counties saw an increase in the number of
uninsured adults at or below 138% FPL while the number of adults at

or below 400% FPL rose in 43 counties. All Mississippi counties except

for Tunica are estimated to have rates of adult uninsurance higher
than the national average for households at 400% FPL while every

county experienced higher than national rates for adults at 138% FPL

(see sidebar).

After key policies in the Affordable Care Act went into effect,

uninsurance rates decreased steadily state-wide from 2013. However,
some counties have seen recent increases in the number of uninsured

adults even though many are eligible for subsidies to buy private
insurance from the federal Health Insurance Marketplace.

Overall, gains in insurance coverage for Mississippi adults since
2013 levels have been maintained at the county level. The number
of adults without health coverage dropped by 30* in households
with incomes below 400* FPL and by almost 36" in households at
or below 138% FPL. Adults at the lowest income category have seen
steady year after year declines in uninsurance with an estimated
3,500 adults gaining coverage between 2018 and 2019. The
statewide trend for households (<400*FPL) has reversed since 2016
(see sidebar pg.1) with an increase of 7,900 more uninsured.

TOP TEN COUNTIES THAT EXPERIENCED THE
HIGHEST INCREASE IN UNINSURED ADULTS
AT OR BELOW 138° FPL, 2016 - 2019

UNINSURANCE

COUNTY RATE
Pontotoc 14.9%
Neshoba 13.0%
George 11.0%

Adams 9.7%

Rankin 9.5%

Stone pie

Leake 5.8%

Bolivar 5.2

Pike 5.1%
Scott 3.9%

TOP TEN COUNTIES THAT EXPERIENCED THE
HIGHEST INCREASE IN UNINSURED ADULTS
AT OR BELOW 400* FPL, 2016 - 2019

UNINSURANCE

COUNTY RATE
Rankin 24.9%
Stone 23.1%
George 20.5%
Adams 16.7%
Neshoba 16.7%
Pontotoc 14.3%
Benton 12.2%
Simpson 12.1%
DeSoto 11.6%
Warren 11.6%

*The poverty guidelines are updated periodically in the Federal Register by the U.S. Department of Health and

Human Services under the authority of 42 USC 9002(2).

40f4

POVERTY IN REAL TERMS
YEARLY INCOME

**FEDERAL : SINGLE : FAMILY
POVERTY LEVEL: PERSON : OFFOUR

138% : $17,236 : $35,535

400*  : $49,960 : $103,000

For more detail, see our
interactive data table here.

Center for
Mississippi
Healt
Policy

Plaza Building, Suite 700

120 N. Congress Street
Jackson, MS 39201

P 601.709.2133 | F 601.709.2134
www.mshealthpolicy.com

¥Y @mshealthpolicy

The Center for Mississippi Health
Policy is an independent, non-
partisan, non-profit organization that
provides objective information to
inform health policy decisions.

Center for Mississippi Health Policy | Fact Sheet: UNINSURED ADULTS BY COUNTY = OCTOBER 2021