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Reviewing Medicaid enrollment by race / ethnicity

Analyzing Medicaid enrollment data by race and ethnicity sheds light on the program’s reach and impact across different communities.
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Reviewing Medicaid enrollment by race / ethnicity
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Medicaid, a crucial program providing healthcare coverage to millions of low-income individuals and families, is an essential component of the American healthcare system. Analyzing Medicaid enrollment data by race and ethnicity sheds light on the program’s reach and impact across different communities.


The data sourced from the Kaiser Family Foundation (KFF) provides a comprehensive breakdown of Medicaid enrollment by race and ethnicity, detailing both percentages and absolute numbers. It includes notes and definitions that help contextualize the information. For example, “Other” includes Asian, Native Hawaiian or Other Pacific Islander, American Indian or Alaska Native, and individuals of two or more races. Hispanic origin is considered an ethnicity, and individuals in this category may be of any race.


Top 5 states for Medicaid enrollment by race / ethnicity (percentages)

Location

White

Black

Hispanic

Other

United States

40%

21%

25%

14%

Alabama

46%

44%

5%

4%

Alaska

37%

6%

4%

54%

Arizona

35%

7%

41%

17%

Arkansas

56%

26%

8%

10%

California

19%

9%

56%

16%

Colorado

34%

7%

33%

26%

Connecticut

49%

20%

29%

3%

Delaware

43%

39%

16%

3%

District of Columbia

2%

85%

8%

5%

Florida

34%

27%

29%

11%

Georgia

40%

46%

0%

13%

Hawaii

26%

1%

1%

72%

Idaho

98%

0%

0%

2%

Illinois

38%

29%

23%

10%

Indiana

66%

21%

10%

3%

Iowa

48%

6%

6%

40%

Kansas

60%

14%

19%

7%

Kentucky

77%

12%

3%

7%

Louisiana

37%

52%

3%

7%

Maine

79%

3%

1%

16%

Maryland

31%

48%

10%

11%

Massachusetts

32%

8%

15%

45%

Michigan

57%

29%

6%

8%

Minnesota

58%

18%

8%

16%

Mississippi

36%

57%

2%

5%

Missouri

65%

25%

5%

5%

Montana

74%

1%

3%

22%

Nebraska

57%

13%

16%

13%

Nevada

36%

18%

35%

11%

New Hampshire

89%

2%

5%

3%

New Jersey

41%

28%

18%

13%

New Mexico

44%

2%

34%

19%

New York

32%

22%

28%

18%

North Carolina

43%

37%

11%

9%

North Dakota

63%

5%

4%

27%

Ohio

67%

29%

3%

1%

Oklahoma

54%

12%

16%

18%

Oregon

63%

4%

21%

12%

Pennsylvania

56%

25%

13%

6%

Rhode Island

34%

7%

16%

43%

South Carolina

41%

46%

6%

7%

South Dakota

55%

3%

4%

38%

Tennessee

60%

29%

5%

5%

Texas

21%

16%

50%

13%

Utah

88%

2%

5%

5%

Vermont

71%

2%

0%

27%

Virginia

41%

37%

11%

11%

Washington

49%

6%

17%

28%

West Virginia

93%

5%

0%

1%

Wisconsin

56%

16%

10%

18%

Wyoming

75%

2%

14%

9%

Medicaid Statistical Information System (MSIS) data from FY 2013. 2013 data was unavailable for NC, KS, RI, and CO, so 2012 and 2011 data was used for those states instead.


States with the highest number of Medicaid enrollees

Location

White

Black

Hispanic

Other

United States

29,253,700

15,517,400

17,748,800

9,812,600

Alabama

512,300

495,800

57,900

49,400

Alaska

51,300

8,100

4,900

75,400

Arizona

586,100

119,700

676,300

285,600

Arkansas

402,000

187,500

59,000

70,400

California

2,352,400

1,041,600

6,815,400

2,013,300

Colorado

253,600

50,800

246,900

193,800

Connecticut

413,500

165,700

242,100

25,400

Delaware

111,300

100,600

40,600

6,600

District of Columbia

5,100

212,300

20,100

11,600

Florida

1,467,600

1,155,100

1,237,100

453,600

Georgia

798,900

923,200

9,300

261,500

Hawaii

80,000

3,700

2,000

219,100

Idaho

287,300

NSD

100

5,500

Illinois

1,165,800

881,900

707,700

311,600

Indiana

854,700

269,000

125,700

40,200

Iowa

306,700

40,200

38,800

259,100

Kansas

258,300

58,500

82,700

30,800

Kentucky

729,800

116,900

30,000

70,300

Louisiana

499,200

695,000

45,200

92,300

Maine

297,100

10,900

4,900

61,600

Maryland

366,900

567,300

118,600

124,500

Massachusetts

505,800

130,700

230,600

705,900

Michigan

1,322,500

670,500

130,200

178,700

Minnesota

664,400

212,900

92,000

186,000

Mississippi

279,800

448,500

18,300

39,900

Missouri

737,200

277,500

55,600

60,600

Montana

107,400

1,300

4,600

32,300

Nebraska

157,800

36,300

45,400

37,200

Nevada

151,400

76,400

145,900

45,100

New Hampshire

152,400

4,100

9,400

5,500

New Jersey

514,400

349,000

220,300

159,700

New Mexico

297,600

12,800

229,800

130,200

New York

1,931,100

1,305,200

1,723,400

1,092,400

North Carolina

850,800

742,400

221,100

170,400

North Dakota

53,800

4,500

3,600

23,400

Ohio

1,815,600

783,100

91,200

34,700

Oklahoma

530,900

122,900

153,400

180,500

Oregon

482,100

30,400

157,800

90,900

Pennsylvania

1,444,700

643,800

323,200

157,900

Rhode Island

66,300

14,000

31,400

84,300

South Carolina

449,700

507,400

60,900

74,400

South Dakota

75,200

4,600

5,700

51,800

Tennessee

947,700

454,800

84,900

80,600

Texas

1,071,800

832,500

2,617,500

685,200

Utah

340,000

8,100

17,500

20,200

Vermont

147,100

3,500

900

55,800

Virginia

465,400

422,500

126,300

129,200

Washington

699,800

83,900

242,500

395,000

West Virginia

407,800

22,100

100

6,500

Wisconsin

716,100

205,500

127,800

229,200

Wyoming

67,200

2,200

12,300

7,700

Medicaid Statistical Information System (MSIS) data from FY 2013. 2013 data was unavailable for NC, KS, RI, and CO, so 2012 and 2011 data was used for those states instead.


California leads the nation with the highest number of enrollees across multiple racial/ethnic categories. For White enrollees, California has 2,352,400 individuals enrolled, indicating a substantial portion of the state’s population relies on Medicaid. New York holds the highest number of Black enrollees, with 1,305,200 individuals. In the Hispanic category, California again tops the list with 6,815,400 enrollees. For the “Other” category, California continues to lead with 2,013,300 enrollees.


Conversely, analyzing the states with the lowest number of Medicaid enrollees reveals some notable trends and potential barriers to enrollment. For White enrollees, the District of Columbia has the lowest number, with only 5,100 enrollees. For Black enrollees, Wyoming reports the lowest number at 2,200. In the Hispanic category, both Idaho and West Virginia have the lowest count, with just 100 enrollees each. Lastly, for the “Other” category, Idaho again appears with the lowest number of 5,500 enrollees. These low enrollment numbers may indicate several underlying factors. For instance, states with smaller populations or lower percentages of certain racial/ethnic groups might naturally have fewer enrollees.


States with the lowest number of Medicaid enrollees

Low enrollment numbers may indicate several underlying factors. For instance, states with smaller populations or lower percentages of certain racial/ethnic groups might naturally have fewer enrollees. However, there could also be systemic barriers affecting enrollment rates. These barriers might include limited outreach and education about Medicaid eligibility, difficulties in navigating the application process, or lack of access to enrollment assistance. States with restrictive eligibility criteria or lower income thresholds for Medicaid might see fewer individuals qualifying for the program.


Conclusion

In conclusion, the analysis of Medicaid enrollment by race and ethnicity across various states highlights significant disparities and trends within the program. California consistently shows the highest enrollment numbers for White, Hispanic, and Other categories, while New York leads for Black enrollees. These states’ large and diverse populations, comprehensive Medicaid policies, and extensive outreach efforts contribute to their high enrollment numbers. Understanding these enrollment patterns is crucial for policymakers and healthcare providers. By recognizing the states with high and low enrollment numbers and the underlying factors contributing to these figures, efforts can be directed toward improving Medicaid access and equity.


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