A recent survey conducted through the ThinkNow Research monthly Omnibus shows that a significantly higher number of respondents report having healthcare coverage in May 2014 as compared to November 2013. This increase was seen among both Hispanic and non-Hispanic respondents surveyed.

1. Affordable Care Act & Health Care Trends
July 2014

2. ❶
Research Methodology
❷
Results
❸
Appendix: Sample Profile
Contents
2

3. Methodology
Method
Onlinevia ThinkNow Research Omnibus Study
Survey Dates
Wave 1: November2013
Wave 2: May2014
Hispanic Sample:
Wave 1 n=502
Wave 2 n=504
•Age18-64
•Self-identify as Hispanic
Non-Hispanic Sample:
Wave1 n=302
Wave 2 n=306
Recruited from…
•Age18-64
•Confirm not of Hispanic origin
Weighting:
Weightsapplied with respect to gender, age and region for each sample to targets defined by the U.S. Census Bureau.
3

4. Research Highlights

5. Research Highlights
• As a result of the launch of the Affordable Care Act, significantly more Hispanic and
non-Hispanic adults reported having healthcare coverage in May 2014 compared
to November 2013 (open enrollment for 2014 ran from October ‘13 – March ‘14).
• For Hispanics, the increase was clearly driven by the Least Acculturated who in
November ’13 had by far the lowest health insurance coverage compared to
Biculturals and the Most Acculturated. As of May ‘14, the proportion of the Least
Acculturated with healthcare coverage is now even with the other two segments
(approx. 8-in-10).
• Among Hispanics, much of the increase came from the purchase of individual
health insurance plans. Among non-Hispanics, more are taking advantage of
employer-based coverage.
• Hispanics report higher levels of approval of the ACA compared to non-Hispanics.
The Least Acculturated, are the most likely to approve of the law.
• In general, Hispanics report a greater understanding of the health insurance
exchanges that are applicable in their state compared to late 2013. More are also
aware of the penalties for not enrolling.
5

6. Detailed Findings

7. Health Insurance Coverage
Q: Do you currently have health insurance? A: Yes (any form)
Base: All respondents
Both Hispanic and non-Hispanic adults have seen a rise in healthcare coverage since late last year.
77%
76%
83%
85%
0%
20%
40%
60%
80%
100%
All Hispanics
Non-Hispanics
Nov. 2013
May 2014
 indicates statistically significant differences (95% confidence)


7

8. Health Insurance Coverage by Acculturation
Q: Do you currently have health insurance? A: Yes (any form)
Base: All respondents
The increase among Hispanics is driven by the Least Acculturated segment of the population.
58%
82%
78%
82%
85%
79%
Low Acculturation
Bicultural
High Acculturation
Nov. 2013
May 2014
 indicates statistically significant differences (95% confidence)

Nov ‘13
May‘14
LessAcculturated
16%
13%
Bicultural
58%
60%
More Acculturated
26%
26%
8

9. Types of Health Insurance Coverage
Q: Do you currently have health insurance?
Base: All respondents
More Hispanics reported purchasing an individual healthcare plan compared to last year. For non-Hispanics, more are taking advantage of employer-based coverage.
42%
40%
31%
39%
13%
20%
16%
16%
15%
17%
20%
18%
77%
83%
76%
85%
Through my job
Purchased an individual plan
On Medicare or Medicaid
Covered by spouse's plan/ employer
Covered by parent's plan/ employer
Other coverage (VA, Military, etc.)
 indicates statistically significant differences (95% confidence)
Nov’13
May ‘14
Nov’13
May ‘14
All Hispanics
Non-Hispanics



9

10. Types of Health Insurance Coverage by Acculturation
Q: Do you currently have health insurance?
Base: All respondents
For the Least Acculturated group, the increase in coverage is coming from purchase of individual plans and through their employer.
32%
43%
47%
43%
38%
33%
6%
15%
16%
22%
9%
18%
13%
18%
15%
16%
18%
18%
58%
82%
82%
85%
78%
79%
Through my job
Purchased an individual plan
On Medicare or Medicaid
Covered by spouse's plan/ employer
Covered by parent's plan/ employer
Other coverage (VA, Military, etc.)
 indicates statistically significant differences (95% confidence)
Nov’13
May ‘14
Nov’13
May ‘14
Nov’13
May ‘14
Low Acculturation
Bicultural
High Acculturation

10

11. Satisfaction with Health Insurance Coverage
Q: How satisfied are you with the health insurance you currently have?
Base: Respondents with health insurance coverage
While coverage may be higher, Hispanics are reporting lower levels of satisfaction with their coverage than was the case in late 2013. This is driven mainly by a decline among bicultural Hispanics.
89%
84%
85%
84%
84%
86%
92%
83%
86%
87%
42%
43%
43%
46%
47%
43%
35%
38%
55%
55%
Very/Somewhat Satisfied
Very satisfied
 indicates statistically significant differences (95% confidence)
Nov’13
May ‘14
Nov’13
May ‘14
Nov’13
May ‘14
Nov’13
May ‘14
Nov’13
May ‘14
All Hispanics
Non-Hispanics
Low Acculturation
Bicultural
High Acculturation


11

12. How Pleased Are They With Affordable Care Act?
Q: To the best of your understanding of the new law, how pleased or displeased are you that the Affordable Care Act, also known as Obamacare, took effect this year? Base: All respondents
Hispanics report higher levels of satisfaction with the ACA compared to non-Hispanics.
50%
50%
35%
42%
45%
58%
59%
51%
32%
42%
25%
20%
14%
21%
21%
24%
30%
20%
18%
18%
Very/Somewhat pleased
Very pleased
 indicates statistically significant differences (95% confidence)


Nov’13
May ‘14
Nov’13
May ‘14
Nov’13
May ‘14
Nov’13
May ‘14
Nov’13
May ‘14
All Hispanics
Non-Hispanics
Low Acculturation
Bicultural
High Acculturation
Satisfaction is highest among Least Acculturated.
12

13. Understanding of Exchanges
Q: Depending on the state in which they live, people will either enroll in a health insurance exchange established by their state government or they will use the federal health insurance exchange. In the state in which you live, people enroll in...? Base: All respondents
In general, Hispanics report a greater understanding of the health insurance exchanges that are applicable in their state than was the case in late 2013.
45%
47%
29%
32%
29%
56%
55%
47%
31%
44%
17%
20%
16%
24%
15%
20%
16%
21%
19%
20%
39%
33%
55%
44%
56%
24%
29%
33%
50%
36%
In your state, do people enroll via…?
A state government exchange
The federal health insurance exchange
Do not know
 indicates statistically significant differences (95% confidence)





Nov’13
May ‘14
Nov’13
May ‘14
Nov’13
May ‘14
Nov’13
May ‘14
Nov’13
May ‘14
All Hispanics
Non-Hispanics
Low Acculturation
Bicultural
High Acculturation

13

14. Changing Employer Coverage to Satisfy ACA
Q: If you currently receive health insurance as part of the benefits of your job, do you need to switch your plan in order tosatisfy the requirements of the Affordable Care Act? Base: Respondents with coverage provided through their employer
While still more likely than non-Hispanics to say this is the case, Hispanics are less likely than they were in late 2013 to say that they have had to switch plans offered through their employer as a result of the ACA.
44%
20%
24%
57%
18%
34%
20%
63%
33%
16%
All Hispanics
Non-Hispanics
Column1
LowAcculturation*
Bicultural
HighAcculturation
Nov. 2013
May 2014
 indicates statistically significant differences (95% confidence)
* Caution: very low survey samples (n<30), statistical testing suppressed


14

15. Have Pre-Existing Conditions
Q: Do you have a pre-existing health condition that requires regular medication?
Base: All respondents
Just over 40% of Hispanics and non-Hispanics alike report having a pre-existing health condition that requires regular medications.
44%
46%
36%
49%
38%
43%
42%
44%
43%
41%
All Hispanics
Non-Hispanics
Column1
Low Acculturation
Bicultural
High Acculturation
Nov. 2013
May 2014
 indicates statistically significant differences (95% confidence)
15

16. Household Member With Pre-Existing Condition
Q: Does a member of your household have a pre-existing health condition that requires regular medication?
Base: All respondents
Fewer Hispanics reported having members of their household who suffer from chronic medical conditions compared to late 2013.
52%
43%
49%
54%
49%
44%
39%
42%
45%
45%
All Hispanics
Non-Hispanics
Column1
LowAcculturation
Bicultural
HighAcculturation
Nov. 2013
May 2014
 indicates statistically significant differences (95% confidence)


16

17. Appendix: Sample Profile

18. Sample Profile
Nov.2013
Hispanics
May 2014
Hispanics
Nov.2013
Non-Hispanics
May 2014
Non-Hispanics
Base(n=)
502
504
302
306
Gender:
Male
51%
51%
49%
49%
Female
49%
49%
51%
51%
Age:
18 to 24
20%
20%
15%
15%
25 to 34
27%
27%
20%
20%
35 to 44
24%
24%
20%
20%
45 to 54
18%
18%
23%
23%
55 to 64
11%
11%
21%
21%
Mean age
37
37
41
41
Census Region:
Northeast
15%
14%
19%
19%
Midwest
9%
9%
24%
24%
South
36%
36%
37%
37%
West
40%
40%
20%
20%
18

19. Sample Profile
Nov.2013
Hispanics
May 2014
Hispanics
Nov.2013
Non-Hispanics
May 2014
Non-Hispanics
Base(n=)
502
504
302
306
Education:
Less than HighSchool graduate
7%
5%
5%
3%
High School Graduate/GED
20%
20%
23%
25%
Some college/AA/Technical
33%
40%
38%
38%
College graduateor more
40%
35%
34%
34%
HouseholdIncome:
Less than $50,000
43%
45%
54%
48%
$50,000 to less than $100,000
38%
36%
30%
34%
$100,000 or more
13%
13%
12%
13%
Prefer not to state
6%
5%
4%
4%
Mean ($000)
$58
$57
$51
$56
Marital Status:
Married or living with partner
63%
63%
57%
51%
Single, never married
27%
28%
29%
36%
Separated/divorced/widowed
9%
9%
13%
13%
Prefer not to answer
1%
1%
1%
1%
Have Children <18 in HH
60%
57%
44%
37%
19

20. Sample Profile
Nov.2013
Hispanics
May 2014
Hispanics
Base(n=)
502
504
Language Spokenat Home:
Spanish only
9%
9%
Spanish mostly
30%
28%
Spanish and English equally
26%
28%
English mostly
17%
19%
English only
18%
15%
Acculturation
Lessacculturated
16%
13%
Bicultural
58%
60%
More acculturated
26%
26%
Born in U.S.
70%
74%
Bornoutside of U.S.
30%
26%
Countryof Origin
Mexican/Mexican-American
63%
61%
Puerto Rican
14%
16%
South American
10%
14%
Central American
5%
7%
Cuban
8%
6%
Dominican
4%
3%
20

21. CONTACT
INFO:
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Suite A-B
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Main Phone: 877-200-2710
Mario X. Carrasco, M.A.
818-843-0220 x101
mario@thinknowresearch.com
Roy Eduardo Kokoyachuk, MBA
818-843-0220 x102
roy@thinknowresearch.com