This report examines state-level trends in employer-sponsored insurance (ESI) and the factors that influence ESI.

Forty-six million Americans, including nine million children, are uninsured, and the problem is growing. To combat this situation, the Robert Wood Johnson Foundation is working in several areas to accomplish the goal of ensuring that everyone in America has affordable and stable health care coverage.

In this issue brief (based on a longer report), SHARE grantee Stan Dorn and his research team present preliminary findings from their evaluation of auto-enrollment procedures in Massachusetts.  The researchers use data from interviews with policymakers, stakeholders, advocates, and others, along with a review of published reports, to identify the factors that were important in encouraging, in particular, the enrollment of eligible, low-income uninsured.  Factors identified include: the use of state data rather

Principal Investigator Ron Deprez and his research team have released early findings from their SHARE project evaluating health reform outcomes in Vermont.  This issue brief, "Achieving Universal Coverage through Comprehensive Reform: The Vermont Experience," reveals evidence that the percentage of Vermont residents aged 0 to 64 with some type of insurance coverage increased by 2.4% between 2005 and 2008 and that most of this improvement came from increases in public coverage.  The brief provides a summary of key lessons learned from the Vermont health reform experience, emphasizi