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Abraham, Jean M.
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Thoughts, insights and analysis from SHADAC experts
Blog:
Affordability and Access to Care in 2018: Examining Racial and Educational Inequities across the United States (Infographic)
Dec. 17, 2019
:
The Centers for Medicare and Medicaid Services (CMS) recently reported that the cost of health care spending in the United States increased by 4.6 percent last year to reach an all-time high of approximately $3.6 trillion.1 This report comes amidst a number of other concerning health care cost-related trends, such as the largest single-year increase for single-coverage premiums in...
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Blog:
Now Available on State Health Compare: Eleven Updated Measures and One Brand New Measure
Dec. 02, 2019
:
Estimates for measures from a variety of categories (Health Outcomes, Health Behaviors, Access to Care, Cost of Care, and Social and Economic Factors, etc.) have now been updated on SHADAC’s State Health Compare web tool. All measures now contain data for 2018, the most recent year available. State Health Compare has also added a brand new measure, Adult E-Cigarette Use. Updated Measures...
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Blog:
New Report for Connecticut Explores “What’s Happening with Health Information Exchange in the State”
Nov. 25, 2019
:
Under contract with the Connecticut Health Foundation, SHADAC Senior Researchers Christina Worrall, MPP, and Emily Zylla, MPH, have authored a new policy brief exploring the launch of a new statewide health information exchange in Connecticut—called the Health Information Alliance—and the next steps and key questions to ask to ensure success. About the Report A long-time goal for...
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Journal Article:
Medicaid expansion and the Medicaid undercount in the American Community Survey (Health Services Research Article)
Nov. 20, 2019
:
Researchers at SHADAC have long been interested in the issue of “Medicaid undercount,” or the discrepancies that exist between survey estimates of enrollment in Medicaid and the number of enrollees that are actually reported in state and national administrative data—a pattern in which the former estimate is reported consistently lower than the latter. Studies on the subject have shown that...
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Blog:
Alternatives to ACA Compliant Plans in the Individual Market
Nov. 15, 2019
:
Introduction Change is constant in the nongroup health insurance market, and both recent and forthcoming regulation changes might pose a threat to market stability. So far, these regulation changes include eliminating the individual mandate tax penalty; eliminating cost sharing payments in 2017; reducing funding for ACA navigator services; and invalidating the guarantee issue and community...
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Blog:
Minnesota's Growing and Evolving Opioid Crisis
Oct. 28, 2019
:
On Thursday, October 24, SHADAC Senior Research Fellow Colin Planalp presented a data-focused look at Minnesota’s opioid crisis during the University of Minnesota’s Medical Industry Leadership Institute “Combating Minnesota’s Opioid Epidemic” policy forum. Colin shared the stage with experts in a variety of arenas and policy levels including state and federal legislators and local stakeholders,...
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Blog:
SHADAC Resource on Required Evaluation Plans for DSRIP/Delivery System Reforms through 1115 Waivers
Oct. 11, 2019
:
Introduction SHADAC researchers have extensive experience providing technical assistance to states on payment and delivery system reform, often supporting the evaluation and monitoring of these activities. Recently, we have been working with a subset of states pursuing innovative policies under the Medicaid 1115 waiver opportunity, which requires a rigorous independent evaluation. To support...
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Blog:
Using 1115 Waivers to Fund State Uncompensated Care Pools
Oct. 03, 2019
:
Definitions Uncompensated Care:[vii] Care for the uninsured or underinsured delivered in hospitals that is not fully reimbursed. Costs associated with uncompensated care include charity care when patients do not have the ability to pay, and/or bad debt from unpaid bills, and/or Medicaid shortfall (the difference between a hospital’s cost for providing care to...
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