Register Now: Webinar on American Community Survey (ACS) - March 7th
SHADAC and the Health Care Financing & Organization (HCFO) program will jointly host a webinar on best practices for using the ACS for state health policy research. SHADAC Senior Research Fellows Elizabeth Lukanen and Joanna Turner will discuss the topics that are included in the ACS, the advantages and disadvantages of the ACS relative to other data sources, what data can be linked to the ACS, and how researchers can obtain access to the survey data. Urban Institute Senior Fellow Genevieve Kenney and Research Associate Victoria Lynch will provide a user perspective. The webinar will take place on March 7, 2013, from 1:00 p.m. to 2:30 p.m. EDT. Register now.
Request for Comments: New American Community Survey (ACS) Question on Health Insurance Exchange
The Department of Health and Human Services has requested the addition of a health insurance exchange or premium subsidy question to the ACS in order to facilitate planning, implementation, and evaluation of the role of the exchanges and subsidies for eligible individuals and families. Comments must be submitted on or before February 25, 2013, toJennifer Jessupat the Department of Commerce. To learn more,view the full notice in the Office of the Federal Register.
Lynn Blewett Appointed to National Committee for Vital Health Statistics
SHADAC Director Lynn Blewett has been appointed by Health and Human Services (HHS) Secretary Kathleen Sebelius to serve a four-year term on the National Committee for Vital Health Statistics (NCVHS), the public advisory body to the Secretary in the area of health data and statistics. NCVHS is composed of 18 individuals from the private sector who have distinguished themselves in a variety of relevant fields, including health statistics, population-based public health, health services research, health data standards, and epidemiology, among others.Learn more about NCVHS.
News from the States
2012 Kentucky Health Issues Poll: Health Insurance Coverage and Employer-Sponsored Insurance.
The Kentucky Health Issues Poll (KHIP), sponsored by The Health Foundation of Greater Cincinnati and the Foundation for a Healthy Kentucky, released two briefs based on results from its 2012 survey. The first brief, "Health Insurance Coverage in Kentucky," reports that nearly 3 in 10 Kentucky adults (28%) ages 18 to 64 were uninsured at the time of the survey and that 1 in 10 respondents who reported having insurance at the time of the survey had been uninsured at some point in the past 12 months. The second brief, "Employer-Provided Insurance Declines," reports that fewer than 4 in 10 Kentucky adults (37%) got health insurance from an employer in 2012, compared to more than 5 in 10 (55%) in 2008. Additional reports from the 2012 KHIP, along with data tables, can be found here.
“An Economic Evaluation of Medicaid Expansion in Alabama under the Affordable Care Act,” was prepared by researchers at the University of Alabama at Birmingham School of Public Health, and projects the effects of a Medicaid expansion in the state from 2014 to 2010. Under an “intermediate scenario,” the authors estimate that an expansion would reduce the state’s uninsured population by approximately 232,000 individuals, generate $20 billion in new economic activity in the state, and increase net state tax revenues by $935 million.
“Medicaid Expansion: Examining the Impact on Colorado’s Economy,” was prepared for the Colorado Health Foundation by Charles Brown Consulting, Inc. The report projects that Colorado will see an additional 275,000 Medicaid enrollees and 412,000 remaining uninsured by FY 2025-2026 with full Medicaid expansion compared to 40,986 new Medicaid enrollees and 596,000 remaining uninsured with no expansion. The cumulative net General Fund cost of full expansion from FY 2013-2014 through FY 2025-2026 is $133.8 million lower than the cost of no expansion.
“Medicaid Expansion in Indiana,” prepared by the Indiana Hospital Association and the Center for Health Policy at the University of Nebraska Medical Center, estimates that the state will see 406,717 new Medicaid enrollees through 2020 under expansion, at a $503 million cost to the state. At the same time, the state will see an estimated $10.45 billion in federal revenue through 2020 and at least $108 million each year in added state and local tax revenue.
“Analysis of Affordable Care Act Impact to Kansas Medicaid/CHIP Program,” was prepared by Aon Hewitt for the Kansas Department of Health and Environment. The report estimates that Kansas will see an enrollment increase of up to 41,538 by CY 2016 in Medicaid/CHIP without expansion and up to 226,003 with expansion. Without expansion, the state will see a budget increase of $513.5 million from CY 2014-CY2023, compared to a $1.1 billion increase with expansion.
“Expanding Medicaid in Texas: Smart, Affordable, and Fair,” was prepared by Billy Hamilton Consulting for Texas Impact and Methodist Healthcare Ministries of South Texas, Inc. The report estimates that Texas would see its Medicaid/CHIP enrollment grow by about 1.4 million new enrollees from 2014 to 2017 under a moderate enrollment scenario, reducing the state’s uninsured population by 25 percent. This moderate scenario would generate a total of $27.46 billion in federal spending in the state and $1.8 billion in state tax revenues while requiring $3.7 billion in state matching funds.
Digital Hub with Interactive Data Portal Celebrates 2nd Year as Resource for Health Reform in Illinois
Illinois Health Matters, a statewide digital hub that engages and informs stakeholders about the Affordable Care Act, celebrated its second anniversary this month. The site features multiple active social media platforms as well as an interactive infographic data portal—“Visualizing Health Care Reform.” The portal illustrates how the Medicaid expansion and the Health Insurance Exchange could expand coverage in Illinois with a map and corresponding data that can be viewed statewide, by region, for Cook County only, and by 87 community areas. 2010-2011 Census Bureau data will be added in March 2013.
Implementing the Standardized Medicaid/CHIP Eligibility Conversion Method Using State Data: Considerations and Technical Requirements
The Office of the Assistant Secretary for Planning and Evaluation (ASPE) released two issue briefs on the conversion of state Medicaid/CHIP eligibility thresholds based on the new Modified Adjusted Gross Income (MAGI) definition included in the ACA.
The first issue brief explains the various considerations for states as they decide between using Survey of Income and Program Participation (SIPP) data or their own state administrative data to implement the Standardized MAGI Conversion Methodology. The brief also explains how to use the eligibility templates provided by CMS for the conversion process along with the steps that states will need to follow if they wish to perform the conversions using state Medicaid/CHIP data.
The second issue brief provides states with technical specifications on data sources as they consider the MAGI conversion options. The brief explains the reasoning by which HHS selected the SIPP for the Standardized MAGI Conversion Methodology and the method by which the SIPP data were reweighted to be representative at the state level.
Centers for Medicare and Medicaid Services (CMS) Q&A: Medicaid and the Affordable Care Act
CMS issued a Q&A document on Medicaid and the Affordable Care Act, addressing a range of topics including the Basic Health Program (BHP), the Federal Medical Assistance Percentage (FMAP) for newly-eligible Medicaid enrollees and expansion states, the determination of benchmark benefits for the purposes of FMAP claiming, and the transition to Modified Adjusted Gross Income (MAGI). Access the Q&A document.
Data Entrepreneurs’ Synthetic Public Use File (DE-SynPUF)
The Centers for Medicare and Medicaid Services (CMS) released the DE-synPUF, created jointly by NORC at the University of Chicago and IMPAQ International. The DE-synPUF is intended to allow data entrepreneurs to develop and create software and applications that may eventually be applied to actual CMS claims data and to train researchers on the use and complexity of CMS claims data prior obtaining access to actual CMS data. The De-SynPUF is fully synthetic and was created using a 5 percent sample of enrolled Medicare beneficiaries in 2008 and includes three years of claims (2008, 2009, and 2010) with state identifiers. Access the DE-synPUF.
State Refor(u)m Webinar: “Beyond the Expansion Decision – Tackling the Other Medicaid Changes in the ACA”
State Refor(u)m will host a webinar focusing on state preparations for the critical changes to the Medicaid program that will take effect in 2014 under the ACA. These changes include requirements for eligibility and enrollment, financing, benefit design, and consumer assistance. Matt Salo, Executive Director for the National Association of Medicaid Directors, will moderate the event, and will be joined by state officials from New York, Arizona, and South Carolina. The webinar will take place on Wednesday, March 13, 2013, at 1:00 p.m. EDT. Register now.
The State Health Access Data Assistance Center (SHADAC) is a program of the Robert Wood Johnson Foundation and a part of the Health Policy and Management Division of the School of Public Health at the University of Minnesota.