SHADAC Study inHealthAffairs Predicts Substantial ACA "Welcome Mat" Effect in Medicaid
Ina study published byHealth Affairson June 26, 2013, SHADAC researchers Julie Sonier, Michel Boudeaux, and Lynn Blewett, conclude that the ACA is likely to lead to a substantial increase in Medicaid participation among people who are currently eligible for the program but not enrolled. A key impact of this “welcome-mat” effect will be higher Medicaid caseloads and spending even in states that do not expand Medicaid. This issue is a particular concern for states because they will not receive an enhanced federal match rate for these enrollees like they will for newly eligible enrollees. The findings from this study are based on a case study analysis of Massachusetts, where Medicaid participation among already-eligible low-income parents increased 19.4 percentage points more than in a group of control states following the state’s comprehensive 2006 health reforms.
SHADAC State Health Reform Survey Item Matrix (SRSIM) Now Available
The SRSIM,now available for download, is a resource that builds on activities of theState Reform Survey Workgroup, which assembled in the fall of 2010 to discuss metrics for monitoring ACA progress in state surveys. The SRSIM is an Excel file with sort and filter functions that allows users to search for survey questions from existing state surveys within a number of essential domains identified by the Workgroup. The matrix allows comparison of survey metrics between state and national surveys and provides a resource to inform decisions around metrics to include in future surveys. Use of the SRSIM may create greater uniformity across state survey instruments, allowing comparisons outside the use of federal or foundation data.
SHADAC Brief on Data from the National Association of Insurance Commissioners (NAIC) for ACA Evaluation
SHADAC released an issue brief,“Using Data from the National Association of Insurance Commissioners for Health Reform Evaluation.” The brief, sponsored by the Robert Wood Johnson Foundation’s State Health Reform Assistance Network program, provides background on data collected by the NAIC that can be used to evaluate marketplace responses—both within and across states—to new insurance regulations established by the ACA. Authors Pinar Karaca-Mandic and Jean M. Abraham, faculty members in the Division of Health Policy and Management at the University of Minnesota School of Public Health, focus in particular on the Supplemental Health Care Exhibit, which is a new NAIC exhibit developed to collect data specifically for health reform monitoring purposes.
SHADAC Presentations from the 2013 AcademyHealth Annual Research Meeting (ARM) Now Available Online
A number of SHADAC researchers presented at the 2013 AcademyHealth ARM, which took place from June 23-25, 2013, in Baltimore, MD, and at the adjunct 2013 State Health Research and Policy Interest Group Meeting, which took place on June 22, 2013:
Also presenting at the 2013 ARM was John Graves, Assistant Professor at Vanderbilt University, who discussed findings from his SHARE-funded research in a presentation titled, “The Dynamics of Medicaid Expansion: Churning and Drop-Out.”
National Health Interview Survey (NHIS): 2012 Health Insurance Coverage Estimates Released
The National Center for Health Statistics (NCHS) released health insurance coverage estimates from the 2012 NHIS. In a report detailing the estimates, NCHS analysts Robin Cohen and Michael Martinez look at periods of uninsurance, sources of coverage, and policyholder information. They observe that, among adults ages 19 to 64 years, 20.9 percent were uninsured at the time of interview, a continued decrease from the 22.3 percent high seen in 2010. The percentage of children under age 18 who were uninsured at the time of interview also continued to decline, falling to 10.4 percent from its most recent high of 13.3 percent in 2008. View the report and accompanying tables.
State-Level ACS Data on Insurance and Income Status among American Indians and Alaska Natives
In a new report, “American Indians and Alaska Natives: 50-State Data from the American Community Survey for Policy Analysis for Health Care Reform,” analysts from the Port Gamble S’Klallam Tribe in Washington State and from the Washington State Health Care Authority explore variations in insurance and income status among American Indians and Alaska natives, with comparisons between the national, state, and sub-state level. The authors conduct this analysis using a dataset developed from 2009-2011 three-year pooled ACS data. State-level reports from this dataset will be produced for the 33 states where there are Indian Tribes and Indian Health Services-funded health programs.
Webinar: ACS Data for Small Geographic Areas and Population Subgroups
The ACS Data Users Group is hosting a webinar geared to novice and intermediate ACS data users during which an analyst from the U.S. Census Bureau will provide an overview of ACS data for small geographic areas and population subgroups. This overview will be followed by a discussion of ACS data applications for local areas led by experts who have used these applications in their work. The webinar will take place on July 10, 2013, from 1:00 p.m. to 2:00 p.m. EDT.Register here.
ACS Analysis: Impact of State Medicaid Expansion Decisions on Coverage by Race and Ethnicity
In areportfrom the Kaiser Family Foundation, authors Samantha Artiga and Jessica Stephens use data from the 2011 ACS to analyze the impact of state Medicaid expansion decisions on health insurance coverage by race and ethnicity. The authors find that people of color will be disproportionately affected by state Medicaid expansion decisions. While the impact of these decisions will vary widely depending on the particular race or ethnicity in question, Blacks are at the highest risk of continuing to face coverage gaps due to state decisionsnotto expand Medicaid
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.