The Center for Medicare and Medicaid Innovation (CMMI) at the Centers for Medicare and Medicaid Services (CMS) announced its selection of states to participate in the State Innovation Model (SIM) Initiative. Under this initiative, CMMI is providing up to $300 million to 25 states to design and test innovative multi-payer payment and delivery models for Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP). SHADAC is part of a team led by NORC at the University of Chicago that was selected by CMMI to provide consultation and technical assistance to states under the SIM Initiative. Learn more about individual state awards.
2013 Minnesota Health Services Research Conference
The 2013 Minnesota Health Services Research Conference took place on March 5that the University of Minnesota , and a number of SHADAC researchers presented their work:
A research team led by Andrew Coburn, PhD,Director of the Maine Rural Health Research Center at the University of Southern Maine, has published findings from itsSHARE-funded researchinThe Journal of Rural Health.The article, under the lead authorship of Jean Talbot, PhD, examines rural issues surrounding network adequacy standards and offers recommendations for crafting standards that incorporate a degree of flexibility in order to ensure the willingness of Qualified Health Plans to serve rural areas.
LynnBlewett: Research and Evaluation Related to Health Insurance Exchanges
SHADAC Director Lynn Blewett spoke at a February 26thseminar at the University of Minnesota on research issues related to Health Insurance Exchanges. Dr. Blewett discussed a number of practical issues that call for further research as Exchange implementation moves forward, ranging from the transition of high-risk pool enrollees into the Exchange, to the effectiveness of the individual mandate, to primary care capacity. The event was part of a series of seminars hosted by the Division of Health Policy and Management. View the presentation slides.
Save the Date: April 2nd SHARE Webinar on State and Federal Young Adult Coverage Expansions
SHARE will host a webinar featuring Dr. Joel Cantor, Director of the Center for State Health Policy at Rutgers University, who will discuss findings from hisSHARE-funded researchevaluating state and federal young adult dependent coverage expansion policies. Dr. Cantor will address a range of questions that build upon the Rutgers team's work evaluating state and federal efforts to expand young adult dependent coverage. The webinar will take place on April 2, 2013, from 1:30 p.m. to 2:30 p.m. EDT.
News from the States
2011 Estimates of Health Insurance Coverage among Colorado Children
The Colorado Health Institute (CHI) released 2011 health insurance coverage estimates for Colorado children based on the 2011 American Community Survey (ACS) and enrollment data from the Colorado Department of Health Care Policy and Financing. CHI analysts estimate that 125,000 Colorado children were uninsured in 2011, and approximately 89,000 of these were eligible for Medicaid/CHIP but not enrolled (EBNE). The 2011 estimates are availableherein three publications: a fact sheet with high-level findings and maps of county-level estimates; a data supplement with detailed tables of county-level data; and a methodology document.
ACA Impact Analyses: Alaska, Georgia, Ohio, and Pennsylvania
“Medicaid in Alaska under the ACA,”prepared by researchers at the Urban Institute, estimates that Alaska’s nonelderly Medicaid enrollment will reach 172,900 by 2020 with an expansion of the program, reducing the state’s uninsured rate from 21 percent to 9.5 percent. The report projects that an expansion of Medicaid will increase federal spending by $1.1 billion and state spending by $78 million from 2014 to 2020.
“The Economic Impact of Medicaid in Georgia,”was prepared by Dr. William Custer at Georgia State University for Healthcare Georgia Foundation. Dr. Custer estimates that the additional federal Medicaid spending in Georgia generated by an expansion of the program will support approximately 70,343 new jobs. This will add an average $8.2 billion annually to statewide economic output, which will, in turn, generate an average of $276.5 million annually in state and local tax revenue.
“Expanding Medicaid in Ohio: Analysis of Likely Effects,”was prepared by authors from the Health Policy Institute of Ohio, Ohio State University, Urban Institute, and Regional Economic Models, Inc. (REMI), under sponsorship from the Health Foundation of Greater Cincinnati, the Mount Sinai Health Care Foundation, and the George Gund Foundation. In this update toan earlier analysis, the authors estimate that a Medicaid expansion will have a net positive impact on Ohio’s budget through FY 2020, with fiscal gains ranging from $350 to $400 million during SFY 2014-2015 to between $133 and $142 million in SFY 2020. The number of Ohio uninsured will decline by roughly 982,000 by FY 2022 with an expansion and by about 532,000 without one.
“Pennsylvania’s Economy Will Benefit from Expanding Medicaid,”was prepared by Families USA and Pennsylvania Health Access Network and reports on findings from a macroeconomic model generated by Regional Economic Model, Inc. (REMI) to simulate the impact of increased federal Medicaid funds on Pennsylvania’s economy. The report estimates that in 2016, an anticipated $3.5 billion in new federal dollars will support approximately 41,200 new jobs across all sectors of the state’s economy, increasing the state’s economic activity by $5.1 billion.
Census Brief Examines Employer-Sponsored Health Insurance
The U.S. Census Bureau released a new brief in itsHousehold Economic Studies series. The brief,"Employment-Based Health Insurance: 2010,"uses data from the Survey of Income and Program Participation (SIPP) to examine the characteristics of people with employer-sponsored health insurance (ESI) coverage and characteristics of employers that offer health insurance. The report provides an overview of historical trends in ESI coverage (which fell from 64.4 % in 1997 to 56.5% in 2010) and an analysis of more recent health insurance offer and take-up rates based on data collected in 2010.
Complete 2011 National Health Interview Survey (NHIS) Data Available, with User Note on Questions Added for Monitoring ACA
New Information on Medical Services Utilization Using Data from the Survey of Income and Program Participation (SIPP)
The U.S. Census Bureau released a new set of tables highlighting the relationship between the use of medical services, health status, health insurance coverage, and other demographic and economic characteristics from 2001 to 2011. The statistics come from the SIPP. Access the tables.
Association of Public Data Users (APDU) Webinars: Census Demonstration of American FactFinder,American Community Survey (ACS) Workshop
APDU will host two webinars in March.
Officials from the U.S. Census Bureau will demonstrate new and enhanced features in American FactFinder (AFF), highlighting features such as Community Facts and Guided Search and providing some examples of data searches using AFF. This webinar will take place on March 14, 2013, at 2:00 p.m .EDT. The event is free tor APDU members and $50.00 for all others. Register here.
The second webinar is a free event summarizing and providing guidance on the materials generated from the June 2012 Workshop on the Benefits (and Burdens) of the ACS, which canvassed a broad array of the nonfederal ACS user base to assess their experiences with the first sets of full ACS data product releases. This webinar will take place on March 20, 2013, from 1:00 p.m. to 2:00 p.m. EDT.Register here.
AHRQ Tutorials on HCUP Data
The Agency for Healthcare Research and Quality (AHRQ) offers a series ofsix free, online tutorials on its Healthcare Cost and Utilization Project (HCUP) data. These tutorials are designed to help health services researchers, students, and data analysts use record-level data effectively from HCUP’s Nationwide Inpatient Sample, Kids’ Inpatient Database, and the Nationwide Emergency Department Database. A multi-year analysis tutorial is the latest course in the series. Other tutorial topics include: an overview of HCUP data, tools, and products; sample design; loading and checking data; calculating standard errors; and producing national estimates.
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.