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SHADAC and SHARE Newsletter, November 6, 2012November 18, 2016:
News: November 6, 2012
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SHADAC to Provide Technical Support for the State Innovations Model (SIM) Program
SHADAC is part of a team led by NORC at the University of Chicago that was selected by the Centers for Medicare and Medicaid Innovation (CMMI) to provide consultation and technical assistance to states under the State Innovation Models (SIM) program. The SIM initiative is a $275 million competitive funding opportunity for states to design and test multi-payer payment and delivery models that deliver high-quality health care and improve health system performance. SHADAC will work with NORC and with the Center for Health Care Strategies, National Governors Association, Manatt Health Solutions, and Mercer Consulting to assist states and CMMI in designing and testing models and in assessing state implementation readiness.
Save the Date: November 28th SHARE Webinar on Income Dynamics and Coverage Transitions under Health Reform
SHARE will host a webinar on Wednesday, November 28, 2012, titled, “Income Dynamics of Health Reform Expansion Populations and State Strategies to Smooth Coverage Transitions.” The event will feature Dr. Lara Shore-Sheppard, Professor of Economics at Williams College, who will present findings from her SHARE-funded research. Accompanying Dr. Shore-Sheppard will be Shannon McMahon, Director of Coverage and Access at the Center for Health Care Strategies (CHCS).
SHADAC at the 2012 American Public Health Association (APHA) Annual Meeting
There were several SHADAC presentations at the 2012 APHA Annual Meeting in San Francisco, CA, from October 27-31, 2012.
Call for Abstracts: 2013 AcademyHealth Annual Research Meeting
The call for abstracts is now open for the 2013 ARM, which will take place in Baltimore, MD, from June 23-25, 2013, and will be organized around 18 themes in health services research and policy. Abstracts are invited in four categories--papers, research panels, policy roundtables, and posters—and are due by 5:00 p.m. EST on January 17, 2013. Notifications will be sent by March 22, 2013.
News from the States
Health Insurance Coverage in California, 2009-2011
A new report from the UCLA Center for Health Policy Research, “Job-Based Coverage Insures Less than Half of Nonelderly Californians in 2011,” discusses the change in the distribution of health insurance coverage in California based on data from the 2009 and 2011 California Health Interview Survey (CHIS). Statewide, job-based coverage for nonelderly adults and children fell from 52.1 percent in 2009 to 49.7 percent in 2011. During this same time period, enrollment in Medi-Cal and Health Families (California’s CHIP and Medicaid programs, respectively) rose from 15.8 percent to 19.1 percent of the nonelderly population.
Colorado’s All-Payer Claims Database (APCD)
The Center for Improving Value in Health Care has officially launched the Colorado APCD. The database, created under legislative authority in 2010, includes claims data from commercial health plans, Medicare, and Medicaid. APCD users can view data of interest from a geographic perspective on an interactive map and/or as a report with more detailed health care information. Customized reports and high-level summary data sets will be available beginning in early 2013.
Emergency Department Use in Colorado: Findings from the 2011 Colorado Health Access Survey (CHAS)
The Colorado Trust released a report, “An Examination of Emergency Department Use in Colorado,” based on results from the 2011 CHAS. According to the report, which was prepared by the Colorado Health Institute, the percentage of Coloradans reporting an emergency department (ED) visit in the 12 months preceding the survey increased from 1.0 million people (20.2 percent of the population) in 2008-2009 to 1.2 million people (22.3 percent of the population) in 2011. One of the lowest rates of ED use in 2011 was seen among Colorado’s uninsured, 20.5 percent of whom reported ED use in the 12 months prior to the survey. Medicaid enrollees reported the highest rates, at 39.7 percent.
Impact of Medicaid Expansion in Mississippi
The University Research Center at the Mississippi Institutions of Higher Learning released an economic brief, “The Fiscal and Economic Impacts of Medicaid Expansion in Mississippi, 2014-2025.” The brief, authored by Senior Economist Bob Neal, Ph.D., estimates economic costs and benefits to the State based on high, moderate, and low Medicaid participation scenarios. The results in each scenario indicate that Medicaid expansion will generate additional State Medicaid costs in years 2017-2025.
Report on Children’s Health Insurance in the Seven Southwestern States
A report from First Focus titled, “Prospects for Continued Progress on Children’s Health Insurance in the Seven Southwestern States,” looks at the recent growth in health insurance coverage for children in Arizona, California, Colorado, Nevada, New Mexico, Texas, and Utah. The authors point out that the uninsurance rate for children in these states declined from 15 percent in 2004-2005 to 13 percent in 2009-2010 (using two-year averages of state data from the Current Population Survey).
Revised 2009 County-Level Small Area Health Insurance Estimates (SAHIE)
The Census Bureau's SAHIE program has released revised county-level estimates for 2009. There was a processing error in the original 2009 county-level estimates (released in October 2011) such that the population universe incorrectly failed to exclude parts of the group quarters population. The revision to the 2009 estimates has the largest impact on counties where a large portion of the population resides in group quarters, such as prisons, military barracks, and college dormitories. Only the 2009 county-level estimates are affected; all other years are unaffected. Data users should discard any previously downloaded county estimates for 2009 and use the revised estimates, which are available at http://www.census.gov/did/www/sahie/index.html.
New American Community Survey (ACS) Data Available
The 2011 public use microdata sample (PUMS) file for the ACS is now available at the Census Bureau's American FactFinder website. The 2011 ACS one-year estimates provide detailed social, economic, demographic, and housing data for areas with populations of 65,000 or more. The ACS PUMS files show the full range of population and housing unit responses collected on individual ACS questionnaires.
Also newly available on American FactFinder are the three-year estimates for the 2009-2011 ACS. The three-year estimates provide detailed social, economic, demographic, and housing data for geographic areas with populations of 20,000 or more. These estimates are created by pooling together multiple years of data in order to produce reliable period estimates for areas and subgroups with smaller populations than the population areas (65,000 or more) to which the one-year estimates apply. Review the SHADAC brief, “Understanding 1-, 3-, and 5-year ACS Estimates: Summary Tabulations and Public Use Files” to learn more.
2011 National Health Interview Survey (NHIS) Report: U.S. Children
The National Center for Health Statistics (NCHS) issued a provisional report, “Summary Health Statistics for U.S. Children: National Health Interview Survey, 2011,” presenting statistics from the 2011 NHIS on selected health measures for U.S. children under 18 years of age. The statistics are classified by a number of demographic and socioeconomic variables, including insurance coverage status. The authors of the report that seven percent of children were reported to have had no health insurance coverage in the 12 months preceding the survey, and three percent had no usual place of health care.
American Community Survey (ACS) Brief: Young Adult Health Insurance Coverage in 2008, 2009, and 2011
A new ACS brief from the Census Bureau, “Health Insurance Coverage of Young Adults Aged 19 to 25: 2008, 2009, and 2011” looks at insurance coverage among young adults targeted by the expansion of dependent coverage under the Affordable Care Act. The report examines coverage for young adults aged 19 to 25 in the 2 years before the ACA’s dependent coverage provision went into effect (2008 and 2009) and in the year after the change (2011).
Georgetown Center for Children and Families: Trends in Children’s Health Insurance Coverage, 2009-2011
The Center for Children and Families at the Georgetown University Health Policy Institute released a new report, “Uninsured Children 2009-2011: Charting the Nation’s Progress.” The report’s authors use data from the American Community Survey (ACs) to examine trends in children’s coverage from 2009 to 2011. The report considers both national and state changes in the number and rate of uninsured children, along with the demographic characteristics of the children that remain uninsured. The authors point out that progress has been widespread, with the overall number of uninsured children declining from 6.4 million in 2009 to 5.5 million in 2011; however, significant disparities among states continued, with the majority of states (30) seeing no significant change in their rates of coverage.
State Network Template: Evaluating State Options for Transitioning to a Post-Reform Coverage Environment
A new tool from the Robert Wood Johnson Foundation’s State Network program aims to help states assess their current coverage programs and how to transition certain populations and programs into a post-Affordable Care Act (ACA) coverage environment. The tool, “Assessment of Current Coverage Programs and Future Options,” was prepared by Manatt Health Solutions, and functions as a template that suggests populations and programs in a given state that may be eligible to transition into the new adult Medicaid group or the Exchange. The template identifies nine factors that the state should take into consideration when making transition decisions for each of its populations or programs and, finally, lays out the possible decisions.
Kaiser Report: Results from 50-State Medicaid Budget Survey for State Fiscal Years 2012 and 2013
The Kaiser Commission on Medicaid and the Uninsured (KCMU) issued a report of findings from the twelfth consecutive year of the KCMU and Health Management Associates (HMA) budget survey of Medicaid officials in all 50 states and the District of Columbia. The report, “Medicaid today; Preparing for Tomorrow: A Look at State Medicaid Program Spending, Enrollment, and Policy Trends,” notes that growth in total Medicaid spending and enrollment slowed substantially in FY 2012 as the economy began to improve, and relatively slow spending and enrollment growth are expected to continue in FY 2013.
SHADAC Blog: Highlighted Post
"Minnesota's Individual Insurance Market: Reform Is Needed"
This blog entry from SHADAC Director Lynn Blewett considers two recent reports that raise concerns about out-of-pocket costs in Minnesota's private individual health insurance market. Dr. Blewett explores the findings and implications of these reports, noting that the state's relatively low uninsurance rate and high quality marks stand alongside high health care cost burdens for many Minnesota families. "Whatever the outcome of the presidential election," says Dr. Blewett, "Minnesota should move forward with health care reform, working to improve access to coverage that is comprehensive and affordable."
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