Publications

SHADAC disseminates research through several types of documents, including briefs, reports, and journal articles.

In this section you can review our featured and recent publications, or search all publications by key word, topic, document type, or state.
 

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Featured Publications

2014
Reports and Technical Papers

At the request of Minnesota’s State-Based Health Insurance Marketplace, MNsure, researchers from the University of Minnesota’s State Health Access Data Assistance Center (SHADAC) compiled data from a variety of sources to analyze, at an aggregate level, the shifts in health insurance coverage that have taken place in Minnesota since the fall of 2013. Support for this work was provided through the Robert Wood Johnson Foundation’s State Health Reform Assistance Network.

Recent Publications

2014

News from SHARE and its grantees.

2014
Reports and Technical Papers

A better understanding of the diverse sources of administrative data avilable from the state and federal health insurance marketplaces is required in order to respond to questions about the performance of exchanges during the first open enrollment period and about the viability of exchanges in the future. 

This paper examines enrollment-related data issues faced by states during the first ACA open enrollment period, including variation in data elements collected through marketplace applications as well as variation in state approaches to public reporting on enrollment data. This paper will also look ahead to potential research questions and uses for data already collected and consider new data collection needs.

2014

Through provisions designed to improve access to affordable health coverage, the ACA is expected to reduce the number of people who cycle between Medicaid coverage and uninsurance — a concept commonly called “churn.” However, people experiencing transitions between health insurance plans still face barriers related to the continuity of care, potentially aggravating health conditions and increasing costs of care. As states look for ways to monitor and project churn, as well as consider policies for reducing the scope or impacts of the phenomenon, this paper describes possible methods and data sources for producing state-level churn estimates.