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From this page you can view our recent publications, listed below with the most recent at the top of the list.

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State Estimates of the Low-Income Uninsured Not Eligible for the ACA Medicaid Expansion
Publication Year: 2013

The Patient Protection and Affordable Care Act (ACA) will expand access to affordable health insurance for millions of Americans. In states that choose to implement the Medicaid expansion for low-income adults, Medicaid will provide an important new pathway to coverage. Yet, even in states that choose to expand Medicaid a significant proportion of the low-income nonelderly adult population will be excluded from the Medicaid expansion due to their immigration status. Legal permanent residents, in most circumstances, are ineligible for Medicaid benefits for the first five years during which they reside legally in the U.S. and unauthorized immigrants are excluded from Medicaid coverage. This brief provides the first state-specific estimates of the number of uninsured low-income adults that will potentially be excluded from the Medicaid expansion because of their immigration status.

Lessons from the Implementation of the Maryland Kids First Act
Publication Year: 2012

This brief highlights key findings from the SHARE-sponsored project led by David Idala, Director of Medicaid Policy Studies at The Hilltop Institute (University of Maryland, Baltimore County).  The project evaluated the implementation of Maryland's Kids First initiative, through which the state aimed to identify and enroll uninsured children who were eligible for Medicaid or CHIP coverage.  The goel of the Hilltop evaluation was to glean lessons for not just Maryland but also for other states considering similar outreach and enrollment efforts.  The brief describes the factors that facilitated Kids First as well as the key challenges that Maryland faced as it implemented the initiative.

Implications and Options for State-Funded Programs Under Health Reform
Publication Year: 2012

A number of states and the District of Columbia currently administer health coverage programs for low-income uninsured individuals who either exceed maximum Medicaid income eligibility thresholds or who are not categoricallly eligible for the Medicaid program, such as childless adults.  The majority of individuals currently covered through these programs will be eligible for other coverage pursuant to the Affordable Care Act (ACA). This issue brief, from SHARE grantee Theresa Sachs and her research team at Health Management Associates, reviews the objectives and structure of 11 health coverage programs in six states and documents the legal, technical, and policy issues that states are already addressing, or need to address, as they review options for transitioning program enrollees to new coverage options under the ACA.  The authors also present possibilities for new uses of state dollars freed up by the infusion of federal funds in 2014.

Louisiana Breaks New Ground: The Nation's First Use of Automatic Enrollment through Express Lane Eligibility
Publication Year: 2012

This SHARE brief, from Urban Institute Senior Fellow Stan Dorn, details findings from an analysis of Louisiana's landmark used of automated Medicaid enrollment via Express Lane Eligibility (ELE), a strategy authorized by the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA).  Under this initiative Louisiana automatically enrolled children into Medicaid based on data matches indicating eligibility for the federal Supplemental Nutrition Assistance Program (SNAP).  Dorn and his co-authors analyze the impact of ELE on several outcomes including enrollment, coverage, administrative costs, and administrative efficiency.

SHARE Grant Awards - Summer 2012
Publication Year: 2012

The State Health Access Reform Evaluation (SHARE) program awarded nine new grants to fund research addressing health reform issues that states face as they work to improve coverage and access.  This is SHARE's third round of grants since the program began in 2007.  The new grants, which range in length from 12 to 24 months, will offer timely insights into a variety of health reform issues.  The projects will explore topics such as Medicaid expansion for childless adults, value-based insurance design for state employee health plans, approaches to health care coordination/integration, and the production of reliable small area estimates of health insurance coverage and access.  This document provides an overview of the nine grants awarded under the third round of SHARE funding.