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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-Level Trends in Employer-Sponsored Health Insurance: A State-by-State Analysis
Publication Year: 2013

This report examines recent trends in employer-sponsored insurance at the national and state level, and it expands and updates our previous analysis. The report uses state-level data from the Annual Social and Economic Supplement (ASEC) of the Current Population Survey (CPS) for the coverage component of the analysis and data from the Medical Expenditure Panel Survey - Insurance Component (MEPS-IC) for the employer and cost components of the analysis.

State-Level Trends in Employer-Sponsored Health Insurance: A State-by-State Analysis
Publication Year: 2013

This report examines recent trends in employer-sponsored insurance at the national and state level, and it expands and updates our previous analysis. The report uses state-level data from the Annual Social and Economic Supplement (ASEC) of the Current Population Survey (CPS) for the coverage component of the analysis and data from the Medical Expenditure Panel Survey - Insurance Component (MEPS-IC) for the employer and cost components of the analysis.

Estimated Financial Effects of Expanding Oregon's Medicaid Program under the Affordable Care Act (2014-2020)
Publication Year: 2013

In its role as a technical assistance provider for the Robert Wood Johnson Foundation’s State Network initiative, SHADAC collaborated with Oregon Health and Science University (OHSU) and Manatt Health Solutions to produce an analysis of the fiscal effects of expanding Medicaid in Oregon under the ACA.  The analysis, prepared for the Oregon Health Authority, estimates the potential costs and benefits of the ACA Medicaid expansion to the State through SFY 2020.  Overall, the analysis projects that the expansion would provide coverage to more than 240,000 newly eligible Oregonians and encourage approximately 20,000 previously eligible Oregonians to enroll in coverage.  Ultimately, this will generate $11.3 billion in federal health care expenditures and a net savings of $79 million to the state general fund. 

Implications and Options for State-Funded and Medicaid Expansion Coverage 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 report, 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 Eligibiltiy
Publication Year: 2012

This report, from SHARE grantee Stan Dorn of the Urban Institute, 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, offering a number of lessons for other states considering the use of ELE for public program eligiblity determination.