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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.

You may also search publications using the filter options on the left side of the page to narrow down the listing by topic, type of publication, or state. Alternatively, you can use the search box below to conduct a keyword search.

Publication Year: 2013

The Affordable Care Act provides for the expansion of Medicaid to new segments of the population. The extent to which this coverage expansion will meaningfully increase access to health care services is, however, unclear. Surveys of the Medicaid population are one way to examine access to services and experiences with care.  

In 2008, SHADAC was contracted by the Minnesota Department of Human Services (DHS) to survey enrollees in the Minnesota Health Care Program (which includes the state’s Medicaid program and its Medicaid/CHIP waiver program) with the goal of developing recommendations for improving the delivery of health care services to enrollees and reducing disparities in access and quality. 

In a new fact sheet meant to survey as a resource for states as they consider ways to evaluate access to care among those newly eligible for Medicaid, SHADAC researchers outline the survey’s purpose, content, and administration; the sample design; and the community-based approach used for survey development and analysis. 

Accompanying the new fact sheet are copies of the adult and child versions of the 2008 questionnaire.

The full report on the 2008 survey is available here.

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.

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.

Publication Year: 2012

This brief describes the promising approaches that five states shared with regards to the promising approaches that these states shared with regards to activities related to outreach and streamlining application and enrollment processes, and consider the implications of these practices for implementing the ACA.

Publication Year: 2012

This brief describes the best practices that five states shared related to system design and business requirements of streamlining application and enrollment processes, and modernizing eligibility determination systems for ACA implementation.