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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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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. 

Selection in Massachusetts' Commonwealth Care Program: Lessons for State Basic Health Plans
Publication Year: 2012

In this brief, SHARE grantee Deborah Chollet and her co-authors Allison Barrett and Amy Lischko analyze risk selection over time in Massachusetts' CommonWealth Care program, which serves low-income adults ineligible for Medicaid, much like a Basic Health Plan under the ACA.  Based on their findings, the authors offer lessons for other states considering whether to form a Basic Health Plan, looking at questions of program design, impacts on the commercial market, and financing and operations.

The Impact of Income and Cost Sharing on Health Care Use in State-Subsidized Plans
Publication Year: 2011

Presentation by Beth Kilbreth (Univeristy of Southern Maine, Muskie School of Public Service) at AcademyHealth's 2011 Annual Research Meeting.  Dr. Kilbreth discusses the results of a SHARE-sponsored study evaluating risk selection in public health plans in Massachusetts, Maine, and Vermont.  Dr. Kilbreth explores: (1) whether state-sponsored public plans targeting low-income uninsured workers experience adverse selection; (2) to what extent enrollment risk in these programs is affected by enrollee cost sharing; and (3) how out-of-pocket cost sharing affects utilization among low- and moderate- income public plan enrollees.  The presentation concludes with a discussion of the policy implications of the study findings.Presentation by Beth Kilbreth (Univeristy of Southern Maine, Muskie School of Public Service) at AcademyHealth's 2011 Annual Research Meeting.  Dr. Kilbreth discusses the results of a SHARE-sponsored study evaluating risk selection in public health plans in Massachusetts, Maine, and Vermont.  Dr. Kilbreth explores: (1) whether state-sponsored public plans targeting low-income uninsured workers experience adverse selection; (2) to what extent enrollment risk in these programs is affected by enrollee cost sharing; and (3) how out-of-pocket cost sharing affects utilization among low- and moderate- income public plan enrollees.  The presentation concludes with a discussion of the policy implications of the study findings.

The Influence of Benefit Design on Coverage Expansion Initiatives: Impact on Coverage Take-Up and Care Utilization
Publication Year: 2011

This webinar features presentations by SHARE grantees Dr. Genevieve Kenney and Dr. Edward Alan Miller.  Dr. Kenney presents findings from her study of the impact of benefit design changes on preventive care utilization among children enrolled in Medicaid/CHIP in Idaho and Kentucky.  Dr. Miller discusses his analysis of Rhode Island's HEALTHpact program, which aimed to expand coverage in the state's small-group market through insurance plans that incorporate financial incentives for wellness behaviors.