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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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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. 

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.

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.

Publication Year: 2011

Presentation by Dr. Allison Barrett (Chapin Hall, University of Chicago) at AcademyHealth's 2011 Annual Research Meeting.  Dr. Barrett provides an overview of the Commonwealth Care ("CommCare") program, discusses whether premium subsidies helped the program to attract low-risk enrollees, and examines the characteristics of CommCare enrollees as compared with individuals purchasing coverage in the commercial market. The presentation concludes with recommendations based on the results of this study for states considering the creation of a Basic Health Plan under the federal Affordable Care Act.

Publication Year: 2011

In this brief, SHARE grantee Sharon Long and her research team provide a meta-analysis of research on Massachusett's health reform and an assessment of what these findings mean for the Affordable Care Act (ACA) and for the evaluation of the ACA's impacts.  In particular, they discuss findings from the range of studies that examine the effects of Massachusetts' health reform on non-elderly adults, focusing on work that has evaluated insurance coverage; health care access and use; and the affordability of care.