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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

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 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.

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.

Publication Year: 2012

This brief overviews the SHADAC Projection Model, a complex spreadsheet model that states can use to estimate the impacts of policy changes on health insurance coverage. The SHADAC Projection Model provides state officials with the flexibility to update baseline data or test different assumptions, and is based primarily on state-specific data.  This model was developed to address the need among states for analysis that is timely, state-specific, relatively inexpensive, and flexible for testing alternative assumptions to predict the coverage impacts of policy changes at the state level.  Although the model was constructed specifically to help states project the coverage impacts of the ACA, the approach can be adapted to model the coverage impacts of other reform approaches as well.  The brief highlights the model’s approach, data sources, assumptions, and model output.

Publication Year: 2012

This presentation of SHARE-funded research was given by Urban Institute Senior Fellow, Ian Hill, M.P.A., M.S.W.,  at the 2012 AcademyHealth Annual Research Meeting in Orlando, FL, on June 23, 2012. The analysis looks at the Federal policy that facilitated Louisiana's use of Express-Lane Eligibility (ELE) and at Louisiana's approach to, and success with, the strategy.  Based on their findings, the authors provide a number of lessons for other states considering an ELE approach.