Home › Search Publications ›

Search Publications

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.

Fact Sheet and Questionnaires from Minnesota Medicaid Enrollee Survey
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.

Minnesota Comprehensive Health Association Enrollee Survey: Assessing the Results (Chartbook)
Publication Year: 2013

This chartbook summarizes the findings of the 2012 Minnesota Comprehensive Health Association (MCHA) Enrollee Survey based on demographics; health characteristics; access and utilization of health coverage; experience with MCHA; topics in health reform; and potential outreach avenues for program administrators. 

The charts in this report are designed to provide snapshots first of the overall MCHA population and then by more specific subpopulations such as income level, geographic residence, and plan deductible.

The figures in this report were created to present a more complete picture of the characteristics of the MCHA population and to aid program administrators in outreach efforts as enrollees transition from MCHA and into other insurance vehicles.

Developing Subannual Estimates of Health Insurance Coverage from the American Community Survey: Challenges and Promising Next Steps
Publication Year: 2013

This report was prepared jointly by authors at the Urban Institute and SHADAC for the Assistant Secretary of Planning and Evaluation (ASPE).  In it, the authors make the case that the value of the American Community Survey (ACS) for the purposes of monitoring and evaluating the ACA could be improved through the generation of subannual estimates of insurance coverage, because such estimates would provide a closer temporal link between state decisions and insurance outcomes than is discernable using annual estimates.  The authors describe how ACS subannual estimates could be developed, the challenges associated with this task, and potential next steps.

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.