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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: 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: 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.

Publication Year: 2013

This working paper, prepared by SHADAC for the U.S. Census Bureau describes SHADAC's evaluation of experimental health insurance coverage questions for the Current Population Survey’s Annual Social and Economic Supplement (CPS ASEC).

The Census Bureau developed a set of experimental health insurance coverage questions with the goals of improving the measurement of past year coverage and providing a richer set of coverage measures, including point-in-time coverage and duration of coverage measures. The experimental questions were fielded and contrasted with existing CPS and American Community Survey (ACS) questions in a test called the Survey of Insurance and Program Participation (SHIPP)

SHADAC evaluated the initial test that was conducted between March and May of 2010. The Census Bureau made improvements to the question series based on the results of this evaluation and conducted a content test in March 2013. Based on the results of this content test, the Census Bureau will make a final decision about implementing the re-designed question series later this year.  

Publication Year: 2013

This report examines state-level trends in employer-sponsored insurance (ESI) and the factors that influence ESI.

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.