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Publication Year: 2011

Michel Boudreaux presented, "Changes to the Imputation Routine for Health Insurance in the CPS ASEC," at the Joint Statistical Meetings of the American Statistical Association, August 3, 2011 in Miami Beach, FL.

Publication Year: 2011

Presentation by Sharon Long, "Using Federal and State Survey Data to Inform State Health Reform," at the State Health Research and Policy Interest Group Meeting at the AcademyHealth Annual Research Meeting, June 11, 2011 in Seattle, WA.

Publication Year: 2011

This issue brief provides state-level estimates of health insurance coverage by age and income from the American Community Survey.  The maps and tables included in this brief provide state-level estimates for the nonelderly population (age 0 to 64), children (age 0 to 18), and nonelderly adults (age 19 to 64). Within each age group, we also present separate estimates for the low-income population (people with family incomes below 200 percent of federal poverty guidelines).

Publication Year: 2011

This ACA Note discusses the implementation of the new income definition--Modified Adjusted Gross Income or "MAGI"--that will be used to determine Medicaid income eligibility across the country in 2014 when the Affordable Care Act (ACA) takes full effect.  The implementation of MAGI is complicated by the requirement that each state distinguish between two different eligibility groups that will garner different federal medical assistance percentages (FMAPs)--the "newly-eligible" expansion population and the "previously-eligible" population that would have met the state's pre-ACA income thresholds.  This report discusses the complexities that this scenario will raise for state Medicaid eligibility systems and how these issues might be addressed.

Publication Year: 2010

Objectives. We sought to determine whether aggregate national data for American Indians/Alaska Natives (AIANs) mask geographic variation and substantial subnational disparities in prenatal care utilization.

Methods. We used data for US births from 1995 to 1997 and from 2000 to 2002 to examine prenatal care utilization among AIAN and non-Hispanic White mothers. The indicators we studied were late entry into prenatal care and inadequate utilization of prenatal care. We calculated rates and disparities for each indicator at the national, regional, and state levels, and we examined whether estimates for regions and states differed significantly from national estimates. We then estimated state-specific changes in prevalence rates and disparity rates over time.

Results. Prenatal care utilization varied by region and state for AIANs and non-Hispanic Whites. In the 12 states with the largest AIAN birth populations, disparities varied dramatically. In addition, some states demonstrated substantial reductions in disparities over time, and other states showed significant increases in disparities.

Conclusions. Substantive conclusions about AIAN health care disparities should be geographically specific, and conclusions drawn at the national level may be unsuitable for policymaking and intervention at state and local levels. Efforts to accommodate the geographically specific data needs of AIAN health researchers and others interested in state-level comparisons are warranted.