Webinar: Geographic Variation in ACA Coverage Expansion Populations and the Healthcare Workforce
In an upcoming webinar, Dr. John Graves, Assistant Professor at Vanderbilt University Medical Center, will present findings from a SHARE-funded effort to model the state and local geographic distribution of the ACA coverage expansion populations and the healthcare workforce to identify areas where access-to-care problems might arise. Dr. Graves will consider both demand-side and supply-side issues that will affect the likelihood of access problems in a given area and discuss the implications of his findings for states as they consider their policy options in preparation for the ACA coverage expansions and the resulting increased pressure on the health care delivery system. The webinar will take place on June 14, 2013, from 12:00 p.m. to 1:00 p.m. ET. Register here.
HSR Theme Issue: State Health Policy Research
Health Services Research(HSR) has issued a call for papers for a SHARE-sponsored Theme Issue on State Health Policy Research. The Theme Issue will highlight papers examining the implementation and outcome of state efforts to expand health insurance coverage and access to health care services under health reform. Evaluations can have a single or multi-state focus and can cover such topics as: the impact of Medicaid expansion in improving coverage rates; the effectiveness of outreach and enrollment activities; persistent barriers in access to care; and the implementation and use of health insurance exchanges. The deadline for manuscript submission is October 1, 2013. Click hereto view the full call for papers and a list of key dates for authors.
SHADAC Hosts Gathering of State and Federal Officials to Discuss Data Needs and Requirements Related to State-Based Marketplaces
In its role as a technical assistance provider for the Robert Wood Johnson Foundation’sState Health Reform Assistance Network("State Network") program, SHADAC hosted a gathering of state and federal officials along with technical experts on May 30-31, 2013, in Minneapolis, Minnesota. The meeting focused on the impending data needs and reporting requirements related to state-based marketplaces (SBMs) under the ACA. Session presentations provided the framework for discussions and knowledge-sharing among participants about their data collection efforts, key measures of interest, challenges, and timelines related to the upcoming SBMs. Topics highlighted include: data strategies for evaluation, federal reporting requirements, operational decision-making, and quality monitoring.Click hereto view the agenda, select presentation materials, and meeting resources.
Determining Eligibility for Medicaid vs. Exchange-Based Coverage Subsidies: The Challenge of Measuring Income
Dr. John Czajka, Senior Fellow at Mathematica Policy Research, released two new issue briefs based on his SHARE-funded analysis of income eligibility determination for Medicaid and Exchange-based coverage subsidies under the ACA. Thefirst briefexamines the practical coverage continuity issues raised by determining Medicaid eligibility on a monthly basis while determining subsidy eligibility on an annual basis. Thesecond briefconsiders the process by which modified adjusted gross income (MAGI)—an annual measure of income specified by the ACA for use in determining both Medicaid and subsidy eligibility—can be converted to a measure of current monthly income for the purpose of Medicaid eligibility determination.
Elizabeth Lukanen Discusses Health Reform Monitoring with National Association of Medicaid Directors (NAMD)
SHADAC Senior Research Fellow Elizabeth Lukanen recently spoke to a gathering of state Medicaid Directors about establishing a framework for monitoring the impact of health reform. At the 2013 NAMD Spring Meeting in Denver, Colorado, Ms. Lukanen discussed the reasons why states should develop a monitoring framework; the steps involved in developing such a framework (e.g., defining the scope of the framework, choosing measures, etc.); and examples of already-established state frameworks in California and Maryland. View the presentation slides.
News from the States
ACA Impact Analysis: Utah
In areportprepared for the Utah Department of Health, researchers from Public Consulting Group (PCG) use state administrative and claims data along with Utah-specific data from the Current Population Survey (CPS), the Medical Expenditure Panel Survey (MEPS), and the Kaiser Family Foundation, to model and project the fiscal and economic impacts of expanding or not expanding Medicaid in Utah. Under a non-expansion scenario, the estimated total cost to Utah state government from 2014 through 2023 is $213 million; under full expansion, the estimated total cost is $247 million to $288 million. Without expansion, Utah’s gross state product (GSP) is projected to increase by $52 million through 2023; under full expansion, the GSP would increase by between $217 million and $287 million.
Ohio Medicaid Assessment Survey 2012: Crowd-Out among Adults
To address the potential for crowd-out in Ohio Medicaid under the ACA Medicaid expansion, authors at The Ohio State University College of Public Health and the Ohio Colleges of Medicine Government Resource Center released areportanalyzing crowd-out among current adult enrollees in Ohio Medicaid. The authors examine the 2012 Ohio Medicaid Assessment Survey and the 2010, 2008, and 2004 Ohio Family Health Surveys (OFHS) and conclude that most Ohio Medicaid enrollees who previously had private insurance lost that plan due to job loss, with just 2.6 percent of adult Medicaid enrollees in 2012 voluntarily switching from private coverage to Medicaid.
MEPS-HC 2012: Public Use Data File on Population Characteristics
The public use data file for the Medical Expenditure Panel Survey Household Component (MEPS-HC) provides information on data collected on a nationally representative sample of the civilian non-institutionalized population of the United States during the early part of 2012. The data contain variables pertaining to survey administration, demographics, employment, health status, and health insurance.Click hereto access the data file (ASCII and SAS transport formats), programming statements (for SAS, SPSS, and STATA), codebook, and documentation.
MEPS Link Files to NHIS
Link Files for the Medical Expenditure Panel Survey (MEPS) and the National Health Interview Survey (NHIS) for the years 1996-2011 are now available by request from the Agency for Healthcare Research and Quality (AHRQ). Each MEPS/NHIS Link File contains a cross-walk that allows data users to merge a given year’s MEPS Full-Year Population Characteristic public use data file (e.g., 2011) with the corresponding NHIS person-level public use data files (e.g., 2009/2010). Click herefor more information.
Kelsey Avery to Intern with Minnesota Governor's Office
SHADAC Research AssistantKelsey Avery, a second-year student in the University of Minnesota Master’s in Public Health Administration and Policy (PHAP) program, has been selected for an internship in the Office of Governor Mark Dayton and Lieutenant Governor Yvonne Prettner Solon. Ms. Avery will intern with the Department of Legislative and Cabinet Affairs, which works to advance the policy agenda of the governor and lieutenant governor, providing policy advice and support. Ms. Avery will monitor public hearings and committees; track legislation; and research policies, interest groups and individuals, with a focus on health policy.
Pari McGarraugh Receives Awards for Work in Public Health and Law
SHADAC Research AssistantPari McGarraughrecently defended her Master’s Project for the University of Minnesota Master’s in Public Health Administration and Policy (PHAP) program and received the Best Written Project award for her paper, “Data Capacity and Privacy Regulation in State-Based Health Insurance Exchanges.” Ms. McGarraugh, who was enrolled in the University’s Joint Degree Program in Law, Health, and the Life Sciences, also completed her JD this year and received the American Bar Association and the Bureau of National Affairs Award for Excellence in Health Law; the Leonard, Street & Deinard Law Review Award; and the University of Minnesota Law School’s Lockhart Award for her combined qualities of excellent scholarship, leadership, and service.
Come visit the SHADAC booth (#309) at the 2013 AcademyHealth Annual Research Meeting, from June 23-25, 2013, in Baltimore, MD. SHADAC experts will be available to answer your questions about state and national data sources on coverage and access, to discuss our technical assistance offerings, and to walk you though the SHADAC Data Center.
The State Health Access Data Assistance Center (SHADAC) is a program of the Robert Wood Johnson Foundation and a part of the Health Policy and Management Division of the School of Public Health at the University of Minnesota.