Issue Briefs

SHADAC issue briefs

Importance of Young Adult Provisions in Mass Health Reform

Publication Year: 
2010

Share issue brief:  "The Importance of Young Adult Provisions in Massachusetts’ Health Reform."

Issue brief by SHARE granteee Sharon Long.  This analysis uses data from the 2006 to 2009 Current Population Survey  to compare health insurance coverage for young adults before and af

Mass Health Reform in 2008: Who are the Remaining Uninsured Adults?

Publication Year: 
2010

SHARE issue brief:  "Massachusetts Health Reform in 2008: Who are the Remaining Uninsured Adults?"

Issue brief by SHARE granteee Sharon Long.  This analysis use thes Integrated Public Use Microdata Series (IPUMS)-USA file of the 2008 American Community Survey (ACS) to identify the charac

Issues for State High-Risk Pools with Implementation of National Health Reform

Publication Year: 
2010

This brief addresses the history of state high-risk pools, provides information on individual state high-risk pools, states’ decisions about participation in the temporary high-risk pool created by national health reform, and concerns about the transition from state high-risk pools to guaranteed issue in the individual market.

This brief addresses the history of state high-risk pools, provides information on individual state high-risk pools, states’ decisions about participation in the temporary high-risk pool c

Section 125 Plans in the Post-reform Environment: Issues for Individual Insurance

Publication Year: 
2010

The brief re-examines whether individual insurance can be paid on a pre-tax basis through a cafeteria plan in light of federal health reform enacted in 2010.

The brief re-examines whether individual insurance can be paid on a pre-tax basis through a cafeteria plan in light of federal health reform enacted in 2010.

The Impact of State Dependent Coverage Expansions on Young Adult Insurance Status: Further Analysis (Companion Brief)

Publication Year: 
2010

In this issue brief, SHARE grantee Joel Cantor and co-authors use data from the Current Population Survey (CPS) to evaluate the impact of dependent coverage expansion initiatives in 19 states on health insurance coverage of young adults between 2003 and 2008. The authors also examine the variation in impact among population subgroups over time.  The report concludes with a discussion of the implications of national health reform, which expanded dependent coverage to age 26 across states.

Rhode Island's HEALTHpact Plan: Lessons for Small-Group Reform (Issue Brief)

Publication Year: 
2010

In this issue brief, Edward Miller and the SHARE research team led by Vincent Mor (Brown University) present findings from their qualitative evaluation of Rhode Island's HEALTHpact initiative, which aimed to encourage take-up of health insurance coverage in the state's small-group market.  The program has seen only minimal take-up, and Miller and his co-authors explore the reasons why through an analysis of in-depth key informant interviews, enrollment data, and archival documents.  They conclude with a set of recommendations for future small-group reform efforts based on less

Small Business Participation in the New Mexico State Coverage Insurance Program: Evaluation Results

Publication Year: 
2010

In this issue brief, Dr. Anna Sommers and her research team at The Hilltop Institute (University of Maryland, Baltimore County) present findings about employer participation in New Mexico's State Coverage Insurance (SCI) program, a public/private partnership that provides access to subsidized health insurance for low-income uninsured adults (19 to 64 years old), who can sign up either independently or with sponsorship from a small employer (50 or fewer employees).  Dr.

Dependent Coverage Expansions: Estimating the Impact of Current State Policies

Publication Year: 
2010

This issue brief, produced by SHARE grantee Joel Cantor and his research team, examines common provisions in state dependent coverage regulations and addresses the analytic approach to--and challenges of--estimating the impact of these policies on coverage for young adults.  The brief includes preliminary estimates of policy impact across multiple states using the estimation techniques discussed.

The Secrets of Massachusetts’ Success: Why 97 Percent of State Residents Have Health Coverage (Issue Brief)

Publication Year: 
2009

In this issue brief (based on a longer report), SHARE grantee Stan Dorn and his research team present preliminary findings from their evaluation of auto-enrollment procedures in Massachusetts.  The researchers use data from interviews with policymakers, stakeholders, advocates, and others, along with a review of published reports, to identify the factors that were important in encouraging, in particular, the enrollment of eligible, low-income uninsured.  Factors identified include: the use of state data rather

Trends in Child Enrollment in California’s Public Health Insurance Programs

Publication Year: 
2009

This SHARE-sponsored issue brief examines child enrollment trends in California's three main public insurance programs: Medi-Cal, Health Families, and Healthy Kids.  The researchers report an overall increase in total enrollment in public insurance programs in California from 2001 through 2007, along with an overall increase in new enrollments (enrollments of children who have not been enrolled in a given program in the prior 12 months), with some variation within programs and over time.  Based on enrollment trends, the authors note that outreach efforts may contribute to the cy

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