SHADAC Expertise

State and Federal Health Policy

State and Federal Health Policy and Health Reform Strategies

Recent SHADAC Work:

On-Demand State Policy Technical Assistance
SHADAC is a Technical Assistance Provider to the Robert Wood Johnson Foundation (RWJF) State Health and Value Strategies (SHVS), which by connecting states with experts in the field, assists states in transforming their health care systems to be affordable, equitable and innovative. SHADAC’s role is to help states use data to inform decision-making and to support evaluation and monitoring efforts.

Medicaid Section 1115 Waiver Evaluation
SHADAC researchers provide technical assistance to Alaska, Colorado, Illinois, and New Hampshire as they participate in an effort supported by the National Governors Association to help them develop data-driven evaluations of the new Medicaid policies they are pursuing under Section 1115 waivers. Ongoing technical assistance provided by SHADAC includes reviewing requests for proposals and planning documents, participating in convenings with state and federal officials, and producing resources to respond to state-specific evaluation needs.

Leveraging 1332 State Innovation Waivers to Stabilize Individual Health Insurance Markets
Funded by the Robert Wood Johnson Foundation, SHADAC researchers documented the strategies and rationale of the first three states to receive federal approval to establish state reinsurance programs with federal funding—Alaska, Minnesota, and Oregon—via Section 1332 State Innovation Waivers in order to address the volatility of their individual health insurance markets. SHADAC identified challenges, facilitators, and lessons learned during the waiver application and implementation processes that could be helpful for states considering similar policy action and for federal regulators interested in supporting similar state initiatives.