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Report/Brief: “American Indian 101”: Understanding the history and contemporary experiences of Native people in a United States health policy context

Nov. 06, 2024: American Indian and Alaska Native (AI/AN) is a racial/ethnic category that describes people with ancestry indigenous to North America prior to colonization in 1492. As of the 2020 U.S. Census, there were approximately 9.7 million Americans who identified as Native American alone or as...Read More

Report/Brief: Changing Dynamics in the Opioid Crisis Since the COVID-19 Pandemic

Oct. 18, 2024: Soaring rates of fatal fentanyl, methamphetamine, and cocaine overdoses have worsened and spread to previously insulated groups, including teenagers and the elderly It has been more than a decade since the U.S. Centers for Disease Control and Prevention (CDC) declared a national opioid “epidemic...Read More

Report/Brief: Medicaid Claims Data: Using T-MSIS for State Health Outcomes Research

Oct. 10, 2024: Curated by the Centers for Medicare and Medicaid Services (CMS), T-MSIS, or the Transformed Medicaid Statistical Information System, is a comprehensive database of claims made to state Medicaid and CHIP programs by their beneficiaries. This includes data from all 50 states and the District of...Read More

Report/Brief: A Post-Pandemic Look at the Cost of Employer-Sponsored Insurance (ESI) Coverage: Data from the 2023 Medical Expenditure Panel Survey (MEPS)

Sep. 12, 2024:   This post is a part of our Survey Data Season series where we examine data from various surveys that are released annually from the summer through early fall. Find all of the Survey Data Season series posts on our Survey Data Season 2024 page here.   Over the...Read More

Report/Brief: Impact on Vital Community Conditions: Underlying Factors of Medicaid Inequities Annotated Bibliography

Sep. 03, 2024: *Click here to jump to the 'Impact on Vital Community Conditions' annotated bibliography* The State Health Access Data Assistance Center (SHADAC) with support from the Robert Wood Johnson Foundation (RWJF) and in collaboration with partner organizations is exploring whether a new national...Read More

Report/Brief: Reproductive Oppression in Health Care: Underlying Factors of Medicaid Inequities Annotated Bibliography

Aug. 12, 2024: *Click here to jump to the 'Reproductive Oppression in Health Care' annotated bibliography* The State Health Access Data Assistance Center (SHADAC) with support from the Robert Wood Johnson Foundation (RWJF) and in collaboration with partner organizations is exploring whether a new national...Read More

Report/Brief: New Brief from SHADAC and UMN Cannabis Research Center: Using the Minnesota Student Survey to understand cannabis use and perceptions among high school students

Aug. 09, 2024: As of 2023, Minnesota legalized cannabis for non-medical use by adults, becoming one of the now 24 states with such policies. Minnesota’s cannabis legislation limits legal cannabis use to adults aged 21 and older, similar to other states’ legislation for cannabis, tobacco, and alcohol use as well....Read More

Report/Brief: Language Barriers and Health Equity: The Challenges Faced by Californians with Limited English Proficiency (CHCF Cross-Post)

Aug. 09, 2024: The following is cross-posted from The California Health Care Foundation.  Author: Lacey Hartman, Senior Research Fellow, SHADAC  Key Takeaways California is home to approximately 2.7 million adults with Limited English Proficiency (LEP), according to the California Health...Read More

Report/Brief: Sexual Orientation, Gender Identity, and Gender Affirming Care Discrimination: Underlying Factors of Medicaid Inequities Annotated Bibliography

Jun. 27, 2024: *Click here to jump to the 'Sexual Orientation, Gender Identity, and Gender Affirming Care Discrimination' annotated bibliography* The State Health Access Data Assistance Center (SHADAC) with support from the Robert Wood Johnson Foundation (RWJF) and in collaboration with partner...Read More

Report/Brief: Systemic / Structural Ableism: Underlying Factors of Medicaid Inequities Annotated Bibliography

May. 23, 2024: *Click here to jump to the 'Systemic Ableism' annotated bibliography* The State Health Access Data Assistance Center (SHADAC) with support from the Robert Wood Johnson Foundation (RWJF) and in collaboration with partner organizations is exploring whether a new national Medicaid Equity...Read More

Report/Brief: Comparing Federal Government Surveys That Count the Uninsured: 2023

May. 17, 2024: How many Americans are uninsured? The exact answer is unclear, but general estimates can be obtained by comparing various federal government surveys that estimate uninsurance. SHADAC has recently updated our annual “Comparing Federal Government Surveys that Count the Uninsured” brief...Read More

Report/Brief: Systemic Racism: Underlying Factors of Medicaid Inequities Annotated Bibliography

May. 07, 2024: *Click here to jump to the 'Systemic Racism' annotated bibliography* The State Health Access Data Assistance Center (SHADAC) with support from the Robert Wood Johnson Foundation (RWJF) and in collaboration with partner organizations is exploring whether a new national Medicaid Equity...Read More

Report/Brief: Perceptions and Opinions Relating to Cannabis in Minnesota

Apr. 17, 2024: Using data from the National Survey on Drug Use and Health (NSDUH), this brief explores people’s perceptions and opinions related to cannabis and cannabis use prior to its 2023 legalization in Minnesota. The brief begins with an overview of the context of cannabis policy and use in the United...Read More

Report/Brief: Sexual Orientation and Gender Identity Data: New and Updated Information on Federal Guidance and Medicaid Data Collection Practices (SHVS Brief)

Mar. 11, 2024: Find the brief in full here on the State Health & Value Strategies site.  Authors: Emily Zylla and Elizabeth Lukanen, SHADAC.  Original publication date: March 11, 2024   In the United States, over 13 million people identify as lesbian, gay, bisexual, or...Read More

Report/Brief: Public Health Implications of Cannabis Policy in Minnesota

Jan. 30, 2024: This brief uses data from the National Survey on Drug Use and Health (NSDUH) to understand issues related to public health implications of Minnesota cannabis use prior to its 2023 legalization. Along with providing key background information and context on cannabis policy in the United States...Read More

Report/Brief: SHADAC’s Primary Source of Coverage Hierarchy for American Community Survey (ACS) Estimates on State Health Compare

Jan. 29, 2024: This updated brief from SHADAC defines a “primary source of coverage hierarchy,” and how and when researchers can use this tool to determine which payer is primary when an individual reports multiple sources of health insurance coverage on the American Community Survey (ACS). Using a hierarchy...Read More

Report/Brief: Collection of Self-Reported Disability Data in Medicaid Applications: A Fifty-State Review of the Current Landscape (SHVS Brief)

Jan. 25, 2024: The following content is cross-posted from State Health & Value Strategies. It can also be found on the SHVS site here. Authors: Emily Zylla and Elizabeth Lukanen, SHADAC  Very little is known about people who self-identify as having a disability within the...Read More

Report/Brief: The Opioid Crisis in the Pandemic Era

Nov. 01, 2023: During 2020 and 2021, the first two years of the COVID-19 pandemic, data show that drug overdose deaths did not subside or plateau, but unfortunately surged alongside the rise of the coronavirus. Growing death rates were driven by a substantive change in the very foundation of the opioid crisis,...Read More

Report/Brief: Federal Survey Sample Size Analysis: Disability, Language, and Sexual Orientation and Gender Identity

Oct. 13, 2023: The Medicaid and CHIP Payment and Access Commission contracted with the State Health Access Data Assistance Center (SHADAC) to conduct a review and sample size analysis of 13 federal population health surveys to assess the quality and availability of data for certain populations facing health...Read More

Report/Brief: Did Disparities in Access Worsen During the Pandemic? (CHCF Brief)

Oct. 03, 2023: The following content is cross-posted from California Health Care Foundation  Author: Lacey Hartman, SHADAC Previous research has shown that Medi-Cal enrollees fare worse in accessing health care than Californians with employer coverage. A key question is whether and how access to...Read More

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