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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

Report/Brief: Health Equity Measurement: Considerations for Selecting a Benchmark (SHVS Brief)

Sep. 27, 2023: The following content is cross-posted from State Health & Value Strategies.  Authors: Emily Zylla, Andrea Stewart, and Elizabeth Lukanen, SHADAC  As states look to advance health equity, they need ways to measure whether their efforts result in improvements....Read More

Report/Brief: Telehealth Use and Experiences Among California Adults (CHCF Brief)

Sep. 12, 2023: The following content is cross-posted from the California Health Care Foundation (CHCF).  Author: Lacey Hartman, Senior Research Fellow, State Health Access Data Assistance Center California’s Medi-Cal program is leveraging telehealth to meet patient needs. Many...Read More

Report/Brief: Four Methods for Calculating Income as a Percent of the Federal Poverty Guidelines (FPG) in the Behavioral Risk Factor Surveillance System (BRFSS)

Aug. 17, 2023: This updated SHADAC brief delves into four common methods for calculating income as a percent of the Federal Poverty Guidelines (FPG) using 2021 estimates from the U.S. Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System (BRFSS).  The BRFSS...Read More

Report/Brief: Disparities in Minnesota’s COVID-19 Vaccination Rates

Aug. 02, 2023: A new SHADAC issue brief found stark disparities not only in the share of subpopulations that have been immunized against COVID-19 in Minnesota, but also in the length of time it took vaccines to reach most people in these different groups. For instance, by the end of 2022, 80 percent of...Read More

Report/Brief: SHADAC's 2020 Health Insurance Unit and Updated Defining Families Issue Brief

Jul. 20, 2023: In 2012, SHADAC created and released the SHADAC “Health Insurance Unit,” or “HIU,” to aid researchers in reconciling the differences between the way that a “family” is defined in federal surveys (such as the U.S. Census Bureau’s American Community Survey [ACS] or Current Population Survey [CPS])...Read More

Report/Brief: Minnesota Health Access Survey 2021 Technical Report

Jun. 27, 2023: This report describes the Minnesota Health Access Survey (MNHA) data collection process and methodology, emphasizing the most recent administration of the survey completed in 2021. The 2021 MNHA represents the first time using a single address based (ABS) frame.  Overview of MNHA The...Read More

Report/Brief: Opportunities to Learn More About Serving Justice-Involved Individuals Through 1115 Demonstration Evaluations

May. 11, 2023: Medicaid is a vital source of coverage for the almost four million justice-involved individuals living in the community – individuals who are disproportionately poor and people of color. Upon release from prison or jail, many of these individuals face significant obstacles navigating and accessing...Read More

Report/Brief: Significance Testing Using State Health Compare

Mar. 15, 2023: Originally published December 2016. Updated March 2023 by SHADAC Research Assistant Adey Fentaw. This technical brief provides guidance on how to run tests for statistically significant differences using estimates and their associated margins of error from SHADAC’s State Health Compare web tool...Read More

Report/Brief: The Kids Aren't Alright: Adverse Childhood Experiences and Implications for Health Equity

Feb. 15, 2023: Authors: Colin Planalp, MPA and Andrea Stewart, MA   Drawing on data from the National Survey of Children’s Health, this brief investigates the prevalence of adverse childhood experiences (ACEs) and disparities in ACEs exposure by children’s race, family income...Read More

Report/Brief: Tracking the Medicaid Undercount in the 2021 ACS Coverage Data

Jan. 30, 2023: Research has consistently shown that health insurance coverage surveys underestimate the number of people enrolled in Medicaid and the extent of this “Medicaid undercount” varies greatly across surveys and states. Among these surveys that measure health insurance coverage, the American...Read More

Report/Brief: Issue Brief: Unwinding the Medicaid Continuous Coverage Requirement - Transitioning to Employer-Sponsored Coverage (State Health & Value Strategies Cross-Post)

Jan. 20, 2023: The following content is cross-posted from State Health and Value Strategies, published on January 19, 2023. Authors: Elizabeth Lukanen and Robert Hest, SHADAC Medicaid and the Children’s Health Insurance Program (CHIP) have played a key role in the response to the COVID-19...Read More

Report/Brief: Medicaid Undercount Doubles, Likely Tied to Enrollee Misreporting of Coverage

Dec. 05, 2022: Medicaid and Children’s Health Insurance Plan (CHIP) programs have played a key role in responding to the COVID-19 pandemic, providing an important safety net for health insurance coverage for millions of people during this unprecedented public health crisis. The Families First Coronavirus Response...Read More

Report/Brief: Collection of Race, Ethnicity, Language Data on Medicaid Applications: New and Updated Information on Medicaid Data Collection Practices in the States, Territories, and D.C.

Nov. 30, 2022: Collecting and monitoring data on Medicaid enrollees that is broken down by race, ethnicity, and language (REL) is an essential first step in assessing health disparities as well as identifying strategies for improvement in state Medicaid programs. Although all state Medicaid agencies and most U.S...Read More

Report/Brief: Comparing Federal Government Surveys That Count the Uninsured: 2022

Oct. 28, 2022: With the release of new insurance coverage estimates from surveys conducted by the U.S. Census Bureau, the Agency for Healthcare Research and Quality (AHRQ), and the Centers for Disease Control and Prevention (CDC), SHADAC has updated our annual “Comparing Federal...Read More