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Reports and Briefs: Suicide Rates on the Rise: Examining Continuing Trends and Variation across the Nation and in the States from 2000 to 2018

Jun. 16, 2020: Among the numerous impacts resulting from the arrival of the coronavirus pandemic, early evidence from several recent national polls suggests that the COVID-19 crisis is taking a significant toll on mental health in the United States.1 While we will not be able to fully comprehend the extent...Read More

Reports and Briefs: Significance Testing Using State Health Compare

Jun. 03, 2020: Originally published December 2016. Updated June 2020. 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. The brief first explains how to...Read More

Reports and Briefs: SHADAC COVID-19 Survey Results

May. 26, 2020: The SHADAC COVID-19 Survey on the impacts of the coronavirus pandemic on health care access and insurance coverage was conducted as part of the AmeriSpeak omnibus survey conducted by NORC at the University of Chicago. The survey was conducted using a mix of phone and online modes from April 24 and...Read More

Reports and Briefs: Exploring Public Health Indicators with State Health Compare: State Public Health Funding

May. 12, 2020: SHADAC has updated our brief on estimates of state-provided funding for the State Health Compare measure, “Public Health Funding.” Though this updated brief highlights state public health funding data from 2015–2019, data is available on the State Health Compare website for every year,...Read More

Reports and Briefs: University of Minnesota COVID-19 Health Insurance Model estimates that as many as 18.4 million individuals may be at risk of losing their employer-sponsored health insurance coverage (ESI)

Apr. 23, 2020: University of Minnesota COVID-19 Health Insurance Model (MN-HIM) Most Americans rely on their place of employment to obtain private health insurance coverage.  Currently, 64% of workers age 19–64 and their dependents get their health insurance coverage through an employer source. One...Read More

Reports and Briefs: Revised CPS Estimates Show less High Burden Medical Spending

Mar. 05, 2020: Last year, the U.S. Census Bureau enacted a second and final round of changes in a planned, two-stage redesign process for the agency’s Current Population Survey Annual Social and Economic Supplement (CPS ASEC). The first revision, made in 2014, was a redesign of the CPS ASEC questions regarding...Read More

Reports and Briefs: 2018 State-level Estimates of Medical Out-of-Pocket Spending for Individuals with Employer-sponsored Insurance Coverage

Mar. 05, 2020: U.S. health care spending continues to grow, reaching $3.6 trillion and 17.7% of the GDP in 2018.[i]  Unfortunately, a significant share of these costs are increasingly born by Americans in the form of increased deductibles, copayment, and coinsurance—commonly referred to as patient “out-...Read More

Reports and Briefs: Leveraging American Community Survey (ACS) Data to Address Social Determinants of Health and Advance Health Equity

Feb. 11, 2020: In a new issue brief for the Robert Wood Johnson Foundation’s State Health and Value Strategies, SHADAC Senior Researchers Lacey Hartman, MPP, Elizabeth Lukanen, MPH, and Colin Planalp, MPA explain how researchers and policymakers can leverage federal survey data to inform and target interventions...Read More

Reports and Briefs: Targeting Justice-Involved Populations through 1115 Medicaid Waiver Initiatives: Implementation experiences of three states

Jan. 30, 2020: New SHADAC Report on States Serving Justice-Involved Populations through Section 1115 Waivers Under a Research in Transforming Health and Health Care Systems grant from the Robert Wood Johnson Foundation, SHADAC recently conducted a study of the ways in which states are using Section 1115...Read More

Reports and Briefs: SHADAC’s Primary Source of Coverage Hierarchy for American Community Survey (ACS) Estimates on State Health Compare

Jan. 21, 2020: A new 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 provides...Read More

Reports and Briefs: Choosing Between Federal Surveys That Measure Rent Affordability

Dec. 20, 2019: Earlier this year, the U.S. Department of Housing and Urban Development released a policy brief recognizing the growing housing affordability crisis in the United States, especially as it affects metropolitan areas and rental units.1 Lack of low-cost rental housing is one of the main...Read More

Reports and Briefs: Comparing Federal Government Surveys That Count the Uninsured: 2019

Oct. 25, 2019: With the release of new insurance coverage estimates from surveys conducted by the U.S. Census Bureau, the Agency for Healthcare Research and Quality, and the Centers for Disease Control and Prevention, SHADAC recently updated our annual brief “Comparing Federal Government Surveys that Count the...Read More

Reports and Briefs: Suicide Rates on the Rise: Trends and Demographics across the Nation and in the States from 2000 to 2017 (Briefs)

Oct. 22, 2019: Much like the opioid epidemic currently encompassing the nation, death rates from suicide in the United States have been increasing at an alarming pace in recent decades. While the toll of opioids has received substantial attention, the toll from other causes of what researchers have termed “deaths...Read More

Reports and Briefs: State-level Trends in Employer-sponsored Health Insurance (ESI), 2014-2018

Aug. 14, 2019: RESOURCES State Profiles Two-page “at a glance” graphic profiles of employer-sponsored health insurance (ESI) coverage trends between 2014 and 2018 for each state, including statistical comparisons of coverage changes from 2017 to 2018. Download a single file...Read More

Reports and Briefs: Mental Health and Substance Use Disorder Parity under the ACA: National and State Estimates of Parity Gains as of 2017

Jul. 08, 2019: In addition to expanding access to health insurance coverage for millions of Americans through subsidized individual market coverage and state Medicaid expansions, the federal Affordable Care Act (ACA) applied Mental Health (MH) and Substance Use Disorder (SUD) coverage and parity mandates to...Read More

Reports and Briefs: The Comparing Health Insurance Measurement Error (CHIME) Study: Sample and Design

Jun. 19, 2019: The aim of this report is to describe the CHIME study design and sampling strategy and to report matching and response rates. About the CHIME Study Because there is no comprehensive administrative record of health insurance coverage in the United States, we must rely on household...Read More

Reports and Briefs: The Opioid Epidemic: National and State Trends in Opioid-Related Overdose Deaths from 2000 to 2017 (Briefs)

Jun. 10, 2019: Over the past two decades, the United States has experienced a growing crisis of substance abuse and addiction that is illustrated most starkly by the rise in deaths from drug overdoses. Since 2000, the annual number of drug overdose deaths has quadrupled from 17,500 to 70,000 in 2017.1,2 Most of...Read More

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

May. 09, 2019: A new brief from SHADAC evaluates common methods for better using categorical income measures, such as the one in the BRFSS, to calculate income as a percent of the federal poverty guidelines (FPG). Employing data from the 2017 BRFSS, the brief presents the distribution of income as a...Read More

Reports and Briefs: Children's Health Insurance Coverage Nationwide and in the States, 2016-2017

Apr. 23, 2019: Chartbook This analysis uses data from the American Community Survey (ACS) to examine: 1) changes in health insurance coverage from 2016 to 2017 for children nationwide and at the state level, and 2) state variation in uninsured rates for children in 2017. We examine coverage...Read More

Reports and Briefs: New Issue Brief Examines Ohio Strategy to Improve Opioid Prescribing Through Payment Reform

Mar. 26, 2019: In an effort to improve quality and contain the growing cost of health care, states are increasingly undertaking a shift away from fee-for-service reimbursement models that reward quantity of services and moving toward alternative payment models that reward value. Many of the states leading the way...Read More

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