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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

Reports and Briefs: SHADAC Issue Brief "Aligning Quality Measures across Payers: Lessons from State Innovation Models"

Mar. 20, 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 and moving toward alternative payment models that reward value.  Many of the states leading the...Read More

Reports and Briefs: Leveraging 1332 State Innovation Waivers to Stabilize Individual Health Insurance Markets: Experiences of Alaska, Minnesota, and Oregon (Final Report)

Feb. 05, 2019: In 2017, Alaska, Minnesota, and Oregon became the first three states to receive federal approval to establish state reinsurance programs with federal funding via section 1332 State Innovation Waivers, which authorize states to waive key requirements under the law in order to experiment with dif­...Read More

Reports and Briefs: Assessment and Synthesis of Selected Medicaid Eligibility, Enrollment, and Renewal Processes and Systems in Six States

Dec. 05, 2018: This SHADAC contractor report was produced for the Medicaid and CHIP Payment and Access Commission (MACPAC). The purpose of the analysis was to examine Medicaid eligibility, enrollment, and renewal practices in six states in light of the Affordable Care Act goals of making the Medicaid program...Read More

Reports and Briefs: Eligibility, Enrollment, and Renewal: North Carolina Case Study Findings

Dec. 05, 2018: SHADAC produced this case study for the Medicaid and CHIP Payment and Access Commission (MACPAC) as part of a contract to examine Medicaid eligibility, enrollment, and renewal practices in six states in light of the Affordable Care Act goals of making the Medicaid program more...Read More

Reports and Briefs: Eligibility, Enrollment, and Renewal: New York Case Study

Dec. 05, 2018: SHADAC produced this case study for the Medicaid and CHIP Payment and Access Commission (MACPAC) as part of a contract to examine Medicaid eligibility, enrollment, and renewal practices in six states in light of the Affordable Care Act goals of making the Medicaid program more...Read More

Reports and Briefs: Eligibility, Enrollment, and Renewal: Florida Case Study Findings

Dec. 05, 2018: SHADAC produced this case study for the Medicaid and CHIP Payment and Access Commission (MACPAC) as part of a contract to examine Medicaid eligibility, enrollment, and renewal practices in six states in light of the Affordable Care Act goals of making the Medicaid program more...Read More

Reports and Briefs: Eligibility, Enrollment, and Renewal: Idaho Case Study

Dec. 05, 2018: SHADAC produced this case study for the Medicaid and CHIP Payment and Access Commission (MACPAC) as part of a contract to examine Medicaid eligibility, enrollment, and renewal practices in six states in light of the Affordable Care Act goals of making the Medicaid program more...Read More

Reports and Briefs: Eligibility, Enrollment, and Renewal: Colorado Case Study

Dec. 05, 2018: SHADAC produced this case study for the Medicaid and CHIP Payment and Access Commission (MACPAC) as part of a contract to examine Medicaid eligibility, enrollment, and renewal practices in six states in light of the Affordable Care Act goals of making the Medicaid program more...Read More

Reports and Briefs: Eligibility, Enrollment, and Renewal: Arizona Case Study Findings

Dec. 05, 2018: SHADAC produced this case study for the Medicaid and CHIP Payment and Access Commission (MACPAC) as part of a contract to examine Medicaid eligibility, enrollment, and renewal practices in six states in light of the Affordable Care Act goals of making the Medicaid program more efficient;...Read More

Reports and Briefs: New Data on Drug Overdose Deaths Highlight the Need for State-Level Analysis

Nov. 05, 2018: In a rare positive sign regarding the national opioid crisis, new provisional data from the U.S. Centers for Disease Control and Prevention (CDC) suggest that the persistent increases in overdose deaths may be slowing, with a possible leveling out or even a small drop in U.S. opioid-related...Read More

Reports and Briefs: Comparing Federal Government Surveys That Count the Uninsured: 2018

Oct. 09, 2018: This brief provides an annual update to comparisons of uninsurance estimates from four federal surveys1: The American Community Survey (ACS) The Current Population Survey (CPS) The Medical Expenditure Panel Survey - Household Component (MEPS-HC) The National Health Interview Survey (...Read More

Reports and Briefs: Employer-Sponsored Health Insurance at the State Level, 2013-2017: Chartbook and State Fact Sheets

Oct. 01, 2018: Chartbook This SHADAC chartbook uses data from the Medical Expenditure Panel Survey-Insurance Component (MEPS-IC) to highlight the experiences of private-sector workers with employer-sponsored insurance (ESI) from 2013 through 2017 at the national level and...Read More

Reports and Briefs: The Opioid Epidemic: National and State Trends in Opioid-Related Overdose Deaths, 2000-2016 (Briefs)

Jun. 19, 2018: For nearly two decades, the United States has experienced a growing crisis of drug abuse and addiction that is illustrated most starkly by deaths from drug overdose. Since 2000, the number of drug overdose deaths has more than tripled from 17,500 to 63,500 in 2016.1,2 Most of these deaths involved...Read More

Reports and Briefs: State-Level Trends in Children's Health Insurance Coverage, 2013-2016

Jun. 01, 2018: Chartbook This SHADAC chartbook uses data from the American Community Survey (ACS) to examine health insurance coverage from 2013 to 2016 for children at the national level and in the states. Download the chartbook.  Download 50-state tables for cross-state and national...Read More

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