Aug. 26, 2020:For nearly two decades, the United States has experienced a growing and evolving crisis of substance abuse and addiction; a crisis illustrated by statistically significant increases in overdose deaths directly from, or related to, opioids. These increases have occurred throughout the country, as...Read More
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
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
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
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
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
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
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
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
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
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
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
Aug. 14, 2019:
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
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
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
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
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
Apr. 23, 2019:
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
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
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
The State Health Access Data Assistance Center (SHADAC) is a program of the Robert Wood Johnson Foundation and a part of the Health Policy and Management Division of the School of Public Health at the University of Minnesota.