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Report/Brief: Geographic Concentration of the Uninsured in 2013 & 2014

Jun. 09, 2016: This data summary provides results from the 2013 and 2014 Small Area Health Insurance Estimates (SAHIE) program at the U.S. Census Bureau. Taken together, the 2013 and 2014 estimates illustrate the geographic concentration of the uninsured across U.S. counties before and after the...Read More

Report/Brief: Health Care Utilization and Cost Impacts of Delivery System Innovations: An Updated Review of the Evidence

May. 10, 2016: This issue brief provides an updated review of the evidence about the impacts of delivery system interventions with a focus on outcomes related to health care utilization and costs. The original issue brief was provided in the fall of 2013 to recipients grant funding from the federal State...Read More

Report/Brief: New Brief: Using HCUP Data for State Health Policy Analysis

Apr. 22, 2016: The SHARE grant program has released a new brief examining the use of administrative data for the purpose of state health policy analysis. In particular, the brief highlights the hospital administrative data available from the Healthcare Cost and Utilization Project (HCUP) and presents a case study...Read More

Report/Brief: Using HCUP Data for State Health Policy Analysis: A Case Study Examining the Impacts of an Early Medicaid Expansion

Apr. 22, 2016: This brief from the SHARE grant program examines a rich source of US hospital administrative data--the Healthcare Cost and Utilization Project (HCUP)--and provides an example of how a SHARE-funded research project led by Dr. Peter Cunningham at Virginia Commonwealth University...Read More

Report/Brief: Aligning Quality Measures across Payers

Apr. 06, 2016: With a growing emphasis on improving the quality of health care, public and private payers are increasingly measuring the performance of providers on a variety of quality metrics. The purpose of gathering these metrics is to evaluate health care providers and drive them to improve their performance...Read More

Report/Brief: Engaging Commercial Payers on Multipayer Alignment

Mar. 29, 2016: Engaging with commercial payers is a critical component of achieving multipayer alignment in payment and delivery system initiatives.  A new issue brief produced by SHADAC outlines several key recommendations for states as they work to engage commercial payers.  These include: •...Read More

Report/Brief: Engaging Commercial Payers on Multipayer Alignment: Key Issues for SIM States

Mar. 29, 2016: This brief provides some tips to states on how to productively engage with private payers on the goal of achieving multipayer alignment in payment reform and delivery system reform initiatives. In some states, Medicaid has been a very proactive purchaser and driver of delivery system...Read More

Report/Brief: Guide to Using the 2014 and 2015 Current Population Survey Public Use Files

Mar. 14, 2016: Originally published in March 2016. Revised August 2016. The Census Bureau implemented redesigned income and health insurance coverage questions beginning with the 2014 Current Population Survey’s Annual Social and Economic Supplement (CPS) questionnaire. The 2014 CPS asked about income and...Read More

Report/Brief: Health Insurance Coverage in Minnesota: Results from the 2015 Minnesota Health Access Survey

Feb. 29, 2016: This issue brief summarizes a set of findings from the 2015 Minnesota Health Access Survey (MNHA). The MNHA is a biennial state population telephone survey, conducted in partnership between the Health Economics Program at the Minnesota Department of Health and the State Health Access Data...Read More

Report/Brief: State Level Trends in Children's Health Insurance Coverage, 2010-2014

Feb. 11, 2016: This in-depth report examines data from the American Community Survey (ACS) to compare health insurance coverage from 2013 to 2014 and to detail five-year coverage trends (2010 to 2014) for children nationwide and at the state level for all 50 states and the District of Columbia. ...Read More

Report/Brief: Minnesotans with Non-Group Coverage in 2013: How Did They Fare in 2014?

Nov. 04, 2015: A new brief from SHADAC, produced with support from the State Health Reform Assistance Network ("State Network") considers the 2014 coverage transitions experienced by Minnesotans who had non-group coverage in 2013 before the ACA went into full effect. This group had new options for obtaining...Read More

Report/Brief: Health Insurance Transitions Under the ACA Experienced by People Previously Insured in Non-Group Plans

Nov. 04, 2015: This brief describes the coverage transitions of Minnesotans who had non-group coverage in 2013, prior to full ACA implementation. The authors describe this group's experiences searching for health insurance under the ACA, including their use of the resources made available by the newly implemented...Read More

Report/Brief: Comparing Federal Government Surveys That Count the Uninsured: 2015

Oct. 20, 2015: This brief provides an annual update to comparisons of uninsurance estimates from five federal surveys: the American Community Survey (ACS), the Current Population Survey (CPS), the Medical Expenditure Panel Survey - Household Component (MEPS-HC), the National Health Interview Survey (NHIS), and...Read More

Report/Brief: Health Insurance Literacy Memo and Resources

Sep. 22, 2015: While millions of Americans have newly gained health insurance coverage under the Affordable Care Act (ACA), there is evidence that coverage alone does not necessarily translate into access to health care.  This memo provides background information on health insurance literacy,...Read More

Report/Brief: Catalog of Medicaid Initiatives Focusing on Integrating Behavioral and Physical Health Care

Sep. 17, 2015: Report prepared by SHADAC for the Medicaid and CHIP Payment and Access commission (MACPAC). MACPAC contracted with SHADAC to conduct a comprehensive scan of state-level Medicaid programs aiming to integrate behavioral and physical health care services. SHADAC then cataloged their structures,...Read More

Report/Brief: Methods Brief: Minnesota Health Insurance Transitions Study (MN-HITS)

Jul. 01, 2015: The Minnesota Health Insurance Transitions Study (MN-HITS) is a longitudinal telephone survey conducted in Minnesota in 2013 to assess change in health insurance coverage and/or access to health care for the population most likely to be eligible for new coverage...Read More

Report/Brief: SHARE: Program Overview & Reach, 2015

Jun. 29, 2015: This report summarizes the research focus of the SHARE grantees to date, including the data sources used and the impact of their findings.  Download a PDF of the brief. Read More

Report/Brief: Measuring and Monitoring Churn at the State Level: Methods and Data Sources

Jun. 25, 2015: This brief summarizes, “ACA Coverage Expansions: Measuring and Monitoring Churn at the State Level,” one of a series of SHADAC white papers commissioned by the Office of the Assistant Secretary for Planning and Evaluation (ASPE) to explore innovative uses of data...Read More

Report/Brief: State-Level Trends in Employer-Sponsored Health Insurance: A State-by-State Analysis (2015)

Jan. 27, 2015: This report examines state-level trends in employer-sponsored insurance (ESI) and the factors that influence ESI.  The Affordable Care Act (ACA) includes provisions to improve access to affordable health insurance, including access to employer sponsored insurance (ESI). However, concerns...Read More

Report/Brief: Availability and Use of Enrollment Data from the ACA Health Insurance Marketplace

Oct. 22, 2014: A better understanding of the diverse sources of administrative data avilable from the state and federal health insurance marketplaces is required in order to respond to questions about the performance of exchanges during the first open enrollment period and about the viability of exchanges in the...Read More

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