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Report/Brief: ACA Coverage Expansions: Measuring and Monitoring Churn at the State Level
Oct. 22, 2014: Under contract with MACPAC, SHADAC designs and conducts quantitative analysis to explore the magnitude and type of churn occurring in the pre- and post-ACA insurance market at the state levels as well as the characteristics of churners. This analysis uses data from the Survey of Income and Program...Read MoreReport/Brief: Using Insurer Filings to Monitor the Private Health Insurance Market
Oct. 22, 2014: This paper provides states with information on ways in which they can monitor the private health insurance market over time. This information includes key analytic questions of interest; examples and recommendations of state-level analyses of the regulated health insurance market; and a comparison...Read MoreReport/Brief: Making Use of All-Payer Claims Databases for Health Care Reform Evaluation
Oct. 22, 2014: This paper provides an update on the development of state-operated All-Payer Claims Databases (APCDs), with a focus on potential analytic uses and capabilities. The purpose of of the paper is to highlight key questions that APCD data and analysis can answer on their own and when linked to other...Read MoreReport/Brief: Terms and Definitions Used by States Reporting on Affordable Care Act (ACA) Enrollment
Oct. 16, 2014: During the first open enrollment period under the Affordable Care Act, the federal government and states operating state-based exchanges conducted various types of reporting on key indicators of interest to policymakers and the public. There was variation in the definitions employed by different...Read MoreReport/Brief: Non-Federal Surveys Measuring Health Insurance Coverage
Oct. 02, 2014: Large, ongoing federal surveys provide some of the best estimates of health insurance coverage used to monitor the impact of the Affordable Care Act (ACA). However, because of the size and complexity of these surveys, there is a significant lag time between data collection and its release to the...Read MoreReport/Brief: Comparing Federal Government Surveys That Count the Uninsured: 2014
Sep. 24, 2014: Timely and accurate estimates of the number of people who do not have health insurance coverage are important for understanding trends in health insurance coverage and the impacts of policy changes that affect health insurance. Estimates of the number of people who are uninsured are available from...Read MoreReport/Brief: Data Sources Used for Monitoring and Evaluating Health Reform at the State Level
Sep. 11, 2014: This report takes a high-level look at the data sources behind research and evaluation findings from the State Health Access Reform Evaluation (SHARE) grant program. Based on a review of SHARE grantee documentation and products, data sources used in monitoring and evaluating health reform...Read MoreReport/Brief: Recommendations for Using Surveys to Measure Health Coverage Post-Reform: Lessons from Massachusetts
Aug. 27, 2014: This brief summarizes the paper "Preparing to Measure Health Coverage in Federal Surveys Post-Reform: Lessons from Massachusetts," by Pascale, J., Rodean, J., Leeman, J., Cosenza, C., & Schoua-Glusberg, A. 2013 Inquiry 50(2): 106-123. Download a PDF of the brief. Read MoreReport/Brief: Early Impacts of the ACA on Health Insurance Coverage in Minnesota
Jul. 25, 2014: This presentation was given by Deputy Director Julie Sonier at the request of the MNsure Legislative Oversight Committee on July 22, 2014. It provides an overview of the results from SHADAC's study of the early impacts of the Affordable Care Act on health insurance coverage in Minnesota....Read MoreReport/Brief: Multi-Payer Investments in Primary Care: Policy and Measurement Strategies
Jul. 23, 2014: The purpose of this paper is to help states develop or refine a multi-payer primary care investment strategy. It presents a range of options for advancing and measuring investments in state-based primary care systems, with an emphasis on enhancing the engagement of commercial payers and aligning...Read MoreReport/Brief: Early Impacts of the Affordable Care Act on Health Insurance Coverage in Minnesota
Jun. 11, 2014: function get_style () { return "none"; } function end_ () { document.getElementById('md-1').style.display = get_style(); } Download the full report. EXECUTIVE SUMMARY With full implementation of the Affordable Care Act’s (ACA’s) health insurance coverage provisions on January 1, 2014,...Read MoreReport/Brief: Using Recent Revisions to Federal Surveys for Measuring the Effects of the Affordable Care Act
May. 29, 2014: This brief discusses recent revisions to several federal surveys that could be used to measure the impact of key provisions of the Affordable Care Act (ACA), with a particular focus on how the surveys could be used to examine differences within and among states. It provides: An overview...Read MoreReport/Brief: State Estimates of Limited English Proficiencey (LEP) by Health Insurance Status
May. 16, 2014: This issue brief provides state-level estimates of people with limited English proficiency (LEP) by health insurance status from the American Community Survey. There are an estimated 24.5 million people with LEP in the United States. Over one-third of the LEP population, or 9.5million people...Read MoreReport/Brief: Estimates of Direct Purchase from the ACS and Medicaid Misreporting: Is There a Link?
May. 13, 2014: This brief explores whether the relatively high estimates of direct purchase coverage in the American Community Survey (ACS) are caused by people misreporting their Medicaid coverage. The authors examine this question using a unique version of the ACS that has been linked to Medicaid...Read MoreReport/Brief: An Introduction to Redesigned Health Insurance Coverage Questions in the 2014 Current Population Survey’s Annual Social and Economic Supplement
May. 02, 2014: This brief discusses the addition of new and modified health insurance coverage questions to the 2014 CPS. The question series was completely redesigned to: Improve the measure of past year coverage Add a point in time measure Collect additional information related to health reform (...Read MoreReport/Brief: State-Level Trends in Childrens’ Health Insurance Coverage
Mar. 14, 2014: Reducing the number of children without health insurance coverage has long been a focus of national and state health policy. This report documents recent coverage trends at the state level using data from 2008 through 2012, the most recent year available. The report is accompanied...Read MoreReport/Brief: Geographic Concentration of the Uninsured
Feb. 06, 2014: This analysis was conducted by the State Health Access Data Assistance Center (SHADAC) to estimate the geographic concentration of the uninsured across U.S. counties. The estimates are from the 2011 Small Area Health Insurance Estimates (SAHIE) program at the U.S. Census Bureau. The SAHIE...Read MoreReport/Brief: SHARE Program Report, December 2013
Nov. 08, 2013: This report summarizes the grants and research that have been funded, who has used or cited SHARE results, and the implications for implementation of the ACA. Read MoreReport/Brief: Evaluation of the Minnesota Community Application Agent (MNCAA) Program: A State Health Access Program Analysis for the Minnesota Department of Human Services
Oct. 30, 2013: This report, prepared by SHADAC for the Minnesota Department of Human Serivces (DHS) with funding from the Health Resources and Services Administration (HRSA) State Health Access Program (SHAP), presents findings from an evaluation of the Minnesota Community Application Agenda (MNCAA) program. Read MoreReport/Brief: Engaging Commercial Payers on Multi-Payer Alignment
Oct. 01, 2013: In response to requests from states, this technical assistance document 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...Read MorePages
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