Presentation by Shana Alex Lavarreda (UCLA Center for Health Policy Research) at the 2011 AcademyHealth Annual Research Meeting in Seattle, WA.  Dr. Lavarreda discusses the findings from her SHARE-sponsored study evaluating the connection between 12-month continuous eligibility in Medicaid and children's access to care.  The presentation concludes with a discussion of the implications of this evaluation for the implementation of the federal Affordable Care Act.

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This report, funded by a grant from the California HealthCare Foundation, makes recommendations for how California can measure the impact of health reform in three areas:

• Health insurance coverage;
• Affordability and comprehensiveness of health insurance coverage; and
• Access to health care services.

Within each of these areas, the report identifies metrics needed to monitor the impacts of the ACA. We review existing state-specific and national data sources to determine how each source might be used to measure the effects of the ACA in California. In addition, we identify gaps in the data needed to monitor the impacts of reform, and make recommendations for how to fill these gaps.

This measurement framework, assessment of existing data sources, and identification of gaps in existing data can also inform efforts to monitor the impacts of the ACA at the national level and in other states.

The Patient Protection and Affordable Care Act (ACA) will have far-reaching effects on health insurance coverage, health care financing, and delivery in the United States. Understanding the state-level implications of the ACA allows for better understanding of the national impact of the law and provides information to shape ongoing state implementation activities.

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Presentation by Michel Boudreaux, "Potential Gaps in the Availability of Primary Care Physicians under Health Reform:  Identifying Communities at Risk," at the AcademyHealth Annual Research Meeting, June 12 in Seattle, WA.

Presentation by Jessie Kemmick-Pintor, "Left Out Under PPACA: Undocumented Immigrants Adults Excluded from Medicaid Expansions" at the NRSA Trainees Research Conference, held in conjunction with the AcademyHealth Annual Research Meeting, June 11, 2011 in Seattle, WA.

Presentation by Lynn Blewett, "Immigrants’ access to care under the Affordable Care Act: The role of states in addressing coverage gaps," at the University of Minnesota School of Public Health's symposium, Accelerating the Future: the Changing Face of Health in America, held April 19, 2011 in Minneapolis, MN.

Download a PDF version of the slides.