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Reports and Briefs: SHADAC’s Primary Source of Coverage Hierarchy for American Community Survey (ACS) Estimates on State Health Compare

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

Blog & News: SHADAC Newsletter - December 2019

Dec. 31, 2019: The SHADAC newsletter contains updates on SHADAC activities, news from the states, resource updates, and blog highlights. Click on the image below to download a PDF version of this newsletter. Subscribe to our newsletter here. Visit our Newsletter archive.   Read More

Reports and Briefs: Choosing Between Federal Surveys That Measure Rent Affordability

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

Blog & News: Affordability and Access to Care in 2018: Examining Racial and Educational Inequities across the United States (Infographic)

Dec. 17, 2019: The Centers for Medicare and Medicaid Services (CMS) recently reported that the cost of health care spending in the United States increased by 4.6 percent last year to reach an all-time high of approximately $3.6 trillion.1 This report comes amidst a number of other concerning health...Read More

Blog & News: Now Available on State Health Compare: Eleven Updated Measures and One Brand New Measure

Dec. 02, 2019: Estimates for measures from a variety of categories (Health Outcomes, Health Behaviors, Access to Care, Cost of Care, and Social and Economic Factors, etc.) have now been updated on SHADAC’s State Health Compare web tool. All measures now contain data for 2018, the most recent year available. State...Read More

Blog & News: SHADAC Newsletter - November 2019

Nov. 30, 2019: The SHADAC newsletter contains updates on SHADAC activities, news from the states, resource updates, and blog highlights. Click on the image below to download a PDF version of this newsletter. Subscribe to our newsletter here. Visit our Newsletter archive.   Read More

Medicaid and CHIP Policy

Nov. 26, 2019: Medicaid and CHIP Policy SHADAC has worked both independently and under contract to the Medicaid and CHIP Payment Access Commission (MACPAC) to monitor and analyze changes in the Medicaid and CHIP policy landscape such as Medicaid expansion, work requirements, eligibility and enrollment, as well...Read More

State and Federal Health Policy and Health Reform Strategies

Nov. 26, 2019: State and Federal Health Policy and Health Reform Strategies Recent SHADAC Work: On-Demand State Policy Technical Assistance SHADAC is a Technical Assistance Provider to the Robert Wood Johnson Foundation (RWJF) State Health and Value Strategies (SHVS), which by connecting states with...Read More

Blog & News: New Report for Connecticut Explores “What’s Happening with Health Information Exchange in the State”

Nov. 25, 2019: Under contract with the Connecticut Health Foundation, SHADAC Senior Researchers Christina Worrall, MPP, and Emily Zylla, MPH, have authored a new policy brief exploring the launch of a new statewide health information exchange in Connecticut—called the Health Information Alliance—and the next...Read More

Journal Articles: Medicaid expansion and the Medicaid undercount in the American Community Survey (Health Services Research Article)

Nov. 20, 2019: Researchers at SHADAC have long been interested in the issue of “Medicaid undercount,” or the discrepancies that exist between survey estimates of enrollment in Medicaid and the number of enrollees that are actually reported in state and national administrative data—a pattern in which the...Read More

Blog & News: Alternatives to ACA Compliant Plans in the Individual Market

Nov. 15, 2019: Introduction Change is constant in the nongroup health insurance market, and both recent and forthcoming regulation changes might pose a threat to market stability. So far, these regulation changes include eliminating the individual mandate tax penalty; eliminating cost sharing payments in 2017;...Read More

Health Insurance Coverage and Access to Care

Nov. 12, 2019: Health Coverage and Access to Care SHADAC Projects and Resources related to Health Insurance Coverage and Access to Care: Monitoring the Impact of the Affordable Care Act (ACA 411 Project) In support of the California Health Care Foundation’s efforts to track the impact of the...Read More

Blog & News: SHADAC Newsletter - October 2019

Oct. 30, 2019: The SHADAC newsletter contains updates on SHADAC activities, news from the states, resource updates, and blog highlights. Click on the image below to download a PDF version of this newsletter. Subscribe to our newsletter here. Visit our Newsletter archive. Read More

Blog & News: Minnesota's Growing and Evolving Opioid Crisis

Oct. 28, 2019: On Thursday, October 24, SHADAC Senior Research Fellow Colin Planalp presented a data-focused look at Minnesota’s opioid crisis during the University of Minnesota’s Medical Industry Leadership Institute “Combating Minnesota’s Opioid Epidemic” policy forum. Colin shared the stage with experts in a...Read More

Reports and Briefs: Comparing Federal Government Surveys That Count the Uninsured: 2019

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

Reports and Briefs: Suicide Rates on the Rise: Trends and Demographics across the Nation and in the States from 2000 to 2017 (Briefs)

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

2018 ACS Tables: State & County Uninsured Rates, with Comparison Year 2017

Oct. 18, 2019: The interactive map on this page links to tables containing state and county uninsurance estimates for 2018. These estimates come from the 2018 American Community Survey (ACS) via the U.S. Census Bureau's data.census.gov tool. Click on a state to see state and county...Read More

Blog & News: SHADAC Resource on Required Evaluation Plans for DSRIP/Delivery System Reforms through 1115 Waivers

Oct. 11, 2019: Introduction SHADAC researchers have extensive experience providing technical assistance to states on payment and delivery system reform, often supporting the evaluation and monitoring of these activities. Recently, we have been working with a subset of states pursuing innovative policies under...Read More

Blog & News: Using 1115 Waivers to Fund State Uncompensated Care Pools

Oct. 03, 2019: Definitions Uncompensated Care:[vii] Care for the uninsured or underinsured delivered in hospitals that is not fully reimbursed. Costs associated with uncompensated care include charity care when patients do not have the ability to pay, and/or bad debt from unpaid...Read More

Resource: State-Based Reinsurance Programs via 1332 State Innovation Waivers

Sep. 30, 2019: An overview of the states with 1332 reinsurance waivers approved, withdrawn, or pending: For the states that have been approved, here's a brief glance at the pass-through funding for 2019: For additional in-depth state-level detail please see the table below. Scroll further ...Read More

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