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Report/Brief: Federal Survey Sample Size Analysis: Disability, Language, and Sexual Orientation and Gender Identity

Oct. 13, 2023: The Medicaid and CHIP Payment and Access Commission contracted with the State Health Access Data Assistance Center (SHADAC) to conduct a review and sample size analysis of 13 federal population health surveys to assess the quality and availability of data for certain populations facing health...Read More

Report/Brief: Did Disparities in Access Worsen During the Pandemic? (CHCF Brief)

Oct. 03, 2023: The following content is cross-posted from California Health Care Foundation  Author: Lacey Hartman, SHADAC Previous research has shown that Medi-Cal enrollees fare worse in accessing health care than Californians with employer coverage. A key question is whether and how access to...Read More

Report/Brief: Health Equity Measurement: Considerations for Selecting a Benchmark (SHVS Brief)

Sep. 27, 2023: The following content is cross-posted from State Health & Value Strategies.  Authors: Emily Zylla, Andrea Stewart, and Elizabeth Lukanen, SHADAC  As states look to advance health equity, they need ways to measure whether their efforts result in improvements....Read More

Report/Brief: Telehealth Use and Experiences Among California Adults (CHCF Brief)

Sep. 12, 2023: The following content is cross-posted from the California Health Care Foundation (CHCF).  Author: Lacey Hartman, Senior Research Fellow, State Health Access Data Assistance Center California’s Medi-Cal program is leveraging telehealth to meet patient needs. Many...Read More

Report/Brief: Four Methods for Calculating Income as a Percent of the Federal Poverty Guidelines (FPG) in the Behavioral Risk Factor Surveillance System (BRFSS)

Aug. 17, 2023: This updated SHADAC brief delves into four common methods for calculating income as a percent of the Federal Poverty Guidelines (FPG) using 2021 estimates from the U.S. Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System (BRFSS).  The BRFSS...Read More

Report/Brief: Disparities in Minnesota’s COVID-19 Vaccination Rates

Aug. 02, 2023: A new SHADAC issue brief found stark disparities not only in the share of subpopulations that have been immunized against COVID-19 in Minnesota, but also in the length of time it took vaccines to reach most people in these different groups. For instance, by the end of 2022, 80 percent of...Read More

Report/Brief: SHADAC's 2020 Health Insurance Unit and Updated Defining Families Issue Brief

Jul. 20, 2023: In 2012, SHADAC created and released the SHADAC “Health Insurance Unit,” or “HIU,” to aid researchers in reconciling the differences between the way that a “family” is defined in federal surveys (such as the U.S. Census Bureau’s American Community Survey [ACS] or Current Population Survey [CPS])...Read More

Report/Brief: Minnesota Health Access Survey 2021 Technical Report

Jun. 27, 2023: This report describes the Minnesota Health Access Survey (MNHA) data collection process and methodology, emphasizing the most recent administration of the survey completed in 2021. The 2021 MNHA represents the first time using a single address based (ABS) frame.  Overview of MNHA The...Read More

Report/Brief: Opportunities to Learn More About Serving Justice-Involved Individuals Through 1115 Demonstration Evaluations

May. 11, 2023: Medicaid is a vital source of coverage for the almost four million justice-involved individuals living in the community – individuals who are disproportionately poor and people of color. Upon release from prison or jail, many of these individuals face significant obstacles navigating and accessing...Read More

Report/Brief: Significance Testing Using State Health Compare

Mar. 15, 2023: Originally published December 2016. Updated March 2023 by SHADAC Research Assistant Adey Fentaw.  Updated August 2024 by SHADAC Research Assistant Annie Gowlovech. This technical brief provides guidance on how to run tests for statistically significant differences using...Read More

Report/Brief: The Kids Aren't Alright: Adverse Childhood Experiences and Implications for Health Equity

Feb. 15, 2023: Authors: Colin Planalp, MPA and Andrea Stewart, MA   Drawing on data from the National Survey of Children’s Health, this brief investigates the prevalence of adverse childhood experiences (ACEs) and disparities in ACEs exposure by children’s race, family income...Read More

Report/Brief: Tracking the Medicaid Undercount in the 2021 ACS Coverage Data

Jan. 30, 2023: Research has consistently shown that health insurance coverage surveys underestimate the number of people enrolled in Medicaid and the extent of this “Medicaid undercount” varies greatly across surveys and states. Among these surveys that measure health insurance coverage, the American...Read More

Report/Brief: Issue Brief: Unwinding the Medicaid Continuous Coverage Requirement - Transitioning to Employer-Sponsored Coverage (State Health & Value Strategies Cross-Post)

Jan. 20, 2023: The following content is cross-posted from State Health and Value Strategies, published on January 19, 2023. Authors: Elizabeth Lukanen and Robert Hest, SHADAC Medicaid and the Children’s Health Insurance Program (CHIP) have played a key role in the response to the COVID-19...Read More

Report/Brief: Medicaid Undercount Doubles, Likely Tied to Enrollee Misreporting of Coverage

Dec. 05, 2022: Medicaid and Children’s Health Insurance Plan (CHIP) programs have played a key role in responding to the COVID-19 pandemic, providing an important safety net for health insurance coverage for millions of people during this unprecedented public health crisis. The Families First Coronavirus Response...Read More

Report/Brief: Collection of Race, Ethnicity, Language Data on Medicaid Applications: New and Updated Information on Medicaid Data Collection Practices in the States, Territories, and D.C.

Nov. 30, 2022: Collecting and monitoring data on Medicaid enrollees that is broken down by race, ethnicity, and language (REL) is an essential first step in assessing health disparities as well as identifying strategies for improvement in state Medicaid programs. Although all state Medicaid agencies and most U.S...Read More

Report/Brief: Comparing Federal Government Surveys That Count the Uninsured: 2022

Oct. 28, 2022: With the release of new insurance coverage estimates from surveys conducted by the U.S. Census Bureau, the Agency for Healthcare Research and Quality (AHRQ), and the Centers for Disease Control and Prevention (CDC), SHADAC has updated our annual “Comparing Federal...Read More

Report/Brief: Exploring 2021 State Public Health Funding Estimates Using State Health Compare

Oct. 10, 2022: This updated SHADAC brief on state-provided public health funding estimates highlights newly-available 2021 data as well as trends over the past decade (2012–2021). These estimates come from SHADAC’s State Health Compare measure, “Public Health Funding”, which provides annual estimates of per-...Read More

Report/Brief: Room to Grow: Inequities in Children's Health Insurance Coverage

Sep. 28, 2022: Health insurance is a linchpin in the United States’ health care system. It can insulate families from deep financial strain and medical debt, as costs for health care services have grown increasingly unaffordable in recent decades. For children, the doorway to health care offered by insurance is...Read More

Report/Brief: State-Level Trends in Employer-Sponsored Health Insurance, 2019-2021

Aug. 30, 2022: The COVID-19 pandemic has altered long-standing patterns of life and work in the United States and internationally. The pandemic, along with the associated policy response, led to (at least temporary) changes in Americans’ primary source of health insurance coverage, with more Americans enrolled in...Read More

Report/Brief: Rates of Anxiety and Depression Symptoms Declined in 2021, Remained Higher than Pre-Pandemic

Jun. 07, 2022: June 7, 2022   Despite improvements, disparities in prevalence persisted As the COVID-19 pandemic continues in the United States, anxiety and depression levels remain elevated compared to pre-pandemic rates. However, 2021 data shows a significant decline in reported anxiety and...Read More

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