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Report/Brief: Escalating Alcohol-Involved Death Rates: Trends and Variation across the Nation and in the States from 2006 to 2019 (Infographics)

Apr. 19, 2021: April 19, 2021 In the midst of the opioid epidemic, the United States has been quietly experiencing another mounting public health crisis as deaths involving alcohol have grown to historic highs. After years of stability, the rate of alcohol-related deaths began to increase in 2007 and has...Read More

Report/Brief: Data to Inform Research on Integrated Care for Dual Eligibles

Apr. 01, 2021: This report by SHADAC researchers Lacey Hartman and Elizabeth Lukanen, conducted with support from the Arnold Ventures Foundation, summarizes the findings of a systematic review of data sources that could be used to study the broad topic of integrated care for dual eligibles.  The paper...Read More

Report/Brief: Anticipating COVID-19 Vaccination Challenges through Flu Vaccination Patterns

Jan. 06, 2021: A new issue brief from SHADAC researchers, funded by the California Health Care Foundation (CHCF), examines flu vaccination rates as the closest possible analog to understanding how the implementation of a widespread coronavirus vaccination campaign will unfold. Using data from the U.S. Centers...Read More

Report/Brief: Using 1115 Waivers to Fund State Uncompensated Care Pools

Oct. 08, 2020: What is an Uncompensated Care Pool? Uncompensated care pools (UC pools, or UCPs) are one strategy used by states in order to fund care for the uninsured and the underinsured. The pools are primarily used to pay providers for a portion of the free care they provide, thereby ensuring access to...Read More

Report/Brief: Comparing Federal Government Surveys That Count the Uninsured: 2020

Oct. 02, 2020: 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 Government Surveys...Read More

Report/Brief: State-level Trends in Employer-sponsored Health Insurance (ESI), 2015-2019

Sep. 10, 2020: ESI PRODUCTS State Profiles Two-page “at a glance” graphic profiles of employer-sponsored health insurance (ESI) coverage trends between 2015 and 2019 for each state, including statistical comparisons of coverage changes from 2018 to 2019. Download a single file...Read More

Report/Brief: Overdose Crisis in Transition: Changing National and State Trends in a Widening Drug Death Epidemic

Aug. 26, 2020: For nearly two decades, the United States has experienced a growing and evolving crisis of substance abuse and addiction; a crisis illustrated by statistically significant increases in overdose deaths directly from, or related to, opioids. These increases have occurred throughout the country, as...Read More

Report/Brief: Suicide Rates on the Rise: Examining Continuing Trends and Variation across the Nation and in the States from 2000 to 2018

Jun. 16, 2020: Among the numerous impacts resulting from the arrival of the coronavirus pandemic, early evidence from several recent national polls suggests that the COVID-19 crisis is taking a significant toll on mental health in the United States.1 While we will not be able to fully comprehend the extent...Read More

Report/Brief: SHADAC COVID-19 Survey Results

May. 26, 2020: The SHADAC COVID-19 Survey on the impacts of the coronavirus pandemic on health care access and insurance coverage was conducted as part of the AmeriSpeak omnibus survey conducted by NORC at the University of Chicago. The survey was conducted using a mix of phone and online modes from April 24 and...Read More

Report/Brief: University of Minnesota COVID-19 Health Insurance Model estimates that as many as 18.4 million individuals may be at risk of losing their employer-sponsored health insurance coverage (ESI)

Apr. 23, 2020: University of Minnesota COVID-19 Health Insurance Model (MN-HIM) Most Americans rely on their place of employment to obtain private health insurance coverage.  Currently, 64% of workers age 19–64 and their dependents get their health insurance coverage through an employer source. One...Read More

Report/Brief: Revised CPS Estimates Show less High Burden Medical Spending

Mar. 05, 2020: Last year, the U.S. Census Bureau enacted a second and final round of changes in a planned, two-stage redesign process for the agency’s Current Population Survey Annual Social and Economic Supplement (CPS ASEC). The first revision, made in 2014, was a redesign of the CPS ASEC questions regarding...Read More

Report/Brief: 2018 State-level Estimates of Medical Out-of-Pocket Spending for Individuals with Employer-sponsored Insurance Coverage

Mar. 05, 2020: U.S. health care spending continues to grow, reaching $3.6 trillion and 17.7% of the GDP in 2018.[i]  Unfortunately, a significant share of these costs are increasingly born by Americans in the form of increased deductibles, copayment, and coinsurance—commonly referred to as patient “out-...Read More

Report/Brief: Leveraging American Community Survey (ACS) Data to Address Social Determinants of Health and Advance Health Equity

Feb. 11, 2020: In a new issue brief for the Robert Wood Johnson Foundation’s State Health and Value Strategies, SHADAC Senior Researchers Lacey Hartman, MPP, Elizabeth Lukanen, MPH, and Colin Planalp, MPA explain how researchers and policymakers can leverage federal survey data to inform and target interventions...Read More

Report/Brief: Targeting Justice-Involved Populations through 1115 Medicaid Waiver Initiatives: Implementation experiences of three states

Jan. 30, 2020: New SHADAC Report on States Serving Justice-Involved Populations through Section 1115 Waivers Under a Research in Transforming Health and Health Care Systems grant from the Robert Wood Johnson Foundation, SHADAC recently conducted a study of the ways in which states are using Section 1115...Read More

Report/Brief: 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

Report/Brief: 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

Report/Brief: 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

Report/Brief: State-level Trends in Employer-sponsored Health Insurance (ESI), 2014-2018

Aug. 14, 2019: RESOURCES State Profiles Two-page “at a glance” graphic profiles of employer-sponsored health insurance (ESI) coverage trends between 2014 and 2018 for each state, including statistical comparisons of coverage changes from 2017 to 2018. Download a single file...Read More

Report/Brief: Mental Health and Substance Use Disorder Parity under the ACA: National and State Estimates of Parity Gains as of 2017

Jul. 08, 2019: In addition to expanding access to health insurance coverage for millions of Americans through subsidized individual market coverage and state Medicaid expansions, the federal Affordable Care Act (ACA) applied Mental Health (MH) and Substance Use Disorder (SUD) coverage and parity mandates to...Read More

Report/Brief: The Comparing Health Insurance Measurement Error (CHIME) Study: Sample and Design

Jun. 19, 2019: The aim of this report is to describe the CHIME study design and sampling strategy and to report matching and response rates. About the CHIME Study Because there is no comprehensive administrative record of health insurance coverage in the United States, we must rely on household...Read More

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