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Revised CPS Estimates Show less High Burden Medical Spending

Image 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… Read More

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

Image 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… Read More

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

Image 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… Read More

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

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

Choosing Between Federal Surveys That Measure Rent Affordability

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

Comparing Federal Government Surveys That Count the Uninsured: 2019

Image 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 “… Read More

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

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

State-level Trends in Employer-sponsored Health Insurance (ESI), 2014-2018

RESOURCES State Profiles Image 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… Read More

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

Image 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… Read More

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

The aim of this report is to describe the CHIME study design and sampling strategy and to report matching and response rates. Image About the CHIME Study Because there is no comprehensive administrative record of health insurance coverage… Read More

The Opioid Epidemic: National and State Trends in Opioid-Related Overdose Deaths from 2000 to 2017 (Briefs)

Over the past two decades, the United States has experienced a growing crisis of substance abuse and addiction that is illustrated most starkly by the rise in deaths from drug overdoses. Since 2000, the annual number of drug overdose deaths has quadrupled from 17,500 to 70,000 in 2017.1,2 Most of… Read More

Children's Health Insurance Coverage Nationwide and in the States, 2016-2017

Chartbook Image This analysis uses data from the American Community Survey (ACS) to examine: 1) changes in health insurance coverage from 2016 to 2017 for children nationwide and at the state level, and 2) state variation in uninsured rates… Read More

New Issue Brief Examines Ohio Strategy to Improve Opioid Prescribing Through Payment Reform

Image In an effort to improve quality and contain the growing cost of health care, states are increasingly undertaking a shift away from fee-for-service reimbursement models that reward quantity of services and moving toward alternative payment models… Read More

SHADAC Issue Brief "Aligning Quality Measures across Payers: Lessons from State Innovation Models"

In an effort to improve quality and contain the growing cost of health care, states are increasingly undertaking a shift away from fee-for-service reimbursement models that reward quantity and moving toward alternative payment models that reward value.  Image… Read More

Leveraging 1332 State Innovation Waivers to Stabilize Individual Health Insurance Markets: Experiences of Alaska, Minnesota, and Oregon (Final Report)

Image In 2017, Alaska, Minnesota, and Oregon became the first three states to receive federal approval to establish state reinsurance programs with federal funding via section 1332 State Innovation Waivers, which authorize states to waive key… Read More

Assessment and Synthesis of Selected Medicaid Eligibility, Enrollment, and Renewal Processes and Systems in Six States

Image This SHADAC contractor report was produced for the Medicaid and CHIP Payment and Access Commission (MACPAC). The purpose of the analysis was to examine Medicaid eligibility, enrollment, and renewal practices in six states in light of the… Read More

Eligibility, Enrollment, and Renewal: North Carolina Case Study Findings

Image SHADAC produced this case study for the Medicaid and CHIP Payment and Access Commission (MACPAC) as part of a contract to examine Medicaid eligibility, enrollment, and renewal practices in six states in light of the Affordable… Read More

Eligibility, Enrollment, and Renewal: New York Case Study

Image SHADAC produced this case study for the Medicaid and CHIP Payment and Access Commission (MACPAC) as part of a contract to examine Medicaid eligibility, enrollment, and renewal practices in six states in light of the Affordable… Read More

Eligibility, Enrollment, and Renewal: Florida Case Study Findings

Image SHADAC produced this case study for the Medicaid and CHIP Payment and Access Commission (MACPAC) as part of a contract to examine Medicaid eligibility, enrollment, and renewal practices in six states in light of the Affordable… Read More

Eligibility, Enrollment, and Renewal: Idaho Case Study

Image SHADAC produced this case study for the Medicaid and CHIP Payment and Access Commission (MACPAC) as part of a contract to examine Medicaid eligibility, enrollment, and renewal practices in six states in light of the Affordable… Read More