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Mar. 29, 2016: This brief provides some tips to states on how to productively engage with private payers on the goal of achieving multipayer alignment in payment reform and delivery system reform initiatives. In some states, Medicaid has been a very proactive purchaser and driver of delivery system… Read More

Mar. 14, 2016: Originally published in March 2016. Revised August 2016. The Census Bureau implemented redesigned income and health insurance coverage questions beginning with the 2014 Current Population Survey’s Annual Social and Economic Supplement (CPS) questionnaire. The 2014 CPS asked about income and health… Read More

Feb. 29, 2016: This issue brief summarizes a set of findings from the 2015 Minnesota Health Access Survey (MNHA). The MNHA is a biennial state population telephone survey, conducted in partnership between the Health Economics Program at the Minnesota Department of Health and the State Health Access Data… Read More

Feb. 11, 2016: This in-depth report examines data from the American Community Survey (ACS) to compare health insurance coverage from 2013 to 2014 and to detail five-year coverage trends (2010 to 2014) for children nationwide and at the state level for all 50 states and the District of Columbia.… Read More

Nov. 4, 2015: A new brief from SHADAC, produced with support from the State Health Reform Assistance Network ("State Network") considers the 2014 coverage transitions experienced by Minnesotans who had non-group coverage in 2013 before the ACA went into full effect. This group had new options for obtaining… Read More

Nov. 4, 2015: This brief describes the coverage transitions of Minnesotans who had non-group coverage in 2013, prior to full ACA implementation. The authors describe this group's experiences searching for health insurance under the ACA, including their use of the resources made available by the newly implemented… Read More

Oct. 20, 2015: This brief provides an annual update to comparisons of uninsurance estimates from five federal surveys: the American Community Survey (ACS), the Current Population Survey (CPS), the Medical Expenditure Panel Survey - Household Component (MEPS-HC), the National Health Interview Survey (NHIS), and… Read More

Sep. 22, 2015: While millions of Americans have newly gained health insurance coverage under the Affordable Care Act (ACA), there is evidence that coverage alone does not necessarily translate into access to health care.  This memo provides background information on health insurance literacy,… Read More

Sep. 17, 2015: Report prepared by SHADAC for the Medicaid and CHIP Payment and Access commission (MACPAC). MACPAC contracted with SHADAC to conduct a comprehensive scan of state-level Medicaid programs aiming to integrate behavioral and physical health care services. SHADAC then cataloged their structures,… Read More

Jul. 1, 2015: The Minnesota Health Insurance Transitions Study (MN-HITS) is a longitudinal telephone survey conducted in Minnesota in 2013 to assess change in health insurance coverage and/or access to health care for the population most likely to be eligible for new coverage… Read More

Jun. 29, 2015: This report summarizes the research focus of the SHARE grantees to date, including the data sources used and the impact of their findings.  Download a PDF of the brief. Read More

Jun. 25, 2015: This brief summarizes, “ACA Coverage Expansions: Measuring and Monitoring Churn at the State Level,” one of a series of SHADAC white papers commissioned by the Office of the Assistant Secretary for Planning and Evaluation (ASPE) to explore innovative uses of data… Read More

Jan. 27, 2015: This report examines state-level trends in employer-sponsored insurance (ESI) and the factors that influence ESI.  The Affordable Care Act (ACA) includes provisions to improve access to affordable health insurance, including access to employer sponsored insurance (ESI). However, concerns have… Read More

Oct. 22, 2014: A better understanding of the diverse sources of administrative data avilable from the state and federal health insurance marketplaces is required in order to respond to questions about the performance of exchanges during the first open enrollment period and about the viability of exchanges in the… Read More

Oct. 22, 2014: Under contract with MACPAC, SHADAC designs and conducts quantitative analysis to explore the magnitude and type of churn occurring in the pre- and post-ACA insurance market at the state levels as well as the characteristics of churners. This analysis uses data from the Survey of Income and Program… Read More

Oct. 22, 2014: This paper provides states with information on ways in which they can monitor the private health insurance market over time. This information includes key analytic questions of interest; examples and recommendations of state-level analyses of the regulated health insurance market; and a comparison… Read More

Oct. 22, 2014: This paper provides an update on the development of state-operated All-Payer Claims Databases (APCDs), with a focus on potential analytic uses and capabilities. The purpose of of the paper is to highlight key questions that APCD data and analysis can answer on their own and when linked to other… Read More

Oct. 16, 2014: During the first open enrollment period under the Affordable Care Act, the federal government and states operating state-based exchanges conducted various types of reporting on key indicators of interest to policymakers and the public. There was variation in the definitions employed by different… Read More

Oct. 2, 2014: Large, ongoing federal surveys provide some of the best estimates of health insurance coverage used to monitor the impact of the Affordable Care Act (ACA). However, because of the size and complexity of these surveys, there is a significant lag time between data collection and its release to the… Read More

Sep. 24, 2014: Timely and accurate estimates of the number of people who do not have health insurance coverage are important for understanding trends in health insurance coverage and the impacts of policy changes that affect health insurance. Estimates of the number of people who are uninsured are available from… Read More