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2021 ACS Data: State and County Uninsured Rates, with Comparison Year 2019

Each year, SHADAC uses data released from the American Community Survey (ACS) via the U.S. Census Bureau's data.census.gov tool to produce estimates of uninsurance at the state and county level.*Click on a state in the interactive map below to view a PDF table of uninsured rates by state and sub-… Read More

2022 NHIS Early Release: Estimates for First Half of the Year Show Continued Fall of Uninsured Rates

As part of the National Health Interview Survey (NHIS) Early Release Program, the National Center for Health Statistics (NCHS) recently published a second round of health insurance coverage estimates for the first half of 2022, covering the months of January to June. Uninsurance was again measured… Read More

Examining Gender-Based Discrimination in Health Care Access by Gender Identity in Minnesota

Authors: Jeremy Duval, Natalie Mac Arthur, Kathleen Call DefinitionsCisgender/cis: A person whose gender identity corresponds with their sex assigned at birth.Transgender/trans: A person whose gender identity differs from their sex assigned at birth.Non-binary: An umbrella term… Read More

SHADAC Researchers Co-Author Maternal and Child Health Journal Article on Medical Home Contributions to Child Health Outcomes

Image SHADAC researchers Natalie Mac Arthur and Lynn Blewett recently published a journal article in Maternal and Child Health Journal that examines the medical home model—a widely accepted model of team-based primary care—and its unique contributions… Read More

SHADAC in AJPH: Insurance-Based Discrimination Reports and Access to Care Among Non-Elderly U.S. Adults, 2011-2019

This journal article was originally published in the American Journal of Public Health (AJPH). Authors: Kathleen Thiede Call, PhD, Giovann Alarcon-Espinoza, PhD, MPP, Natalie Schwer Mac Arthur, PhD, MAc, and Rhonda Jones-Webb, DrPH Image SHADAC… Read More

Medicaid Undercount Doubles, Likely Tied to Enrollee Misreporting of Coverage

Image 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… Read More

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.

Image 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… Read More

Neighborhood Support Matters for Child Health

Where people live, work, and play has been shown to have important impacts on health. In addition to one’s physical environment (e.g., access to safe schools, parks, and sources of nutritious food), the extent to which people feel connected to a supportive community with a network of resources is… Read More

Charting Two Decades of the Evolving Opioid Crisis

In more than 20 years, the overdose crisis has shifted and grown from prescription opioids to a range of illicitly trafficked drugs Just over a decade after the U.S. Centers for Disease Control and Prevention (CDC) declared an “epidemic” of overdoses from prescription painkillers in 2011,… Read More

Five-Year Review Shows Rising Trends in Adult E-Cigarette Use: 2017 to 2021

  BRFSS OVERVIEW This analysis uses data from the Behavioral Risk Factor Surveillance System (BRFSS) survey, an annual telephone survey conducted by the Centers for Disease Control and Prevention (CDC) that collects data from respondents across all 50 states and D.C. (as well as… Read More

California Health Insurance Stable in 2021, but Many Will Need to Switch Coverage Once COVID-19 Pandemic Protections End (CHCF Cross Post)

The following content is cross-posted from California Health Care Foundation published on November 4, 2022. Authors: Colin Planalp and Lacey Hartman, SHADAC Employer-sponsored insurance declined significantly; Medi-Cal and individual market coverage held steady During 2021, the second… Read More

Key Resources and 2022 Updates: SHADAC's Health Insurance Unit

Updated April 2023 In the years following the passage of the Patient Protection and Affordable Care Act (ACA), SHADAC developed and introduced its Health Insurance Unit, or “HIU,” a tool to aid in defining family interrelationships in federal population surveys for the purpose of analyzing health… Read More

Comparing Federal Government Surveys That Count the Uninsured: 2022

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 (AHRQ), and the Centers for Disease Control and Prevention (CDC),… Read More

BRFSS Estimates Show Potential Break in Series for Usual Source of Care: New Data on State Health Compare

A change to the 2021 BRFSS’ “personal doctor” question has led to large changes in the share of respondents reporting having no personal doctor The Center for Disease Control’s (CDC) Behavioral Risk Factor Surveillance System (BRFSS) is a long-running, telephone-based state survey designed to… Read More

Exploring 2021 State Public Health Funding Estimates Using State Health Compare

Image 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… Read More

Better Health through Data: Improved Collection of Demographic Data in Medicaid

SHADAC Deputy Director Elizabeth Lukanen served as an expert panelist for an Alliance for Health Policy briefing hosted by Arnold Ventures titled "Better Health through Data: Opportunities and Limitations of Health Data" which was held virtually on October 6, 2022. This event reviewed the… Read More

An Annual Conversation with the U.S. Census Bureau: Health Insurance Coverage Estimates from the 2021 ACS and CPS (Webinar)

SHADAC hosted a webinar on Thursday, September 29, 2022 that provided an overview of 2011 health insurance coverage estimates from two key, large-scale federal data sources: The American Community Survey (ACS) and the Current Population Survey (CPS).This webinar examined the new… Read More

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

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

Overview of SHADAC's Minnesota Community and Uninsured Profile for MDH's Health Equity Data Community of Practice

On September 19, 2022, SHADAC investigator Kathleen Thiede Call presented at the Minnesota Department of Health's Health Equity Data Community of Practice Meeting. This presentation included a guided tour of SHADAC's Minnesota Community and Uninsured Profile, along with a brief history of… Read More

2021 ACS: Estimates Show Declining Uninsurance Rates Across 28 States, Driven by Rise in Public Coverage and Fall in Private Coverage

  In a slight departure from their normal process, the U.S. Census Bureau released all 2021 estimates from the American Community Survey (ACS) today, which included state-level information about health insurance coverage by coverage type as well by certain demographic categories. The Census… Read More