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Data Sources Used for Monitoring and Evaluating Health Reform at the State Level

This report takes a high-level look at the data sources behind research and evaluation findings from the State Health Access Reform Evaluation (SHARE) grant program.  Based on a review of SHARE grantee documentation and products, data sources used in monitoring and evaluating health reform… Read More

Recommendations for Using Surveys to Measure Health Coverage Post-Reform: Lessons from Massachusetts

This brief summarizes the paper "Preparing to Measure Health Coverage in Federal Surveys Post-Reform: Lessons from Massachusetts," by Pascale, J., Rodean, J., Leeman, J., Cosenza, C., & Schoua-Glusberg, A. 2013 Inquiry 50(2): 106-123. Download a PDF of the brief. Read More

Early Impacts of the ACA on Health Insurance Coverage in Minnesota

This presentation was given by Deputy Director Julie Sonier at the request of the MNsure Legislative Oversight Committee on July 22, 2014. It provides an overview of the results from SHADAC's study of the early impacts of the Affordable Care Act on health insurance coverage in Minnesota. Download a… Read More

Multi-Payer Investments in Primary Care: Policy and Measurement Strategies

The purpose of this paper is to help states develop or refine a multi-payer primary care investment strategy. It presents a range of options for advancing and measuring investments in state-based primary care systems, with an emphasis on enhancing the engagement of commercial payers and aligning… Read More

Early Impacts of the Affordable Care Act on Health Insurance Coverage in Minnesota

function get_style () { return "none"; } function end_ () { document.getElementById('md-1').style.display = get_style(); } Download the full report. EXECUTIVE SUMMARY With full implementation of the Affordable Care Act’s (ACA’s) health insurance coverage provisions on January 1, 2014, there has… Read More

Using Recent Revisions to Federal Surveys for Measuring the Effects of the Affordable Care Act

This brief discusses recent revisions to several federal surveys that could be used to measure the impact of key provisions of the Affordable Care Act (ACA), with a particular focus on how the surveys could be used to examine differences within and among states.  It provides: An overview of… Read More

State Estimates of Limited English Proficiencey (LEP) by Health Insurance Status

This issue brief provides state-level estimates of people with limited English proficiency (LEP) by health insurance status from the American Community Survey. There are an estimated 24.5 million people with LEP in the United States. Over one-third of the LEP population, or 9.5million people with… Read More

Estimates of Direct Purchase from the ACS and Medicaid Misreporting: Is There a Link?

This brief explores whether the relatively high estimates of direct purchase coverage in the American Community Survey (ACS) are caused by people misreporting their Medicaid coverage.  The authors examine this question using a unique version of the ACS that has been linked to Medicaid… Read More

An Introduction to Redesigned Health Insurance Coverage Questions in the 2014 Current Population Survey’s Annual Social and Economic Supplement

This brief discusses the addition of new and modified health insurance coverage questions to the 2014 CPS. The question series was completely redesigned to: Improve the measure of past year coverage Add a point in time measure Collect additional information related to health reform (exchange… Read More

State-Level Trends in Childrens’ Health Insurance Coverage

Reducing the number of children without health insurance coverage has long been a focus of national and state health policy. This report documents recent coverage trends at the state level using data from 2008 through 2012, the most recent year available.   The report is accompanied by… Read More

Geographic Concentration of the Uninsured

This analysis was conducted by the State Health Access Data Assistance Center (SHADAC) to estimate the geographic concentration of the uninsured across U.S. counties.  The estimates are from the 2011 Small Area Health Insurance Estimates (SAHIE) program at the U.S. Census Bureau. The SAHIE… Read More

SHARE Program Report, December 2013

This report summarizes the grants and research that have been funded, who has used or cited SHARE results, and the implications for implementation of the ACA. Read More

Evaluation of the Minnesota Community Application Agent (MNCAA) Program: A State Health Access Program Analysis for the Minnesota Department of Human Services

This report, prepared by SHADAC for the Minnesota Department of Human Serivces (DHS) with funding from the Health Resources and Services Administration (HRSA) State Health Access Program (SHAP), presents findings from an evaluation of the Minnesota Community Application Agenda (MNCAA) program. Read More

Engaging Commercial Payers on Multi-Payer Alignment

In response to requests from states, this technical assistance document 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… Read More

Comparing Federal Surveys that Count the Uninsured: 2013

The number of uninsured Americans is large and growing over time, yet there continues to be debate about exactly how many Americans are uninsured. Researchers use data from several different national surveys to estimate the number of uninsured people in America and discrepancies in their estimates… Read More

Data Sources Related to Behavioral Health and Substance Abuse

This memo provides an overview of federal data resources that include key indicators on behavioral health and substance abuse, to help states get a better sense of the sources of data that are currently available on this topic. We include a high level description of each data source and a list of… Read More

Review of Existing Data Sources to Assess the Impacts of the Affordable Care Act Medicaid Expansions: Working Paper

This working paper was prepared by SHADAC Deputy Director Julie Sonier for the Assistant Secretary of Planning and Evaluation (ASPE) at the U.S. Department of Health and Human Services.  The purpose of the report is to describe and assess existing data sources that could be used to evaluate… Read More

Using Data from the National Association of Insurance Commissioners for Health Reform Evaluation

This issue brief provides background on data collected by the National Association of Insurance Commissioners (NAIC) that can be used to evaluate marketplace responses—both within and across states—to new insurance regulations established by the ACA.  Authors Pinar Karaca-Mandic and Jean M.… Read More

Developing Subannual Estimates of Health Insurance Coverage from the American Community Survey: Challenges and Promising Next Steps

This report was prepared jointly by authors at the Urban Institute and SHADAC for the Assistant Secretary of Planning and Evaluation (ASPE).  In it, the authors make the case that the value of the American Community Survey (ACS) for the purposes of monitoring and evaluating the ACA could be… Read More

Enhancing the Value of the American Community Survey for ACA Evaluation: Developing More Timely Estimates of Health Insurance Coverage

The American Community Survey (ACS) is an ongoing general household survey conducted by the U.S. Census Bureau.  The ACS became fully operational in 2005, replacing the long form of the decennial census, and is based on completed interviews with almost two million housing units each year.… Read More