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State Estimates of the Low-Income Uninsured Not Eligible for the ACA Medicaid Expansion

The Patient Protection and Affordable Care Act (ACA) will expand access to affordable health insurance for millions of Americans. In states that choose to implement the Medicaid expansion for low-income adults, Medicaid will provide an important new pathway to coverage. Yet, even in states that… Read More

State-Level Trends in Employer-Sponsored Health Insurance: A State-by-State Analysis

This report examines recent trends in employer-sponsored insurance at the national and state level, and it expands and updates our previous analysis. The report uses state-level data from the Annual Social and Economic Supplement (ASEC) of the Current Population Survey (CPS) for the coverage… Read More

State-Level Trends in Employer-Sponsored Health Insurance: A State-by-State Analysis

This report examines recent trends in employer-sponsored insurance at the national and state level, and it expands and updates our previous analysis. The report uses state-level data from the Annual Social and Economic Supplement (ASEC) of the Current Population Survey (CPS) for the coverage… Read More

State-Level Trends in Employer-Sponsored Insurance: 2013

This report examines state-level trends in employer-sponsored insurance (ESI) and the factors that influence ESI. Download the report. Most nonelderly Americans who have health insurance coverage obtain it through an employer, whether through their own employer or through the employer of a family… Read More

Estimated Financial Effects of Expanding Oregon's Medicaid Program under the Affordable Care Act (2014-2020)

In its role as a technical assistance provider for the Robert Wood Johnson Foundation’s State Network initiative, SHADAC collaborated with Oregon Health and Science University (OHSU) and Manatt Health Solutions to produce an analysis of the fiscal effects of expanding Medicaid in Oregon under the… Read More

NHIS Questionnaire Changes Addressing the Patient Protection and Affordable Care Act

The National Center for Health Statistics (NCHS) made a number of changes to the National Health Interview Survey questionnaire in response to new data requirements generated by the need to monitor the impacts of the Affordable Care Act on the health care system.  These changes were first… Read More

State-Level Health Insurance Coverage Estimates from the 2011 American Community Survey

SHADAC Issue Brief #33 provides state-level estimates of health insurance coverage by age and income from the 2011 American Community Survey (ACS).   The maps and tables included in this brief provide state-level estimates for thenonelderly population (age 0 to 64), children (age 0 to 18… Read More

Stakeholder Analysis of Medicaid Competitive Bidding in Minnesota

This report presents the results of a stakeholder analysis of the new competitive bidding process implemented in the seven-county Twin Cities, Minnesota metropolitan area for the 2012 Families and Children Contract for Medicaid (known as Medical Assistance or MA in Minnesota) and MinnesotaCare… Read More

Understanding 1-, 3-, and 5-year ACS Estimates: Summary Tabulations and Public Use Files

SHADAC Issue Brief #32 describes the differences between the American Community Survey's 1-, 3- and 5-year these data products, provides guidance on when to use single-year vs. multi-year estimates, and provides some technical details about the multi-year files.  September 2012. Read More

Medicaid Expansion: Framing and Planning a Financial Impact Analysis

This brief containts a worksheet and considerations table that can serve as a guide for states considering their own Medicaid expansion analysis. Created by State Network experts at the State Health Access Data Assistance Center (SHADAC), Center for Health Care Strategies (CHCS), and… Read More

Keeping Kids Covered: Number of Children with Health Coverage Increases During Economic Downturn

This report examines state-level trends in children's health insurance coverage. Download the report. This report analyzes recent trends in health insurance coverage for children at the state level between 2008 and 2010. The percentage of children with public coverage through Medicaid or the… Read More

Predicting the Health Insurance Impacts of Complex Policy Changes: A New Tool for States

This brief overviews the SHADAC Projection Model, a complex spreadsheet model that states can use to estimate the impacts of policy changes on health insurance coverage.  The SHADAC Projection Model provides state officials with the flexibility to update baseline data or test different… Read More

SHAP Report on the Modernization of State Medicaid Eligibility Systems

This report presents findings of a survey conducted by SHADAC of State Medicaid Directors regarding state plans for and progress made toward upgrading Medicaid eligibility systems in light of national health reform.  The purpose of this study was to delve behind the user experience of Medicaid… Read More

Best Practices in SHAP Outreach, Eligibility, and Enrollment Activities

This brief describes the promising approaches that five states shared with regards to the promising approaches  to outreach and streamlining application and enrollment processes, and consider the implications of these practices for implementing the ACA. This is one of two briefs that draw on… Read More

SHAP Enrollment and Eligibility Activities: Implications for Process and System Modernization under National Health Reform

SHADAC Issue Brief #29 describes the best practices that five states shared related to system design and business requirements of streamlining application and enrollment processes, and modernizing eligibility determination systems for ACA implementation. This is one of two briefs that draw on… Read More

State-Level Health Insurance Coverage Estimates from the 2010 American Community Survey

SHADAC Issue Brief #28 provides state-level estimates of health insurance coverage by age and income from the 2010 American Community Survey (ACS).   The maps and tables included in this brief provide state-level estimates for the nonelderly population (age 0 to 64), children (age 0 to 18),… Read More

Predicting the Effects of the Affordable Care Act

The 2010 Patient Protection and Affordable Care Act (ACA) calls for significant policy changes that have meaningful and widespread implications for the U.S. health system. Given the magnitude and breadth of these provisions, policymakers and analysts need tools to estimate the potential effects on… Read More

Louisiana Breaks New Ground: The Nation's First Use of Automatic Enrollment through Express Lane Eligibiltiy

This report, from SHARE grantee Stan Dorn of the Urban Institute, details findings from an analysis of Louisiana's landmark used of automated Medicaid enrollment via Express Lane Eligibility (ELE), a strategy authorized by the Children's Health Insurance Program Reauthorization Act of… Read More

Health Reform in Massachusetts: An Update as of Fall 2010

This report presents the latest findings from the Massachusetts Health Reform Survey (MHRS), which has been conducted since 2006 to monitor the impact of the Massachusetts health reform law. This year's report shows that more than 90% of nonelderly adults have a usual source of care, up from 86% in… Read More

Provider Capacity Analysis West Virginia

The brief's maps and tables display one way of analyzing primary care capacity at a state level. The figures include information about the potential need (projected Medicaid eligibility and population characteristics) and capacity (current physician supply) in a visual format. Click Here to… Read More