SHADAC researchers have extensive experience providing technical assistance to states on payment and delivery system reform, often supporting the evaluation and monitoring of these activities. Recently, we have been working with a subset of states pursuing innovative policies under the Medicaid 1115... Read More
Care for the uninsured or underinsured delivered in hospitals that is not fully reimbursed. Costs associated with uncompensated care include charity care when patients do not have the ability to pay, and/or bad debt from unpaid bills, and/or... Read More
The Opioid Epidemic in the United States
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,... Read More
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 is working to update our annual brief “Comparing Federal Government Surveys that Count the Uninsured.”... Read More
An overview of the states with 1332 reinsurance waivers approved, withdrawn, or pending:
For the states that have been approved, here's a brief glance at the pass-through funding for 2019:
For additional in-depth state-level detail please see the table below. Scroll further for a timeline... Read More
Long-Term Services and Supports (LTSS)
Long-term services and supports (LTSS) encompasses the broad range of paid and unpaid medical and personal care assistance that people may need—for several weeks, months, or years—when they experience difficulty completing self-care tasks.1 The majority of LTSS is paid... Read More
SHADAC analysis of the American Community Survey (ACS) Public Use Microdata Sample (PUMS) files. The sum of percentages may not be 100%, due to rounding.
Medical Expenditure Panel Survey - Insurance Component (MEPS-IC), Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access and Cost Trends (CFACT).
SHADAC analysis of National Health Interview Survey (NHIS) data, National Center for Health Statistics (NCHS). The NHIS sample is drawn from the Integrated Health Interview Survey (IHIS, MN Population Center and SHADAC). Data were analyzed at the University of Minnesota's Census Research Data Center.
The State Health Access Data Assistance Center (SHADAC) is a program of the Robert Wood Johnson Foundation and a part of the Health Policy and Management Division of the School of Public Health at the University of Minnesota.