Presentation by Shana Alex Lavarreda (UCLA Center for Health Policy Research) at the 2011 AcademyHealth Annual Research Meeting in Seattle, WA.  Dr. Lavarreda discusses the findings from her SHARE-sponsored study evaluating the connection between 12-month continuous eligibility in Medicaid and children's access to care.  The presentation concludes with a discussion of the implications of this evaluation for the implementation of the federal Affordable Care Act.

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Presentation by Lindsey Leininger (Chapin Hall, University of Chicago) at the 2011 AcademyHealth Annual Research Meeting.  Dr. Leininger provides an overview of the ACCESS portal and looks at whether ACCESS is more or less likely than other application methods to attract applicants who are ultimately determined to be eligible for public insurance.  She also explores whether the use of ACCESS is associated with a greater likelihood of applying for other social programs (a phenomenon known as "spillover"), looking at both the rate of spillover itself and the rate of program eligibility among spillover applicants.

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Presentation by Laura Spicer (Hilltop Institute, University of Maryland Baltimore County) at AcademyHealth's 2011 Annual Research Meeting.  The presentation provides an overview of New Mexico's SCI program and details the results of a SHARE-funded evaluation looking at factors affecting employer participation in the program.  Ms. Spicer concludes by discussing the implications of these findings for the implementation of the federal Affordable Care Act.

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This report, funded by a grant from the California HealthCare Foundation, makes recommendations for how California can measure the impact of health reform in three areas:

• Health insurance coverage;
• Affordability and comprehensiveness of health insurance coverage; and
• Access to health care services.

Within each of these areas, the report identifies metrics needed to monitor the impacts of the ACA. We review existing state-specific and national data sources to determine how each source might be used to measure the effects of the ACA in California. In addition, we identify gaps in the data needed to monitor the impacts of reform, and make recommendations for how to fill these gaps.

This measurement framework, assessment of existing data sources, and identification of gaps in existing data can also inform efforts to monitor the impacts of the ACA at the national level and in other states.

The Patient Protection and Affordable Care Act (ACA) will have far-reaching effects on health insurance coverage, health care financing, and delivery in the United States. Understanding the state-level implications of the ACA allows for better understanding of the national impact of the law and provides information to shape ongoing state implementation activities.

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Presentation by Sharon Long, "Using Federal and State Survey Data to Inform State Health Reform," at the State Health Research and Policy Interest Group Meeting at the AcademyHealth Annual Research Meeting, June 11, 2011 in Seattle, WA.