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. Abraham, faculty members in the Division of Health Policy and Management at the University of Minnesota School of Public Health, focus in particular on the Supplemental Health Care Exhibit (SHCE), which is a new NAIC exhibit developed to collect data specifically for health reform monitoring purposes. 

This brief was prepared for the State Health Access Reform Evaluation (“State Network”) with support from SHADAC in its role as a State Network technical assistance provider. 

Presentation by Kathleen Call at the AcademyHealth 2013 Annual Research Meeting on June 22, 2013, in Batimore, MD. 

This presentation was delivered by SHADAC Senior Research Fellow at the National Association of Medicaid Directors (NAMD) 2013 Spring Meeting in Denver, Colorado.  Ms. Lukanen discussed: (1) why states should develop a monitoring framework; (2) the steps involved in developing a monitoring or evaluation framework; and (3) examples of already-established state frameworks in California and Maryland.

Call, K. T., Blewett, L. A., Boudreaux, M. H., & Turner, J. 2013. "Monitoring Health Reform Efforts: Which State-level Data to Use?" INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 50(2), 93-105. doi: 10.1177/0046958013513670

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 improved through the generation of subannual estimates of insurance coverage, because such estimates would provide a closer temporal link between state decisions and insurance outcomes than is discernable using annual estimates.  The authors explore the pathways by which subannual ACS estimates would be developed, the feasibility of these pathways, the challenges associated with the development of subannual ACS estimates, and potential next steps.  

This paper is accompanied by an issue brief: "Enhancing the Value of the American Community Survey for ACA Evaluation: Developing More Timely Estimates of Health Insurance Coverage."