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 implemented in the 2011 survey, were slightly modified in the 2012 survey, and are intended to be included in future year of the NHIS. SHADAC Issue Brief #34 describes these changes and how they will assist researchers and policymakers monitor and inform health reform.
Use of Survey Data for Tracking the Impact of the ACA in States
Presentation by SHADAC Faculty Dr. Kathleen Call at a meeting of the National Network of State and Local Health Surveys on October 29, 2012, in San Francisco (held adjunct to the 2012 American Public Health Association (APHA) Annual Meeting). The presentation discusses the selection of measures for tracking the impact of health reform and the determination of appropriate data sources for these measures.
Using Federal Survey Data to Inform State Health Policy
Joanna Turner presented, "Using Federal Survey Data to Inform State Health Policy" at the U.S. Census Bureau's Health Statistics Forum on October 17, 2012 in Suitland, Maryland. This Forum was held as part of the State Data Center Annual Meeting.
Elizabeth Lukanen Presents on NGA Webinar, "Medicaid Expansion: Planning a Fiscal Impact Analysis"
November 05, 2015:
October 10, 2012: SHADAC Senior Research Fellow Elizabeth Lukanen presented on webinar titled, “Medicaid Expansion: Planning a fiscal Impact Analysis,” hosted by the National Governors Association (NGA) in partnership with the Robert Wood Johnson Foundation’s State Network Initiative on September 27, 2012. The webinar was targeted toward state officials and highlighted the Medicaid Expansion Analysis Tool created by a team of State Network Technical providers that includes SHADAC.
The expansion analysis tool was created in order to facilitate an analysis of the fiscal considerations related to a state’s decision whether to expand Medicaid under the Affordable Care Act. The webinar walked through the cost and savings elements for Medicaid expansion financial analyses and through state-specific assumption considerations.
Ms. Lukanen was featured as one of the authors of the expansion analysis tool and emphasized the importance of distinguishing between the data inputs, research based estimates and subjective assumptions that go into such analysis. She noted, “Many aspects of this policy impact are unknown and will be driven by subjective assumptions. For this reason, it is important to document the thinking behind the assumptions chosen. Though policy makers may not need or want this level of detail, it is important to be able to justify and explain the final output.”
The slides from the webinar, along with an audio recording of the event, are available here.
Publication
ACS Comparison Tables
Upon release of American Community Survey estimates in American FactFinder, SHADAC compiled several relevant tables showing trend estimates from 2008 to present. These tables include:
Uninsurance Rates by State, for All People, 2008 to 2011
Uninsurance Rates by State, for Age 0-17, 2008 to 2011
Uninsurance Rates by State, for Employed People Age 18-64, 2008 to 2011
Private Coverage Rates by State, for Employed People Age 18-64, 2008 to 2011
Public Coverage Rates by State, for Employed People Age 18-64, 2008 to 2011
Public Coverage Rates by State, for All People, 2008 to 2011
Private Coverage Rates by State, for All People, 2008 to 2011
Download the Excel or PDF versions of these files.