SHADAC Staff

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e shadac@umn.edu

Video: Angie Fertig Discusses SHARE-Funded Study of Pent-Up Demand among New Medicaid Enrollees

Dr. Angie Fertig, Research Investigator at Medica Research Institute (MRI), is featured in a new MRI Investigator Video in which she discusses her SHARE-funded analysis of pent-up demand among new Medicaid enrollees under the ACA. Check out the video below.

Additional information about this analysis can be found on Dr. Fertig's SHARE grantee page.

Angela Fertig PhD-2016 from Medica Research Institute on Vimeo.

SHADAC Staff

p 612.624.4802
e shadac@umn.edu

SHARE Research at APPAM: A State Perspective on the Coverage, Access, & Cost Impacts of the ACA

The 2016 Fall Research Conference of the Association for Public Policy Analysis & Management (APPAM) begins tomorrow and runs through Friday in Washington, DC. The conference, which is mutli-displinary in nature, focuses on a range of current and emerging policy and management issues, including health policy. This year's conference theme is "The Role of Research in Making Government More Effective."

Findings from several SHARE-funded studies will be featured during the conference on a panel titled, "State-Level Impacts of the Affordable Care Act: Coverage, Access, and Costs." The panel includes four presentations that examine the effects of the federal Affordable Care Act (ACA) on a range of outcomes, including health insurance coverage, access to care, service utilization, and costs and affordability. In each study, the researchers examine outcomes as a function of state health policy decisions and attributes. 

SHARE funded three of these four studies and organized this panel with a state policy lens in mind – recognizing that the impacts of the ACA hinge on individual state decisions and that the ACA, because of its federal scope, provides a unique opportunity to study state variation in a systematic way. The systematic nature of these analyses subsequently supports the generation of evidence that can meaningfully inform and facilitate federal and state policymaking and public management in the areas of health insurance coverage and insurance market regulation.

Click on the links below to learn more about the panel and/or the individual panel presentations.

Panel Details

State-Level Impacts of the Affordable Care Act: Coverage, Access, and Costs
Thursday, November 3, 2016, 1:15PM – 2:45PM
Room: Columbia 9 (Washington Hilton)
Chair: Sharon Long, Urban Institute
Discussants: Kathleen Call, State Health Access Data Assistance Center, and Lisa Dubay, Urban Institute

To Expand Medicaid or Not to Expand Medicaid? Effects of State ACA Medicaid Expansion Decisions on Coverage, Access, Utilization, and Health Status of Low-Income Adults
Speaker: Laura Wherry, University of California, Los Angeles

The Medicaid Expansion States: Effects of Medicaid Coverage on Access, Affordability, Utilization, and Health Status for Newly Eligible and Previously Eligible Adults*
Speaker: Michael Dworsky, RAND Corporation

Early Evidence on Employment Responses to the Affordable Care Act: Employer Coverage Offers*
Speaker: Jean Abraham, University of Minnesota

Specialty Drug Benefit Design and Patient Out-of-Pocket Costs in the ACA Health Insurance Exchanges*
Speaker: Erin Taylor, Pardee RAND Graduate School

*Research supported by SHARE funding

Physician Participation in Medi-Cal: Is Supply Meeting Demand? (Webcast)

This webinar was broadcast on September 27, 2016.

 

 

Download the presentation slides.

Download the event transcript.

 

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Event Description

Dr. Janet Coffman, a health services researcher at the University of California, San Francisco, presented results from the 2015 survey on California physician participation in the state's Medicaid program, Medi-Cal. Dr. Coffman examined physician acceptance of new patients overall and by specialty type, practice type, and region. She also considered how these results compare to different benchmarks for assessing adequacy of physician supply and how current Medi-Cal physician supply compares to the supply in previous years.

 

Alan Mckay, CEO of Central California Alliance for Health (CCAH), a Medi-Cal managed care plan serving members in three Central California counties, provided several examples of strategies employed by CCAH to address physician access challenges. These efforts fall into four areas: (1) increasing physician supply, (2) supporting physician retention, (3) promoting the best use of the available healthcare workforce, and (4) reducing the need for physician services.

 

This event was co-sponsored by the Robert Wood Johnson Foundation through its SHARE grant program and by the California Health Care Foundation.

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Event Materials

California Legislation Mandating Physician Survey

The California law that requires the state's Medical Board to administer a mandatory physician survey is set forth in Section 2425.3 of California's Business and Professions Code. Access the full text of the law.

Call, Kathleen T.
Investigator

p 612-625-2932
e callx0001@umn.edu

Kathleen Call Co-Authors Article on Barriers to Health Care Utilization

SHADAC Investigator Kathleen Thiede Call co-authored an article recently released by Medical Care. The article, “Barriers to Care and Health Care Utilization Among the Publicly Insured,” examines the effect of selected barriers (including perceived patient, provider, and system-level barriers) on  past-year health care access as well as the magnitude of those barriers on health care utilization.

The research team included Elizabeth M. Allen (University of Minnesota); Kathleen T. Call (University of Minnesota); Timothy J. Beebe (Mayo Clinic); Donna D. McAlpine (University of Minnesota); and Pamela Jo Johnson (University of Minnesota).

The authors, led by Elizabeth Allen, found that multiple types of barriers are associated with delayed and foregone care; however, system-level barriers and discrimination have the greatest effects on health care-seeking behavior. SHADAC provided help with sampling, weighting, and administrative support for this project.