The SHADAC newsletter contains updates on SHADAC activities, news from the states, resource updates, and blog highlights.
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Elizabeth Lukanen: Early Impacts of the ACA on Health Insurance Coverage in Minnesota

Brett Fried: Location, Location, Location: Leveraging Interactive Maps and ZIP Code Level Data to Find the Remaining Uninsured  

Heather Dahlen: Implications of the Affordable Care Act: Medicaid Expansion for Health Care Access Among Uninsured Adults

Jennifer Ricards: Making use of All-Payer Claims Databases for Health Care Reform Evaluation 

WEBINAR

Event Description

This webinar covers findings from a set of survey experiments that tested different questions about receiving health insurance subsidies.

Urban Institute researcher Victoria Lynch, Census Bureau researcher Joanne Pascale, and SHADAC researcher Kathleen Call discuss these findings, which come from split-sample experiments in the Urban Institute’s Health Reform Monitoring Survey (HRMS).

The researchers examine the patterns of response among different groups of HRMS respondents to the subsidy questions asked in the Current Population Survey (CPS), the Medical Expenditure Panel Survey (MEPS), and the National Health Interview Survey (NHIS), and to another question developed in expert review.

The speakers discuss what the findings indicate with respect to 

• The respondent groups for which question terminology impacts response
• Respondent comprehension of the various subsidy questions
• The importance of accurately defining the Marketplace universe

They also offer recommendations for defining the universe when estimating the receipt of subsidies and for making inferences from published estimates of coverage receipt.

Additional Resources

Pascale, J. 2014. “Recommendations for Using Surveys to Measure Health Coverage Post-Reform: Lessons from Massachusetts.” SHADAC Brief #42. Minneapolis, MN: State Health Access Data Assistance Center.

Pascale, J. January 2014. “Adapting State Surveys to Measure Health Coverage Post-Reform.” SHADAC Webinar. Minneapolis, MN: State Health Access Data Assistance Center.

Pascale, J., Rodean, J., Leeman, J., Cosenza, C., & Schoua-Glusberg, A. 2013. “Preparing to Measure Health Coverage in Federal Surveys Post-Reform: Lessons from Massachusetts.” Inquiry 50(2): 106-123.

Pascale, J., Boudreaux, M., & King, R. 2014. "Understanding the New Current Population Survey Health Insurance Questions." US Census Bureau Reserach Report Series in Survey Methodology #2014-02. Washington, DC: US Census Bureau.

This report examines state-level trends in employer-sponsored insurance (ESI) and the factors that influence ESI. 

The Affordable Care Act (ACA) includes provisions to improve access to affordable health insurance, including access to employer sponsored insurance (ESI). However, concerns have been raised that the ACA could have unintended consequences that would cause declines in ESI. To provide a baseline for understanding the impacts of the ACA on ESI, this report examines and compares trends during two time periods: a period before and including the recession (2004/2005 to 2008/2009), and a period including and since the recession (2008/2009 to 2012/2013). While the majority of nonelderly Americans with health insurance are covered by employer-sponsored insurance (ESI), the percentage of the U.S. population with ESI has been declining for more than a decade — a trend that accelerated during the time of the Great Recession (December 2007 to June 2009).

Download the report.

State-Level Summary Tables

The report is accompanied by state-level summary tables of key ESI characteristics. These can be downloaded as one file for all 50 states and the District of Columbia, or chosen individually by clicking on the map below.

Dybdal, K., Blewett, L., Kemmick Pintor, J., & Johnson, K. 2015. "Putting Out the Welcome Mat - Targeting Outreach Efforts Under the Affordable Care Act: Evidence from the Minnesota Community Application Agent Program." Journal of Public Health Management and Practice, 21(1): 51-58. doi: 10.1097/PHH.0000000000000091