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How Do State Policy Decisions Impact Out-of-Pocket Spending & Health Insurance Coverage? SHARE Panel at APPAM
October 30, 2017:
Findings from three SHARE-funded analyses will be the focus of a panel session at the 2017 APPAM Fall Research Conference in Chicago.
The panel, "How Do State Policy Decisions Impact Out-of-Pocket Spending & Health Insurance Coverage? Evidence from Federal Survey Data," will feature the following presentations:
- The Impact of Medicaid Expansion on Employer Provision of Health Insurance
Anne Royalty, Indiana University - Medicaid vs. Marketplace Coverage for Near-Poor Adults: Impact on Out-of-Pocket Spending Burdens
Fred Blavin, Urban Institute - Do Minimum Wage Changes Affect Employer-Sponsored Insurance Coverage in the Post-ACA Era?
Michael Dworsky, RAND Corporation
All three papers on the panel use federal survey data to consider the impacts of state policy choices on health insurance coverage and/or spending. The first paper uses data from the Medical Expenditure Panel – Insurance Component (MEPS-IC) to investigate how employer insurance offers, workers’ eligibility, and out-of-pocket premiums are changing as a result of state Medicaid expansion decisions. The second paper uses data from the Current Population Survey (CPS) to examine the comparative out-of-pocket spending burdens for adults with incomes between 100 and 138% of the federal poverty level (FPL) in states that have chosen to expand Medicaid—where this group faces little to no cost-sharing in most cases—and in states that have chosen not to expand Medicaid, where this group may face out-of-pocket premiums and cost-sharing for coverage purchased through the marketplace. Finally, the third analysis uses CPS data to examine the impact of recent state minimum wage increases on enrollment in employer-sponsored insurance (ESI) coverage and considers whether the impact of the minimum wage changes varied between Medicaid expansion states and non-expansion states.
SHADAC Director Lynn Blewett will moderate the panel session, and SHADAC Investigator Kathleen Call will act as the panel discussant.
This panel will take place on Saturday, November 4th, 3:30-5:00 p.m., in the Hyatt Regency Chicago Toronto Room.
Publication
Comparing Health Insurance Measurement Error (CHIME) in the ACS & CPS
Poster presentation at the 2017 AcademyHealth Annual Research Meeting in New Orleans.
Publication
Who Gets It Right? Characteristics Associated with Accurate Reporting of Health Insurance Coverage Type
Poster Presentation at the 2017 AcademyHealth Annual Research Meeting in New Orleans.
Publication
Virtual Tour of State Health Compare (Webinar)
May 23, 2017, at 12:00 p.m. Central / 1:00 p.m. Eastern
On May 23rd, SHADAC hosted a virtual tour of State Health Compare, a new, user-friendly online tool for obtaining and comparing state-level estimates related to health and health care.
State Health Compare: How's It Different?
State Health Compare combines estimates previously available separately through the SHADAC Data Center and the Robert Wood Johnson Foundation (RWJF) Data Hub. The new, merged tool brings together estimates on a wide range of health-related topics in an effort to allow analysts and policymakers to view state-level data through a broad Culture of Health lens.
The Virtual Tour: What Will You Learn?
SHADAC Senior Research Fellow Joanna Turner guided attendees on a tour of State Health Compare's user interface. Ms. Turner provided an overview of available estimates and showed how users can generate maps, bar charts, trend lines, and tables to examine the estimates within and across states and over time, as well as by characteristics such as age, race/ethnicity, etc. Attendees also learned how to download graphics and export the underlying data.
Ms. Turner was joined on the webinar by Carolyn Miller, Senior Program Officer at RWJF, and by SHADAC Director Lynn Blewett. SHADAC Senior Research Fellow Brett Fried will also be available to answer questions.
View the presentation slides here or watch the recording below.
View the event transcript here.
Related Resources
Hest, R. (2017). "Significance Testing Using State Health Compare." SHADAC Technical Brief. Minneapolis, MN: State Health Access Data Assistance Center.
SHADAC. (2013). "Using SHADAC Health Insurance Unit (HIU ) and Federal Poverty Guideline (FPG) Microdata Variables." SHADAC Technical Brief.Minneapolis, MN: State Health Access Data Assistance Center.
SHADAC. (2011). "FPG vs. FPL: What's the Difference?" SHADAC Blog. Minneapolis, MN: State Health Access Data Assistance Center.
Publication
Paying for Value in Medicaid: A Synthesis of Advanced Payment Models in Four States - Final Report
This report summarizes the work conducted under the project, "Paying for Value in Medicaid: A Synthesis of Advanced Payment Models in Four States." The project was funded by the Medicaid and CHIP Payment and Access Commission (MACPAC) and conducted by both MACPAC staff and staff at the State Health Access Data Assistance Center (SHADAC) at the University of Minnesota, School of Public Health. The purpose of the project was to better understand specifics of different state approaches to Medicaid payment and delivery system reform (e.g., shared savings programs, episode-based payment initiatives, global budgeting), and to identify common themes across states.
Suggested Citation
Dybdal, K., Blewett, L.A., Sonier, J., & Spencer, D. February 2014. "Paying for Value in Medicaid: A Synthesis of Advanced Payment Models in Four States." Final Report prepared for Medicaid and CHIP Payment and Access Commission (MACPAC). Minneapolis, MN: State Health Access Data Assistance Center (SHADAC).
