SHARE Update: January - March 2014
Announcements
SHARE Program Report
SHARE has released an in-depth
report chronicling the history of the SHARE program, summarizing the grants that have been awarded since the program began, detailing the numerous policy impacts of SHARE-funded research, and outlining the implications of various SHARE research findings for the implementation of the Affordable Care Act. The report also details the wide variety of organizations--including numerous state and federal agencies, national associations, and policy research groups--that have cited and/or consulted research findings from SHARE.
Webinar Podcasts: Medicaid Expansion in Rural Areas, Demand for Care among Newly-Insured Low-Income Childless Adults
SHARE recently hosted two webinars showcasing findings from SHARE-funded research projects, and the podcasts for these webinars are now available.
“Demand for Care among Low-Income Childless Adults after Coverage Expansion,” features Dr. Tom DeLeire, Professor of Public Policy at Georgetown University’s McCourt School of Public Policy, who presents findings from his analysis of Wisconsin’s 2009 BadgerCare Core Plan coverage expansion to low-income childless adults. He examines eligibility and enrollment records along with claims data to examine outpatient visits, emergency department visits, and hospitalization among Core Plan enrollees.
“Rural Implementation and Impact of Medicaid Expansions,” features Dr. Erika Ziller, Deputy Director of the Maine Rural Health Research Center at the University of Southern Maine, who presents nationally representative information identifying rural-urban differences among low-income non-elderly adults (18 to 65) in (a) pre-ACA Medicaid eligibility and participation and (b) new Medicaid eligibility in 2014.
Joel Cantor Examines the Risk Pooling Implications of Expanded Young Adult Dependent Coverage
The research team led by Joel Cantor at Rutgers University Center for State Health Policy has released a SHARE
brief detailing the health and socio-economic profile of young adults who obtained dependent coverage in the first full year of implementation of the ACA dependent coverage expansion and considering the implications of this profile for risk pooling. Using data from the Current Population Survey (CPS), the Bureau of Labor Statistics, and the Medical Expenditure Panel Survey (MEPS), the authors find no evidence that overall young adult coverage increased differentially by self-reported health status, income, or gender in such a way as to have adverse selection implications for Medicaid or subsidized private plans in the ACA Health Insurance Marketplaces.
John Graves in HealthAffairs: State Estimates of Churning between Medicaid and Marketplace Coverage
Dr. John A. Graves, Assistant Professor at Vanderbilt Univesity School of Medicine, co-authored an
article on Medicaid and marketplace eligibility changes in the current issue of
Health Affairs. The article, which was led by first author Dr. Benjamin Sommers (Harvard School of Public Health), provides state-by-state estimates of potential eligiblity transitions for low- and middle-income adults if all states were to expand Medicaid. Combining information on income and family changes from the Survey of Income and Program Participation (SIPP) with state-specific weights from the American Community Survey (ACS), the authors find that eligibility changes will occur often in all fifty states. Dr. Graves received SHARE funding for the construction of the sample weights used in the analysis.
SHARE Research Presented at American Economic Association 2014 Annual Meeting
Martin Hackmann, Graduate Policy Fellow at Yale University Institution for Social and Policy Studies, presented findings from
a SHARE-funded research project at the 2014 Annual Meeting of the American Economic Association on January 3rd in Philadelphia. Mr. Hackmann's presentation, "Adverse Selection and an Individual Mandate: When Theory Meets Practice," was based on a National Bureau of Economic Reserach (NBER)
working paper of the same name, written with co-authors (and principal investigators) Dr. Jonathan Kolstad of the University of Pennsylvania and Dr. Amanda Kowalski of Yale University. The paper models the welfare impact of Massachusetts' individual mandate and estimates the socially optimal individual mandate penalty level based on this analysis, concluding that an optimal pentaly level would be higher than that adopted in Massachusetts but close to the penalty implemented under the ACA.
Grantee Spotlight
Erika Ziller, PhD
Dr. Erika Ziller, Deputy Director of the Maine Rural Health Research Center, is Co-Principal Investigator on a SHARE-funded project that aims to inform federal and state implementation of the ACA Medicaid expansions by using data from the Medical Expenditure Panel Survey (MEPS) and the Area Health Resources Files (AHRF) to estimate the size and characteristics of rural residents likely to be newly eligible. Dr. Ziller has directed numerous studies using national data from the MEPS, the Survey of Income and Program Participation (SIPP), and other sources to examine patterns of health insurance coverage and problems of health access among rural children and adults, earning national recognition as an expert in this field.
Learn more.
SHARE Publications and Presentations
DeLeire, T. March 28, 2014.
"Demand for Care among Low-Income Childless Adults after Coverage Expansion." SHARE Webinar. State Health Access Reform Evaluation: Minneapolis, MN.
Lloyd, K., DeLia, D., & Cantor, J. 2014
"Expanded Young Adult Dependent Coverage under the AFfordable Care Act and Its Implications for Risk Pooling." SHARE Brief. State Health Access Reform Evaluation: Minneapolis, MN.
Sommers, B., Graves, J., Swartz, K., & Rosenbaum, S. 2014.
"Medicaid and Marketpace Eligibility Changes Will Occur Often in All States; Policy Options Can Easy Impact." Health Affairs 33(4): 1023-1031.
Hackmann, M., Kolstad, J. & Kowalski, A. January 3, 2014.
"Adverse Selection and an Individual Mandate: When Theory Meets Practice." Presentation.
American Economic Association 2014 Annual Meeting, January 3-5, 2014, Philadelphia, PA.
Kolstad, J., & Kowalski A. March 21, 2014.
"Mandate-Based Health Reform and the Labor Market: Evidence from the Massachusetts Reform" Presentation. Federal Reserve Bank of Chicago Conference on the ACA and the Labor Market, Childgo, IL.
Kolstad, J., & Kowalski, A. 2014.
"Mandate-Based Health Reform and the Labor Market: Evidence from the Massachusetts Reform." National Bureau of Economic Research (NBER) Working Paper Series.Working Paper No. 17933.
Pink, G., Ziller, E., and McBride, T. February 6, 2014. "Key Rural Health Policy Issues: What Does the Research Say?" Panel Discussion.
National Rural Health Association 2014 Policy Institute, Washington, DC.
Ziller, E. March 18, 2014.
"Rural Implementation and Impact of Medicaid Expansions." SHARE Webinar. State Heatlh Access Reforem Evaluation: Minneapolis, MN.
News and Events
SHARE Grantees at 2014 ASHEcon and AcademyHealth
The American Society of Health Economists--ASHEcon--will hold its fifth biennial conference on June 22-25, 2014, in Los Angeles. Dr. Tom DeLeire will present findings from his SHARE-funded research on Monday, June 23rd, during a session titled, "Health Insurance Expansions, Access, and Utilization."
Click here to view the preliminary conference schedule.
A SHARE panel titled, "ACA Expansion Populations and Health Care System Capacity: Evidence for Strategic Planning," was accepted for presentation at the AcademyHealth 2014 Annual Research Meeting (ARM), which will take place on June 8th through 10th in San Diego. The panel, which is scheduled for Tuesday, June 10th, will be moderated by Robert Wood Johnson Foundation Senior Program Officer Kathy Hempstead, PhD, and will feature SHARE grantees Dr. John Graves, Dr. Laura Dague, and Dr. Erika Ziller.
Click here to view the full ARM agenda.
Calls for Papers, Upcoming Conferences
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