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State and Federal Health Policy

According to a new article in the American Journal of Preventive Medicine, the Affordable Care Act (ACA) improved and expanded state Medicaid coverage of effective smoking cessation treatment, although many programs are not fully compliant with the law. Image… Read more
Since April, Maine, Louisiana, and Maryland have all released Draft 1332 Waiver Applications with proposals for state-based reinsurance programs, and  Wisconsin has submitted its 1332 Waiver Application to CMS seeking approval and pass-through funding for its reinsurance program. Tracking… Read more
It is increasingly clear that health is determined not just by biological and clinical factors but to a greater extent by socio-demographic factors. With this in mind, we need data for monitoring the social determinants of health just as we do for monitoring biological and clinical determinants.… Read more
It is increasingly clear that health is determined not just by biological and clinical factors but to a greater extent by socio-demographic factors. With this in mind, we need data for monitoring the social determinants of health just as we do for monitoring biological and clinical determinants.… Read more
Please visit our 1332 Waiver Reinsurance resource page for the most current information about state 1332 Waiver Reinsurance activities. We will continue to update this resource as new developments occur. Seven states—Alaska, Minnesota, Iowa, Oklahoma, New Hampshire, Oregon, and Wisconsin—… Read more
SHADAC researchers released a new brief that provides the context surrounding the development and implementation of Minnesota’s Accountable Communities for Health, or ACHs, and describes key components of ACH models implemented across the state. The following are highlights from the brief. ACHs:… Read more
This report summarizes SHADAC's analysis of how four states implemented Section 1115 Medicaid expansion wiavers. These states--Arkansas, Indiana, Iowa, and Michigan--are among eight that have expanded their Medicaid programs through Section 1115 of the Social Security Act rather than through the… Read more
A new brief from SHADAC deputy director Elizabeth Lukanen considers Minnesota’s health insurance market before and after passage of the Affordable Care Act (ACA) as well as the outlook for the state’s market given the current policy environment. Minnesota’s Market before and after the ACA… Read more
Prior to the passage of the Affordable Care Act (ACA) in 2010, Minnesota's health insurance market was, for the most part, relatively high-functioning across indicators of health insurnace access and quality of care, although the state faced common challenges in the area of health care costs. This… Read more
SHADAC’s final evaluation report on the SIM Initiative in Minnesota is now publicly available. This report presents the final results of the state-level evaluation of Minnesota’s SIM initiative. SHADAC conducted this evaluation between January 2015 and September 2017 under a contract with the… Read more