Pres shap2010 july26_lukanen


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  • A copy of the reporting form has been sent…Context: delays, changes and lessons learned
  • Because ACA passed it because a bridge
  • What resources is your states using to stay informed about ACA and to make implementation decisions (data sources, newsletters, websites, blogs, papers, briefs)?What piece of data or information would be helpful as your state implements SHAP and/or ACA? (Report back to large group)
  • The workshop will focus primarily on the Census Bureau’s American Community Survey (ACS) and Current Population Survey (CPS), but will also provide an overview of data available from other federal surveys (e.g. National Health Interview Survey; Medical Expenditure Panel Survey).
  • Pres shap2010 july26_lukanen

    1. 1. SHAP Evaluations – Looking Toward The Affordable Care Act<br />Elizabeth Lukanen, MPH<br />State Health Access Data Assistance Center <br />University of Minnesota, Minneapolis, MN<br />SHAP Grantee Meeting<br />July 26, 2010<br />Funded by a grant from the Robert Wood Johnson Foundation<br />
    2. 2. Overview<br />SHAP Evaluation Overview<br />Benchmark Reporting<br />SHAP and the Affordable Care Act (ACA)<br /><ul><li>Small Group Discussion
    3. 3. SHADAC Technical Assistance</li></ul>2<br />
    4. 4. SHAP Evaluation Overview<br />3<br />
    5. 5. 4<br />SHAP Evaluation - Overview<br />Vary in size and budget<br />5 year budgets range from $120,000 to >$2,000,000<br />From <1% to 10% of budgets <br />8 states contracting out evaluation<br />Primarily local universities and health policy centers<br />Evaluation progress is varied across grantees<br />
    6. 6. 5<br />SHAP Evaluation Overview - Data and Methods<br />All states are utilizing administrative data<br />Cost, enrollment, demographics<br />9 states are conducting surveys<br />Enrollee, employer, state-wide household<br />5 states are conducting focus groups or key informant interviews<br />Enrollees, employers, eligibility staff<br />3 states are conducting Return on Investment (ROI) analysis as they related to multi-shares<br />
    7. 7. SHAP Benchmark Reporting<br />6<br />
    8. 8. 7<br />SHAP Benchmark Reporting<br />Comparable enrollment and cost data<br />Context is crucial for communicating key lessons<br />SHAP can inform the larger framework of Affordable Care Act <br />Benchmark reporting <br />Report by each initiative in your SHAP program and 2 summary questions<br />Report both quantitative and qualitative measures<br />Reporting slightly different for coverage expansion and other initiatives <br />
    9. 9.
    10. 10. SHAP Coverage Expansion Initiatives<br />Multi-shares, premium assistance and buy-in programs, limited benefit programs, etc.<br /><ul><li>Date enrollment opened</li></ul>Enrollment (covered lives) by a certain date<br />Impact statement <br />Enrollment distribution across targeted populations (age, race, employment, income)<br />Pace of enrollment<br />Cost of initiative: HRSA, State, Other<br />9<br />
    11. 11. Coverage Expansion Initiatives Benchmark Questions<br />
    12. 12. Other SHAP Initiatives<br /> Enrollment and call centers, online application development, wellness programs, outreach activities, payment reform, etc.<br />Impact statement<br />Metrics that best measure impact<br />Web hits, call volume, number of referrals, employers in program, media spots, progress, program participation<br />Progress compared to stated goals<br />Cost of initiative: HRSA, State, Other<br />11<br />
    13. 13. Other InitiativesBenchmark Questions<br />
    14. 14. Supplemental Enrollment in Health Care Coverage<br />What residual health care coverage enrollment benefits were experienced as a result of the SHAP initiatives?<br />Other ways that your state’s SHAP activities resulted in coverage gains in non-SHAP funded coverage programs<br />Number of individuals screened for public program enrollment and subsequent enrollment (if known)<br />Aspects of your eligibility process that informed non-target household members about public programs<br />13<br />
    15. 15. Barriers/Challenges and Lessons Learned<br />What implementation barriers/challenges have you faced and what lessons have you learned during SHAP implementation?<br /><ul><li>Implementation barriers and lessons that might apply to other states, particularly as they relate to the implementation of Affordable Care Act</li></ul>14<br />
    16. 16. SummaryBenchmark Questions<br />
    17. 17. Reporting Guidance<br />This information will be used by HRSA to show the progress of SHAP<br />HRSA is also looking to SHAP to help collect questions and implementation lessons as they relate to ACA<br />Use the impact statements to sections to contextualize progress toward your goals <br />If progress on an initiative is stalled, please indicate why in the impact statement section<br />If progress on an initiative hasn’t started tell us why or indicate that it is scheduled for a future year<br />SHADAC will provide one-on-one help to complete this reporting<br />16<br />
    18. 18. SHAP and the Affordable Care Act<br />17<br />
    19. 19. 55-64 Reinsurance<br />Dependent Care Coverage<br />Small Employer Tax Credit<br />Exchange<br />High Risk Pool<br />HRSA SHAP<br />Coverage<br />Early Medicaid<br /><ul><li>Mandate
    20. 20. 133% Medicaid
    21. 21. 200-400 Tax Credit</li></ul>Bridge to Reform<br />Today<br />2010<br />2014<br />
    22. 22. SHAP & Affordable Care Act<br />Many SHAP activities are relevant to health reform:<br />Enrollment, outreach and coverage for low income adultsEnrollment, outreach and coverage for small businesses<br />No wrong door enrollment systems<br />Insurance exchanges<br />Coordinated safety net programs<br />Testing medical home models<br />And more……<br />19<br />
    23. 23. Using SHAP Evaluation to Inform Implementation of Affordable Care Act <br />Information from the SHAP evaluation can inform implementation of Affordable Care Act:<br />Best practices on enrollment and retention<br />Indentifying outreach strategies to reach low income adults and small businesses<br />Collecting characteristics and service use of newly insured, low income adults<br />Process and models to build insurance exchanges<br />Testing of “benchmark plan” type programs<br />Examining medical home and care coordination models <br />20<br />
    24. 24. Outside SHAP - Data to Consider<br />Important to track impact of Affordable Care Act at the state level<br />Start thinking now about about what you want to know<br />Start collecting baseline indicators for monitoring the impact<br />Build on existing data and indicators<br />21<br />
    25. 25. Baseline Data<br />Potential Indicators Include:<br />Health Insurance Status<br />Employer-based coverage<br />Individual market<br />State public programs<br />Medicare<br />Hospitals<br />Community clinics<br />Physician services<br />Consumers<br />Health plans<br />22<br />
    26. 26. Small Group Discussion<br />23<br />
    27. 27. Small Group Discussion<br />What questions do you have related to the implementation of SHAP and Affordable Care Act? <br />What data and information could help address these questions?<br />How might your SHAP evaluation provide this data and information?<br />Report back: Common questions related to implementation of SHAP and ACA<br />24<br />
    28. 28. SHADAC Technical Assistance<br />25<br />
    29. 29. SHAP Data and Evaluation Technical Assistance<br />Help grantees identify data sources for benchmarks<br />Consult on outcome indicators, data sources, data availability, and evaluation methods<br />Assist with small area estimation<br />Advise on survey development<br />Support development of Return on Investment (ROI) methods<br />26<br />
    30. 30. SHADAC Data User Workshop<br />Friday, October 22, 2010 @ University of Minnesota, Minneapolis<br />One-day workshop for health policy analysts<br />Promote understanding of federal survey data sources available for state-level analysis<br />Hands-on training in computer lab<br />Scholarships available<br /><br />Application deadline is July 30, 2010<br /> <br />27<br />
    31. 31. 28<br />Contact Information<br />Minnesota SHAP Project Team:<br />Lynn Blewett, Ph.D.<br />Kelli Johnson, MBA<br />Elizabeth Lukanen, MPH<br /> * Primary contact –, 612-626-1537<br />Website:<br />State Health Access Data Assistance Center <br />University of Minnesota, Minneapolis, MN<br /><br />©2002-2009 Regents of the University of Minnesota. All rights reserved.The University of Minnesota is an Equal Opportunity Employer<br />