State Health Access Program (SHAP) – Data and Evaluation<br />Elizabeth Lukanen, MPH<br />State Health Access Data Assista...
Overview<br />About SHADAC<br />SHADAC’s role as Technical Assistance Provider to SHAP Grantees<br />SHAP Evaluations<br /...
3<br />About SHADAC<br />Bridging the  Gap Between Research and Policy<br />
4<br />What is SHADAC?<br />Independent research center located at the University of Minnesota School of Public Health<br ...
5<br />SHADAC Objectives<br />Support states in their data, survey, policy and evaluation activities<br />Help states moni...
Participant Poll<br />How often do you use data or evaluation results to make programmatic decisions? <br />Frequently<br ...
SHADAC’s role as Technical Assistance Provider to SHAP Grantees<br />8<br />Portland, Oregon<br />
SHAP Technical Assistance <br />Review grantee evaluation plans<br />Provide advice on outcome indicators, data sources, d...
10<br />SHAP Benchmark Data Collection<br />Comparable information collected from all grantees<br />Data on direct enrollm...
SHAP Evaluation Overview<br />11<br />Madison, Wisconsin<br />
12<br />SHAP Evaluation -  Overview<br />Vary in size and budget<br />5 year budgets range from $120,000 to >$2,000,000<br...
13<br />SHAP Evaluation Overview  -  Data and Methods<br />All states are utilizing administrative data<br />Cost, enrollm...
SHAP Progress<br />14<br />Albany, New York<br />
15<br />
Implementation Challenges<br />Slow internal processes for hiring, procurement and contract execution<br />State budget sh...
Implementation Lessons<br />Stakeholder engagement, though time consuming, is crucial to program success <br />Program tak...
Participant Poll<br />How much has the passage of the ACA affected your day-to-day work?<br />A great deal<br />A little b...
SHAP and the Affordable Care Act<br />19<br />Seattle, Washington<br />
Medicaid Expansion in Affordable Care Act (ACA)<br />New mandatory eligibility group for low-income individuals – 2014 imp...
55-64 Reinsurance<br />Dependent Care Coverage<br />Small Employer Tax Credit<br />Exchange<br />High Risk Pool<br />HRSA ...
133% Medicaid
200-400 Tax Credit</li></ul>Bridge to Reform<br />Today<br />2010<br />2014<br />
SHAP & Affordable Care Act<br />Many SHAP activities are relevant to health reform:<br />Enrollment, outreach and coverage...
Using SHAP Evaluation to Inform Implementation of Affordable Care Act <br />Information from the SHAP evaluation can infor...
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Shap webinar 1 20 2011 lukanen

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Shap webinar 1 20 2011 lukanen

  1. 1. State Health Access Program (SHAP) – Data and Evaluation<br />Elizabeth Lukanen, MPH<br />State Health Access Data Assistance Center <br />University of Minnesota, Minneapolis, MN<br />National Leadership Series<br />Improving Operational and Leadership Success<br />January 20, 2011<br />
  2. 2. Overview<br />About SHADAC<br />SHADAC’s role as Technical Assistance Provider to SHAP Grantees<br />SHAP Evaluations<br />SHAP Progress<br />SHAP and the Affordable Care Act (ACA)<br />2<br />
  3. 3. 3<br />About SHADAC<br />Bridging the Gap Between Research and Policy<br />
  4. 4. 4<br />What is SHADAC?<br />Independent research center located at the University of Minnesota School of Public Health<br />Led by an interdisciplinary team of tenured faculty and supported by research fellows and graduate research assistants<br />Primary funding from Robert Wood Johnson Foundation<br />Additional project-specific funding from CDC, ASPE, CMS, state-specific contracts, etc.<br />Funding from HRSA to provide technical assistance to SHAP grantees <br />
  5. 5. 5<br />SHADAC Objectives<br />Support states in their data, survey, policy and evaluation activities<br />Help states monitor rates of insurance coverage and understand factors associated with uninsurance<br />Provide assistance to states on policy development, program evaluation and assessment<br />Provide support to federal agencies related to conducting health insurance surveys<br /><ul><li>Disseminate research findings in a manner that is meaningful to state and national policy-makers</li></li></ul><li>6<br />SHADAC’s Core Activities<br />Technical Consultation with States<br />State survey design and implementation<br />Clarify variance between state estimates from different surveys<br />Targeted Policy and Evaluation Work<br />Evaluation design and implementation<br />Policy analysis of coverage options<br />Best Practices for Surveys on the Uninsured<br />Best way of asking insurance, income, race/ethnicity questions<br />Reviewing and improving estimates from national surveys<br />Promoting Use of Sound Data and Methods<br />Production of issue briefs, webinars, presentations, web content<br />Translating research into useful information<br />
  6. 6. Participant Poll<br />How often do you use data or evaluation results to make programmatic decisions? <br />Frequently<br />Occasionally<br />We plan to , but Rarely do <br />Never<br />7<br />
  7. 7. SHADAC’s role as Technical Assistance Provider to SHAP Grantees<br />8<br />Portland, Oregon<br />
  8. 8. SHAP Technical Assistance <br />Review grantee evaluation plans<br />Provide advice on outcome indicators, data sources, data availability, and evaluation methods<br />Provide technical assistance to grantees in: <br />Selecting appropriate metrics to allow measurement of progress toward objectives<br />Identifying the types and sources of available data <br />Assisting in the use of longitudinal data where feasible<br />Advise on survey development<br />Assessing differences between state and federal survey data<br />Assist with small area estimation<br />Support development of Return on Investment (ROI) methods<br />9<br />
  9. 9. 10<br />SHAP Benchmark Data Collection<br />Comparable information collected from all grantees<br />Data on direct enrollment and residual enrollment <br />Information about barriers, successes and lessons learned<br />Used to demonstrate success of SHAP and provide lessons for implementation of Affordable Care Act (ACA)<br />Collected bi-annually in concurrence with HRSA reporting<br />Context is crucial for communicating key lessons<br />
  10. 10. SHAP Evaluation Overview<br />11<br />Madison, Wisconsin<br />
  11. 11. 12<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 />
  12. 12. 13<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 />
  13. 13. SHAP Progress<br />14<br />Albany, New York<br />
  14. 14. 15<br />
  15. 15. Implementation Challenges<br />Slow internal processes for hiring, procurement and contract execution<br />State budget shortfalls and subsequent hiring freezes, which have impacted state personnel capacity<br />Longer than anticipated time needed to engage stakeholders and build partnerships<br />Uncertainty and need for programmatic restructuring due to the passage of the ACA<br />16<br />
  16. 16. Implementation Lessons<br />Stakeholder engagement, though time consuming, is crucial to program success <br />Program take-up is slow unless accompanied by targeted outreach and messaging<br />Coverage expansions must be accompanied by improvements in eligibility and enrollment systems<br />The benefit of wellness initiatives may not be realized in the short term<br />Lack of data and information hinders strategic planning and decision making <br />17<br />
  17. 17. Participant Poll<br />How much has the passage of the ACA affected your day-to-day work?<br />A great deal<br />A little bit<br />Not very much<br />Not at all<br />18<br />
  18. 18. SHAP and the Affordable Care Act<br />19<br />Seattle, Washington<br />
  19. 19. Medicaid Expansion in Affordable Care Act (ACA)<br />New mandatory eligibility group for low-income individuals – 2014 implementation date<br />Includes all persons with family incomes up to 133% of the FPL who are not:<br />Age 65 and older<br />Eligible for Part A Medicare or enrolled in Part B<br />Undocumented (i.e. unauthorized) immigrants <br />20<br />Newly covered include children 6-19, parents of covered children, childless adults<br />
  20. 20. 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
  21. 21. 133% Medicaid
  22. 22. 200-400 Tax Credit</li></ul>Bridge to Reform<br />Today<br />2010<br />2014<br />
  23. 23. SHAP & Affordable Care Act<br />Many SHAP activities are relevant to health reform:<br />Enrollment, outreach and coverage for low income adults<br />Enrollment, 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 />22<br />
  24. 24. 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 />23<br />
  25. 25. 24<br />Contact Information<br />Minnesota SHAP Project Team:<br />Lynn Blewett, Ph.D.<br />Kelli Johnson, MBA<br />Elizabeth Lukanen, MPH<br /> * Primary contact – elukanen@umn.edu, 612-626-1537<br />Website: www.shadac.org/shap<br />State Health Access Data Assistance Center <br />University of Minnesota, Minneapolis, MN<br />www.shadac.org<br />©2002-2009 Regents of the University of Minnesota. All rights reserved.The University of Minnesota is an Equal Opportunity Employer<br />

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