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State Health Access Reform Evaluation: Buidling the Evidence for Reform

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- SHARE (State Health Access Reform Evaluation) is a $5+ million grant program that supports evaluations of state health reform efforts to build an evidence base and inform policymakers. - SHARE funded 15 research studies across 27 states examining topics like insurance market reforms, Medicaid reforms, and comprehensive reforms. - The studies use a variety of data sources like surveys, claims data, and administrative records to evaluate reforms on dimensions like access, affordability, sustainability and effectiveness.

Health & MedicineTechnology
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State Health Access Reform Evaluation: Building the Evidence for Reform AcademyHealth State Health Research and Policy Interest Group Meeting Washington, DC Saturday, June 7, 2008 Lynn A. Blewett, Ph.D. SHADAC/SHARE University of Minnesota
Overview of Presentation ,[object Object],[object Object],[object Object],[object Object],[object Object]
State Health Access Reform Evaluation (SHARE) ,[object Object],[object Object],[object Object],[object Object],[object Object]
SHARE Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],evidenced-based reform
SHARE Process and Timeline 2007 2008 SHARE worked with a Technical Advisory Group to develop a conceptual framework to guide the research focus 2009 AUGUST : Call for Proposals Received 62 proposals - 26 applicant teams were invited to submit full proposals DECEMBER: 26 full proposals submitted. Proposal Advisory Group reviews full proposals MARCH : 15 studies recommended to RWJF for funding APRIL : Award disbursement begins to 15 grantees Evidenced-Based Reform 2010 Synthesis of
Framework for Reform ,[object Object],[object Object],Employer-Based Initiatives Insurance Reform Tax credits HIFA expansion waivers SCHIP premium assistance Small employer purchasing pools
Key Dimensions of Reform ,[object Object],[object Object],[object Object],[object Object]
Key Assumption ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SHARE Awards ,[object Object],[object Object],[object Object],[object Object],[object Object]
States Being Examined
Single/Multi State Studies ( 27 States ) New Mexico New York Oklahoma Pennsylvania Rhode Island South Dakota Texas Utah Vermont Washington Colorado Delaware Idaho Illinois Indiana Maine Maryland Massachusetts Missouri Kentucky New Jersey California Massachusetts New Mexico Rhode Island Wisconsin Vermont Multi-state Studies Single-state Studies
Reform Topics Being Studied Insurance Market Initiatives (5) SCHIP Reform (1) Comprehensive Reform (3) Medicaid Reform (6)
SHARE Grantee Institutions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Levels of Measurement ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Program Evaluation Data ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
National Data Sets: Limitations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Federal Survey Data Used by SHARE Grantees ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
State-Specific Data: Used by SHARE Grantees ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Challenges with State Data ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Concluding Comments ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Let us know your ideas!
State Health Reform If States are the Laboratories….. Where are the lab reports?
Contact Information www.shadac.org www.statereformevaluation.org University of Minnesota School of Public Health Division of Health Policy and Management 2221 University Avenue, Suite 345 Minneapolis Minnesota 55414 (612) 624-4802 Principal Investigator: Lynn A. Blewett, Ph.D. (blewe001@umn.edu) SHARE Deputy Director: Elizabeth Lukanen, M.P.H (elukanen@umn.edu)

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State Health Access Reform Evaluation: Buidling the Evidence for Reform

  • 1. State Health Access Reform Evaluation: Building the Evidence for Reform AcademyHealth State Health Research and Policy Interest Group Meeting Washington, DC Saturday, June 7, 2008 Lynn A. Blewett, Ph.D. SHADAC/SHARE University of Minnesota
  • 2.
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  • 4.
  • 5. SHARE Process and Timeline 2007 2008 SHARE worked with a Technical Advisory Group to develop a conceptual framework to guide the research focus 2009 AUGUST : Call for Proposals Received 62 proposals - 26 applicant teams were invited to submit full proposals DECEMBER: 26 full proposals submitted. Proposal Advisory Group reviews full proposals MARCH : 15 studies recommended to RWJF for funding APRIL : Award disbursement begins to 15 grantees Evidenced-Based Reform 2010 Synthesis of
  • 6.
  • 7.
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  • 9.
  • 11. Single/Multi State Studies ( 27 States ) New Mexico New York Oklahoma Pennsylvania Rhode Island South Dakota Texas Utah Vermont Washington Colorado Delaware Idaho Illinois Indiana Maine Maryland Massachusetts Missouri Kentucky New Jersey California Massachusetts New Mexico Rhode Island Wisconsin Vermont Multi-state Studies Single-state Studies
  • 12. Reform Topics Being Studied Insurance Market Initiatives (5) SCHIP Reform (1) Comprehensive Reform (3) Medicaid Reform (6)
  • 13.
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  • 21. State Health Reform If States are the Laboratories….. Where are the lab reports?
  • 22. Contact Information www.shadac.org www.statereformevaluation.org University of Minnesota School of Public Health Division of Health Policy and Management 2221 University Avenue, Suite 345 Minneapolis Minnesota 55414 (612) 624-4802 Principal Investigator: Lynn A. Blewett, Ph.D. (blewe001@umn.edu) SHARE Deputy Director: Elizabeth Lukanen, M.P.H (elukanen@umn.edu)