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State Health Access Reform Evaluation:Building the Evidence for Reform,[object Object],Lynn A. Blewett, Ph.D.,[object Object],University of Minnesota,[object Object],AcademyHealth State Health Research and ,[object Object],Policy Interest Group Meeting,[object Object],Chicago, IL,[object Object],Saturday, June 27, 2009,[object Object]
2,[object Object],Overview of Presentation,[object Object],Overview of SHARE,[object Object],Preliminary research findings from SHARE,[object Object],Key Research Implementation Findings  - Strong Relationship with the State is Key,[object Object],SHARE Presentations,[object Object]
3,[object Object],State Health Access Reform Evaluation (SHARE),[object Object],RWJF National Program Office,[object Object],Co-located with the State Health Access Data Assistance Center (SHADAC),[object Object],[object Object]
Link to states and state analysts15 Projects funded covering 23 states,[object Object]
Why is state research important?,[object Object],States are laboratories for reform,[object Object],[object Object]
States have limited capacity to do their own research4,[object Object]
5,[object Object],SHARE Objectives,[object Object],Support and coordinateevaluations of state reform,[object Object],[object Object]
To identify and address gaps in research on state health reform activities from a state policy perspectiveDisseminate findings,[object Object],[object Object],Create a research and practice community to facilitate,[object Object],EVIDENCE-BASED REFORM,[object Object]
6,[object Object],Guiding Principles for SHARE Research,[object Object],Involve state partners,[object Object],Evaluate an enacted policy,[object Object],Incorporates both quantitative and qualitative components ,[object Object],Is relevant to other states and national reform debate,[object Object],Evaluates either comprehensive or incremental reform,[object Object]
Reform Topics Being Studied (23 states in total),[object Object],SCHIP Reform (2),[object Object],[object Object]
Section 125
Small Group, Individual MarketsComprehensive ,[object Object],Reform (3) ,[object Object],[object Object]
VermontMedicaid Reform (6),[object Object],Insurance Market,[object Object],Initiatives (5),[object Object],[object Object]
Administrative Efficiency
General Reform
Administrative Efficiency,[object Object]
Simplified and expanded eligibility and aggressive branding
Program simplification and broader income eligibility reduce churning and improve continuity of coverage _________,[object Object],[object Object],[object Object]
Strong outreach campaigns are necessary to reach not only the newly eligible, but the previously eligible but not enrolled
Due to affordability concerns, aspects of comprehensive reform that offer premium support are most effective in increasing access

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Blewett Ah Shrpig Jun2009