State Health Access Reform Evaluation
Synopsis of the Work: The initial projects funded under the State Health Access Reform Evaluation (SHARE) program focused on affordability, sustainability, or administrative efficiency of state-level health reform. Starting in September 2010, the program began funding research and evaluation of implementation of the ACA at the state level. The program was reauthorized in October to develop an evidence-based resource for policy-makers seeking to learn about the successes and challenges of the implementation process.
Key Results: As of January 2012, the program has funded 19 state evaluation proposals. Projects included an evaluation of the impact of outreach and enrollment strategies in California; an assessment of the first use of auto-enrollment for a state coverage expansion; an evaluation of reforms to cover all children in the states of Illinois, Pennsylvania, and Washington; and an evaluation of risk selection in market-based state programs.