Field of Work: Health reform
Problem Synopsis: Before the passage of the Affordable Care Act (ACA), many states had taken the lead in developing and implementing policies designed to expand health insurance coverage for Americans. Potentially, many of these reforms represented innovative approaches to expanding coverage. State- and federal-level policy-makers needed to understand which of these coverage strategies were most effective. Once the ACA passed, the knowledge need was for information on how the states implemented the ACA.
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.