Abstract:
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Many of the provisions of the Patient Protection and Affordable Care Act (ACA) are being implemented by states and state specific factors such as health insurance coverage, access, use, and affordability will influence both implementation and impact of the law. The National Health Interview Survey (NHIS), the primary survey for monitoring the nation's health, provides a strong base for informing both the implementation and evaluation of the ACA. The NHIS provides national estimates for a variety of health indicators, but only selected estimates are available for states with sufficient sample size. We submitted a proposal to the National Center for Health Statistics to work in a Research Data Center (RDC), for access to state identifiers, to develop state-level estimates for ACA relevant indicators and to make these publicly available. We discuss the benefits and challenges of working in an RDC as well as the disclosure process. We demonstrate how to access the 2012 NHIS state-level estimates through an online table generator with plans to create an on-going series to support the tracking of health outcomes for states over time.
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