Overview. This report was produced by the State Health Access Data Assistance Center (SHADAC) at the University of Minnesota as part of a mixed-methods study, Study of the Impact of the Affordable Care Act (ACA) Implementation in Kentucky, funded by the Foundation for a Healthy Kentucky (Foundation). As part of this project, SHADAC will use semi-annual and annual reports to document the impact of the ACA in Kentucky using a set of indicators agreed upon by the Foundation and its ACA Impact Study Oversight Committee (see Appendix I for a complete list of indicators). These reports will track change in the indicators throughout the duration of this 34-month study (March 2015 through January 2018), and will include comparisons of Kentucky metrics with the U.S. and other states. Our approach is to present the estimates, organized by study domain, and to describe key findings of interest. This report includes metrics that are based on a secondary analysis of federal and state data resources. In future study years, the data sources included in the reports will be augmented with collection and analysis of primary survey and primary qualitative data. Together, the data will be used to conduct a comprehensive analysis of Kentucky's progress in implementing health reform over time. Purpose of Current Report. The purpose of the first semi-annual report, Baseline Data for the Implementation of the ACA in Kentucky, is to describe the baseline status of the healthcare situation in Kentucky prior to ACA implementation. The report presents baseline data for all study indicators, under the five study domains: coverage, access, cost, quality, and health outcomes. We use calendar year 2012 data as our baseline because it pre-dates the first ACA enrollment period that began in October 2013 and because the 2012 data are available for most of the indicators. In a small number of cases, we pool data across two years to improve the precision of the estimates, or use 2011 or 2013 estimates when 2012 data is not available (for more detail on our methodology, see Appendix 1). All data sources, age categories, and data years are noted throughout the document. As more data become available, future reports will be used to examine change against the baseline estimates included in this report. The document is organized by domain (coverage, access, cost, quality, and health outcomes), with each chapter beginning with a discussion of the domain's importance for ACA tracking, the major data sources used for measurement, and a summary of key findings. We then present the baseline data for each of the indicators included in that domain. We conclude with a discussion of next steps in the study process, and an appendix describing our data sources, technical methodology, and the complete set of study indicators in tabular form.
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