HP provides a cross-cutting policy perspective that bridges Departmental programs, public and private sector activities, and the research community, in order to develop, analyze, coordinate and provide leadership on health policy issues for the Secretary. HP carries out this mission by conducting policy, economic and budget analyses, assisting in the development and review of regulations, assisting in the development and formulation of budgets and legislation, assisting in survey design efforts, as well as conducting and coordinating research, evaluation, and information dissemination on issues relating to health policy.
The Office of Health Policy is organized in four divisions that align with major Department programs :Division of Health Care Financing Policy (HFP)
Division of Public Health Services (PHS)
Division of Health Care Access and Coverage (HAC)
Division of Health Care Quality and Outcomes (HQO)
Health Policy Research:
- Reports to Congress
- Affordable Care Act Research & Issue Briefs
- HP Authored or Sponsored Work Published in Journals
Other Helpful Information:
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The Affordable Care Act (ACA) provides two main avenues for expanding health coverage: the Health Insurance Marketplaces (“Marketplaces”) and the law’s federal support for states that wish to expand their Medicaid programs. This brief estimates how many individuals nationwide might have Marketplace coverage after the upcoming Open Enrollment period (November 1, 2015–January 31, 2016) through the end of 2016.
By: Kenneth Finegold, Kelsey Avery, Bula Ghose, and Caryn Marks
ASPE ISSUE BRIEF Steven Sheingold, Nguyen Nguyen, and Andre Chappel Disclaimer Persons with disabilities having problems accessing this document may call (202) 690-6870 for assistance.
July 2015 (Updated) The dataset provides the total number of Qualified Health Plan selections by county for the 37 states that use the HealthCare.gov platform, including the Federally-facilitated Marketplace, State Partnership Marketplaces and supported State-based Marketplaces for the Marketplace open enrollment period from November 15, 2014 through February 15, 2015, including additional special enrollment period (SEP) activity reported through February 22, 2015.
June 19, 2015 Tia Zeno, Katherine Warren, John Snyder
Medicare’s Hospice Benefit:Revising the Payment System to Better Reflect Visit Intensity May 28, 2015 Steve Sheingold, Susan Bogasky, and Sally Stearns I. Introduction
Plan Selections by ZIP Code in the Health Insurance Marketplace April 2015
2015 Plan Selections by ZIP Code in the Health Insurance Marketplace January 2015
Health Practitioner Bonuses and Their Impact on the Availability and Utilization of Primary Care Services
Report author: The Lewin Group
ASPE FMAP 2016 REPORT Federal Financial Participation in State Assistance Expenditures; Federal Matching Shares for Medicaid, the Children’s Health Insurance Program, and Aid to Needy Aged, Blind, or Disabled Persons for October 1, 2015 through September 30, 2016 DEPARTMENT OF HEALTH AND HUMAN SERVICES AGENCY: Office of the Secretary, DHHS ACTION: Notice
Plan Selections by ZIP Code in the Health Insurance Marketplace September 2014
While health benefits are derived from sports and recreational activities, there are also risks, including sports-related injuries. These injuries range from minor sprains and strains to more serious injuries such as broken bones and concussions. The direct medical bills resulting from sports injuries are substantial. The costs could be a heavy burden for individuals without health insurance coverage, who would not only lack protection against out-of-pocket costs but could also be forced to pay providers’ full stated charges, rather than the discounted prices generally offered to those with insurance. This issue brief describes the prevalence and cost of selected sports injuries.
Health Insurance Marketplace: March Enrollment Report. For the period: October 1, 2013 - March 1, 2014
This issue brief highlights national and state-level enrollment-related information for the first five months of the Health Insurance Marketplace initial open enrollment period (10-1-13 to 3-1-14).
ASPE REPORT A 21st Century Health Care Workforce for the Nation February 2014 By: U.S. Department of Health and Human Services Abstract
This study examined models of integration and coordination of housing assistance services and HIV care. The final report describes findings from a quantitative analysis of national HIV housing assistance data, and highlights from case studies conducted at four Integrated HIV/AIDS Housing Plan (IHHP) projects funded by the U.S. Department of Housing and Urban Development (HUD). Findings from this study offer insights about existing program models and the components that facilitate service integration to address both housing and health to improve outcomes among people living with HIV.
ASPE FMAP 2015 REPORT Federal Financial Participation in State Assistance Expenditures; Federal Matching Shares for Medicaid, the Children’s Health Insurance Program, and Aid to Needy Aged, Blind, or Disabled Persons for October 1, 2014 through September 30, 2015 DEPARTMENT OF HEALTH AND HUMAN SERVICES AGENCY: Office of the Secretary, DHHS ACTION: Notice BILLING CODE: 4150-05
ASPE ISSUE BRIEF Eligible Uninsured African Americans: 6 in 10 Could Receive Health Insurance Marketplace Tax Credits, Medicaid or CHIP December 2013 By: Emily R. Gee Abstract
Market Competition Works: Proposed Silver Premiums in the 2014 Individual Market Are Substantially Lower than Expected
Market Competition Works: Proposed Silver Premiums in the 2014 Individual Market Are Substantially Lower than Expected Updated: August 9, 2013 By: Laura Skopec and Richard Kronick Abstract
Market Competition Works: Proposed Silver Premiums in the 2014 Individual and Small Group Markets Are Nearly 20% Lower than Expected Premiums
Market Competition Works: Proposed Silver Premiums in the 2014 Individual and Small Group Markets Are Nearly 20% Lower than Expected July 2013 By: Laura Skopec and Richard Kronick Abstract
Report to Congress on Workplace Wellness As Required by the Public Health Service Act,Section 2705(m)(1) Submitted to the Senate Committee on Finance, Senate Committee on Health, Education, Labor, and Pensions, House Committee on Ways and Means, and House Committee on Energy and Commerce
Seventy-one million additional Americans are receiving preventive services coverage without cost-sharing under the Affordable Care Act
ASPE ISSUE BRIEF Seventy-one million additional Americans are receiving preventive services coverage without cost-sharing under the Affordable Care Act March 2013 By: Laura Skopec, Benjamin D. Sommers Abstract
Health Insurance Premium Increases in the Individual Market Since the Passage of the Affordable Care Act
By:Rose Chu and Richard Kronick
ACA Expands Mental Health and Substance Use Disorder Benefits and Federal Parity Protections for Over 62 Million Americans
ASPE ISSUE BRIEF Affordable Care Act Expands Mental Health and Substance Use Disorder Benefits and Federal Parity Protections for 62 Million Americans February 20, 2013 By: Kirsten Beronio, Rosa Po, Laura Skopec, Sherry Glied Abstract
ASPE Issue Brief Data Sources for Modified Adjusted Gross Income (MAGI) Conversions February 2013 As of January 1, 2014, states must use MAGI as the basis for determining income eligibility for most potential enrollees. This paper provides states with technical specifications on data sources as they consider the MAGI conversion options. This paper also explains how the SIPP data was coded to reflect Medicaid eligibility in the development of the Standardized MAGI Conversion Methodology.