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U.S. Department of Health & Human Services aspe.hhs.gov Office of the Assistant Secretary for Planning and Evaluation
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Project Type:
(Event/Conference)
Project Officer(s):
Don Oellerich
Organization(s):
ASPE
Related Products:
The panel, organized under the Federal Advisory Committee Act, will review methods and assumptions underlying the annual Medicare Trustees' reports. The panel will make recommendations to the Secretary.
Project Type:
Research Brief
Author(s):
David Wittenburg, John Tambornino, Elizabeth Brown, Gretchen Rowe, Mason DeCamillis, Gilbert Crouse
Organization(s):
Mathematica Policy Research
Published:
April, 2015
This research brief examines geographic variation in child SSI program growth and participation relative to the total number of children, the number of low-income children, and to participation in other major federal safety net programs.
Project Type:
Research Brief
Author(s):
John Tambornino, Gilbert Crouse, Pamela Winston
Published:
March, 2015
This research brief provides an overview of national trends in the child Supplemental Security Income (SSI) program between 1991 and 2011, focusing on the program’s reach and costs, and compares these trends to those of other major federal safety-net programs.
Project Type:
Report
Author(s):
Brenda C. Spillman, Elizabeth Richardson, Anna Spencer, and Eva Allen (with Barbara A. Ormond, Aaron Chalek)
Organization(s):
Urban Institute
Published:
June, 2014
This report presents findings from the first two years of the five-year evaluation of Medicaid health homes, a new integrated care model authorized in Social Security Act Section 1945 and created by Section 2703 of the Affordable Care Act. The model is designed to target high-need, high-cost beneficiaries with chronic conditions or serious mental illness. The contractor is conducting the evaluation, which will conclude in October 2016. The first 3 years of the evaluation focus on the process of implementing the program and structuring health homes. Quantitative analysis in the last 2 years of the evaluation will assess the impact on quality, cost, utilization patterns, and health outcomes. This evaluation will assess: (a) The care models and processes states are using. (b) The extent to which health homes result in increased monitoring and care coordination. (c) Whether these models result in better care quality; patient experience; reduced hospital, skilled nursing facility, and emergency department use; lower costs; and clinical outcomes. Since the intervention period is only 2 years, the changes in clinical outcomes are likely to be modest. This report examines the 13 Medicaid Health Home State Plan Amendments (SPAs) approved in 11 states included in the evaluation. These include 2 SPAs from both Rhode Island and Missouri, and 1 SPA each from North Carolina, Oregon, New York, Alabama, Iowa, Ohio, Wisconsin, Idaho, and Maine.
Project Type:
Report
Author(s):
Robert Schmitz, Victoria Peebles, Rosemary Borck and Dean Miller
Organization(s):
Mathematica Policy Research
Published:
May, 2014
Although states have begun to rebalance their long-term care systems toward a greater emphasis on home and community-based services (HCBS), many low-income elderly, persons with physical disabilities, and persons with intellectual/developmental disabilities (I/DD) continue to reside in institutions such as nursing homes or intermediate care facilities for the intellectually disabled (ICFs/IID). Through an analysis of Medicaid enrollment and long-term care claims data, this report provides information on the characteristics of institutionalized enrollees, their stays, and the interaction of institutional services and HCBS.
Project Type:
Issue Brief
Author(s):
Allison Wishon Siegwarth and Crystal Blyler
Organization(s):
Mathematica Policy Research
Published:
May, 2014
In this issue brief, the authors explore the provisions of the Affordable Care Act that may enable Americans with mental illness to obtain the mental health treatment and support services they need to continue working or get back to work.
Project Type:
Report
Author(s):
Judith S. Kasper, Vicki A. Freedman and Brenda C. Spillman
Organization(s):
Johns Hopkins Bloomberg School of Public Health University of Michigan Urban Institute
Published:
April, 2014
Studies of the prevalence of Alzheimer’s disease and other dementia in the U.S. estimate that 14% of those over age 70 are affected, and that prevalence increases with age, exceeding one-quarter of persons over age 80. The implications of population aging for increases in older persons with dementia and the impact on families, which will be the mainstays in caregiving, have been recognized worldwide in a 2012 World Health Organization report on Dementia as a Public Health Priority, and in the U.S. by the National Alzheimer’s Project Act of 2012. This report uses the National Health and Aging Trends Study (NHATS), to describe late life disability and care needs of older adults with dementia. Using a dementia classification developed previously, we examine patterns for older adults with probable, possible and no dementia in the extent of activity limitations, receipt of assistance, and caregiving resources. [37 PDF pages]
Project Type:
Report
Author(s):
Vicki A. Freedman and Brenda C. Spillman
Organization(s):
University of Michigan Urban Institute
Published:
April, 2014
The economic cost of dependency at older ages is large and projected to grow rapidly as the number of older adults increases in the coming decades, and reduced well-being for individuals facing loss of functioning and their families, who provide the bulk of uncompensated care, also is an important societal concern. The purpose of this report is to describe disability and care needs of the older population using baseline (2011) measures from the National Health and Aging Trends Study, a new study designed to support understanding of both trends and trajectories in health and disability in later life. To provide a context for framing policy discussions of disability and care needs of older adults, Two overarching topics were investigated: (1) the extent of activity limitations and use of assistance by older adults; and (2) care resources available to and used by older adults and the extent of unmet need in the population with care needs. [32 PDF pages]
Project Type:
Issue Brief
Author(s):
Todd Honeycutt, Allison Thompkins and Michelle Bailey
Organization(s):
Mathematica Policy Research
Published:
April, 2014
Recent interest among policymakers in helping Social Security Disability Insurance (SSDI) beneficiaries return to work has increased the desire for knowledge about the employment activities of people with disabilities before they apply for benefits. Learning about the participation of applicants in programs designed to support employment and provide income supports may offer opportunities for early intervention to enable them to remain employed. In this brief, we summarize results from a working paper, conducted through the Social Security Administration’s Disability Research Consortium, on the experiences of SSDI applicants before they apply for SSDI.
Project Type:
Report
Author(s):
Bonnie L. O'Day, Crystal Blyler, Benjamin Fischer, Claire Gill, Todd Honeycutt, Rebecca Kleinman, Joseph Mastrianni, Eric Morris, Lisa Schottenfeld, Allison Thompkins, Allison Wishon-Siegwarth and Michelle Bailey
Organization(s):
Mathematica Policy Research
Published:
April, 2014
To answer questions on what services and barriers people with psychiatric disorders face, the authors conducted two targeted literature reviews: (1) employment programs and outcomes for people with psychiatric disorders; and (2) employment programs for people with other disabilities. Also analyzed was data from the Survey of Income and Program Participation to examine service-use trajectories of vulnerable populations that might be expected to apply for Social Security Disability Insurance benefits. The authors also examined literature and policy documents that outlined funding options for employment services for people with psychiatric disorders and other disabilities.