Reports

As required by the IMPACT Act, the second Report to Congress examines the effect of individuals’ social risk factors on quality measures, resource use, and other measures under the Medicare program, as well as analyses of the effects of Medicare’s current value-based payment programs on providers serving socially at-risk beneficiaries and simulations of potential policy options to address these

June 2020 Printer Friendly Version in PDF Format (5 PDF pages)

This brief uses a proprietary dataset of electronic health records to describe the prevalence rates of chronic health conditions associated with a higher risk of severe illness from COVID-19 among people with a history of homelessness. The paper found that for many of the health conditions examined, people with a history of homelessness have greater prevalence than the general population.

In response to the COVID-19 pandemic, in March 2020 Congress enacted emergency paid family leave (Emergency Family and Medical Leave Expansion Act (EFMLEA)) for use by parents when their children are unable to attend school or child care due to the crisis.

The COVID-19 pandemic is forcing child care providers across the country to close. Between February and April 2020, employment in the child care industry dropped by about one third, losing 360,000 jobs. We do not yet know how this will affect the longer-term economic health of this sector. This has implications for the supply, quality, and price of child care for low-income families.

Economic Impact Payments under the CARES Act can increase economic independence and labor force attachment among individuals reentering from incarceration through helping cover basic expenses while individuals seek employment and get on their feet.

Parental opioid use disorder (OUD) is a risk factor for the maltreatment of children and placement into foster care. Opioid agonist therapy (OAT) is an evidence-based treatment for OUD using medications such as methadone and buprenorphine. OAT can help parents enter recovery and reduce the risk of maltreatment, and potentially improve child welfare outcomes.

This compendium is an effort to understand and document the data collected by ACF that is or could be used for evidence-building purposes. It includes summaries of twelve major ACF administrative data sources and seven surveys.

This brief analyzes information on administrative data resources collected by the Administration for Children and Families (ACF). It explores how the data can be leveraged to improve evidence and research on ACF programs and beneficiaries. Key highlights include:

In response to the COVID-19 pandemic, in March 2020 Congress enacted emergency paid family leave (Emergency Family and Medical Leave Expansion Act) as well as emergency paid sick leave. This brief suggests lessons for facilitating the use of emergency paid family leave by lower-income families, drawing on research by ASPE on families’ participation in state paid family leave programs.

By Annette Waters, Pamela Winston, and Robin Ghertner April 1, 2020

This toolkit aims to help states develop a plan for Title IV-E prevention services, and to assist states in planning a comprehensive array of services to help prevent the need for foster care placement (“prevention services”) by braiding Title IV-E prevention services reimbursement with Medicaid and other funding mechanisms.

This toolkit aims to help states develop a plan for Title IV-E prevention services, and to assist states in planning a comprehensive array of services to help prevent the need for foster care placement (“prevention services”) by braiding Title IV-E prevention services reimbursement with Medicaid and other funding mechanisms.

This toolkit aims to help states develop a plan for Title IV-E prevention services, and to assist states in planning a comprehensive array of services to help prevent the need for foster care placement (“prevention services”) by braiding Title IV-E prevention services reimbursement with Medicaid and other funding mechanisms.

This toolkit aims to help states develop a plan for Title IV-E prevention services, and to assist states in planning a comprehensive array of services to help prevent the need for foster care placement (“prevention services”) by braiding Title IV-E prevention services reimbursement with Medicaid and other funding mechanisms.

This toolkit aims to help states develop a plan for Title IV-E prevention services, and to assist states in planning a comprehensive array of services to help prevent the need for foster care placement (“prevention services”) by braiding Title IV-E prevention services reimbursement with Medicaid and other funding mechanisms.

This toolkit aims to help states develop a plan for Title IV-E prevention services, and to assist states in planning a comprehensive array of services to help prevent the need for foster care placement (“prevention services”) by braiding Title IV-E prevention services reimbursement with Medicaid and other funding mechanisms.

This toolkit aims to help states develop a plan for Title IV-E prevention services, and to assist states in planning a comprehensive array of services to help prevent the need for foster care placement (“prevention services”) by braiding Title IV-E prevention services reimbursement with Medicaid and other funding mechanisms.

Antibiotic Resistance continues to pose a significant threat to our Nation’s public health. To coordinate and enhance the public health response to this threat, the U.S. Government developed the National Action Plan for Combating Antibiotic-Resistant Bacteria (CARB). The CARB Task Force is co-chaired by HHS, USDA, and DOD.

Implications of Alternative Methods of Identifying Populations with Dementia Issue Brief Sarita L.

Individuals' Awareness of a Dementia Diagnosis Issue Brief Sarita L.

This study examined the characteristics of people who do not report having a diagnosis of dementia, despite a documented diagnosis by a health care provider, to health understand the factors that may contributed to their lack of awareness or failure to report. Understanding these factors is a key to taking steps to increasing awareness.

This study sought to identify the amount of overlap among three methods of identifying people with dementia, and to obtain national estimates of the number of people with dementia. It also explored key characteristics of people identified as having dementia by the various methods, to understand potential causes and implications of differences for policy and practice.

ECONOMIC IMPACTS OF PROGRAMS TO SUPPORT CAREGIVERS: FINAL REPORT Stipica Mudrazija and Richard W. Johnson Urban Institute January 2020 Printer Friendly Version in PDF Format (68 PDF pages)

Functional Trajectories at the End of Life for Individuals with Dementia Issue Brief Ila H. Broyles, PhD; Amy Huebeler, BS; Ira Dave, MS; Emily Graf, BA; Qinghua Li, PhD; Lauren Palmer, PhD; Zhanlian Feng, PhD; and Sarita L.

Functional Trajectories at the End of Life for Individuals with Dementia: Final Report Ila H. Broyles, PhD; Amy Huebeler, BS; Ira Dave, MS; Emily Graf, BA; Qinghua Li, PhD; Lauren Palmer, PhD; Zhanlian Feng, PhD; and Sarita L.

Dementia, including Alzheimer’s disease and related disorders, is a neurocognitive disease affecting an individual’s cognitive function and behavior. Dementia is a leading cause of death and is particularly prevalent at the end of life (EOL) in older adults.

Dementia, including Alzheimer’s disease and related disorders, is a neurocognitive disease affecting an individual’s cognitive function and behavior. Dementia is a leading cause of death and is particularly prevalent at the end of life (EOL) in older adults.

As the nation ages and more individuals live longer with chronic illness and disabilities, the need for long-term services and supports (LTSS) will rise.

Electronic health records (EHRs) have been widely adopted in the United States, but there is growing concern that they have unintentionally burdened clinicians, inhibiting their ability to deliver health care efficiently and effectively.

National health surveillance instruments are intended to monitor important health issues and health status of all populations in the United States. Several population subgroups present with disparities in health conditions and health care. To effectively create programs and policies to address these issues requires accurate identification of key population subgroups.

The Foundations for Evidence-Based Policymaking Act of 2018 (Evidence Act) requires federal agencies to create an Evidence-Building plan, otherwise known as a learning agenda. The Evidence-Building Plan is an organization’s way to articulate priority questions and design an approach to developing evidence in support of those questions.

This brief summarizes the challenges involved in serving rural child welfare-involved families with substance use issues. We highlight differences between rural and non-rural areas and discuss strategies that could help alleviate difficulties in addressing child welfare cases in rural communities. Key findings include:

The purpose of this study is to describe and document changes states have made to their Medicaid or other publicly-funded consumer directed home care programs for seniors and individuals with disabilities to comply with the 2013 update to Fair Labor Standards Act (FLSA) regulations.

Analysis of State Efforts to Comply with Fair Labor Standards Act Protections to Home Care Workers Pamela J. Doty, Ph.D., and Marie R. Squillace, Ph.D. Office of the Assistant Secretary for Planning and Evaluation U.S. Department of Health and Human Services Edward Kako, Ph.D.

The main purpose of this study was to investigate the barriers to and facilitators of licensing, credentialing, and insurance reimbursement for substance use disorder (SUD) treatment providers across the nation.

The main purpose of this study was to investigate the barriers to and facilitators of licensing, credentialing, and insurance reimbursement for substance use disorder (SUD) treatment providers across the nation.

The main purpose of this study was to investigate the barriers to and facilitators of licensing, credentialing, and insurance reimbursement for SUD treatment providers across the nation.

CREDENTIALING, LICENSING, AND REIMBURSEMENT OF THE SUD WORKFORCE: A REVIEW OF POLICIES AND PRACTICES ACROSS THE NATION Nilufer Isvan, Rachael Gerber, David Hughes, Kristin Battis, and Evan Anderson Human Services Research Institute John O'Brien

STATE LICENSURE FOR SUBSTANCE USE DISORDER COUNSELING: IMPLICATIONS FOR BILLING ELIGIBILITY Human Services Research Institute November 2019 Printer Friendly Version in PDF Format (5 PDF

CREDENTIALING SUBSTANCE USE DISORDER COUNSELORS: THE NEED FOR UNIFORM STANDARDS ISSUE BRIEF Human Services Research Institute November 2019 Printer Friendly Version in PDF Format (6 PDF

The objective of this environmental scan is to summarize the peer-reviewed and grey literature on oversight of residential care for mental health and substance use care in the United States, excluding inpatient hospital care.

November 2019 Printer Friendly Version in PDF Format (37 PDF pages)

This file shows the progression of work done on each Action included in the National Plan to Address Alzheimer's Disease. Due to formatting changes and changing Actions titles, descriptions that have been updated, and new Actions that have been added, information below has been grouped by Action Description within the Plan's Implementation Milestones chart.

This report builds on a workshop sponsored by ASPE, titled Addressing the Opioid Epidemic: Harnessing the Power of Data for Patient-Centered Research in December 2018, which showcased projects working to build the data infrastructure for patient-centered outcomes research around opioids.

This research brief presents findings using national data from child care subsidy administrative records that states submit to the U.S. Department of Health and Human Services (HHS). The analysis shows that a greater percentage of subsidized care occurred in licensed child care centers in FY 2016 than in FY 2005.

This factsheet provides descriptive information on child care eligibility and receipt. Of the 13.3 million children eligible for child care subsidies under federal rules, 15 percent received subsidies. Of the 8.5 million children eligible for child care subsidies under state rules, 24 percent received subsidies. Poorer children were more likely to receive subsidies than less poor children.

Child support programs use various strategies called “enforcement tools” to collect critical monetary support for custodial families from noncustodial parents. The enforcement of child support is intended to encourage parental responsibility so that children receive financial, emotional, and medical support from both parents, even when they live in separate households.

Printer Friendly Version in PDF Format (117 PDF pages)

This is the PDF version of the 2019 Update of the National Plan to Address Alzheimer's Disease. There have been updates yearly since this report was originally published in 2012.