Reports

ABSTRACT

This project studied the delivery of Medicare and Medicaid-funded services to dually eligible beneficiaries aged 65 and older in Minnesota. It compared fully-integrated managed care to service delivery when Medicare and Medicaid-funded services are delivered independently.

Across the country, state and local officials are increasingly focused on improving health outcomes for people living with mental illness or substance use disorders.

The Centers for Disease Control and Prevention’s (CDC’s) Communities Putting Prevention to Work (CPPW) program funded 44 communities and states under the American Recovery and Reinvestment Act (ARRA) to implement community-based tobacco and obesity prevention interventions.

In this Issue Brief, we examine spending growth through 2014, the first year the Affordable Care Act’s coverage provisions were in effect, and 2015, where possible. We provide detailed cost growth trends for Medicare and the private insurance market. We also estimate the effect of recently introduced specialty drugs on current and future spending growth.

Understanding what supports strong relationships formerly incarcerated men and their children could have an impact on individual, interpersonal, and community safety and well-being.

The dataset provides the total number of Qualified Health Plan selections by ZIP Code and county for the 38 states that use the HealthCare.gov platform, including the Federally-facilitated Marketplaces, State Partnership Marketplaces, and supported State-based Marketplaces, during the Marketplace’s third Open Enrollment Period (based on data for the period November 1, 2015 – February 1, 2016).

This Addendum contains detailed State-level tables highlighting cumulative enrollment-related information for the Health Insurance Marketplaces (Marketplaces) during the 2016 Open Enrollment period for all 50 states and the District of Columbia (11-1-15 to 1-31-16, including Special Enrollment Period (SEP) activity through 2-1-16).

During the third open enrollment period, the Health Insurance Marketplaces (“the Marketplaces”) continue to play an important role in fulfilling one of the Affordable Care Act’s central goals: reducing the number of uninsured Americans by providing affordable, high-quality health insurance.

Key findings • Expenditures on prescription drugs are rising and are projected to continue to rise faster than overall health spending thereby increasing this sector’s share of health care spending.

Medicare Part B covers infusible and injectable drugs and biologics administered in physician offices and hospital outpatient departments; as well as certain other drugs required by law provided by suppliers such as pharmacies The Part B payment method provides weak incentives for physicians to consider value – that is choose the lowest cost therapy to effectively treat a patient.

Stephan Lindner Urban Institute Printer Friendly Version in PDF Format (39 PDF pages)

Kathleen Farrell, BA, Tasseli McKay, MPH, Heather Beil, PhD, Lexie Grove, BA, Stephanie Kissam, MPH, Erin Mallonee, MS, and Melissa Romaire, PhD RTI International Printer Friendly Version in PDF Format (68 PDF pages)

Older adults who have income and assets have choices should they need long-term services and supports (LTSS). In this paper we estimate the extent to which older adults could potentially use home equity to help pay for nursing home care. By estimating the relationship between home equity and care costs, we provide an upper bound on how much assistance with LTSS home equity might purchase.

In states with a county-administered Medicaid programs, counties face many decisions and challenges in implementing Medicaid expansions, from operations to outreach, enrollment and renewal.

The Office of the Assistant Secretary for Planning and Evaluation, in partnership with the Administration for Children and Families within the U.S. Department of Health and Human Services, funded Mathematica Policy Research and its partners to conduct the Learning About Infant and Toddler Early Education Services (LITES) project.

“The Office of the Assistant Secretary for Planning and Evaluation, in partnership with the Administration for Children and Families within the U.S. Department of Health and Human Services, funded Mathematica Policy Research and its partners to conduct the Learning About Infant and Toddler Early Education Services (LITES) project.

The Office of the Assistant Secretary for Planning and Evaluation, in partnership with the Administration for Children and Families within the U.S. Department of Health and Human Services, funded Mathematica Policy Research and its partners to conduct the Learning About Infant and Toddler Early Education Services (LITES) project.

It is widely accepted that reimbursement policies and practices are important considerations in the research and development (R&D) decisions of potential innovators of healthcare technologies, and the investors who finance them.

Brenda Spillman Urban Institute Printer Friendly Version in PDF Format (35 PDF pages)

Are chronically disabled elders residing in the community who use home and community-based services (HCBS) less likely to end up in a nursing home? The 2004 National Long-Term Care Survey (NLTCS), a nationally representative sample of Americans aged 65 and older, was linked to follow-up years of Medicare/Medicaid claims and other administrative data.

 

Community Health Workers (CHWs) are an emerging group of health professionals that have recently drawn increased national attention because of their potential to deliver cost-effective, high quality, and culturally competent health services within team-based care models. The apparent benefits of integrating CHWs into health care teams seem to depend on context.

The dataset provides the total number of Qualified Health Plan selections by ZIP Code for the 38 states that use the HealthCare.gov platform, including the Federally-facilitated Marketplace, State Partnership Marketplaces and supported State-based Marketplaces, during the Marketplace open enrollment period to date (November 1, 2015 – January 9, 2016).

This issue brief highlights available national and state-level enrollment-related information for the first two months of the Health Insurance Marketplace 2016 open enrollment period (11-1-15 to 12-26-15) for all 50 states and the District of Columbia.

This Addendum contains detailed State-level tables highlighting cumulative enrollment-related information for the Health Insurance Marketplaces (Marketplaces) during the the first part of the 2016 Open Enrollment period for all 50 states and the District of Columbia (11-1-15 to 12-26-15).

Amy Kandilov, Vincent Keyes, Noëlle Siegfried, Patrick Edwards, Ann Larsen, Kevin Smith, Celia Eicheldinger, Nancy McCall, Martijn Van Hasselt, and Doug Raeder RTI International Alisha Sanders and Robyn Stone

This memorandum describes the ongoing implementation and impacts of a program the Support and Services at Home (SASH) program. The program is intended to improve health and decrease health care expenditures among elderly residents of affordable housing developments.

This study assessed individual and state-level factors which affect decisions by Nurse Practitioners (NPs) about whether to practice in primary care. Of particular interest was the impact of state scope of practice (SOP) regulations on elements of NP practice such as patient load, the flow of patient care, and the management of a patient panel decision.

ASPE FMAP 2017 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, 2016 through September 30, 2017​

OVERVIEW HHS has proposed a $20 million initiative in the President's FY 2001 budget dealing with Health Informatics: Improving Information for Decision Making. The ultimate goal of this initiative is to improve patient care and health outcomes through the efficient and effective use of data.

Touchstone Behavioral Health (Touchstone) is one of nine organizations selected to participate in the Teen Pregnancy Prevention Replication Study. The study is a rigorous five-year evaluation of replications of evidence-based interventions aimed at preventing teen pregnancy, sexually-transmitted infections (STIs), and other sexual risk behaviors.

Knox County Health Department (KCHD) is one of nine organizations selected to participate in the Teen Pregnancy Prevention Replication Study. The study is a rigorous five-year evaluation of replications of evidence-based interventions aimed at preventing teen pregnancy, sexually-transmitted infections (STIs), and other sexual risk behaviors.

The Teen Pregnancy Prevention (TPP) Replication Study is evaluating three replications of three evidence-based program models, for a total of nine sites funded through the Office of Adolescent Health (OAH) Teen Pregnancy Prevention (TPP) program. The study is managed by ASPE in partnership with OAH.

Community Action Partnership of San Luis Obispo County (Community Action Partnership) is one of nine organizations selected to participate in the Teen Pregnancy Prevention Replication Study. The study is a rigorous five-year evaluation of replications of evidence-based interventions aimed at preventing teen pregnancy, sexually-transmitted infections (STIs), and other sexual risk behaviors.

The Teen Pregnancy Prevention (TPP) Replication Study is evaluating three replications of three evidence-based program models, for a total of nine sites funded through the Office of Adolescent Health (OAH) Teen Pregnancy Prevention (TPP) program. The study is managed by ASPE in partnership with OAH.

Better Family Life is one of nine organizations selected to participate in the Teen Pregnancy Prevention Replication Study. The study is a rigorous five-year evaluation of replications of evidence-based interventions aimed at preventing teen pregnancy, sexually-transmitted infections (STIs), and other sexual risk behaviors.

The Overview of the Teen Pregnancy Prevention Replication Study provides a summary of the study design and the Baseline Site Profiles provide a summary of each of the nine grantees participating in the study.

La Alianza Hispana (La Alianza) is one of nine organizations selected to participate in the Teen Pregnancy Prevention Replication Study. The study is a rigorous five-year evaluation of replications of evidence-based interventions aimed at preventing teen pregnancy, sexually-transmitted infections (STIs), and other sexual risk behaviors.

Hennepin County (HC) Human Services and Public Health Department is one of nine organizations selected to participate in the Teen Pregnancy Prevention Replication Study. The study is a rigorous five-year evaluation of replications of evidence-based interventions aimed at preventing teen pregnancy, sexually-transmitted infections (STIs), and other sexual risk behaviors.

LifeWorks is one of nine organizations selected to participate in the Teen Pregnancy Prevention Replication Study. The study is a rigorous five-year evaluation of replications of evidence-based interventions aimed at preventing teen pregnancy, sexually-transmitted infections (STIs), and other sexual risk behaviors.

San Diego Youth Services (SDYS) is one of nine organizations selected to participate in the Teen Pregnancy Prevention Replication Study. The study is a rigorous five-year evaluation of replications of evidence-based interventions aimed at preventing teen pregnancy, sexually-transmitted infections (STIs), and other sexual risk behaviors.

Planned Parenthood of Greater Orlando (PPGO) is one of nine organizations selected to participate in the Teen Pregnancy Prevention Replication Study. The study is a rigorous five-year evaluation of replications of evidence-based interventions aimed at preventing teen pregnancy, sexually-transmitted infections (STIs), and other sexual risk behaviors.

This research brief examines program coordination between the child SSI and TANF programs, drawing upon analysis of administrative data and site visits to Kentucky, Oregon, Pennsylvania, and Texas.

This research brief examines pathways to the child SSI program, drawing upon analysis of administrative data and site visits to Kentucky, Oregon, Pennsylvania, and Texas. It finds that informal referrals appear to be most common, though schools, health care providers, and legal services staff also play a role.

About 12.9 million children live in rural communities, where they are more likely than their nonrural peers to experience health problems associated with their environment, their socioeconomic status, their own and their families’ health behaviors, and their access to quality clinical care.