Reports

These supplemental data tables are for the ASPE Issue Brief series, Access to Marketplace Plans with Low Premiums on the Federal Platform, that examines the availability of zero-premium and low-premium (defined as less than or equal to $50 per month) plans after application of advanced premium tax credits in states served by the federal Marketplace platform, HealthCare.gov, before and after the

The COVID-19 pandemic caused an unprecedented economic crisis with inequitable effects. Overall employment figures mask the disparate impacts on some communities of color, women, and low-wage workers. These groups were more likely to lose jobs, reduce hours worked, or withdraw from the labor market.

Research shows that disruptions in Medicaid coverage are common and often lead to periods of uninsurance, delayed care, and less preventive care for beneficiaries.

April 6, 2021 Link to Printer Friendly Version in PDF Format (11 PDF pages) KEY POINTS

April 6, 2021 Link to Printer Friendly Version in PDF Format (11 PDF pages)

April 6, 2021 Link to Printer Friendly Version in PDF Format (11 PDF pages) KEY POINTS

The American Rescue Plan (ARP) enhances and expands eligibility for premium tax credits under the Affordable Care Act. Under the ARP, we estimate that the availability of zero-premium plans has increased by 19 percentage points and low-premium plans by 16 percentage points, respectively, among uninsured non-elderly adults potentially eligible for Marketplace coverage in HealthCare.gov states.

This report represents a landscape review of community-level efforts to address SDOH, followed by interviews with participants in three community-level initiatives that have built networks to coordinate clinical and social services.

Many uninsured individuals can access zero-premium or low-premium health plans after application of premium tax credits under the Affordable Care Act.

This is the PDF version of the Research Recommendations from the Persons Living with Dementia Stakeholder Group prepared for the 2020 National Research Summit on Care, Services, and Supports for Persons with Dementia and Their Caregivers (also called the Research Summit on Dementia Care).

The Affordable Care Act (ACA), signed into law on March 23, 2010, extended health coverage to millions of Americans through Medicaid (in the states participating in Medicaid expansion) and subsidized Marketplace coverage. However, research prior to enactment of the American Rescue Plan suggests many remaining uninsured people are not aware of their coverage options.

This factsheet presents estimates of access to internet services for low-income families, as well as differences by demographic characteristics and geography. Key takeaways include:

Experience during the first six months of the pandemic shows that the risks of Medicare fee-for-service (FFS) beneficiaries contracting COVID-19 and subsequent hospitalization and mortality vary significantly by demographic characteristics, health status, and nursing home residence. There are several factors that indicate significantly elevated risk.

This case study focuses on how the Northeast Florida Healthy Start Coalition engaged fathers in its programming through the development of a fatherhood program, Fatherhood PRIDE. Key lessons and considerations include how human services programs can promote father engagement by:

This case study focuses on how a fatherhood program in rural Ohio—ForeverDads—reaches a subpopulation of fathers through partnerships with area substance use disorder treatment programs. Key lessons and considerations include how human services programs can promote father engagement by:

This case study focuses on how the nonprofit statewide California WIC Association supports local agencies to involve fathers in programming related to the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Key lessons and considerations for human services programs include:

This project was a collaborative effort by the Office of the Assistant Secretary for Planning and Evaluation (ASPE) and the Office of Women’s Health (OWH). This work examines how investments by the U.S.

The COVID-19 pandemic has highlighted stark health disparities among Black, Hispanic, Native American, and Native Hawaiian/Pacific Islander populations in several areas, including infections, hospitalizations, death rates, and vaccination rates.

UPDATE November 18, 2022: Uninsured Tables with 2021 American Community Survey data is now available.State and Local Estimates of the Uninsured Population in the U.S. Using the Census Bureau’s 2019 American Community Survey

This issue brief examines the effects on coverage and access to care of policies in four major areas of state Medicaid section 1115 demonstrations:Work requirements (also referred to as “community engagement”),Healthy behavior incentive programs,Health savings account-like arrangements, andCapped federal funding and other financing changes.

Social capital – or the value that arises from connections, networks, and relationships – can help human services programs improve participant outcomes. The U.S.

Interviews with program administrators and frontline workers across a range of human services programs early in the COVID-19 pandemic provided key takeaways to help promote effective, accessible, and equitable virtual service delivery.

In response to the COVID-19 pandemic, many human services programs rapidly shifted their service delivery from primarily or exclusively in person to mostly or entirely virtual (via phone, video call, text, email, etc.) with varying degrees of perceived success. Some services (e.g., emergency shelter, distribution of food/diapers) simply must be administered in person.

Interviews with program administrators and frontline workers across a range of human services programs early in the COVID-19 pandemic provided great insight into the tradeoffs and relative advantages of choosing virtual platforms to administer services from.

Interviews with program administrators and frontline workers across a range of human services programs early in the COVID-19 pandemic offered rich information about how well virtual service delivery worked for different types of participants.

This report to Congress analyzed 10 years of data to look at trends in emergency department utilization at the national and state levels. The report analyzes three categories of utilization:

Health Conditions Among Individuals with a History of Homelessness ASPE RESEARCH BRIEF Harper Sutherland, Mir M. Ali, and Emily Rosenoff U.S. Department of Health and Human Services

Health Conditions Among Individuals with a History of Homelessness ASPE RESEARCH BRIEF Harper Sutherland, Mir M. Ali, and Emily Rosenoff U.S. Department of Health and Human Services

Permanency, that is ensuring children have long-term, enduring connections to family or other caring adults, is one of the three primary goals of the child welfare system, along with safety and child well-being.

Newly released estimates from the National Health Interview Survey show that 11.1 percent of U.S. residents (or 30.0 million) under age 65 lacked health insurance as of January-June 2020. This number reflects a sharp decline in the number of uninsured Americans since 2010, before implementation of the Affordable Care Act's large coverage expansions.

This report provides welfare dependence indicators through 2017 for most indicators and through 2018 for other indicators, reflecting changes that have taken place since enactment of the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) in 1996.

This report provides welfare dependence indicators through 2016 for most indicators and through 2017 for some indicators, reflecting changes that have taken place since enactment of the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) in 1996.

This project examines the initial effects of policy changes required by the 2014 reauthorization of the Child Care and Development Fund (CCDF) program as well as the subsequent CCDF final rule published in September 2016 by the U.S. Department of Health and Human Services (HHS).

The Risk and Costs of Severe Cognitive Impairment at Older Ages: Key Findings from our Literature Review and Projection Analyses

Most Older Adults Are Likely to Need and Use Long-Term Services and Supports ASPE ISSUE BRIEF Richard W. Johnson and Melissa M. Favreault Urban Institute Judith Dey, William Marton, and Lauren Anderson

Risk of Economic Hardship Among Older Adults ASPE ISSUE BRIEF Richard W. Johnson and Melissa M. Favreault Urban Institute Judith Dey, William Marton, and Lauren Anderson

The Risk and Costs of Severe Cognitive Impairment at Older Ages: Literature Review and Projection Analyses Melissa M. Favreault and Richard W.

Most Older Adults Are Likely to Need and Use Long-Term Services and Supports ASPE ISSUE BRIEF Richard W. Johnson and Melissa M. Favreault Urban Institute Judith Dey, William Marton, and Lauren Anderson

Risk of Economic Hardship Among Older Adults ASPE ISSUE BRIEF Richard W. Johnson and Melissa M. Favreault Urban Institute Judith Dey, William Marton, and Lauren Anderson

The Risk and Costs of Severe Cognitive Impairment at Older Ages: Literature Review and Projection Analyses Melissa M. Favreault and Richard W.

Richard W. Johnson and Melissa M. Favreault Urban Institute January 2021 Link to Printer Friendly Version in PDF Format (50 PDF pages)

Extended LTSS Utilization Makes Older Adults More Reliant on Medicaid Issue Brief ASPE ISSUE BRIEF Richard W. Johnson and Melissa M. Favreault Urban Institute Judith Dey, William Marton, and Lauren Anderson

The Risk and Costs of Severe Cognitive Impairment at Older Ages: Key Findings from our Literature Review and Projection Analyses

Richard W. Johnson and Melissa M. Favreault Urban Institute January 2021 Link to HTML Version (50 PDF pages)

Extended LTSS Utilization Makes Older Adults More Reliant on Medicaid Issue Brief ASPE ISSUE BRIEF Richard W. Johnson and Melissa M. Favreault Urban Institute Judith Dey, William Marton, and Lauren Anderson

The United States relies on the interactions of private entities – drug manufacturers, health plans and pharmaceutical benefit managers (PBMs) - to achieve value by negotiating prices, operating formularies and implementing other benefit management strategies. The U.S. does not establish or negotiate prices for prescription drugs, as do some other countries. A critical part of the U.S.

U.S. Department of Health and Human Services Office of the Assistant Secretary for Planning and Evaluation December 2020 Link to Printer Friendly Version in PDF Format (6 PDF pages)

Based on interviews with stakeholders from six different federal or philanthropic initiatives aimed at enhancing local cross-sector collaboration, this brief identifies a menu of six strategies - such as providing training and technical assistance or convening stakeholders - available to intermediary organizations to help facilitate local cross-sector collaboration.

Use of Outpatient Pharmacological Treatment Among Infants Born with Neonatal Abstinence Syndrome: Medicaid 2008-2017 ASPE ISSUE BRIEF Mir M. Ali, Emma Nye, and Kristina West U.S. Department of Health and Human Services

Trends in Hospital Readmission and Emergency Department Visit among Infants Born with Neonatal Abstinence Syndrome ASPE ISSUE BRIEF Mir M. Ali, Emma Nye, and Kristina West U.S. Department of Health and Human Services