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Health & Health Care

ASPE produces health policy research with a focus on equity, coverage, and access. Find resources related to a broad range of topics, including the uninsured population, vaccine hesitancy, Medicaid/CHIP, Medicare, the federal marketplace (, telehealth, health care delivery, underserved areas, delivery system transformation, health outcomes, and social determinants of health.


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Integrating Care through Dual Eligible Special Needs Plans (D-SNPs): Opportunities and Challenges

April 7, 2019
The 11 million individuals dually-eligible for Medicare and Medicaid are among the highest need populations in either program. However, a lack of coordination between the Medicare and Medicaid programs makes it difficult for individuals enrolled in both to navigate these fragmented systems of care and adds to the cost of both programs.

Patterns of Care and Home Health Utilization for Community-Admitted Medicare Patients

April 3, 2019
Printer Friendly Version in PDF Format (75 PDF pages)

How Many Older Adults Can Afford To Purchase Home Care?

April 3, 2019
To estimate home much paid home could possibly be purchased out of income and wealth, we estimated the share of older adults with sufficient monthly income to cover median home care costs as well as other living expenses. Our results show that many older adults with severe LTSS needs could not afford 2 years of paid home care without financial assistance.

Work-Focused Interventions for Depression: Final Report

April 1, 2019
Among employed adults, major depression is a leading cause of work absences (absenteeism) and impaired work performance (presenteeism) as well as short-term and long-term work disability. Depression is one of the largest and fastest growing categories of work disability claims filings in the public and private disability insurance sectors.

Primary and Behavioral Health Care Integration Program: Impacts on Health Care Utilization, Cost, and Quality

March 28, 2019
This report describes an extension of the RAND Corporation's evaluation of the Substance Abuse and Mental Health Services Administration's Primary and Behavioral Health Care Integration (PBHCI) grants program.

Identifying Safety-Net Resources at Health Centers to Prevent Infectious Disease Transmission Resulting from the Opioid Epidemic

March 21, 2019
The impact of the opioid epidemic on infectious disease transmission is an important public health issue. The problem came dramatically to light in 2015 when an outbreak of new human immunodeficiency virus (HIV) infections occurred in rural Scott County, Indiana.

Experiences of Medicaid Programs and Health Centers in Implementing Telehealth

March 5, 2019
Health centers are experimenting with telehealth for a range of conditions, working with different types of remote providers, and confronting different telehealth policies and implementation barriers, depending on their locations and payer mix.  This paper explores the experiences of health centers and state Medicaid programs in seven states.

Best Practices and Barriers to Engaging People with Substance Use Disorders in Treatment

March 5, 2019
Substance use disorders (SUDs) represent a serious public health problem in the United States. Recent attention has focused most on opioid use, including heroin use and prescription opioid misuse, with the attendant high rates of opioid-related overdoses. Alcohol use disorders are more common than opioid use disorders and also represent a public health concern.
Report to Congress

Report to Congress: Current State of Technology-Enabled Collaborative Learning and Capacity Building Models

February 28, 2019
This report responds to the December 2016 “Expanding Capacity for Health Outcomes (ECHO) Act,” Public Law 114-270, which requires the Department to report to Congress on a range of issues related to technology-enabled collaborative learning and capacity building models and make recommendations on their use.  This report consists of a summary document that includes the Department’s recommendatio