Implementation of the 1997 Balanced Budget Act's home health provisions dramatically reduced Medicare home health utilization and led to closures of many agencies. This paper examined the potential effects of the agency closings on beneficiary utilization rates. Findings suggest that agency closings, per se, had only a very small impact on changes in utilization rates between 1996 and 1999.
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 (HealthCare.gov), telehealth, health care delivery, underserved areas, delivery system transformation, health outcomes, and social determinants of health.
Noteworthy Resources and Reports
Vaccine Hesitancy for COVID-19: State, County, and Local Estimates
To support state and local communication and outreach efforts, ASPE developed state, county, and sub-state level predictions of hesitancy rates using the most recently available federal survey data. Explore the interactive map and other resources.
Topic Areas
Reports
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Advanced SearchState-Based Initiatives to Improve the Recruitment and Retention of the Paraprofessional Long-Term Care Workforce
The Department of Health and Human Services awarded a contract to launch a national initiative designed to improve recruitment and retention of direct care workers in the long-term care field.
The Experiences of Workers Hired Under Consumer Direction in Arkansas
In this paper, the authors use data obtained from the first Cash and Counseling demonstration, Arkansas' IndependentChoices, to assess the experiences of directly hired workers. They describe the types and amount of care that paid workers provide, the training and supervision they receive, their working conditions, and their well-being.
State Practices in Medical Child Support Cross-Program Coordination
This study describes policies and practices in Connecticut, Minnesota, and Texas designed to coordinate the child support enforcement program, Medicaid, and SCHIP in order to secure and sustain appropriate health care coverage for child support-eligible children.
State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report
Alan White, Ph.D., Barbara Manard, Ph.D., Deborah Deitz, BSN, Terry Moore, MPH, RN, Donna Hurd, MSN, Christine Landino, MSW, MPH, Jennie Harvell, M.Ed. Abt Associates, Inc.
The Future Supply of Long-Term Care Workers in Relation to the Aging Baby Boom Generation
One of the challenges facing the U.S. in the 21st Century will be to ensure that individuals throughout their life will have the supports they need and will be treated with dignity. For the growing population of the elderly and people with disabilities, ensuring the adequacy and availability of direct care workers is key to meeting this ideal.
State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report
U.S. Department of Health and Human Services State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report Executive Summary
Neighborhoods and Health: Building Evidence for Local Policy
This project focuses on the development, analysis, and use of neighborhood health indicators pertaining to children and youth.
Understanding Different Estimates of Uninsured Children: Putting the Differences in Context
Understanding Different Estimates of Uninsured Children: Putting the Differences in Context Acknowledgments: ASPE would like to thank those reviewers at the Agency for Health Care Policy and Research (AHCPR), the National Center for Health Statistics (NCHS), and the Census Bureau whose helpful comments and expertise contributed greatly to this document.