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
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 SearchMedicaid Demonstrations and Impacts on Health Coverage: A Review of the Evidence
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.
Common Principles and Emerging Practices in Social Capital
Social capital – or the value that arises from connections, networks, and relationships – can help human services programs improve participant outcomes. The U.S.
Choosing Platforms for Virtual Human Services Delivery
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.
Virtual Human Services for Different Populations
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.
Lessons Learned from Virtual Human Services during COVID-19
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.
Easy or Hard? Delivering Different Types of Human Services Virtually
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.
Trends in the Utilization of Emergency Department Services, 2009-2018
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:
Research Brief
Health Conditions Among Individuals with a History of Homelessness Research Brief
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
Trends in the U.S. Uninsured Population, 2010-2020
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.