Over the past 20 years, Medicare and many private payers have transitioned to policies known collectively as value based purchasing (VBP). The COVID-19 pandemic has had an unprecedented impact on health, health care, the economy, and our daily lives over the past 15 months.
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 SearchASPE Issue Brief
Unvaccinated for COVID-19 but Willing: Demographic Factors, Geographic Patterns, and Changes Over Time
As of August 4, 2021, 70.1 percent of U.S. adults have received at least one dose of a COVID-19 vaccine. However, vaccine coverage varies dramatically across the country, with vaccine coverage being less than 40 percent in a third of U.S. counties. Despite a sufficient supply of COVID-19 vaccines, daily vaccinations have dwindled in recent months.
ASPE Issue Brief
Health Insurance Coverage Among Working-Age Adults with Disabilities: 2010-2018
For working-age adults with disabilities, consistent access to health insurance may be critical to continuity of care and good health outcomes. We tracked changes in health insurance coverage for this population from 2010-2018.
Report
Research Data Networks and Patient-Centered Outcomes Research Trends and Opportunities: Scan and Interviews with Key Informants
This report focuses on research networks that engage in or support research on patient-centered outcomes. The report was produced as part of the strategic planning process for the Office of the Secretary Patient-Centered Outcomes Research Trust Fund portfolio.
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ASPE Issue Brief
Health Insurance Coverage and Access to Care for American Indians and Alaska Natives: Current Trends and Key Challenges
This Issue Brief describes changes in the uninsured rate, health coverage, and access to care for American Indians and Alaska Natives (AI/ANs) and discusses key policies for this population, including how the American Rescue Plan Act of 2021 (ARP) builds on the Affordable Care Act (ACA) and invests additional resources in the Indian health care system.
ASPE Issue Brief
State Medicaid Telehealth Policies Before and During the COVID-19 Public Health Emergency
States have embraced Medicaid telehealth flexibilities during the COVID-19 Public Health Emergency (PHE), enhancing beneficiary access to services delivered via telehealth. This Issue Brief examines state Medicaid telehealth coverage and policies before and after the COVID-19 PHE was declared in January 2020.Related Products
Report
Access to Affordable Care in Rural America: Current Trends and Key Challenges
Medicaid and the Marketplace are important sources of affordable, comprehensive healthcare coverage for millions of Americans living in rural areas, and the American Rescue Plan bolsters rural coverage options. But challenges in accessing care remain in many rural areas, including provider shortages, infrastructure limitations, and long distances to care.
ASPE Issue Brief
The American Rescue Plan and the Unemployed: Making Health Coverage More Affordable After Job Loss
The American Rescue Plan (ARP) offers enhanced health insurance premium tax credits and cost-sharing reductions for people receiving unemployment compensation (UC) benefits in 2021. The enhanced subsidies are accessible on HealthCare.gov as of July 1, 2021.
ASPE Issue Brief
Health Insurance Coverage and Access to Care for LGBTQ+ Individuals: Recent Trends and Key Challenges
This Issue Brief analyzes national survey data to discuss demographic characteristics of the LGB+ community, recent trends in insurance coverage for this population, and various challenges and barriers to care faced by the broader LGBTQ+ community.Related Products
ASPE Issue Brief
The Impact of the COVID-19 Pandemic on Medicare Beneficiary Utilization and Provider Payments: Fee-For-Service (FFS) Data for 2020
Medicare FFS beneficiary service use and associated payments to providers dropped substantially from mid-March through mid-April, but had returned to near-2019 levels by the fall of 2020. The rebound in the fall was not sufficient to offset the earlier declines in the spring, and cumulative payment levels across all states were lower in 2020 compared to 2019.