Much of the information behind the charges of critics is anecdotal and based on a relatively small number of individuals concentrated in two companies who may indeed have had legitimate grievances based on their personal experience. Yet, this information alone should not allow one to draw broad conclusions about private industry performance in general.
Policy & Regulation
Find ASPE’s latest releases on critical aspects of health and human services-related policy and regulation on the Federal and State levels. Learn more about the impact of these policies across the country.
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Medicaid Contracts with Medicare Special Needs Plans Reflect Diverse State Approaches to Dually Eligible Beneficiaries
This paper is the third in a series on SNPs and their relationship to Medicaid. In the second paper of the series, we identified all states which had some kind of contractual relationship with SNPs prior to MIPPA, and classified those relationships into broad categories.
Substitutability Across Institutional Post-Acute Care Settings: 1998-2006
This report examines trends in the provision of post-acute care to beneficiaries with diagnoses indicating a need for complex medical care for the years 1998-2006, with special attention to changes in care provided by long-term care hospitals and hospital-based skilled nursing facilities.
State Purchasing Strategies Drive State Contracts with Medicare Special Needs Plans
U.S. Department of Health and Human Services
Cohabitation and Marriage Rules in State TANF Programs
This paper reports the results of a survey of state TANF rules regarding the treatment of unrelated cohabitors in households containing TANF units. The research focused primarily on identifying differences in how the eligibility of a family is treated depending on the household adult(s) relationship to the children, and, to the extent it matters, marital status.
Analysis of Transition Events in Health Insurance Coverage
Contents Data Health Insurance Dynamics Obtaining Coverage: Transitions out of the Uninsured State Changing and Losing Coverage: Transitions into the Uninsured State Conclusion Policy Impl
Payment for Medicare Advantage Plans: Policy Issues and Options
Medicare Advantage (MA) is the current program under which beneficiaries can enroll in private health plans rather than having their care covered through Medicare's traditional fee for service (FFS) program. Payments to MA plans in many areas are now substantially greater than the cost of treating comparable beneficiaries in the traditional program.
Disabilities Among TANF Recipients: Evidence from the NHIS
This report uses information from the National Health Interview Survey (NHIS) in 2005 and 2006 the years when the Deficit Reduction Act of 2005 (DRA) was passed and first being implemented to provide a snapshot of the different types of disabilities among recipients of Temporary Assistance for Needy Families (TANF), how disability prevalence among TANF recipients compares to othe