This ASPE issue brief examines changes in Medicare fee-for-service primary care visits and use of telehealth at the start of the COVID-19 public health emergency (PHE). This brief seeks to address the issue of how and whether the Medicare telehealth flexibilities introduced to address the COVID-19 pandemic may have helped maintain access to primary health care during the PHE.
Public Health
Access up-to-date ASPE research on key public health topics including emerging and re-emerging infectious diseases, such as influenza and COVID-19; health equity; antibiotic resistance; rural health; opioids, opioid use disorder and overdose prevention; maternal health; public health and health care workforce and infrastructure; immunization and vaccines; Indian health; HIV/AIDS; tobacco; and emergency preparedness, response, and recovery. Also find data on prevention, social determinants of health, and more.
Noteworthy
HHS Initiative to Improve Maternal Health
The Department’s Action Plan lays out a vision for improving maternal health that applies a “life course” approach organized around four goals and it sets three ambitious targets to achieve this vision. Each of the four goals includes multiple objectives and action items to drive progress. The Action Plan also describes the current state of maternal health outcomes in the U.S., challenges in reducing maternal mortality and morbidity, recent efforts to improve maternal health within and beyond the federal government, and it discusses various forums in which HHS leadership sought input from key stakeholders.
Reports
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Medicare Beneficiary Use of Telehealth Visits: Early Data From the Start of the COVID-19 Pandemic
Strategies Rural Communities Use to Address Substance Misuse among Families in the Child Welfare System
This research summary and brief describe nine programs and highlight ways they have addressed challenges to serving child welfare-involved parents with substance use issues, with a particular focus on their applicability to rural communities.
Research Summit on Dementia Care 2020: Workforce Development Stakeholder Recommendations
This is the PDF version of the Research Recommendations from the Workforce Development Stakeholder Group prepared for the 2020 National Research Summit on Care, Services, and Supports for Persons with Dementia and Their Caregivers (also called the Research Summit on Dementia Care).
Models for Medication-Assisted Treatment for Opioid Use Disorder, Retention, and Continuity of Care
Treatment providers, policymakers, and others are seeking ways to reverse the tide of mortality and morbidity that has accompanied the opioid epidemic. There are evidence-based treatments for opioid use disorder (OUD), including medication-assisted treatment (MAT) using buprenorphine, methadone, and naltrexone. Research shows that retention in MAT results in better outcomes.
ASPE Issue Brief
Potential Impacts of Minimum Wage Increases on Nursing Homes: Issue Brief
Potential Impacts of Minimum Wage Increases on Nursing Homes: Issue Brief Michael Lepore, PhD; Ian Livingstone, PhD; David Naden, MA; and Zhanlian Feng, Ph.D. RTI International June 2020 Printer Frien
Report to Congress
Second Report to Congress on Social Risk and Medicare's Value-Based Purchasing Programs
As required by the IMPACT Act, the second Report to Congress examines the effect of individuals’ social risk factors on quality measures, resource use, and other measures under the Medicare program, as well as analyses of the effects of Medicare’s current value-based payment programs on providers serving socially at-risk beneficiaries and simulations of potential policy options to address these
ASPE Issue Brief
Individuals Experiencing Homelessness are Likely to have Medical Conditions Associated with Severe Illness from COVID-19 Issue Brief
This brief uses a proprietary dataset of electronic health records to describe the prevalence rates of chronic health conditions associated with a higher risk of severe illness from COVID-19 among people with a history of homelessness. The paper found that for many of the health conditions examined, people with a history of homelessness have greater prevalence than the general population.
Reducing Recidivism and Improving Reentry through Economic Impact Payments during COVID-19
Economic Impact Payments under the CARES Act can increase economic independence and labor force attachment among individuals reentering from incarceration through helping cover basic expenses while individuals seek employment and get on their feet.
Report
Availability of Treatment for Opioid Use Disorder in Areas of High Foster Care Increases
Parental opioid use disorder (OUD) is a risk factor for the maltreatment of children and placement into foster care. Opioid agonist therapy (OAT) is an evidence-based treatment for OUD using medications such as methadone and buprenorphine. OAT can help parents enter recovery and reduce the risk of maltreatment, and potentially improve child welfare outcomes.
IV-E Prevention Toolkit: Developing a Plan for Title IV-E Prevention Services
This toolkit aims to help states develop a plan for Title IV-E prevention services, and to assist states in planning a comprehensive array of services to help prevent the need for foster care placement (“prevention services”) by braiding Title IV-E prevention services reimbursement with Medicaid and other funding mechanisms.