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Division of Health Care Financing Policy (HFP)

The Division of Health Care Financing Policy (HFP) is responsible for research, policy analysis and evaluation of HHS’s health financing programs, primarily Medicare, and policies affecting health care financing, delivery system reform and health care costs. Relevant topic areas include:

  • Evaluation methods and strategies;
  • Health care sector financing;
  • Medicare financial status;
  • Medicare Advantage (Part C) and Medicare prescription drug benefit (Part D);
  • Medicare fee-for-service payment and coverage policy (e.g., physicians, post-acute, hospice); and
  • Monitoring and evaluation of Medicare efficiency and value based purchasing reforms.

Reports

Displaying 1 - 7 of 7. 10 per page. Page 1.

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Report, Report to Congress

Evaluation of the Impact of the No Surprises Act on Health Care Market Outcomes: Baseline Trends and Framework for Analysis - Report One

This first report focuses largely on establishing a baseline and a framework for further evaluation.
Report

Landscape of Area-Level Deprivation Measures and Other Approaches to Account for Social Risk and Social Determinants of Health in Health Care Payments

Improving health equity in the United States is a priority for the Biden-Harris Administration in order to address longstanding disparities in health outcomes. Health inequities can be conceptualized and measured as drivers of differences in health outcomes.
ASPE Data Point

Changes in Ownership of Hospital and Skilled Nursing Facilities: An Analysis of Newly-Released CMS Data

This report analyzes newly-released data from CMS that provides information on changes in ownership among hospitals and skilled nursing facilities (SNFs), based on information reported to CMS through the Provider Enrollment, Chain, and Ownership System (PECOS).
ASPE Issue Brief

Medicare Beneficiary Enrollment Trends and Demographic Characteristics

Medicare served nearly 63 million beneficiaries in 2019. 62 percent were enrolled in Part A or Part B, and the rest (37 percent) were in Medicare Advantage (Part C). 74 percent were enrolled in Part D drug coverage, 13 percent had private drug coverage, and nearly 9 percent had no drug coverage. Demographic characteristics and health status varied across these groups.
Research Brief

Associations Between County-level Vaccination Rates and COVID-19 Outcomes Among Medicare Beneficiaries in Early 2021

The purpose of this study is to identify associations between COVID-19 infections, hospitalizations, and deaths among Medicare fee-for-service (FFS) beneficiaries and the proportion of the population fully vaccinated at the county-level between January and May 2021.
Report

Building the Evidence Base for Social Determinants of Health Interventions

In an effort to help build the evidence base around the social determinants of health (SDOH), the Assistant Secretary for Planning and Evaluation (ASPE) engaged RAND in a project to evaluate the current evidence from programs and policies targeting SDOH and identify the SDOH research questions, data sources, and data gaps that might be used to develop an SDOH research agenda.
Report

Value-Based Payment and Health Care System Preparedness and Resilience

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.