This issue brief provides an overview of pre-Affordable Care Act and post-Affordable Care Act trends in Medicare spending, plan premiums, beneficiary choice of plans, and quality in the Medicare Advantage program
Opportunities under the Affordable Care Act for Human Services Programs to Modernize Eligibility Systems and Expedite Eligibility Determination
This paper summarizes opportunities for states to utilize time-limited federal cost-sharing to modernize human services program eligibility systems and to use data from health programs to streamline eligibility determination for human services.
The focus of this study is on the key events that individual children may experience in the public child welfare service system. This report discusses the importance of this type of research, the issues that can be addressed with the information produced, an initial set of analyses addressing key questions in child welfare and an agenda for future
Using Behavioral Economics to Inform the Integration of Human Services and Health Programs under the Affordable Care Act
This paper examines opportunities to apply findings from behavioral economics and decision-making theory to two specific health/human services program interaction contexts: using targeted enrollment strategies to get SNAP recipients into Medicaid, and encouraging individuals seeking health insurance through state marketplaces to apply for SNAP.
This report looks at the changing nature of the caseload by examining the characteristics and circumstances of three groups: people who leave welfare and stay off for at least a year (leavers), people who stay on welfare persistently (stayers), and people who cycle on and off the rolls (cyclers). The report uses a unique data set consisting of over
Examples of Promising Practices for Integrating and Coordinating Eligibility, Enrollment and Retention: Human Services and Health Programs Under the Affordable Care Act
This paper presents findings from case studies of selected state-level integration and coordination approaches under the ACA and identifies areas of notable success or potential which may be of interest to other states.
This report fulfills a statutory obligation of the Department of Health and Human Services. Section 241 of the Public Health Service Act directs the Secretary to inform Congress annually concerning findings from evaluations conducted by the Department. As required, the report is submitted to the Senate Health, Education, Labor and Pensions Committ
This Performance Improvement series of reports takes its name from the primary goal of carrying out evaluations – to improve the performance of programs meant to serve the greatest needs of the community. Performance Improvement 2008, the latest of these reports, makes available the most recently completed evaluations of the Department of Health
This Performance Improvement 2007 report provides a brief summary of each of the evaluations completed by the Health and Human Services (HHS) during Fiscal Year 2006 (October 1, 2005 to September 30, 2006). All Performance Improvement reports, the full database of summaries or abstracts of the more than 8,000 current, ongoing, and past studies, an
Environmental Scan to Identify the Major Research Questions and Metrics for Monitoring the Effects of the Affordable Care Act on Safety Net Hospitals
The purposes of this environmental scan are to develop a conceptual framework, review and discuss the major research questions and hypotheses, and identify the “ideal” set of metrics for understanding the effects of the Affordable Care Act (ACA) on safety net hospitals. This report is part of a larger effort by the Office of the Assistant Secre
Performance Improvement 1999: Evaluation Activities of the U.S. Department of Health and Human Services is the fifth annual report to Congress summarizing previous fiscal year evaluation efforts. The purpose of this report is to provide Congress with evaluative information on the Department's programs, policies, activities, and strategies. It cont
Performance Improvement 1996 is the first in a series of annual reports on evaluation activities of the U.S. Department of Health and Human Services (HHS). As a report to Congress, it summarizes the findings of HHS evaluations completed in fiscal 1995. In that year, HHS agencies produced 148 evaluation reports and supported more than 200 evaluati
Screening and Assessment in TANF\Welfare-to-Work: Ten Important Questions TANF Agencies and Their Partners Should Consider
This report discusses issues related to the development and use of screening and assessment practices to assist in the identification of disabilities and barriers to employment among TANF recipients. It is organized to address key questions that should be considered as states and localities grapple with the challenge of identifying the unobserved b
In 1999, HHS contracted with Urban Institute to conduct the Study of Screening and Assessment in TANF/Welfare-to-Work. The second phase of the study involved case studies of a limited number of localities to further explore how these agencies and their partners responded to the issues and challenges identified during phase one. This report present
This Performance Improvement 2006 report presents to Congress a comprehensive summary of evaluation projects completed by the Department, The Office of the Secretary, and agencies comprising the Department, engage in extensive evaluation activities; some are required by statute, while others are determined to be essential by an individual agency, t
Performance Improvement 2005: Evaluation Activities of the U.S. Department of Health and Human Services, complies with Section 241(b) of the Public Health Service Act, as amended by the Preventive Health Amendments of 1993. This is the 11th annual report to Congress. Performance Improvement 2005 provides results-oriented findings regarding the Depa
Performance Improvement 2004: Evaluation Activities of the U.S. Department of Health and Human Services, complies with Section 241(b) of the Public Health Service Act, as amended by the Preventive Health Amendments of 1993. This is the 10th annual report to Congress. Performance Improvement 2004 provides results- oriented findings regarding the Dep
A recent ASPE study, on the ACA Health Insurance Marketplace enrollment, highlighted the state-by-state statistics of the overall enrollment, compared to the eligibility data. The results of this research are presented on this map diagram. As you can see in this data visualization, most states fall between the 45 to 65% bracket, with only a few
A recent ASPE study, on the ACA Health Insurance Marketplace enrollment, found some interesting statistics, which are presented in the chart on the left. One of the more striking findings is that of how popular the silver group of plans is. Over half of the marketplace participants (65%) chose this particular group. People continue to find that th