This paper presents data on the current state of Medicaid, the nation's program providing health and long-term care services to low-income families, elderly, and disabled individuals. The paper reports both historical and projected trends in Medicaid enrollment and spending. Information is presented on trends by major Medicaid eligibility category
The Census Bureau's Current Population Survey (CPS) has long served as the most widely-cited source of statistics on the nation's uninsured. But over time, the CPS has undergone several methodological changes that create some inconsistency in the time series of uninsured date. This report presents the Acturarial Research Corporation's (ARC) adjust
Antibacterial resistance is a growing global problem. At least 2 million people in the U.S. acquire serious infections with bacteria that are resistant to one or more of antibacterial drugs designed to treat it. Despite the potential of new antibacterial products to reduce the social burden associated with resistant infections, development of
To better understand provider experiences serving lesbian, gay, bisexual, transgender and Questioning (LGBTQ) runaway and homeless youth, this study reports on case studies of four local agencies receiving grants from the Administration for Children and Family’s Runaway and Homeless Youth (RHY) Program. The purpose of the study was to learn abou
This report examines the role and experiences of informal caregivers for the older population, using a new resource, the National Survey of Caregiving (NSOC). The NSOC is unique in interviewing all informal caregivers for a nationally representative sample of persons age 65 or older receiving assistance with daily activities. NSOC respondents repo
Interstate Variation and Progress Toward Balance in Use of and Expenditure for Long-Term Services and Supports in 2009
State long-term care (LTC) financing and delivery systems and, in particular, Medicaid funded LTC have long been criticized for being “institutionally biased.” Shifting the balance in publicly-funded LTC provision away from institutional care (nursing homes, long-term hospitals, intermediate care facilities for the intellectually disabled) tow
This report was written and compiled by Gilbert Crouse and Annette Waters of the Office of Human Services Policy, Office of the Assistant Secretary for Planning and Evaluation.
Disability and Care Needs of Older Americans: An Analysis of the 2011 National Health and Aging Trends Study
Studies of the prevalence of Alzheimer’s disease and other dementia in the U.S. estimate that 14% of those over age 70 are affected, and that prevalence increases with age, exceeding one-quarter of persons over age 80. The implications of population aging for increases in older persons with dementia and the impact on families, which will be the
This report provides an examination of the length of time that low-income families receive government-funded child care subsidies that pay for part or all of the cost of their care arrangements. The figures presented are based on ASPE's analysis of a restricted-use version of child care subsidy administrative data from 35 states. In general, the d
This report presents findings from an evaluation of CHIP mandated by CHIPRA and patterned after an earlier evaluation. Some of the evaluation findings are at the national level, while others focus on the 10 states selected for more intensive study: Alabama, California, Florida, Louisiana, Michigan, New York, Ohio, Texas, Utah, and Virginia. The ev
The Welfare Indicators Act of 1994 requires the Secretary of Health and Human Services to prepare an annual report to Congress on indicators of welfare dependence. The Indicators of Welfare Dependence report is prepared by ASPE’s Office of Human Services Policy. As mandated under the Congressional act, the report addresses the rate of welfar
In 2010, in response to the recession and the slow recovery process, the Substance Abuse and Mental Health Services Administration (SAMHSA) launched the Community Resilience and Recovery Initiative (CRRI). CRRI was a multi-level, place-based demonstration project aimed at helping grantee communities cope with the ongoing behavioral health effects
This issue brief highlights national and state-level enrollment-related information for the first two months of the Health Insurance Marketplace initial open enrollment period (10-1-13 to 11-30-13).
This brief provides descriptive information on child care eligibility and receipt. The brief reports that of the 14.3 million children eligible for child care subsidies under federal rules, only 17% receive subsidies. The population of eligible children is divided into age and poverty categories. The percent of children eligible who receive subsid
This report presents findings on the characteristics and employment barriers of families receiving TANF benefits in South Carolina's Family Independence (FI) Program. The study included in-depth telephone interviews with 1,120 case heads of families receiving TANF benefits in South Carolina during June 2002, in a research design stratified to incl
Overlapping Eligibility and Enrollment: Human Services and Health Programs Under the Affordable Care Act
This report presents information on overlaps in eligible and participating populations in various health and human services programs, and identifies three main human services programs – the Supplemental Nutrition Assistance Program (SNAP), the Low Income Home Energy Assistance Program (LIHEAP), and the Earned Income Tax Credit (EITC) – as havi
Currently, more than 18 million Americans have diabetes and are at risk for related complications like heart disease, stroke, blindness, amputations, and kidney disease. This document provides up-to-date and accurate prevention, detection, and treatment information, and includes simple action steps for individuals, families, health practitioners,
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.