This evaluation describes existing state Express Lane Eligibility (ELE) programs including the administrative costs and ELE enrollment trends, estimates the impact of ELE adoption on total enrollment, and previews the issues that will be examined through future evaluation activities.
This research brief examines child poverty in 2010 using both the official poverty measure that the Census Bureau has been using since the 1960’s and the more recent Research Supplemental Poverty Measure (SPM). It examines three groups of children – the “core” poor who live in families who are poor regardless of which measure is used, the
This issue brief highlights available national and state-level enrollment-related information for the first month of the Health Insurance Marketplace 2015 open enrollment period (11-15-14 to 12-15-14) for all 50 states and the District of Columbia.
Health Insurance Marketplace: Summary Enrollment Report For the Initial Annual Open Enrollment Period
This issue brief highlights national and state-level enrollment-related information for the Health Insurance Marketplace initial open enrollment period (10-1-13 to 3-1-14), including Special Enrollment Period (SEP) activity through 4-19-14.
This report examines the variation in Medigap premiums, recent trends in premium growth and policies that experience relatively high premium growth. The report also compares the premium growth over different segments of the entire time period studied, and to changes in enrollment in both Medigap policies and the Medicare Advantage Program.
This paper presents a comparative framework of rapid evaluation methods for projects of three levels of complexity: quality improvement methods for simple process improvement projects; rapid cycle evaluations for complicated organizational change programs, and systems-based rapid feedback methods for large-scale systems change or population change
The Affordable Care Act includes several provisions that are expected to significantly improve women's health. The Affordable Care Act improves coverage for important preventive services and maternity care, promotes higher quality care for older women, and ends the gender discrimination that requires women to pay more for the same insurance covera
Pharmaceutical companies conduct clinical trials for many reasons. The most obvious goal of clinical trials is to demonstrate safety and efficacy to gain Food and Drug Administration (FDA) approval. FDA provides guidance to developers about what constitutes acceptable clinical trials and appropriate outcomes. Improving the drug development process
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
This report describes both the rationale and design of the National Survey of Residential Care Facilities, and the planning activities and methods used to collect and compile information on residential care facilities and their residents. (Vital and Health Statistics, Series 1, Number 54, DHHS Publication Number (PHS) 2012-1330.
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
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 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 is the third Rate Review Annual Report issued by HHS. The report uses an analysis of 2013 data from 40 states in the individual market and 37 states in the small group market to estimate the impact of the Rate Review Program and the Rate Review Grant Program on premiums. Rate review reduced total U.S. premiums by an estimated $1 billion in 20