According to this preliminary analysis, the vast majority — at least approximately 98 percent — of enrollees in Employer-Sponsored Insurance (ESI) are enrolled in plans that meet and exceed an Actuarial Value (AV) of 60 percent whether a hybrid or internal approach is utilized to assess AV. Because there are so few individuals in plans with AV
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
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.
Provides discussion and estimates of several Congressional proposals on prescription drug costs for Medicare beneficiaries.
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
The Strong Cities, Strong Communities Initiative (SC2) is a new interagency approach to partnering with cities for economic growth launched by the White House Domestic Policy Council in 2011. The SC2 initiative represents a new model of collaboration between federal and local government to improve how the federal government invests in and offers
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
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 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
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