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Health & Health Care

ASPE produces health policy research with a focus on equity, coverage, and access. Find resources related to a broad range of topics, including the uninsured population, vaccine hesitancy, Medicaid/CHIP, Medicare, the federal marketplace (, telehealth, health care delivery, underserved areas, delivery system transformation, health outcomes, and social determinants of health.


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Executive Summary: Analysis of the Effect of Regulation on the Quality of Care in Board and Care Homes

July 9, 1993
This report summarizes ASPE's analysis of the effect of regulation and licensure on the quality of care in board and care homes. Study purpose and methodology are described, major findings are presented, and implications of the study findings are discussed. [48 PDF pages]

Licensed Board and Care Homes: Preliminary Findings from the 1991 National Health Provider Inventory

April 30, 1993
Board and care homes are non-medical community-based facilities that provide at least two meals a day and routine protective oversight to one or more residents with functional limitations. Unweighted data from the 1991 National Health Provider Inventory (NHPI) indicate that there were about 30,000 licensed board and care homes in the United States serving over half a million persons.

Informal Caregiver "Burnout": Predictors and Prevention

March 31, 1993
Three studies sponsored by HHS confirm previous research linking health impairment levels, advanced age, and various indicators of caregivers' physical burden and emotional stress with individual caregivers' decisions to stop giving care and increased likelihood of nursing home placement.

Services For Migrant Children in the Health, Social Services, and Education Systems

February 28, 1993
Services For Migrant Children in the Health, Social Services, and Education Systems. Nancy M. Pindus, Fran E. O'Reilly, Margaret Schulte, and Lenore Webb The Urban Institute March, 1993

March 1992 Current Population Survey Shows Health Insurance Coverage Up to 1991: Number of Medicaid Recipients Also Rises

January 31, 1993
The number of persons with health insurance coverage kept pace with the growth of the population between 1990 and 1991--with approximately 86% of the population insured. The most important new information regarding health insurance in the 1992 CPS is that the number of persons helped by the Medicaid program during the year rose by 2.6 million or 11% to almost 27 million in 1991.

Disability Among Women on AFDC: An Issue Revisited

December 31, 1992
Since 1984, a number of welfare reform proposals intended to lessen dependence on AFDC have been enacted. The current Administration is continuing to address welfare dependency. The purpose of this paper is to update results on the disability status of women of AFDC based on the 1990 SIPP with welfare reform in mind.

Federal Disability Data: Creating a Structure in the 1990s to Further the Goals of the ADA

December 7, 1992
Landmark legislation has the power to change people's lives for many years to come. The Americans with Disabilities Act (ADA), signed into law on July 26, 1990, is landmark legislation for Americans with disabilities. The four goals of the ADA — equality of opportunity, full participation, independent living, and economic self-sufficiency — are broad in scope and bold in nature.

Comprehensive Service Integration Programs for At-Risk Youth

December 6, 1992
COMPREHENSIVE SERVICE INTEGRATION PROGRAMS FOR AT-RISK YOUTH By Martha R. Burt, Gary Resnick and Nancy Matheson The Urban Institute December 7, 1992 For the Office of the Assistant Secretary of Planning and Evaluation U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

Long-Term Care and Disability Research: 1989-1992

April 30, 1992
This booklet of long-term care and disability research has been prepared by the Division of Long-Term Care and Aging Policy, Office of Family, Community and Long-Term Care Policy, Office of the Assistant Secretary for Planning and Evaluation. It summarizes the results of the Division's research projects from 1989 through the present and highlights future plans.