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ASPE Issue Brief

Reports

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ASPE Issue Brief

ACA Exchange Enrollment in 2026

Key Points
ASPE Issue Brief

Regenerative Agriculture and Population Health

Regenerative agriculture can enhance food quality and reduce harmful exposures through improved soil biology, biodiversity, and ecosystem health, yielding downstream benefits for agriculture, food systems, and human health.
ASPE Issue Brief, Visualization

The State of Rural Hospitals in the U.S, 2012-2023

ASPE’s Office of Health Policy has developed an Issue Brief modeling the key determinants of rural hospital closure or conversion as well as an interactive Rural Hospital Dashboard to highlight key characteristics and trends among rural hospitals.
ASPE Issue Brief

While often similar in design, home visiting models eligible for MIECHV and Title IV-E Prevention Services reflect the different programmatic goals of child and family wellbeing versus foster care prevention.

This brief address the HHS programs that fund evidence-based home visiting models. It provides a high-level comparison of the primary federal funding streams supporting home visiting. Key points are:
ASPE Issue Brief, Visualization

Availability of Care for Older Adults in Outpatient Behavioral Health Facilities

Behavioral health (BH) conditions are rising among older adults, who are less likely to receive mental health (MH) or substance use disorder (SUD) treatment compared to younger adults. This study examined the availability of care for older adults in outpatient BH facilities across the United States both quantitatively and qualitatively.
ASPE Issue Brief

Accelerating Innovative and Effective Pediatric Health Care Delivery Systems: Interventions and Value-Based Care Models for Children with Chronic Health Conditions and Complex Needs

Children, youth, and families have unique health needs, which set the foundation for health across the life course; chronic conditions now affect nearly one in three U.S. children, with disproportionate prevalence in those enrolled in Medicaid and CHIP.
ASPE Issue Brief

Approaches to Dementia Care in Special Needs Plans

This issue brief examines how Medicare Advantage Special Needs Plans (SNPs) address the care needs of people living with dementia (PLWD) and their caregivers.
ASPE Issue Brief

Review of Federal and State Caregiver Tax Credit Laws and Bills

Unpaid caregivers play a vital role in supporting older adults and people with disabilities to remain in their homes and communities. They often face substantial financial and emotional strain from the burden of caregiving. In response, federal and state policymakers have advanced proposals to offer targeted tax relief to caregivers.