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Reports

Displaying 1 - 25 of 3957

Research Data Networks and Patient-Centered Outcomes Research Trends and Opportunities: Scan and Interviews with Key Informants

This report focuses on research networks that engage in or support research on patient-centered outcomes. The report was produced as as part of the strategic planning process for the Office of the Secretary Patient-Centered Outcomes Research Trust Fund portfolio. Related Products

Health Insurance Coverage and Access to Care for American Indians and Alaska Natives: Current Trends and Key Challenges

This Issue Brief describes changes in the uninsured rate, health coverage, and access to care for American Indians and Alaska Natives (AI/ANs) and discusses key policies for this population, including how the American Rescue Plan Act of 2021 (ARP) builds on the Affordable Care Act (ACA) and invests additional resources in the Indian health care system.

State Medicaid Telehealth Policies Before and During the COVID-19 Public Health Emergency

States have embraced Medicaid telehealth flexibilities during the COVID-19 Public Health Emergency (PHE), enhancing beneficiary access to services delivered via telehealth. This Issue Brief examines state Medicaid telehealth coverage and policies before and after the COVID-19 PHE was declared in January 2020. Related Products

Welfare Indicators and Risk Factors, 20th Report to Congress

This report provides welfare dependence indicators through 2018 for most indicators and through 2019 for other indicators, reflecting changes that have taken place since enactment of the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) in 1996.

Access to Affordable Care in Rural America: Current Trends and Key Challenges

Medicaid and the Marketplace are important sources of affordable, comprehensive healthcare coverage for millions of Americans living in rural areas, and the American Rescue Plan bolsters rural coverage options. But challenges in accessing care remain in many rural areas, including provider shortages, infrastructure limitations, and long distances to care.

Announcement of the Availability of Funds and Request for Applications for a Cooperative Agreement to Establish a National Research Center on Poverty and Economic Mobility

The goal of this solicitation is to improve the effectiveness of public policies that reduce poverty, inequality, and their consequences, promote economic mobility and equity, and further develop knowledge of the structural causes of poverty, inequality, and economic insecurity.

The American Rescue Plan and the Unemployed: Making Health Coverage More Affordable After Job Loss

The American Rescue Plan (ARP) offers enhanced health insurance premium tax credits and cost-sharing reductions for people receiving unemployment compensation (UC) benefits in 2021. The enhanced subsidies are accessible on HealthCare.gov as of July 1, 2021.

Health Insurance Coverage and Access to Care for LGBTQ+ Individuals: Recent Trends and Key Challenges

This Issue Brief analyzes national survey data to discuss demographic characteristics of the LGB+ community, recent trends in insurance coverage for this population, and various challenges and barriers to care faced by the broader LGBTQ+ community. Related Products

Appendix D: Updating Value per Statistical Life (VSL) Estimates for Inflation and Changes in Real Income

Topics
Data
The HHS Guidelines for Regulatory Impact Analysis (2016) discuss an approach to valuing mortality risk reductions, commonly referred to as the value per statistical life (VSL). This appendix provides background information on the VSL estimates, describes the process for updating these values, reports the estimates in 2020 dollars, and illustrates their application.

The Impact of the COVID-19 Pandemic on Medicare Beneficiary Utilization and Provider Payments: Fee-For-Service (FFS) Data for 2020

Medicare FFS beneficiary service use and associated payments to providers dropped substantially from mid-March through mid-April, but had returned to near-2019 levels by the fall of 2020. The rebound in the fall was not sufficient to offset the earlier declines in the spring, and cumulative payment levels across all states were lower in 2020 compared to 2019.

Vaccine Hesitancy for COVID-19: State, County, and Local Estimates

To support state and local communication and outreach efforts, ASPE developed state, county, and sub-state level predictions of hesitancy rates using the most recently available federal survey data, the Household Pulse Survey from May 26-June 7, 2021. This page includes an interactive map, a pdf file with a methodological description, and datasets for download.

Vaccine Hesitancy for COVID-19: PUMA Estimates

To support state and local communication and outreach efforts, ASPE developed state, county, and sub-state level predictions of hesitancy rates using the most recently available federal survey data, the Household Pulse Survey from May 25-June 7, 2021. This page includes an interactive map and datasets for download.

Health Coverage Under the Affordable Care Act: Enrollment Trends and State Estimates

This Issue Brief presents current estimates of enrollment in health insurance coverage obtained through the ACA Marketplaces and the Medicaid expansion and the subsequent reductions in state-level uninsured rates since the ACA was implemented in 2014. Related Products

The History, Promise and Challenges of State All Payer Claims Databases: Background Memo for the State All Payer Claims Database Advisory Committee to the Department of Labor

The Consolidated Appropriations Act, FY 2021 requires the Department of Labor to convene a committee to report to Congress recommendations for a standardized reporting format for the voluntary reporting by group health plans to State APCDs. ASPE commissioned this report to support that committee.

COVID-19 Intensifies Home Care Workforce Challenges: Agency Perspectives Issue Brief

Topics
Workforce | COVID-19
COVID-19 Intensifies Home Care Workforce Challenges: Agency Perspectives

COVID-19 Intensifies Home Care Workforce Challenges: Policy Perspectives Issue Brief

Topics
Workforce | COVID-19
COVID-19 Intensifies Home Care Workforce Challenges: Policy Perspectives

COVID-19 Intensifies Home Care Workforce Challenges

Topics
Workforce | COVID-19
COVID-19 Intensifies Home Care Workforce Challenges Denise Tyler, PhD, Melissa Hunter, MSW, Natalie Mulmule, BS, and Kristie Porter, MPH RTI International June 1, 2021 Link to Printer Friendly Version in PDF Format (66 PDF pages)

Estimates of Medicaid Eligibility in Non-Expansion States

This Data Point presents estimates of potential Medicaid eligibility among uninsured, non-elderly adults in states that have not expanded Medicaid coverage to adults with incomes up to 138% of the Federal Poverty Level (FPL).

Technology Considerations for Virtual Human Services Delivery

Program administrators and frontline workers across a range of human services programs early in the COVID-19 pandemic shared important takeaways around how to better utilize technology to administer virtual services.

Increases in Out-of-Pocket Child Care Costs: 1995 to 2016

This brief documents the increases in the average amount that families have paid for ECE over two decades among children under age five using data from the National Household Education Survey, Early Childhood Program Participation (NHES-ECPP). The findings show that the child care market has experienced considerable change in recent decades.

State and Community Efforts to Address Stimulant Use

State and Community Efforts to Address Stimulant Use Rebecca L. Haffajee and Sara Heins RAND Corporation May 2021 Link to Printer Friendly Version in PDF Format (48 PDF pages)

Health Insurance Coverage Changes: Asian Americans and Pacific Islanders

This Issue Brief analyzes changes in coverage from 2013-2019 among Asian Americans and Pacific Islanders (AAPIs) and AAPI subgroups, using a combination of data from the American Community Survey (ACS) and Marketplace data, including estimated impacts of the 2021 American Rescue Plan.

Perspectives of Program Participants on Virtual Human Services During COVID-19

Focus groups with a small sample of program participants across a range of human services programs in Fall 2020 captured the perspectives of people served to better understand the perceived strengths and limitations of virtual services.

Developing Health Equity Measures

Socially at-risk individuals receive lower-quality health care and experience worse health outcomes than more advantaged individuals. One way to address this in the Medicare population is to use Medicare’s value-based purchasing (VBP) programs, quality reporting efforts, and confidential reports as tools to drive improvements in quality.

Physician Understanding and Willingness to Prescribe Biosimilars: Findings from a US National Survey

This study presents the findings of a national survey of physicians about their knowledge of biosimilar biological products as well as the impact of biological product naming conventions on prescriber choice. Related Products

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