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Reports

Displaying 51 - 100 of 4075

Parents’ Intentions to Vaccinate Children for COVID-19 by Child Age: Sociodemographic Factors and Reasons for Hesitancy

This ASPE issue brief examines hesitancy among parents to vaccinate children ages 5-11 and 12-17 using data from the U.S. Census Bureau's Household Pulse Survey. Overall, a larger percent of parents with children aged 5-11 are hesitant to vaccinate their children (34 percent) than parents of children aged 12-17 (21 percent).

National Survey Trends in Telehealth Use in 2021: Disparities in Utilization and Audio vs. Video Services

Telehealth services expanded rapidly during the COVID-19 pandemic. Using data from the Census Bureau’s Household Pulse Survey (HPS) in 2021, this Issue Brief analyzes national trends in telehealth utilization across all payers and examines how use of video-enabled vs. audio-only telehealth services differ across patient populations.

Health Coverage Changes From 2020-2021

The National Health Interview Survey (NHIS) provides annual and quarterly data on health insurance coverage by insurance type, age, and income.

Prescription Drug Affordability among Medicare Beneficiaries

More than 5 million Medicare beneficiaries struggle to afford prescription medications. Among adults 65 and older, Black and Latino beneficiaries are most likely to experience affordability problems. Medicare beneficiaries with lower incomes and those under age 65 also had above-average rates of not taking needed medications due to cost.

Health Insurance Deductibles Among HealthCare.gov Enrollees, 2017-2021

The Affordable Care Act provides premium subsidies for Marketplace eligible individuals to improve health insurance affordability, as well as cost-sharing reductions (CSRs) for many enrollees that limit out-of-pocket spending such as deductibles.

Access to Preventive Services without Cost-Sharing: Evidence from the Affordable Care Act

This Issue Brief summarizes the ACA's preventive services provisions for private health coverage, Medicare, and Medicaid; provides updated estimates of the number of people benefiting from these provisions nationally; and examines evidence on trends in utilization of preventive services and outcomes since the ACA's preventive services coverage requirements went into effect.

Methods and Emerging Strategies to Engage People with Lived Experience

This brief identifies methods and emerging strategies to engage people with lived experience in federal research, programming, and policymaking. It draws on lessons learned from federal initiatives across a range of human services areas to identify ways that federal staff can meaningfully and effectively engage people with lived experience. Related Products:

Variation in use of anti-SARS-CoV-2 monoclonal antibody therapies by social vulnerability and urbanicity

Anti-SARS-CoV-2 monoclonal antibodies are an effective treatment to prevent progression to severe COVID-19 or hospitalization in high-risk individuals. Despite the benefits offered by monoclonal antibody treatment, early reports indicated that these therapeutics were not being widely used.

Facilitating Consumer Choice: Standardized Plans in Health Insurance Marketplaces

Standardized plans are a policy option that can simplify Marketplace consumer comparison shopping and bring more value to consumers by offering the same deductibles and cost-sharing across plans. This report provides an overview of the evidence to date on how standardized plans can potentially benefit consumers, improve health equity, and enhance plan competition.

Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2020

This is the fourth annual report to Congress describing results from the Certified Community Behavioral Health Clinic (CCBHC) evaluation. This report summarizes changes in CCBHC rates and costs from demonstration year one (DY1) to DY2, performance on quality measures in DY1, and the extent to which states provided quality bonus payments (QBPs) to CCBHCs for DY1.

Health Insurance Coverage and Access to Care for Immigrants: Key Challenges and Policy Options

This report provides an overview of the characteristics of the immigrant population in the United States, their health status and barriers to care, recent trends in health insurance coverage, their access to Federal health programs, and how they have been affected by the Covid-19 pandemic. It also offers possible policy approaches to improve health care equity for this diverse population.

Child and Caregiver Outcomes Using Linked Data: Project Overview

The Child and Caregiver Outcomes Using Linked Data project provides technical assistance to states to develop state-specific datasets linking the Medicaid administrative claims of parents with the records of their children from the child welfare system. The data will be combined into a multi-state, de-identified data sets for secondary data analysis.

Towards an Analytic Framework to Address Economic-Related Risk Factors in Child Welfare: Event Summary

Many child welfare systems have begun to provide prevention services to mitigate economic-related factors that place children at risk of entering foster care. Transforming child welfare systems to prevent child maltreatment and child welfare system involvement requires adequate information and analytic approaches.

COVID-19 Vaccination Associated with Reductions in COVID-19 Mortality and Morbidity in the United States, and an Approach to Valuing these Benefits

This ASPE Research Report models the estimated reductions in COVID-19 cases, hospitalizations, and deaths associated with COVID-19 vaccination from December 2020 through July 2021. To download the Research Report, please download the PDF to the right under “Files”. To explore our dashboard that presents the Report’s results, please see below.

Medicaid After Pregnancy: State-Level Implications of Extending Postpartum Coverage

The postpartum period is increasingly recognized as a target for policy intervention to improve maternal health. The American Rescue Plan Act included an option for states to offer 12 months of postpartum Medicaid eligibility, a significant extension from the current requirement of 60 days.

Medicare Beneficiaries’ Use of Telehealth in 2020: Trends by Beneficiary Characteristics and Location

This research report examines changes in Medicare fee-for-service Part B visits and use of telehealth in 2020 during the COVID-19 public health emergency (PHE) by beneficiary characteristics, provider specialty, and location. The analysis found that Medicare in-person visits dropped while telehealth visits increased significantly at the start of the pandemic.

Participation in the U.S. Social Safety Net: Coverage of Low-income Families, 2018

Participation in the social safety net varies widely across programs—from 15 percent among eligibles for subsidized child care (CCDF) to over 75 percent for Medicaid/CHIP and EITC.  Participation differs by race and ethnicity, yet patterns are not consistent. In general rates differ more across programs than between race-ethnic groups.

Evidence on Surprise Billing: Protecting Consumers with the No Surprises Act

On January 1, 2022, the surprise billing provisions of the Consolidated Appropriations Act, 2021 - commonly referred to as the No Surprises Act - go into effect. Surprise billing occurs when a privately insured individual receives an unexpected bill either in an emergency situation or when a service in an in-network facility is provided by an out-of-network provider.

Network Adequacy for Behavioral Health: Existing Standards and Considerations for Designing Standards

Network adequacy is often defined as having enough providers within a health plan network to ensure reasonable and timely access to care. At a minimum, health plans should include a sufficient number of providers who deliver mental health and substance use disorder (SUD) services (collectively referred to in this report as behavioral health services) to support access to those services.

Assessing Uninsured Rates in Early Care and Education Workers

This Data Point presents current estimates of uninsured rates among early care and education workers (ECE), which includes individuals employed by Head Start, childcare center providers, and preschools. These populations have lower incomes on average and often lack access to benefits, including health coverage, commonly received by teachers in the K-12 system and post-secondary schools.

Emergency Playbook for Federal Human Services Programs

This playbook aims to synthesize lessons learned and recommendations from existing resources, emergency management protocols, and interviews with federal program staff about responding to emergencies and disasters.

Tracking Health Insurance Coverage in 2020-2021

Federal surveys relied on by researchers and policymakers for estimates of the uninsured population have been disrupted by the COVID-19 pandemic, potentially influencing the accuracy of their estimates. This report analyzes evidence from a variety of data sources, including surveys and administrative data, which collectively indicate that the number of uninsured people in the U.S.

U.S. Department of Health and Human Services Overdose Prevention Strategy

From 1999 through 2019, there were more than 840,000 drug overdose deaths in the United States. The crisis has continually evolved and escalated, including during the COVID-19 pandemic, when an estimated 93,000 persons lost their lives to drug overdose in 2020--approximately a 30% increase over the year prior.

Comparing Outcomes for Dual Eligible Beneficiaries in Integrated Care: Final Report

Dual eligible beneficiaries are an important subset of the Medicare and Medicaid populations because they have a high prevalence of chronic conditions and disabilities, substantial care needs, and high health care and long-term services and supports (LTSS) utilization and costs.

The Impacts and Implications of COVID-19 on Household Arrangements

This brief identifies emerging literature on the impacts and implications of the COVID-19 pandemic on household arrangements as well as considerations for how to best serve multiple individuals and families under one roof during the pandemic and in the future.

Improving Outcomes for American Indian/Alaska Native People Returning to the Community from Incarceration: A Resource Guide for Service Providers

This resource guide for providers working with American Indian/Alaska Native people reentering their communities from incarceration, contains a compilation of federal resources, research, examples, and helpful considerations for facilitating a successful reentry. Related Products:

Engaging Training and Technical Assistance Recipients: Lessons from the Field

Based on interviews with 12 individuals with experience designing, providing, and receiving training and technical assistance (TA), this brief outlines six elements necessary for creating engaging training and TA, summarizes how designers and providers might measure recipients’ engagement, and presents concrete strategies for providers to make training and TA engaging.

Developing Equitable Training and Technical Assistance

Based on interviews with 12 individuals with experience designing, providing, and receiving training and technical assistance (TA), this two page document summarizes four questions and related strategies for training and TA designers to consider to improve the likelihood that training and TA will engage potential recipients and their communities equitably.

Addressing Uncertainty in Regulatory Impact Analysis

In 2016, the U.S. Department of Health and Human Services finalized its Guidelines for Regulatory Impact Analysis under the leadership of its Assistant Secretary for Planning Evaluation and Analytics Team. The Guidelines discuss strategies for characterizing the uncertainty in quantified effects as well as the potential impacts of non-quantified effects.

Prescription Drug Supply Chains: An Overview of Stakeholders and Relationships

Many stakeholders and steps are involved in the life cycle of a prescription drug as it moves from chemical synthesis and formulation through dispensing or administration to patients. The specific steps involved in prescription drug supply chains often differ depending on the type of drug, the channel of distribution, and the patient’s source of prescription drug coverage.

Medical Device Supply Chains: An Overview and Description of Challenges During the COVID-19 Pandemic

This report provides an introduction to the supply chain for COVID-19 relevant medical devices and related challenges faced in ramping up their production during the COVID-19 pandemic.

Assessing Relationships between Drug Shortages in the United States and Other Countries

Drug shortages are a persistent public health problem in the United States and in other countries. Shortages can have important implications for the health care systems and pharmacies that purchase, store, and dispense drugs and for the patients who rely on the availability of drugs to treat and prevent disease.

Considerations for Building Federal Data Capacity for Patient-Centered Outcomes Research Related to Intellectual and Developmental Disabilities

This report describes the current state of Patient-Centered Outcomes Research (PCOR) data infrastructure resources related to Intellectual and Developmental Disabilities (ID/DD), highlights data issues in the ID/DD research landscape that require more research, and identifies opportunities to enhance data infrastructure to improve PCOR for ID/DD. Related Products:

Practice Guide: Centering Fathers in Human Services Programming to Increase Participation

Human services programs can implement recruitment and retention strategies to increase father engagement and participation in services to promote child and family well-being. When included in programming, fathers have the opportunity to expand their valuable role in their families and help generate positive child and family outcomes.

Program Snapshot: Engaging Fathers During the COVID-19 Pandemic and Beyond

During the COVID-19 pandemic, many human services organizations, including fatherhood programs, adapted their engagement approaches as the needs of the people they serve changed.

Fact Sheet: Approaches for engaging fathers in child support programs

Child support payments are associated with increased parent-child engagement, which can lead not only to better academic and social outcomes for children but also to better parent-child and parent-parent relationships. Moreover, child support payments lifted nearly three-quarters of a million families out of poverty in 2017.

Drug Checking Programs in the United States and Internationally: Environmental Scan Summary

This environmental scan presents a review and synthesis of approaches and strategies adopted by drug checking programs and existing evidence on their effectiveness in changing drug use attitudes, behavior, and health outcomes. It includes studies of drug checking programs across a variety of settings in the United States and internationally.

Associations Between County-level Vaccination Rates and COVID-19 Outcomes Among Medicare Beneficiaries

The purpose of this study is to identify associations between COVID-19 infections, hospitalizations, and deaths among Medicare fee-for-service (FFS) beneficiaries and the proportion of the population fully vaccinated at the county-level between January and May 2021.

Guidelines for Regulatory Impact Analysis Supplement: Addressing International Effects

This report extends the brief discussion of addressing international effects contained in the Department of Health and Human Service Guidelines for Regulatory Impact Analysis (2016). The purpose of this supplement is to expand that discussion and provide more detailed information on conducting such assessments. Related Products:

Reaching the Remaining Uninsured: An Evidence Review on Outreach and Enrollment

This Issue Brief reviews evidence on factors affecting enrollment in health coverage among uninsured populations, including take-up of Medicaid and subsidized Marketplace plans among eligible individuals.

Parents' Intentions to Vaccinate Children Ages 12-17 for COVID-19: Demographic Factors, Geographic Patterns, and Reasons for Hesitancy

As of September 13, 2021, three vaccines to prevent infection with SARS-CoV-2, the virus that causes COVID-19, are available in the United States. The Pfizer vaccine was granted full approval for use in individuals over the age of 16 by the U.S.

Federal Data for Conducting Patient-Centered Outcomes Research on Economic Outcomes

The objective of this report is to assess the current landscape of federal and federally funded health care data relevant to PCOR and economic analysis to identify gaps for data stewards, researchers, and future collection efforts.

Child and Adolescent Mental Health During COVID-19: Considerations for Schools and Early Childhood Providers

COVID-19 pandemic’s social restrictions have prompted a surge in the mental health needs of children of all ages. Nationwide 4.3 million children/adolescents have been diagnosed with COVID-19 as of August 2021, and many of them have returned to early childhood and school settings. Schools and early childhood programs have long been essential settings for delivery of mental health services.

Building the Evidence Base for Social Determinants of Health Interventions

In an effort to help build the evidence base around the social determinants of health (SDOH), the Assistant Secretary for Planning and Evaluation (ASPE) engaged RAND in a project to evaluate the current evidence from programs and policies targeting SDOH and identify the SDOH research questions, data sources, and data gaps that might be used to develop an SDOH research agenda.

The Initial Impact of COVID-19 on Children and Youth (Birth to 24 years)

This brief provides a high level overview of the impact of COVID-19 on the development, emotional and behavioral health, social, and economic well-being of children and youth (ages birth to 24).

The Impact of the First Year of the COVID-19 Pandemic and Recession on Families With Low Incomes

The COVID-19 crisis has disparately harmed low-income households. Across the United States, systemic inequalities in employment, wage-earning, health, and well-being have been strained for sub-populations facing poverty or near-poverty conditions.

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