ASPE Reports
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Fact Sheet
Factsheet: Estimates of Child Care Eligibility and Receipt for Fiscal Year 2018
This factsheet provides descriptive information on child care eligibility and receipt. Of the 12.8 million children eligible for child care subsidies under federal rules, 15 percent received subsidies. Of the 8.4 million children eligible for child care subsidies under state rules, 23 percent received subsidies. Poorer children were more likely to receive subsidies than less poor children.…
ASPE Issue Brief
Unvaccinated for COVID-19 but Willing: Demographic Factors, Geographic Patterns, and Changes Over Time
As of August 4, 2021, 70.1 percent of U.S. adults have received at least one dose of a COVID-19 vaccine. However, vaccine coverage varies dramatically across the country, with vaccine coverage being less than 40 percent in a third of U.S. counties. Despite a sufficient supply of COVID-19 vaccines, daily vaccinations have dwindled in recent months. While vaccine hesitancy may contribute to low…
ASPE Issue Brief
Health Insurance Coverage Among Working-Age Adults with Disabilities: 2010-2018
For working-age adults with disabilities, consistent access to health insurance may be critical to continuity of care and good health outcomes. We tracked changes in health insurance coverage for this population from 2010-2018. From 2010-11 to 2017-18, the proportion of U.S. adults with disabilities who lacked health insurance coverage for a full year was nearly halved, falling by about 46% from…
Report
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 part of the strategic planning process for the Office of the Secretary Patient-Centered Outcomes Research Trust Fund portfolio.
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ASPE Issue Brief
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.
ASPE Issue Brief
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
ReportReport to Congress
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.
Report
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.
Report
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.
ASPE Issue Brief
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. This Issue Brief examines the UC premium tax credit and cost-sharing reduction provisions under the ARP, describes the populations likely to…
ASPE Issue Brief
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
Report
Appendix D: Updating Value per Statistical Life (VSL) Estimates for Inflation and Changes in Real Income
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).
ASPE Issue Brief
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.
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.
Report
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.
ASPE Issue Brief
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 ProductsTrends in the U.S. Uninsured Population, 2010-2020
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. The report examines the current status of State APCDs, their key features, how they have been used,…
ASPE Issue Brief
COVID-19 Intensifies Home Care Workforce Challenges: Policy Perspectives Issue Brief
Link to Printer Friendly Version in PDF Format (5 PDF pages)
ASPE Issue Brief
COVID-19 Intensifies Home Care Workforce Challenges: Agency Perspectives Issue Brief
June 1, 2021
Link to Printer Friendly Version in PDF Format (5 PDF pages)
COVID-19 Intensifies Home Care Workforce Challenges
June 1, 2021
Link to Printer Friendly Version in PDF Format (66 PDF pages)