ASPE Reports
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ASPE Issue Brief
Demographic Characteristics of Adults Receiving COVID-19 Booster Vaccinations
This ASPE issue brief examines demographic characteristics of adults receiving booster doses of COVID-19 vaccines using data from the U.S. Census Bureau's Household Pulse Survey. As of March 9, 2022, 47.5 percent of the fully vaccinated adult population has received a booster. Booster doses of the available COVID-19 vaccines are recommended for everyone aged 12 and older to protect against…
Research Summary
The Affordable Care Act and Its Accomplishments
The Affordable Care Act (ACA) was signed into law on March 23, 2010. Since then, the law has led to an historic expansion of health insurance coverage across all states and all demographic groups within the U.S. This Briefing Book features key findings from two dozen reports published in 2021-2022.
Report
Scoping Review Report: Data Elements for Research on the Role of Social Determinants of Health in Coronavirus Disease 2019 Infection and Outcomes in the U.S.
The rapid emergence of the novel Coronavirus Disease 2019 (COVID-19) pandemic spurred national concerns about the social determinants of health (SDOH) as risk factors for infection and their potential to negatively impact health outcomes. A scoping review was conducted to identify SDOH that are risk factors for, or associated with outcomes of, COVID-19, and understand the definitions,…
ASPE Issue Brief
Medicare Beneficiary Enrollment Trends and Demographic Characteristics
Medicare served nearly 63 million beneficiaries in 2019. 62 percent were enrolled in Part A or Part B, and the rest (37 percent) were in Medicare Advantage (Part C). 74 percent were enrolled in Part D drug coverage, 13 percent had private drug coverage, and nearly 9 percent had no drug coverage. Demographic characteristics and health status varied across these groups.Related Products:
ASPE Issue Brief
Health Insurance Coverage and Access to Care Among Black Americans: Recent Trends and Key Challenges
This issue brief analyzes changes in health insurance coverage and examines trends in access to care among Black Americans using data from 2011-2020. This Issue Brief is part of a series of ASPE reports examining the change in coverage rates and access to care after implementation of the Affordable Care Act (ACA) among different racial and ethnic populations.Related Content:
Report
Peer Support as a Social Capital Strategy for Programs Serving Individuals Reentering from Incarceration and Survivors of Intimate Partner Violence or Human Sex Trafficking
Many human services programs recognize the power of “social capital,” or the value that arises from relationships. This report offers insight into how programs use peer supports to help build social capital with participants who are reentering the community after incarceration or are survivors of intimate partner violence or sex trafficking. Three overarching themes on the use of peer supports in…
ASPE Data Point
Estimates of Uninsured Adults Newly Eligible for Medicaid If Remaining 12 Non-Expansion States Expand Medicaid: 2022 Update
This Data Point presents updated 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 as of 2022. This analysis updates a previous Data Point by accounting for Medicaid expansion in two states, Missouri and Oklahoma, in 2021.
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Report
Comparing New Flexibilities in Medicare Advantage with Medicaid Long-Term Services and Supports: Final Report
The Centers for Medicare & Medicaid Services (CMS) has recently given new flexibilities to Medicare Advantage (MA) plans to provide supplemental benefits that address long-term services and supports (LTSS) needs and social determinants of health (SDOH) among their members. However, limited information is available about the extent to which plans have provided or plan to provide these expanded…
Federal Economic Stimulus Projected to Cut Poverty in 2021, Though Poverty May Rise as Benefits Expire
To get a clear picture of how federal economic stimulus in 2021 supported people struggling economically, we projected how many people are in poverty in 2021 compared with 2019, before the pandemic. We also project the reduction in poverty related to stimulus efforts in 2021. We used survey data for households and employers, along with CBO’s projections of employment, to create a demographic and…
Report
Cost of Generic Drug Development and Approval
The purpose of this study was to estimate the cost of generic drug development and approval. This study develops an analytical framework for examining the expected net present value (ENPV) (i.e., the difference between the present value of expected revenues over product life and cost of product development and approval) to a generic drug developer in different size drug markets.
Report
Integrating SUD and OB/GYN Care: Policy Challenges and Opportunities Final Report
This report aims to address the treatment care models for pregnant and postpartum women with SUD by describing opportunities to integrate OB/GYN and SUD care as well as barriers to integrated care delivery.Related Products:
Research Brief
The Role of Health and Human Service Providers in Preventing Fetal Alcohol Spectrum Disorders Research Brief
This brief reviews the role of health and human service providers in preventing Fetal Alcohol Spectrum Disorder.Related Products:
ASPE Issue Brief
Integrating OB/GYN and SUD Care Policy Challenges and Opportunities Issue Brief
This brief highlights specific policy challenges and opportunities for policymakers to expand access to integrated services for pregnant and postpartum women with SUD.Related Products:
Research Brief
State Responses to FASD: Effective Strategies and Ongoing Challenges Research Brief
This brief synthesizes effective state and local level strategies for prevention, identification and intervention of Fetal Alcohol Spectrum Disorder.Related Products:
ASPE Issue Brief
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). Vaccinated parents tend to be less hesitant to vaccinate their children…
ASPE Issue Brief
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. The study finds notable disparities by race, ethnicity, income,…
ASPE Data Point
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. This Data Point examines health coverage trends over time using recently-released NHIS data through September 2021 to assess coverage changes during the pandemic and how they compare to pre-pandemic years, both for the population as a whole, as well as by…
ASPE Data Point
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.Related Products:
ASPE Issue Brief
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. This report examines deductible trends among HealthCare.gov enrollees, comparing them with deductible trends for individuals with employer coverage, and…
ASPE Issue Brief
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.