ASPE Reports
Displaying 801 - 820 of 4487 results. 20 results shown per page. Page 41 of 225.
ASPE Issue Brief
The Special Diabetes Program for Indians: Estimates of Medicare Savings
Between 1996 and 2013, there was a 54% decrease in the incidence of diabetes-related end-stage renal disease (ESRD-DM) in American Indian and Alaska Native (AI/ AN) populations. This decline has occurred since the Special Diabetes Program for Indians (SDPI) was established in 1997. We estimate that the decrease in ESRD-DM incidence resulted in 2,200 to 2,600 fewer cases and $436 to $520 million…
ASPE Issue Brief
Assessing the Costs and Benefits of Extending Coverage of Immunosuppressive Drugs under Medicare
By statute, the majority of patients with end-stage renal disease (ESRD) are eligible for Medicare, regardless of age. Kidney transplantation is ultimately considered the best treatment for ESRD, but ESRD-related eligibility for Medicare coverage extends for only 36 months post-transplant.
Loss of Medicare-Medicaid Dual Eligible Status: Frequency, Contributing Factors and Implications
This paper seeks to document the frequency of Medicaid coverage loss among full-benefit dual eligible beneficiaries and identify potential causes for coverage loss. For dual eligible beneficiaries, the loss of full-benefit Medicaid coverage is of concern because most of them do not have an alternative source of health insurance for the services covered by full-benefit Medicaid. For providers…
Analysis of Pathways to Dual Eligible Status: Final Report
There are multiple pathways to becoming dually eligible for Medicare and Medicaid. The purpose of this study is to identify the frequency with which these pathways are followed and the beneficiary characteristics and patterns of service use by pathway. We used the Medicare-Medicaid Linked Enrollee Analytic Data Source (MMLEADS) to identify individuals who became dually eligible for Medicare and…
Loss of Medicare-Medicaid Dual Eligible Status: Frequency, Contributing Factors and Implications
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Analysis of Pathways to Dual Eligible Status: Final Report
Zhanlian Feng, PhD,Alison Vadnais, MHS, Emily Vreeland, BA, Susan Haber, PhD, Joshua Wiener, PhD, and Bob Baker, BA RTI International Printer Friendly Version in PDF Format (46 PDF pages)
Development of a Quality Measure for Adults with Post-Traumatic Stress Disorder
Melissa Azur, Daniel Friend, Dmitriy Poznyak, Kathleen Feeney, Danielle Chelminsky, Breanna Miller, Lareina La Flair, and Junqing Liu Mathematica Policy Research Printer Friendly Version in PDF Format (120 PDF pages)
Development of a Quality Measure for Adults with Post-Traumatic Stress Disorder
Despite advances in the development of evidence-based treatment for adults with post-traumatic stress disorder (PTSD), the implementation of these treatments varies widely. To reduce this gap through wider dissemination of effective behavioral health treatment, the U.S.
2018 HHS Data Strategy: Enhancing the HHS Evidence-Based Portfolio
The 2018 HHS Data Strategy focuses on improving the Department’s capacity to develop statistical evidence to support policymaking and program evaluation over the next six to eight years. As the principal internal advisory body to the Secretary of Health and Human Services on the Department’s data and statistical policy, the HHS Data Council develops, implements, and updates the Department’s data…
ASPE Issue Brief
Transitions in Care and Service Use among Medicare Beneficiaries in Inpatient Psychiatric Facilities Issue Brief
Medicare beneficiaries in inpatient psychiatric facilities (IPFs) have complex conditions that require sustained engagement with physical and mental health care providers. People who receive care from IPFs are at risk for a range of negative health outcomes, but surprisingly little is known about their patterns of care.
ASPE Issue Brief
Transitions in Care and Service Use among Medicare Beneficiaries in Inpatient Psychiatric Facilities Issue Brief
Randall Blair, Jonathan D. Brown, Xiao Barry, and Angela Schmitt Mathematica Policy Research Printer Friendly Version in PDF Format (22 PDF pages)
Integrating Care through Dual Eligible Special Needs Plans (D-SNPs): Opportunities and Challenges
The 11 million individuals dually-eligible for Medicare and Medicaid are among the highest need populations in either program. However, a lack of coordination between the Medicare and Medicaid programs makes it difficult for individuals enrolled in both to navigate these fragmented systems of care and adds to the cost of both programs. Special Needs Plans (SNPs), created by Congress in 2003, are…
Integrating Care through Dual Eligible Special Needs Plans (D-SNPs): Opportunities and Challenges
Nancy Archibald, Michelle Soper, Leah Smith, and Alexandra Kruse
Center for Health Care Strategies
Joshua Wiener
RTI International
Printer Friendly Version in PDF Format (59 PDF pages)
Patterns of Care and Home Health Utilization for Community-Admitted Medicare Patients
This study conducted exploratory analyses to develop a better understanding of community-admitted Medicare home health patients, including whether there have been any differential trends between community-admitted and post-acute care (PAC) patients over time and what their patterns of care tell us about the underlying reasons for the community-admitted increased numbers.
How Many Older Adults Can Afford To Purchase Home Care?
To estimate home much paid home could possibly be purchased out of income and wealth, we estimated the share of older adults with sufficient monthly income to cover median home care costs as well as other living expenses. Our results show that many older adults with severe LTSS needs could not afford 2 years of paid home care without financial assistance.
What Is the Lifetime Risk of Needing and Receiving Long-Term Services and Supports?
This brief provides new evidence on the lifetime risk that older adults will need LTSS and receive paid services and supports. Using longitudinal household survey data from 1995 to 2014 from the Health and Retirement Study, we estimated the likelihood that adults ever development disabilities after age 65 and receive paid care, including paid home care, residential care (such as assisted living…
Patterns of Care and Home Health Utilization for Community-Admitted Medicare Patients
Printer Friendly Version in PDF Format (75 PDF pages)
How Many Older Adults Can Afford To Purchase Home Care?
Richard W. Johnson and Claire Xiaozhi Wang Urban Institute Printer Friendly Version in PDF Format (22 PDF pages)
What Is the Lifetime Risk of Needing and Receiving Long-Term Services and Supports?
Richard W. Johnson Urban Institute Printer Friendly Version in PDF Format (26 PDF pages)
Work-Focused Interventions for Depression: Final Report
Among employed adults, major depression is a leading cause of work absences (absenteeism) and impaired work performance (presenteeism) as well as short-term and long-term work disability. Depression is one of the largest and fastest growing categories of work disability claims filings in the public and private disability insurance sectors. Despite advances in depression detection, diagnosis, and…