ASPE Reports
Displaying 1101 - 1120 of 4487 results. 20 results shown per page. Page 56 of 225.
Evaluation of the Medicaid Health Home Option for Beneficiaries with Chronic Conditions: Progress and Lessons from the First States Implementing Health Home Programs, Annual Report - Year Four
This report presents findings from the first four years of the five-year evaluation of Medicaid health homes, a new integrated care model authorized in Social Security Act Section 1945 and created by Section 2703 of the Affordable Care Act. The model is designed to target high-need, high-cost beneficiaries with chronic conditions or serious mental illness. The Urban Institute is conducting the…
Evaluation of the Medicaid Health Home Option for Beneficiaries with Chronic Conditions: Progress and Lessons from the First States Implementing Health Home Programs, Annual Report - Year Four
Brenda C. Spillman, Eva H. Allen, Nicole Lallemand, and Emily Hayes Urban Institute Printer Friendly Version in PDF Format (78 PDF pages)
Minnesota Managed Care Longitudinal Data Analysis
This project studied the delivery of Medicare and Medicaid-funded services to dually eligible beneficiaries aged 65 and older in Minnesota. It compared fully-integrated managed care to service delivery when Medicare and Medicaid-funded services are delivered independently. The fully integrated Medicare-Medicaid managed care plans had greater primary care physician use and lower inpatient hospital…
ASPE Issue Brief
Benefits of Medicaid Expansion for Behavioral Health
Across the country, state and local officials are increasingly focused on improving health outcomes for people living with mental illness or substance use disorders. This brief analyzes national data on behavioral health and reviews published research focused on how Medicaid expansion under the Affordable Care Act advances the goal of improving treatment for people with behavioral health needs.
Study of Costs Associated with Community Activities under the Communities Putting Prevention to Work (CPPW) Initiative
The Centers for Disease Control and Prevention’s (CDC’s) Communities Putting Prevention to Work (CPPW) program funded 44 communities and states under the American Recovery and Reinvestment Act (ARRA) to implement community-based tobacco and obesity prevention interventions. As part of the larger evaluation of the program, we conducted a study of the implementation costs across all funded…
Health Care Spending Growth and Federal Policy
In this Issue Brief, we examine spending growth through 2014, the first year the Affordable Care Act’s coverage provisions were in effect, and 2015, where possible. We provide detailed cost growth trends for Medicare and the private insurance market. We also estimate the effect of recently introduced specialty drugs on current and future spending growth.
Change in Father-child Relationships Before, During, and After Incarceration
Understanding what supports strong relationships formerly incarcerated men and their children could have an impact on individual, interpersonal, and community safety and well-being. The information in this research brief is drawn from a couples-based longitudinal study of families affected by incarceration, focusing on 772 fathers who were incarcerated at the beginning of the study and released…
Health Insurance Marketplaces 2016 Open Enrollment Period: Final Enrollment Report
During the third open enrollment period, the Health Insurance Marketplaces (“the Marketplaces”) continue to play an important role in fulfilling one of the Affordable Care Act’s central goals: reducing the number of uninsured Americans by providing affordable, high-quality health insurance.
Addendum to the Health Insurance Marketplaces 2016 Open Enrollment Period: Final Enrollment Report
This Addendum contains detailed State-level tables highlighting cumulative enrollment-related information for the Health Insurance Marketplaces (Marketplaces) during the 2016 Open Enrollment period for all 50 states and the District of Columbia (11-1-15 to 1-31-16, including Special Enrollment Period (SEP) activity through 2-1-16).
Report
Plan Selections by ZIP Code and County in the Health Insurance Marketplace: March 2016
The dataset provides the total number of Qualified Health Plan selections by ZIP Code and county for the 38 states that use the HealthCare.gov platform, including the Federally-facilitated Marketplaces, State Partnership Marketplaces, and supported State-based Marketplaces, during the Marketplace’s third Open Enrollment Period (based on data for the period November 1, 2015 – February 1, 2016).
Medicare Part B Drugs: Pricing and Incentives
Medicare Part B covers infusible and injectable drugs and biologics administered in physician offices and hospital outpatient departments; as well as certain other drugs required by law provided by suppliers such as pharmacies The Part B payment method provides weak incentives for physicians to consider value – that is choose the lowest cost therapy to effectively treat a patient. Moreover, the…
Observations on Trends in Prescription Drug Spending
Key findings • Expenditures on prescription drugs are rising and are projected to continue to rise faster than overall health spending thereby increasing this sector’s share of health care spending. • ASPE estimates that prescription drug spending in the United States was about $457 billion in 2015, or 16.7 percent of overall personal health care services. Of that $457 billion, $328 billion (71.9…
County Experiences with Medicaid Expansion Implementation: Case Study Report
In states with a county-administered Medicaid programs, counties face many decisions and challenges in implementing Medicaid expansions, from operations to outreach, enrollment and renewal. This report examined the issues facing counties to gain an understanding of these efforts, identify and synthesize lessons from early Medicaid expansion efforts to help inform counties as to how they might…
How Much Nursing Home Care Can Home Equity Finance?
Older adults who have income and assets have choices should they need long-term services and supports (LTSS). In this paper we estimate the extent to which older adults could potentially use home equity to help pay for nursing home care. By estimating the relationship between home equity and care costs, we provide an upper bound on how much assistance with LTSS home equity might purchase. Using a…
How Much Nursing Home Care Can Home Equity Finance?
Stephan Lindner Urban Institute Printer Friendly Version in PDF Format (39 PDF pages)
County Experiences with Medicaid Expansion Implementation: Case Study Report
Kathleen Farrell, BA, Tasseli McKay, MPH, Heather Beil, PhD, Lexie Grove, BA, Stephanie Kissam, MPH, Erin Mallonee, MS, and Melissa Romaire, PhD RTI International Printer Friendly Version in PDF Format (68 PDF pages)
Learning about Infant and Toddler Early Education Services (LITES): A Systematic Review of the Evidence
The Office of the Assistant Secretary for Planning and Evaluation, in partnership with the Administration for Children and Families within the U.S. Department of Health and Human Services, funded Mathematica Policy Research and its partners to conduct the Learning About Infant and Toddler Early Education Services (LITES) project. LITES aimed to identify program models to support infant and…