ASPE Reports
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ASPE Issue Brief
Age Group Differences in Progress toward Reducing Substance Use Disorders, 2015-2018 Issue Brief
Age Group Differences in Progress toward Reducing Substance Use Disorders, 2015-2018 ASPE ISSUE BRIEF Ellen Bouchery Mathematica March 2021 Link to Printer Friendly Version in PDF Format (7 PDF pages)
ASPE Issue Brief
COVID-19 and Economic Opportunity: Unequal Effects on Economic Need and Program Response
The COVID-19 pandemic has had an unprecedented economic and social impact on Americans, with particularly harsh effects on people in certain race and ethnic groups. Public programs intended to address these needs have also had uneven reach, with many less likely to benefit families of color. This brief summarizes what is known about poverty, food insecurity, housing, and early childhood education…
ASPE Issue Brief
Access to Marketplace Plans with Low Premiums: Current Enrollees and the American Rescue Plan
The American Rescue Plan (ARP) enhances and expands Marketplace premium tax credits under the Affordable Care Act. Among the nearly 8 million current HealthCare.gov enrollees, we estimate 79 percent could find a zero premium health plan and 87 percent could find a low premium health plan under the ARP. We estimate availability of zero-premium and low-premium health plans in the silver metal tier…
ASPE Issue Brief
COVID-19 and Economic Opportunity: Inequities in the Employment Crisis
The COVID-19 pandemic caused an unprecedented economic crisis with inequitable effects. Overall employment figures mask the disparate impacts on some communities of color, women, and low-wage workers. These groups were more likely to lose jobs, reduce hours worked, or withdraw from the labor market. Employment conditions are not improving for everyone, most notably for women of color, and steps…
Count Estimates of Zero- and Low-Premium Plan Availability, HealthCare.gov States Pre and Post ARP
These supplemental data tables are for the ASPE Issue Brief series, Access to Marketplace Plans with Low Premiums on the Federal Platform, that examines the availability of zero-premium and low-premium (defined as less than or equal to $50 per month) plans after application of advanced premium tax credits in states served by the federal Marketplace platform, HealthCare.gov, before and after the…
ASPE Issue Brief
Medicaid Churning and Continuity of Care
Research shows that disruptions in Medicaid coverage are common and often lead to periods of uninsurance, delayed care, and less preventive care for beneficiaries. Studies suggest that beneficiaries moving in and out of Medicaid coverage (sometimes called “churning”) results in higher administrative costs, less predictable state expenditures, and higher monthly health care costs due to pent-up…
Research Brief
Mental Health Consequences of COVID-19: The Role of Social Determinants of Health Research Brief
April 6, 2021Link to Printer Friendly Version in PDF Format (11 PDF pages)KEY POINTS
ASPE Issue Brief
The Impact of COVID-19 on Medicare Beneficiaries with Dementia Issue Brief
April 6, 2021Link to Printer Friendly Version in PDF Format (11 PDF pages)
ASPE Issue Brief
Characteristics of Homebound Older Adults: Potential Barriers to Accessing the COVID-19 Vaccine Issue Brief
April 6, 2021
Link to Printer Friendly Version in PDF Format (11 PDF pages)
KEY POINTS
Approximately 1.6 million adults 65 years of age and over living in the United States may have trouble accessing the COVID-19 vaccine because they are homebound; 51% of these older adults face at least one additional barrier, such as living alone or lacking technology.
ASPE Issue Brief
Access to Marketplace Plans with Low Premiums: The Uninsured and the American Rescue Plan
The American Rescue Plan (ARP) enhances and expands eligibility for premium tax credits under the Affordable Care Act. Under the ARP, we estimate that the availability of zero-premium plans has increased by 19 percentage points and low-premium plans by 16 percentage points, respectively, among uninsured non-elderly adults potentially eligible for Marketplace coverage in HealthCare.gov states.…
Report
Social Determinants of Health Data Sharing at the Community Level
This report represents a landscape review of community-level efforts to address SDOH, followed by interviews with participants in three community-level initiatives that have built networks to coordinate clinical and social services. This report presents a cross-site analysis of the three initiatives, highlighting factors they identified as facilitating their efforts, the challenges they have…
ASPE Issue Brief
Access to Marketplace Plans with Low Premiums on the Federal Platform
Many uninsured individuals can access zero-premium or low-premium health plans after application of premium tax credits under the Affordable Care Act. Among the 11 million uninsured non-elderly adults eligible for Marketplace plans in HealthCare.gov states, 2 in 5 (42 percent) could find a plan for $0 and more than half (57 percent) could find a plan for $50 or less per month, as of March 2021.…
Research Summit on Dementia Care 2020: Persons Living with Dementia Stakeholder Recommendations
This is the PDF version of the Research Recommendations from the Persons Living with Dementia Stakeholder Group prepared for the 2020 National Research Summit on Care, Services, and Supports for Persons with Dementia and Their Caregivers (also called the Research Summit on Dementia Care).
The Remaining Uninsured: Geographic and Demographic Variation
The Affordable Care Act (ACA), signed into law on March 23, 2010, extended health coverage to millions of Americans through Medicaid (in the states participating in Medicaid expansion) and subsidized Marketplace coverage. However, research prior to enactment of the American Rescue Plan suggests many remaining uninsured people are not aware of their coverage options. This Issue Brief illustrates…
Persons in Low-Income Households Have Less Access to Internet Services
This factsheet presents estimates of access to internet services for low-income families, as well as differences by demographic characteristics and geography. Key takeaways include:
Risk of COVID-19 Infections, Hospitalization, and Death in Fee-For-Service Medicare
Experience during the first six months of the pandemic shows that the risks of Medicare fee-for-service (FFS) beneficiaries contracting COVID-19 and subsequent hospitalization and mortality vary significantly by demographic characteristics, health status, and nursing home residence. There are several factors that indicate significantly elevated risk. These risks vary across the country, with some…
Case Study
Case Study of Father Engagement in Substance Use Disorder Treatment Programs: ForeverDads
This case study focuses on how a fatherhood program in rural Ohio—ForeverDads—reaches a subpopulation of fathers through partnerships with area substance use disorder treatment programs. Key lessons and considerations include how human services programs can promote father engagement by:
Case Study
Case Study of Father Engagement in Healthy Start Programs: Northeast Florida Healthy Start Coalition Fatherhood PRIDE
This case study focuses on how the Northeast Florida Healthy Start Coalition engaged fathers in its programming through the development of a fatherhood program, Fatherhood PRIDE. Key lessons and considerations include how human services programs can promote father engagement by:
Case Study
Case Study of Father Engagement in Family Nutrition and Health Programs: California WIC Association
This case study focuses on how the nonprofit statewide California WIC Association supports local agencies to involve fathers in programming related to the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Key lessons and considerations for human services programs include:
Improving Programs, Policies and Services to Promote Healthy Development in Middle Childhood in Afterschool Settings
This project was a collaborative effort by the Office of the Assistant Secretary for Planning and Evaluation (ASPE) and the Office of Women’s Health (OWH). This work examines how investments by the U.S. Department of Health and Human Services (HHS) support local efforts to promote healthy development in middle childhood in afterschool settings to support social-emotional, behavioral, and physical…