Reports

The impact of the opioid epidemic on infectious disease transmission is an important public health issue. The problem came dramatically to light in 2015 when an outbreak of new human immunodeficiency virus (HIV) infections occurred in rural Scott County, Indiana.

Peggy O'Brien, Erika Crable, Catherine Fullerton, and Lauren Hughey Truven Health Analytics March 2019 Printer Friendly Version in PDF Format (201 PDF pages)

Health centers are experimenting with telehealth for a range of conditions, working with different types of remote providers, and confronting different telehealth policies and implementation barriers, depending on their locations and payer mix.  This paper explores the experiences of health centers and state Medicaid programs in seven states.

This report presents the findings from the Policy Analysis and Decision-Making Capacity project, funded by the Office of Science and Data Policy within the Office of the Assistant Secretary for Planning and Evaluation at the U.S. Department of Health and Human Services.

Substance use disorders (SUDs) represent a serious public health problem in the United States. Recent attention has focused most on opioid use, including heroin use and prescription opioid misuse, with the attendant high rates of opioid-related overdoses. Alcohol use disorders are more common than opioid use disorders and also represent a public health concern.

This report responds to the December 2016 “Expanding Capacity for Health Outcomes (ECHO) Act,” Public Law 114-270, which requires the Department to report to Congress on a range of issues related to technology-enabled collaborative learning and capacity building models and make recommendations on their use.  This report consists of a summary document that includes the Department’s recommen

Norah Mulvaney-Day, Brent Gibbons, and Shums Alikhan TruvenHealth Analytics, an IBM company February 2019 Printer Friendly Version in PDF Format (111 PDF pages)

ABSTRACT

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Many women facing opioid addiction are either pregnant or caring for children and face a number of social, structural and economic barrier in accessing treatment.

This Issue Brief represents the finding of a white paper prepared by RTI under funding from ASPE. The analysis included a programs scan of policy initiatives in 21 states and individual interviews with academics, federal experts, state officials and individual providers.

Brenda C. Spillman, Joshua Leopold, Eva H. Allen and Pamela Blumenthal Urban Institute Printer Friendly Version in PDF Format (25 PDF pages)

This project examined current collaborations between housing providers and health care providers. Recent delivery system reforms have provided new or expanded opportunities at the state, local, and organizational level to forge collaborations between health care and housing providers.

Truven Health Analytics Printer Friendly Version in PDF Format (60 PDF pages)

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Truven Health Analytics Printer Friendly Version in PDF Format (67 PDF pages)

This is the final report of the Balancing Incentive Program evaluation. Five earlier progress reports on the Balancing Incentive Program (BIP) have already been published. The BIP, legislated in the 2010 Affordable Care Act, offered states temporary enhanced federal financial participation for Medicaid home and community-based services (HCBS).

This project assessed changes in opioid use disorder (OUD) treatment utilization and expenditures in the employer-sponsored private health insurance market during 2007 and 2014.

This project assessed changes in Opioid Use Disorder (OUD) treatment utilization and expenditures in the employer-sponsored private health insurance market at two timepoints, 2006-2007 and 2014-2015, that mark the periods before and after implementation of the Mental Health Parity and Addiction Equity Act (MHPAEA), the Affordable Care Act, the introduction and expanded use of new opioid treatme

The objectives of this research effort were to collect feedback through interviews with physicians in small rural practices on the initial implementation of Medicare’s Quality Payment Program in 2017, a new value-based purchasing program for Medicare physicians.

Individuals and families frequently qualify for multiple human services and employment programs that are funded, regulated, and administered by different federal agencies—each with their own eligibility criteria, program requirements, and performance indicators.

January 2017 Printer Friendly Version in PDF Format (90 PDF pages)

ABSTRACT

Department of Health and Human Services Secretary Alex Azar and Inspector General Daniel Levinson have issued a proposed rule, “Fraud and Abuse; Removal of Safe Harbor Protection for Rebates Involving Prescription Pharmaceuticals and Creation of New Safe Harbor Protection for Certain Point-of-Sale Reductions in

Winnie Chi, PhD, Emily Graf, BA, Landon Hughes, BA, Jean Hastie, MPH, Galina Khatutsky, MS, Sari B. Shuman, MPH, MSW, E. Andrew Jessup, and Sarita Karon, PhD RTI International Helen Lamont, PhD

ABSTRACT ASPE has an interest in understanding the national profile of older adults with dementia and their caregivers.

September 2018 Printer Friendly Version in PDF Format (7 PDF pages)

This brief describes findings from the ASPE chartbook "Older Adults with Dementia and Their Caregivers: Key Indicators from the National Health and Aging Trends Study".

Substance Abuse and Mental Health Services Administration January 17, 2019 Printer Friendly Version in PDF Format (109 PDF pages)

The Protecting Our Infants Act of 2015 (POIA) became law on November 25, 2015.

This factsheet provides descriptive information on child care eligibility and receipt. Of the 13.6 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, 25 percent received subsidies. Poorer children were more likely to receive subsidies than less poor children.

Despite broad agreement that the child support program has performed well since the passage of the Child Support Performance and Incentive Act (CSPIA) in 1998, questions remain over whether the current measures will continue to drive better performance on outcomes that reflect the child support program’s core mission.

Antibacterial resistance is responsible for excess morbidity, mortality, and medical costs around the globe. Estimates vary widely, but the economic cost of antibacterial resistance in the United States could be as high as $20 billion and $35 billion a year in excess direct healthcare costs and lost productivity costs, respectively. CDC’s most recent report on U.S.

RTI International September 15, 2017 Printer Friendly Version in PDF Format (70 PDF pages)

Access to services, particularly behavioral health and substance use disorder (SUD) treatment services, is challenging in rural and other underserved areas.

January 19, 2017 Printer Friendly Version in PDF Format (39 PDF pages)

David Stevenson, Nicholas Sinclair, and Shiyuan Zhang Vanderbilt School of Medicine Laurie Meneades and Haiden Huskamp

Between 2005 and 2015, the number of hospice agencies with common ownership to nursing homes nearly quintupled in number and now represents almost 1-in-5 hospice agencies participating in the Medicare program.

This study examines hospice ownership in detail by going beyond the general distinction of for-profit or not-for-profit and considers the extent to which regional or national chains have entered the hospice provider market and how the populations they care for and the services they provide might be distinct from other types of hospice agencies.

This brief describes four key challenges related to the use of medication-assisted treatment (MAT) in child welfare contexts for parents with opioid use disorder. It draws upon results from a mixed methods study examining how substance use affects child welfare systems across the country. Key challenges discussed include:

Antibiotic Resistance continues to pose a significant threat to our Nation’s public health. To coordinate and enhance the public health response to this threat, the U.S. Government developed the National Action Plan for Combating Antibiotic-Resistant Bacteria (CARB). The CARB Task Force is co-chaired by HHS, USDA, and DOD.

This research report details the impact findings from the evaluation of three replications of the Safer Sex Intervention (SSI), a clinic-based intervention intended to reduce the incidence of sexually transmitted infections (STIs) and increase condom use among high-risk sexually active female adolescents.

This research brief highlights the impact findings from the evaluation of three replications of the Safer Sex Intervention (SSI), a clinic-based intervention intended to reduce the incidence of sexually transmitted infections (STIs) and increase condom use among high-risk sexually active female adolescents.

This research report details findings from the evaluation of Reducing the Risk, a sexual health curriculum developed in the early 1990s to help prevent pregnancy and reduce sexually-transmitted infections (STIs) in adolescents. The study examined data from three different replications of Reducing the Risk, pooling the data to examine the overall program impact.

This research brief highlights findings from the evaluation of Reducing the Risk, a sexual health curriculum developed in the early 1990s to help prevent pregnancy and reduce sexually-transmitted infections (STIs) in adolescents. The study examined data from three different replications of Reducing the Risk, pooling the data to examine the overall program impact.

This research report highlights findings from the evaluation of ¡Cuídate!, an HIV/AIDS prevention program that uses an approach culturally tailored to Latino youth. The study examined data from three different replications of ¡Cuídate!, pooling the data to examine the overall program impact.

This research brief highlights findings from the evaluation of ¡Cuídate!, an HIV/AIDS prevention program that uses an approach culturally tailored to Latino youth. The study examined data from three different replications of ¡Cuídate!, pooling the data to examine the overall program impact.

Laura Dunlap, Saira Haque, and Erin Mallonee RTI International Joel Dubenitz, Laurel Fuller, and Daniel Schwartz U.S. Department of Health and Human Services Printer Friendly Version in PDF Format (5 PDF pages)

This Issue Brief was informed by an ASPE-funded study conducted by RTI International that assessed the use of telehealth to identify and manage SUDs in rural areas. The final research brief included an environmental scan and site visits with participants that represented a wide range of telehealth experiences throughout the country.