Reports

This report describes how frequently various quality requirement elements appear in managed care organization contracts, as well as some similarities and differences in the quality requirements. 

Executive SummaryThe Affordable Care Act continues to bring transparency and scrutiny to health insurance rate increases.  Because of the law, the Department of Health and Human Services (HHS), along with states, is working to hold insurance companies accountable by requiring them to document, submit for review, and publicly justify rate increases of 10 percent or more. 

This report describes how frequently various quality requirement elements appear in managed care organization contracts, as well as some similarities and differences in the quality requirements. [139 PDF pages]

ASPE REPORT The Feasibility of Using Electronic Health Data for Research on Small Populations September 2013 By: Kelly Devers, Bradford Gray et. Al. Disclaimer

Teja Stokes, Beth Jackson and Pat Rivard Truven Health Analytics, Inc. September 2013 Printer Friendly Version in PDF Format: http://aspe.hhs.gov/daltcp/reports/2013/verifyRB.pdf (8 PDF pages)

Angela M. Greene, MS, MBA, Joshua M. Wiener, PhD, Galina Khatutsky, MS, Ruby Johnson, MA, MS, and Janet O'Keeffe, DrPH RTI International

Angela M. Greene, MS, MBA, Joshua M. Wiener, PhD, Galina Khatutsky, MS, Ruby Johnson, MA, MS, and Janet O'Keeffe, DrPH RTI International September 2013 This report was prepared under contract #HHSP23320095651WC between the U.S.

As of the beginning of 2013, 16 states had Medicaid managed long-term services and supports (MLTSS) plans available, with enrollment being either mandatory or voluntary for target populations that varied by state (e.g., elderly, younger adults with adult-onset disabilities, persons with intellectual or other developmental disabilities).

As of the beginning of 2013, 16 states had Medicaid managed long-term services and supports (MLTSS) plans available, with enrollment being either mandatory or voluntary for target populations that varied by state (e.g., elderly, younger adults with adult-onset disabilities, persons with intellectual or other developmental disabilities).

   

Market Competition Works: Proposed Silver Premiums in the 2014 Individual Market Are Substantially Lower than Expected Updated: August 9, 2013 By: Laura Skopec and Richard Kronick Ab

A goal of the Affordable Care Act is to increase competition and transparency in the markets for individual and small group insurance, leading to higher quality, more affordable products. As of August 2013, sixteen states have released information on proposed or final premiums for the Marketplaces in 2014.

Alzheimer’s disease and related disorders (ADRD) affected approximately 4.7 million Americans age 65 or older in 2010. As the United States population ages, the number of people with ADRD is projected to increase dramatically in the coming decades, placing substantial emotional, physical, and financial burdens on patients, families, and society.

Margaret Simms, Karina Fortuny, Marla McDaniel, and William Monson A product of the Low-Income Working Families project Issue Brief 2, August 2013  

Marla McDaniel, Margaret Simms, William Monson, and Karina Fortuny

Although states have begun to rebalance their long-term care systems toward a greater emphasis on home and community-based services (HCBS), many low-income elderly, persons with physical disabilities, and persons with intellectual/developmental disabilities (I/DD) continue to reside in institutions such as nursing homes or intermediate care facilities for the intellectually disabled (ICFs/IID).

ABOUT THIS POLICY BRIEF This ASPE Policy Brief on screening and counseling for domestic violence in health care settings is intended for policy makers, health care practitioners, and other stakeholders.   The brief, written by Madeleine de Boinville, presents the state of practice and rese

By: Diane Pilkey, Laura Skopec, Emily Gee, Kenneth Finegold, Kerent Amaya, ASPE  and Wilma Robinson, Office of Adolescent Health Abstract

This brief, part of a series on disconnected low-income men, examines their health insurance coverage and health status using data from the American Community Survey (ACS) and the Behavioral Risk Factor Surveillance System (BRFSS) with some additional information provided by the Kaiser Family Foundation.

In light of recent policy changes in support of domestic violence screening in health care settings, this policy brief presents the state of practice and research on this preventive service.

Although states have begun to rebalance their long-term care systems toward a greater emphasis on home and community-based services (HCBS), many low-income elderly, persons with physical disabilities, and persons with intellectual/developmental disabilities (I/DD) continue to reside in institutions such as nursing homes or intermediate care facilities for the intellectually disabled (ICFs/IID).

This brief, one in a series on disconnected low-income men, provides a geographic and demographic snapshot of these men. Low-income men are defined as those age 18 to 44 who live in families with incomes below twice the federal poverty level (FPL)1 and do not have four-year college degrees.

Galina Khatutsky, MS, Joshua M. Wiener, PhD, Angela M. Greene, MS, MBA, Ruby Johnson, MA, MS, and Janet O'Keeffe, DrPH RTI International  

Galina Khatutsky, MS, Joshua M. Wiener, PhD, Angela M. Greene, MS, MBA, Ruby Johnson, MA, MS, and Janet O'Keeffe, DrPH RTI International July 22, 2013 This report was prepared under contract #HHSP23320095651WC between the U.S.

Market Competition Works: Proposed Silver Premiums in the 2014 Individual and Small Group Markets Are Nearly 20% Lower than Expected July 2013 By: Laura Skopec and Richard Kronick Abstract

A goal of the Affordable Care Act is to increase competition and transparency in the markets for individual and small group insurance, leading to higher quality, more affordable products.

Marc A. Cohen, PhDChief Research and Development OfficerLifePlans, Inc. Ramandeep Kaur, MAHeller School, Brandeis University Bob Darnell, ASA, MAAAIndependent Consultant  

State long-term care (LTC) financing and delivery systems and, in particular, Medicaid funded LTC have long been criticized for being “institutionally biased.” Shifting the balance in publicly-funded long-term care provision away from institutional care (nursing homes, long-term hospitals, intermediate care facilities for the intellectually disabled) toward greater reliance on home and communit

Marc A. Cohen, PhD Chief Research and Development Officer LifePlans, Inc. Ramandeep Kaur, MA Heller School, Brandeis University Bob Darnell, ASA, MAAA

State long-term care (LTC) financing and delivery systems and, in particular, Medicaid funded LTC have long been criticized for being “institutionally biased.” Shifting the balance in publicly-funded long-term care provision away from institutional care (nursing homes, long-term hospitals, intermediate care facilities for the intellectually disabled) toward greater reliance on home and communit

ASPE REPORT Programs to Reduce Teen Pregnancy, Sexually Transmitted Infections, and Associated Sexual Risk Behaviors: A Systematic Review April 2013 By: Brian Goesling, Silvie Colman, Christopher Trenholm (Mathematica Policy Research)

This paper presents findings from an ongoing systematic review of research on teen pregnancy and STI prevention programs to help support evidence-based approaches to teen pregnancy prevention. A total of 88 studies met the review criteria for study quality and were included in the data extraction and analysis.