Reports

This paper describes the work that will be undertaken to measure financial and non-financial benefits, and identify to whom the benefits accrue. [1 PDF page]

U.S. Department of Health and Human Services Evaluation Design of the Business Case of Health Information Technology in Long-Term Care: Project Summary Booz Allen Hamilton November 2005 PDF Version

This paper describes the work that will examine how Health Information Exchange (HIE) is occurring between health delivery systems and unaffiliated post-acute and long-term care settings and factors that promote or hinder the exchange. [1 PDF page]

U.S. Department of Health and Human Services Health Information Exchange in Post-Acute and Long-Term Care: Project Summary University of Colorado November 2005 PDF Version

This paper examines the combined effects of drug plan risk the first year of Medicare part D implementation of the combination of reinsurance, risk-adjustment and risk-corridors

The Office of the Assistant Secretary for Planning and Evaluation (ASPE), in close collaboration with the Health Resources and Services Administration (HRSA), contracted with NORC to conduct an assessment of information technology use in ambulatory care health centers whose funding is administered by HRSA's Bureau of Primary Healthcare (BPHC).

Prepared by: NORC at the University of Chicago Dan Gaylin, M.P.A. Sidra Goldman Alana Ketchel Adil Moiduddin, M.P.P. October 2005 This report is available on the Internet at:http://aspe.hhs.gov/sp/chc

Prepared by: Judith Wooldridge Mathematica Policy Research, Inc. Genevieve Kenney The Urban Institute Christopher Trenholm Mathematica Policy Research, Inc. with Lisa Dubay The Urban Institute Ian Hill The Urban Institute Myoung Kim Mathematica Policy Research, Inc. Lorenzo Moreno Mathematica Policy Research, Inc.

This literature review first summarizes the current knowledge of physician practice in nursing homes and identifies gaps in the knowledge base. It then presents the physician practice models applied in nursing homes, including integrated and managed care delivery models, and describes the characteristics of physicians who practice in nursing homes.

U.S. Department of Health and Human Services

Contents Methodology Pass-through and Disregard Results Distributing All FTRO Child Support Collections to Former Welfare Families Effects on Administrative Costs Conclusion

Prepared by: Laura Wheaton and Elaine Sorensen With Victoria Russell and Jeff Versteeg The Urban Institute Prepared for: Department of Health and Human Services

This paper examines by state variation in drug prices and drug spending. Variation in prices are found to be minimal but variation in spending (and utilization) are more substantial. Further work will explore the underlying reasons for the spending variation and whether patterns persist when analyzed for areas other than states.

About this Research Brief This ASPE Research Brief explores the potential of newly available administrative data to answer important questions regarding employer-provided health benefits.

A discussion of the various government surveys that produce estimates of the number of people without health insurance.

ASPE ISSUE BRIEF Understanding Estimates of the Uninsured: Putting the Differences in Context U.S. Department of Health and Human ServicesOffice of the Assistant Secretary for Planning and Evaluation

Contents Introduction Key Research Questions Methods Key Findings Key Study Design and Measurement Issues Alternative Research Designs

Prepared by: Garrett Moran, Rafael Semansky, Elizabeth Quinn, Rebecca Noftsinger, and Teresa Koenig Westat Executive Summary (in PDF Format)

According to the Census Bureau's 2005 Current Population Survey (CPS), 45.8 million individuals in 2004 or 15.7% of the civilian non-institutionalized population were uninsured. Those that lack insurance represent a diverse group. Understanding the uninsured population is important for policy makers looking to design solutions to the problem.

ASPE ISSUE BRIEF Overview of the Uninsured in the United States: An analysis of the 2005 Current Population Survey U.S. Department of Health and Human ServicesOffice of the Assistant Secretary for Planning and Evaluation

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

This study adds to understanding by updating information on trends in use of disability equipment and exploring how disability and other characteristics differ for equipment users and nonusers. Data are from the 1984-1999 rounds of the National Long Term Care Survey, which has been a key source of earlier information on trends in equipment use.

The purpose of this study is to better understand the relationship between disability declines and Medicare costs and what Medicare spending patterns may suggest about the relationship between disability and health.

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

As part of the Medicare Part D pharmacy benefit scheduled for implementation in 2006 by the Medicare Prescription Drug, Improvement, and Modernization Act (MMA), beneficiaries will have a choice of private plans administering the benefit.? Although plans are required to provide access to needed drugs, the law does not require plans to provide equal coverage for all drugs.?

This paper describes the work NORC did to supplement the Federal Employee Health Benefits data (FEHBP) used to develop drug risk adjustment factors for over 65 individuals with a full drug supplement to Medicare. This data needed to be supplemented because the FEHBP data did not adequately represent, low-income, disabled, or non east Coast populations.

Presented by: National Opinion Research Center (NORC) at The University of Chicago Submitted to: Steve Sheingold Office of the Assistant Secretary for Planning and Evaluation (ASPE)

This policy brief is one of six commissioned by HHS/ASPE on Medicaid eligibility policies for long-term care benefits. This brief summarizes the estate recovery mandate, discusses variations in mechanisms employed by states to implement the mandate, and presents a state-by-state analysis of collections from 2002 through 2004. [13 PDF pages]

Thomson/MEDSTAT

States increasingly are focusing on the TANF goals relating to promoting and supporting healthy marriage. To understand how state policies may affect marriage, it is useful to first examine the extent to which existing public assistance programs provide benefits to both married-parent and single-parent families.

Prepared by: National Opinion Research Center (NORC) at the University of Chicago 1350 Connecticut Avenue, N.W., Suite 500 Washington, D.C. 20036 (202) 223-6040 Prepared for:

Contents The Rural Context Review of Existing Research on the Three Focal Topics Data Sources Available to Conduct Research on the Focal Topics Implications of Study Findings Enhancing Rural Hu

The Welfare Indicators Act of 1994 requires the Department of Health and Human Services to prepare annual reports to Congress on indicators and predictors of welfare dependence.

The Welfare Indicators Act of 1994 requires the Secretary of Health and Human Services to prepare an annual report to Congress on indicators welfare dependence. The Indicators of Welfare Dependence report is prepared within the Office of Human Services Policy and delivered to Congress each spring.

Although adult day care and adult day health care are increasingly promoted as key community-based services for older persons, little is known about their provision, utilization, or outcomes; this is largely due to a paucity of data.

Regulatory Review of Adult Day Services: Final Report SECTION 2. STATE REGULATORY PROFILES

Regulatory Review of Adult Day Services: Final Report SECTION 1. OVERVIEW OF ADULT DAY SERVICES REGULATIONS This section provides a brief overview of states' approaches to regulating ADS providers in key areas and highlights similarities and differences among them.

U.S. Department of Health and Human Services

This report supplements information gathered through a review of the literature with stakeholder discussions to describe: (1) the amount, duration and scope of physician (and/or non-physician) visits to nursing homes; (2) the perceived impact of these visits; and (3) policy issues/concerns related to physician practice models in nursing homes.

U.S. Department of Health and Human Services

Stacy Dale, Randall Brown, Barbara Phillips and Barbara Carlson Mathematica Policy Research, Inc. August 2005 This report was prepared under contract #HHS-100-95-0046 between the U.S. Department of Health and Human Services (HHS), Office of Disability, Aging and Long-Term Care Policy (DALTCP) and the University of Maryland.