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Age, Gender & Gender Identities

Reports

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ASPE Issue Brief

Project Update: Child Welfare and Health Infrastructure for Linking and Data Analysis of Resources, Effectiveness, and Needs Initiative

This brief describes progress in the Child Welfare and Health Infrastructure for Linking and Data Analysis of Resources, Effectiveness, and Needs (CHILDREN) Initiative, which is in its fourth year. At this time, four jurisdictions participate in the CHILDREN Initiative: District of Columbia, Iowa, Oklahoma, and Wyoming.
Strategic Plan

Kidney Care National Plan

The Kidney Care National Plan highlights the continued commitment of HHS to advance kidney care and identifies opportunities for policy reform and improvement across the Department’s efforts. The relative lack of innovation in kidney care is the structural outcome of anti-competitive and burdensome actions that have maintained the national crisis of kidney disease and kidney failure.
Case Study

A Home for Every Child Case Studies: Briefs from Five States with Some of the Highest Home-to-Child Ratios

The Administration for Children and Families’ initiative, A Home for Every Child, is designed to help achieve at least a one-to-one ratio of foster homes available for children and youth in foster care, where the numerator is the number of foster homes available and the denominator is the number of children in care.
Case Study, Research Brief

Strategies to Improve the Ratio of Homes Available to Children in Foster Care: Findings from Five States

The goal of the Administration for Children and Families’ (ACF’s) A Home for Every Child initiative is to have a safe and supportive home available for every child or youth in foster care. ACF measures the initiative’s success by a one-to-one home-to-child ratio, meaning there are as many foster homes available as there are children in foster care.
Research Brief

Children in Child Welfare are More Likely to be Prescribed Psychotropic Medication than Other Children on Medicaid: Findings from Florida and Kentucky

The use of psychotropic medications in children is a complex issue for parents, caregivers, health care professionals, researchers, and policymakers. Psychotropic medications are used to treat behavioral health conditions. When these medications are prescribed appropriately, they can be effective in managing behavioral health symptoms.
ASPE Issue Brief

Head Start Operates Within Existing State Child Care Licensing Infrastructure and Includes Established Supports for Alignment and Coordination Between Systems

This brief describes available data on the licensing status of Head Start service locations and child care programs, and outlines existing infrastructure that can support alignment and coordination between Head Start and state licensing systems.
Report

Market Forces in Medicare Reimbursement: Traditional Medicare, Medicare Advantage, and Provider Resource Constraints

EXECUTIVE SUMMARYMedicare reimbursement is administered, but it is not insulated from markets for provider labor, capital, facilities, and technology. Traditional Medicare payment formulas incorporate market-basket input prices, geographic wage indexes, case mix, and quality adjustments; total spending also depends on utilization.
ASPE Issue Brief

Research Does Not Identify an Optimal Teacher-Child Ratio That Improves Child Outcomes, Though More Stringent Ratios May Increase Per Child Spending

This brief reviews the literature on the relationship between teacher-child ratios and child outcomes, then describes how Head Start ratio standards compare with existing state licensing standards. Key findings include:
ASPE Issue Brief

Frozen at $2,000 Since 1986: The Coverage of Non-Recurring Adoption Expenses Has Lost Two-Thirds of Its Purchasing Power Over 40 Years

KEY POINTSCoverage of non-recurring adoption expenses can help reduce upfront adoption costs for families – covering expenses like legal fees, court costs, home studies, and necessary transportation, food, and lodging – supporting permanency for children with special needs.
Research Brief

Title IV-E Foster Care Eligibility Rates Have Declined While Determination Costs Have Increased: Meanwhile Eligibility Review Results Have Varied Since FY00

This brief synthesizes national caseload and expenditure data related to Title IV-E foster care eligibility and summarizes the Children’s Bureau’s published Title IV-E foster care eligibility review findings. Key findings include: