This brief analyzes Title IV-E foster care program reported expenditures and reimbursements using the most recent years of publicly available claims data (from fiscal years 2019 to 2023). The content explores administrative costs, identifies how average monthly costs per child have changed over time, and provides a snapshot of the variation seen across states in FY2023.
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Head Start Spending Per Slot Varies Widely Across Grants, Driven in Part by Cost of Living and Local Program Design Factors
This brief presents information on Head Start spending per slot across the country. Key findings include:
Report
Medicare Advantage Plans & Evidence-Based Prevention Program Uptake
This report explores how Medicare Advantage (MA) plans deliver evidence-based prevention programs (EBPs) to support health promotion among older adults.
ASPE Issue Brief
Approaches to Dementia Care in Special Needs Plans
This issue brief examines how Medicare Advantage Special Needs Plans (SNPs) address the care needs of people living with dementia (PLWD) and their caregivers.
Report
Building the Data Capacity for Patient-Centered Outcomes Research: The 2025 Annual Report and Infographic
In Fiscal Year 2025, OS-PCORTF projects and other OS-PCORTF initiatives collectively enhanced the data infrastructure available for patient-centered and comparative clinical effectiveness research (CER) across national and HHS health objectives.
ASPE Issue Brief
Review of Federal and State Caregiver Tax Credit Laws and Bills
Unpaid caregivers play a vital role in supporting older adults and people with disabilities to remain in their homes and communities. They often face substantial financial and emotional strain from the burden of caregiving. In response, federal and state policymakers have advanced proposals to offer targeted tax relief to caregivers.
Research Brief
Medicare Hospice Use Patterns Among Patients With Alzheimer’s Disease or Related Dementias Compared to Those With Other Terminal Diagnoses
This study examined how people with Alzheimer’s disease and related dementias (ADRD) use hospice compared with patients who have other terminal diagnoses, as well as how hospice characteristics shape those care patterns.
Research Brief
Title IV-E Prevention Services Make Up Less Than Two Percent of Overall Program Expenditure Reimbursement Claims: Many States Do Not Claim Expenses at All
This brief, focused on the Title IV-E Prevention Program, explores how states, territories, and Tribes have been engaging in the program since it began. The content highlights the Title IV-E Prevention Services Clearinghouse process, as well as information from jurisdictions’ prevention plans and claimed expenditures. Key findings include:
Report
Better Data for Maternal Health Research HHS Efforts to Strengthen Data Infrastructure for a Healthy America
This 2024 vignette provides examples of how a range of OS-PCORTF cross-agency projects are working to improve maternal health by 1)Reducing Preventable Pregnancy-Related Deaths and Improving Maternity Care 2) Studying Substance Use Treatment Outcomes for Pregnant Women 3) Representing all American Mothers and Children in Research Data
Report
Exploring Data Infrastructure Availability and Expansion Opportunities for Health Outcomes Research on Sickle Cell Disease
This report is to serve as a data source guide that helps policymakers and researchers understand the current data infrastructure landscape for SCD-focused health outcomes research. Specifically, the goals are to identify existing SCD data sources and data dashboards as well as key considerations to enhance data collection and use.