This factsheet provides descriptive information on child care eligibility and receipt. Of the 12.5 million children potentially eligible for child care subsidies under federal rules, 16 percent received subsidies. Of the 8.7 million children eligible for child care subsidies under more restrictive state rules, 23 percent received subsidies.
Age, Gender & Gender Identities
Reports
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State Use of Value-Based Payment in Nursing Facilities Issue Brief
Payers across the health care spectrum have begun transitioning from paying for quantity toward paying for quality. These value-based payment (VBP) programs vary in scope and focus, but generally share the goals of improving cost-savings and linking payments to value rather than volume.
Report
Developing and Assessing the Validity of Claims-based Indicators of Frailty and Functional Disabilities in Electronic Health Records
This project focused on validating an established claims-based frailty indexes (CFI) using linked claims-EHR databases of multiple large health systems. Additionally, the project assessed and compared the EHR and claims data of these data sources to ensure sufficient data quality for frailty analysis.
ASPE Issue Brief
Unwinding the Medicaid Continuous Enrollment Provision: Projected Enrollment Effects and Policy Approaches
This report provides current HHS projections of the number of individuals predicted to lose Medicaid coverage at the end of the COVID-19 public health emergency (PHE) due to a change in eligibility or due to administrative churning.
Report
Opioid Use in Long-Term Care Settings: Final Report
Opioid use was very common among the long-term care (LTC) residents in our sample. Perhaps reflecting their post-acute rehabilitative needs, discharged residents were more likely to have opioid use prior to LTC admission and at the beginning of the LTC stay.
ASPE Data Point
National Uninsured Rate Reaches All-Time Low in Early 2022
This Data Point examines new Health Interview Survey data to assess recent changes in coverage, finding that the uninsured rate declined throughout 2021 and early 2022 – reaching a historic low of 8.0% by the first quarter of 2022. This reflects 5.2 million people gaining coverage since 2020.
Report
How Increased Funding Can Advance the Mission of the Indian Health Service to Improve Health Outcomes for American Indians and Alaska Natives
This ASPE report discusses disparities in health and health care experienced by American Indian and Alaska Native (AI/AN) populations, the role of the federal government in financing and providing health care services to these populations, and how enhanced funding could help further the Indian Health Service’s mission in ensuring that tribal communities have access to high quality health care s
ASPE Issue Brief
Marketplace Coverage and Economic Benefits: Key Issues and Evidence
This report highlights the impacts of the Affordable Care Act's Marketplace subsidies on coverage rates among self-employed adults and small business owners, based on tax data from the Department of Treasury and national survey data.
ASPE Issue Brief, Guide
Advancing Equity for Fathers in Human Services Programs
This practice guide is a resource for a broad range of human services programs aiming to be more inclusive of and responsive to fathers. Building on literature from the field and interviews with human services providers that engage fathers in services, this guide outlines strategies for advancing equity in human services programs:
Research Brief
Changes in Ownership of Skilled Nursing Facilities from 2016 to 2021: Variations by Geographic Location and Quality
Newly released CMS skilled nursing facilities (SNF) Change of Ownership data (CHOW) data allows for a better understanding of how the nursing home ownership financial structures are changing. A total of 3,258 SNFs have been sold since 2016. Roughly 3.5% of skilled nursing facilities are sold in the US each year since then.