The Assistant Secretary for Planning and Evaluation (ASPE) contracted with RAND Health Care to develop methods for imputing race and ethnicity among people who selected Marketplace plans on HealthCare.gov but did not report their race or ethnicity, and to apply these methods to data from the 2015 to 2022 Open Enrollment Periods.
Race & Ethnicity
Reports
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Federal Efforts to Address Racial and Ethnic Disparities in Alzheimer’s Disease and Related Dementias
The National Alzheimer’s Project Act (NAPA) requires “the inclusion of ethnic and racial populations at higher risk for Alzheimer's or least likely to receive care, in clinical, research, and service efforts with the purpose of decreasing health disparities in Alzheimer's”.1 In order to meet this requirement, in 2020 the Advisory Council on Alzheimer’s Research, Care, and Services recommended t
ASPE Issue Brief
HealthCare.gov Marketplace Enrollment During the 2021 Special Enrollment Period by Race and Ethnicity
In response to the COVID-19 Public Health Emergency, the Centers for Medicare & Medicaid Services provided a 2021 Special Enrollment Period (SEP) from February 15 to August 15, 2021. Understanding the sociodemographic composition of Marketplace enrollees allows for better targeted outreach and enrollment assistance. However, many enrollees do not report their race and ethnicity.
Research Summary
The Affordable Care Act and Its Accomplishments
The Affordable Care Act (ACA) was signed into law on March 23, 2010. Since then, the law has led to an historic expansion of health insurance coverage across all states and all demographic groups within the U.S. This Briefing Book features key findings from two dozen reports published in 2021-2022.
ASPE Issue Brief
Health Insurance Coverage and Access to Care Among Black Americans: Recent Trends and Key Challenges
This issue brief analyzes changes in health insurance coverage and examines trends in access to care among Black Americans using data from 2011-2020. This Issue Brief is part of a series of ASPE reports examining the change in coverage rates and access to care after implementation of the Affordable Care Act (ACA) among different racial and ethnic populations.
Research Brief
Methods and Emerging Strategies to Engage People with Lived Experience
This brief identifies methods and emerging strategies to engage people with lived experience in federal research, programming, and policymaking. It draws on lessons learned from federal initiatives across a range of human services areas to identify ways that federal staff can meaningfully and effectively engage people with lived experience.
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Report
Improving Outcomes for American Indian/Alaska Native People Returning to the Community from Incarceration: A Resource Guide for Service Providers
This resource guide for providers working with American Indian/Alaska Native people reentering their communities from incarceration, contains a compilation of federal resources, research, examples, and helpful considerations for facilitating a successful reentry.
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ASPE Issue Brief
Health Insurance Coverage and Access to Care Among Latinos: Recent Trends and Key Challenges
Research Brief
Equity Considerations for Delivering Human Services Virtually
Virtual human services delivery has the potential to improve long-standing disparities in service access and outcomes. This brief highlights emerging lessons from the field, identifying considerations for programs to advance equity across all elements of service delivery.
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ASPE Issue Brief
Health Insurance Coverage and Access to Care for American Indians and Alaska Natives: Current Trends and Key Challenges
This Issue Brief describes changes in the uninsured rate, health coverage, and access to care for American Indians and Alaska Natives (AI/ANs) and discusses key policies for this population, including how the American Rescue Plan Act of 2021 (ARP) builds on the Affordable Care Act (ACA) and invests additional resources in the Indian health care system.