Background. Accurately estimating the prevalence of intellectual and developmental disabilities (ID/DD) in the United States remains a challenge, with reported rates varying widely (3%-17%) based on the definitions and data sources used.
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Advanced SearchASPE Issue Brief
While often similar in design, home visiting models eligible for MIECHV and Title IV-E Prevention Services reflect the different programmatic goals of child and family wellbeing versus foster care prevention.
This brief address the HHS programs that fund evidence-based home visiting models. It provides a high-level comparison of the primary federal funding streams supporting home visiting. Key points are:
Report
Integrated Care and Health Outcomes for Dual Eligible Individuals
This report examines how integrated care models served full-benefit dually eligible Medicare‑Medicaid beneficiaries in 2021. It compares three types of integrated plans—PACE, FIDE‑SNPs, and D‑SNPs—to standard Medicare Advantage plans, with a focus on hospitalizations, emergency department visits, nursing facility use, home‑ and community‑based services, and mortality.
Report
Environmental Scan of Pathways to Economic Self-Sufficiency for People with Disabilities
In the U.S., about 11 percent of people ages 18 to 64 living in the community have a disability. Health conditions that cause disability can negatively affect the human capital development of children and the ability of adults to engage in the labor force.
ASPE Issue Brief
Accelerating Innovative and Effective Pediatric Health Care Delivery Systems: Interventions and Value-Based Care Models for Children with Chronic Health Conditions and Complex Needs
Children, youth, and families have unique health needs, which set the foundation for health across the life course; chronic conditions now affect nearly one in three U.S. children, with disproportionate prevalence in those enrolled in Medicaid and CHIP.
Research Brief
CSBG Reporting Is Burdensome and Does Not Accurately Describe How Funds Are Actually Used
This brief describes the reporting practices used by the Community Services Block Grant (CSBG), the burden associated with the reporting process and the limitations of the resulting information for understanding how CSBG funds are used by eligible entities.
Research Brief
States Increasingly Promote Kinship Care, though Significant Opportunity Remains for Improving Licensing, Definitions, and Reach: Nearly Two-Thirds of Jurisdictions Have Not Yet Amended Title IV-E Plans to Adopt Separate Licensing Standards
This brief explores how states are approaching kinship care by examining states’ definitions of kinship caregivers, the prevalence of children in foster care living with relatives or kin, states’ adoption of separate licensing standards for kinship homes, and states’ participation in kinship navigator programs through the Title IV-E Prevention Services Clearinghouse. Key findings include:
Research Brief
Administrative Costs Drive Foster Care Claims and Are Increasing Per Child as Caseloads Decline: Trends in Title IV-E Foster Care Expenditures FY2019-FY2023
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.
Research Brief
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.