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Reports

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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.
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.
Report

Identifying Disability with Medicaid Claims Data

Medicaid provides health insurance coverage and services and supports for people with disabilities, as well as groups of children and adults based on financial eligibility.
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:
ASPE Issue Brief

Opportunities for Technology-Enabled Care: Economic and Payment Issues

This Issue Brief explores opportunities that technology-enabled care (TEC) offers to help meet patient and provider needs for high-valued coordinated care to improve health outcomes. It explores literature surrounding existing available TEC options, as well as economic and payment issues that influence whether this is taken up.
Report to Congress, Visualization

Welfare Indicators and Risk Factors, Twenty-Fourth Report to Congress

The Welfare Indicators Act of 1994 (Public Law 103-432) requires the Secretary of the Department of Health and Human Services to prepare an annual report to Congress on indicators and predictors of “welfare dependence.” That Act requires the report to include three programs: Temporary Assistance for Needy Families (TANF) program (which replaced the Aid to Families with Dependent Children (AFDC)