Improving health equity in the United States is a priority for the Biden-Harris Administration in order to address longstanding disparities in health outcomes. Health inequities can be conceptualized and measured as drivers of differences in health outcomes.
Low-Income Populations
Reports
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Factsheet: Estimates of Child Care Eligibility & Receipt for Fiscal Year 2019
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.
ASPE Issue Brief
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.
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.
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:
ASPE Issue Brief
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
Report, Report to Congress
Welfare Indicators and Risk Factors, 21st Report to Congress
This report provides welfare dependence indicators through 2019 for most indicators and through 2020 for other indicators, reflecting changes that have taken place since enactment of the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) in 1996.
ASPE Issue Brief
Antipsychotic Medication Prescribing in Long Term Care Facilities Increased in the Early Months of the COVID-19 Pandemic Issue Brief
Prescriptions dispensed for antipsychotics in nursing homes and assisted living facilities increased since the beginning of the pandemic, with 20.8 thousand dispensed in 2020 compared to 20.5 thousand in 2019. This represents a 1.5% increase in total prescriptions since the beginning of the pandemic despite lower resident census levels in long-term care facilities (LTCFs).
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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ASPE Issue Brief
Participation in the U.S. Social Safety Net: Coverage of Low-income Families, 2018
Participation in the social safety net varies widely across programs—from 15 percent among eligibles for subsidized child care (CCDF) to over 75 percent for Medicaid/CHIP and EITC.
Participation differs by race and ethnicity, yet patterns are not consistent. In general rates differ more across programs than between race-ethnic groups.