Content by Keyword: Insurance

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Count Estimates of Zero- and Low-Premium Plan

Count Estimates of Zero- and Low-Premium Plan Availability, HealthCare.gov States Pre and Post ARP

These supplemental data tables are for the ASPE Issue Brief series, Access to Marketplace Plans with Low Premiums on the Federal Platform.
  • Count Estimates of the Availability of Zero- and Low-Premium Plans Among Current (2021) HealthCare.gov Enrollees
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  • Count Estimates of the Availability of Zero- and Low-Premium Plans Among Uninsured Non-Elderly Adults
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Medicaid Churning and Continuity of Care

Medicaid Churning and Continuity of Care

Research shows that disruptions in Medicaid coverage are common and often lead to periods of uninsurance, delayed care, and less preventive care for beneficiaries.
  • Medicaid Churning and Continuity of Care
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Access to Marketplace Plans with Low Premiums:

Access to Marketplace Plans with Low Premiums: Current Enrollees and the American Rescue Plan

The American Rescue Plan (ARP) enhances and expands Marketplace premium tax credits under the Affordable Care Act.
  • Access to Marketplace Plans with Low Premiums on the Federal Platform: Part III
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Access to Marketplace Plans with Low Premiums on

Access to Marketplace Plans with Low Premiums: The Uninsured and the American Rescue Plan

The American Rescue Plan (ARP) enhances and expands eligibility for advance payments of premium tax credits (APTCs) to purchase Marketplace insurance coverage under the Affordable Care Act (ACA).
  • Access to Marketplace Plans with Low Premiums on the Federal Platform: Part II
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Access to Marketplace Plans with Low Premiums on

Access to Marketplace Plans with Low Premiums on the Federal Platform

Many uninsured individuals can access zero-premium or low-premium health plans after application of premium tax credits under the Affordable Care Act.
  • Access to Marketplace Plans with Low Premiums on the Federal Platform: Part I
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The Remaining Uninsured: Geographic and

The Remaining Uninsured: Geographic and Demographic Variation

The Affordable Care Act (ACA), signed into law on March 23, 2010, extended health coverage to millions of Americans through Medicaid (in the states participating in Medicaid expansion) and subsidized Marketplace coverage.
  • The Remaining Uninsured: Geographic and Demographic Variation
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Estimates of the QHP Eligible Uninsured for the

State, County, and Local Estimates of the Uninsured Population: Prevalence and Key Demographic Features

ASPE has developed state and sub-state estimates of the number of uninsured, along with their demographic characteristics, who are likely to qualify for coverage through Qualified Health Plans (QHPs) in the Health Insurance Marketplace (“QHP-eligible uninsured”) using the most recent Census data available for this purpose.
  • ASPE Uninsured Estimates by State and Eligibility Group
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  • ASPE Uninsured Estimates by PUMA and Eligibility Group
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  • ASPE Uninsured Estimates by County and Eligibility Group
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Trends in the U.S. Uninsured Population, 2010-2020

Trends in the U.S. Uninsured Population, 2010-2020

Newly released estimates from the National Health Interview Survey show that 11.1 percent of U.S. residents (or 30.0 million) under age 65 lacked health insurance as of January-June 2020.
  • Trends in the U.S. Uninsured Population
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Medicare: Opportunities for Market-Based Policies

Medicare: Opportunities for Market-Based Policies

Market-based payment policies such as competitive bidding, reference pricing, centers of excellence and tiered provider networks have been implemented both in Medicare and across the private sector, as described in this report required by Executive Order 13890.
  • Medicare: Opportunities for Market-Based Policies
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Postpartum Opioid Prescription Fills, Opioid Use

Postpartum Opioid Prescription Fills, Opioid Use Disorder, and Utilization of Medication-Assisted Treatment among Women with Medicaid and Private Health Insurance Coverage Issue Brief

Postpartum Opioid Prescription Fills, Opioid Use Disorder, and Utilization of Medication-Assisted Treatment among Women with Medicaid and Private Health Insurance Coverage Issue Brief Mir M. Ali, Kristina West, and Emma Nye U.S. Department of Health and Human Services Office of the Assistant Secretary for Planning and Evaluation December 2
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Postpartum Opioid Prescription Fills, Opioid Use

Postpartum Opioid Prescription Fills, Opioid Use Disorder, and Utilization of Medication-Assisted Treatment among Women with Medicaid and Private Health Insurance Coverage Issue Brief

Postpartum Opioid Prescription Fills, Opioid Use Disorder, and Utilization of Medication-Assisted Treatment among Women with Medicaid and Private Health Insurance Coverage Issue Brief Mir M. Ali, Kristina West, and Emma Nye U.S. Department of Health and Human Services Office of the Assistant Secretary for Planning and Evaluation December 2
  • PostpartOUDIB.pdf
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HHS Secretary's Report on: Addressing Surprise

HHS Secretary's Report on: Addressing Surprise Medical Billing

This report responds to a requirement in Executive Order 13877, "Improving Price and Quality Transparency in American Healthcare to Put Patients First." It describes the phenomenon of a "surprise billing," particularly in the commercial insurance market, the underlying federal and state regulatory frameworks, and recent state actions to address th
  • HHS Secretary's Report on: Addressing Surprise Medical Billing
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Analysis of Pathways to Dual Eligible Status:

Analysis of Pathways to Dual Eligible Status: Final Report

Zhanlian Feng, PhD,Alison Vadnais, MHS, Emily Vreeland, BA, Susan Haber, PhD, Joshua Wiener, PhD, and Bob Baker, BA RTI International Printer Friendly Version in PDF Format (46 PDF pages)
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Analysis of Pathways to Dual Eligible Status:

Analysis of Pathways to Dual Eligible Status: Final Report

There are multiple pathways to becoming dually eligible for Medicare and Medicaid. The purpose of this study is to identify the frequency with which these pathways are followed and the beneficiary characteristics and patterns of service use by pathway. We used the Medicare-Medicaid Linked Enrollee Analytic Data Source (MMLEADS) to identify individ
  • DualStatus.pdf
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Loss of Medicare-Medicaid Dual Eligible Status:

Loss of Medicare-Medicaid Dual Eligible Status: Frequency, Contributing Factors and Implications

Zhanlian Feng, PhD, Alison Vadnais, MHS, Emily Vreeland, MSPH, MicahSegelman, PhD, Abigail Ferrell, BA, Joshua M. Wiener, PhD, and Bob Baker, BA RTI International Printer Friendly Version in PDF Format (32 PDF pages)
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Loss of Medicare-Medicaid Dual Eligible Status:

Loss of Medicare-Medicaid Dual Eligible Status: Frequency, Contributing Factors and Implications

This paper seeks to document the frequency of Medicaid coverage loss among full-benefit dual eligible beneficiaries and identify potential causes for coverage loss. For dual eligible beneficiaries, the loss of full-benefit Medicaid coverage is of concern because most of them do not have an alternative source of health insurance for the services co
  • DualLoss.pdf
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Transitions in Care and Service Use among

Transitions in Care and Service Use among Medicare Beneficiaries in Inpatient Psychiatric Facilities Issue Brief

Randall Blair, Jonathan D. Brown, Xiao Barry, and Angela Schmitt Mathematica Policy Research Printer Friendly Version in PDF Format (22 PDF pages)
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Transitions in Care and Service Use among

Transitions in Care and Service Use among Medicare Beneficiaries in Inpatient Psychiatric Facilities Issue Brief

Medicare beneficiaries in inpatient psychiatric facilities (IPFs) have complex conditions that require sustained engagement with physical and mental health care providers. People who receive care from IPFs are at risk for a range of negative health outcomes, but surprisingly little is known about their patterns of care.
  • IPFTransIB.pdf
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Work-Focused Interventions for Depression: Final

Work-Focused Interventions for Depression: Final Report

Among employed adults, major depression is a leading cause of work absences (absenteeism) and impaired work performance (presenteeism) as well as short-term and long-term work disability. Depression is one of the largest and fastest growing categories of work disability claims filings in the public and private disability insurance sectors. Despite
  • DeprInterv.pdf
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APPENDIX F: National Drug Codes Used to Identify

Assessing the Impact of Parity in the Large Group Employer-Sponsored Insurance Market: Final Report. APPENDIX F: National Drug Codes Used to Identify Prescription Drug Fills for Substance Use Disorders in Preliminary Analysis

National Drug Code Product Name Use Dosage in MG 00456-3330-01 CAMPRAL AUD 333

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