This Issue Brief presents current estimates of enrollment in health insurance coverage obtained through the Affordable Care Act (ACA) Marketplaces, Medicaid expansion, Children's Health Insurance Program, Basic Health Program and the subsequent reductions in state-level uninsured rates since the ACA was implemented in 2014.
Administrative Data
Reports
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Health Coverage Under the Affordable Care Act: Current Enrollment Trends and State Estimates
March 23, 2023
ASPE Issue Brief
Inflation Reduction Act Research Series: Medicare Part D Enrollee Savings from Elimination of Vaccine Cost-Sharing
March 15, 2023
Effective January 1, 2023, the Inflation Reduction Act (IRA) eliminated enrollee cost-sharing for recommended vaccines covered under Medicare Part D. In 2021, 3.4 million people received vaccines under Part D, and annual out-of-pocket costs were $234 million.
ASPE Data Point
How Many People that Receive One Safety Net Benefit Also Receive Others
January 20, 2023
People facing economic instability often need more than one program or service. This pre-pandemic analysis looks at the reach of the social safety net, including the interaction of specific programs, to better understand program participation as the economy continues to recover.
Key Points:
ASPE Issue Brief
The Impact of the COVID-19 Pandemic on the Child Care Industry and Workforce
January 19, 2023
This brief explores important trends in the child care industry during the first two years of the COVID-19 pandemic and places those trends in a historical context. Specifically, we find:
Policy Brief
Linking Child Welfare and Medicaid Data: Lessons Learned from Two States
January 18, 2023
This report provides information to state, tribal, and local child welfare and behavioral health agencies that are interested in linking their Medicaid and child welfare data.
Research Brief
Early Changes in Waivered Clinicians and Utilization of Buprenorphine for Opioid Use Disorder After Implementation of the 2021 HHS Buprenorphine Practice Guidelines
December 2, 2022
In April 2021 the U.S. Department of Health and Human Services (HHS) issued revised Practice Guidelines for the Administration of Buprenorphine for Treating Opioid Use Disorder (Practice Guideline).
Environmental Scan
Identifying Environmental Data, Barriers, and Opportunities for HSR and PCOR: Environmental Scan
November 30, 2022
The authors conducted a landscape scan to identify environmental data suitable for health services research (HSR) and patient centered outcomes research (PCOR). Additional research was done to uncover examples of and opportunities for data linkage with other HHS data.
ASPE Issue Brief
Racial/Ethnic Differences in Children’s Mental Health Services Use Before and During the COVID-19 Pandemic Issue Brief
November 9, 2022
Using a national Medicaid database, the report shows significant racial/ethnic disparities in mental health service use among children during the COVID-19 pandemic.
Report
Avoiding Racial Bias in Child Welfare Agencies' Use of Predictive Risk Modeling
November 9, 2022
In recent years several researchers and child welfare agencies have begun developing predictive risk models to support child welfare decision-making. Predictive analytics is a sophisticated form of risk modeling that uses historical data to understand relationships between myriad factors to estimate a probability score for the outcome of interest.
Report
Linking Medicaid Claims, Birth Certificates, and Other Sources to Advance Maternal and Infant Health
October 13, 2022
Medicaid pays for nearly half of all births in the United States, including most births by Black and Hispanic pregnant population.