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Health & Health Care

ASPE produces health policy research with a focus on equity, coverage, and access. Find resources related to a broad range of topics, including the uninsured population, vaccine hesitancy, Medicaid/CHIP, Medicare, the federal marketplace (HealthCare.gov), telehealth, health care delivery, underserved areas, delivery system transformation, health outcomes, and social determinants of health.

Reports

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ASPE Data Point

Data Point: Savings Available Under Full Generic Substitution of Multiple Source Brand Drugs in Medicare Part D

July 22, 2018
ASPE analyzed Part D prescription drug event data from 2016 to estimate spending on brand drugs with generic therapeutic equivalents.
ASPE Issue Brief

Substance Use Disorder Workforce Issue Brief

May 31, 2018
Many barriers to accessing evidence-based treatment for substance use disorder (SUD), particularly medication assisted treatment, are related to the workforce. Barriers include workforce shortages for certain providers, insufficient training, education and experience, lack of institutional and clinician peer support, provider stigma and inadequate or burdensome reimbursement.

Patient-Centered Medical Home Implementation in Indian Health Service Direct Service Facilities

May 23, 2018
This report summarizes strategies Indian Health Service (IHS) clinics have used to implement the Patient-Centered Medical Home (PCMH) model of care, challenges they faced during implementation, and lessons learned that might benefit IHS clinics that have not yet received PCMH recognition.  Common strategies to address challenges include use of telemedicine and partnerships with academic medical

Strategies by Federally-Funded Health Centers to Facilitate Patient Access to Specialty Care

May 23, 2018
This report summarizes findings from a small qualitative study of six health centers that are pursuing a diverse range of approaches to facilitating specialty care for patients.

Research Summit on Dementia Care: Main Summit Recommendations

May 15, 2018
This is the PDF version of the 12 Recommendation Themes from National Research Summit on Care, Services, and Supports for Persons with Dementia and Their Caregivers: Report to the National Advisory Council on Alzheimer's Research, Care, and Service.

National Research Summit on Care, Services and Supports for Persons with Dementia and Their Caregivers: Final Summit Report

May 15, 2018
This is the PDF version of the final Summit report, which includes the recommendations, prepared for the National Research Summit on Care, Services, and Supports for Persons with Dementia and Their Caregivers (also called the Research Summit on Dementia Care). Originally dated April 27, 2018; small changes were made on May 16, 2018.
Report to Congress

Welfare Indicators and Risk Factors, Seventeenth Report to Congress

May 3, 2018
This report provides welfare dependence indicators through 2015 for most indicators and through 2016 for some indicators, reflecting changes that have taken place since enactment of the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) in 1996.

Development and Testing of Behavioral Health Quality Measures for Health Plans: Final Report

April 8, 2018
Many people with behavioral health disorders receive suboptimal care and suffer poor health outcomes, including premature death. States, health plans, providers, and other stakeholders need a strong set of measures targeting this population to improve the quality of their care.

Indian Health Service Programs—A Retention Analysis

March 12, 2018
This study expands upon the analysis of the National Health Service Corps (NHSC) begun in “Provider Retention in High Need Areas and continued in “The National Health Service Corps:  An Extended Analysis” by using the same techniques used in these earlier studies to examine retention patterns in Indian Health providers..  The study finds about 81% of the IHS program participants serve in the sa

Analyzing the Public Benefit Attributable to Interoperable Health Information Exchange

March 12, 2018
This project developed methods and measures that can be used to quantify the public benefits that result from Interoperable Health Information Exchange (IEHI). In the first phase of this project, a literature review was conducted and discussions were held with subject matter experts to identify areas where evidence suggests that the greatest benefits resulting from IEHI might be found.