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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 (, telehealth, health care delivery, underserved areas, delivery system transformation, health outcomes, and social determinants of health.


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ASPE Issue Brief

Access to Marketplace Plans with Low Premiums on the Federal Platform

March 28, 2021
Many uninsured individuals can access zero-premium or low-premium health plans after application of premium tax credits under the Affordable Care Act.

Research Summit on Dementia Care 2020: Persons Living with Dementia Stakeholder Recommendations

March 25, 2021
This is the PDF version of the Research Recommendations from the Persons Living with Dementia Stakeholder Group prepared for the 2020 National Research Summit on Care, Services, and Supports for Persons with Dementia and Their Caregivers (also called the Research Summit on Dementia Care).

Persons in Low-Income Households Have Less Access to Internet Services

March 22, 2021
This factsheet presents estimates of access to internet services for low-income families, as well as differences by demographic characteristics and geography. Key takeaways include:

The Remaining Uninsured: Geographic and Demographic Variation

March 22, 2021
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. However, research prior to enactment of the American Rescue Plan suggests many remaining uninsured people are not aware of their coverage options.

Risk of COVID-19 Infections, Hospitalization, and Death in Fee-For-Service Medicare

March 18, 2021
Experience during the first six months of the pandemic shows that the risks of Medicare fee-for-service (FFS) beneficiaries contracting COVID-19 and subsequent hospitalization and mortality vary significantly by demographic characteristics, health status, and nursing home residence. There are several factors that indicate significantly elevated risk.
Case Study

Case Study of Father Engagement in Family Nutrition and Health Programs: California WIC Association

March 17, 2021
This case study focuses on how the nonprofit statewide California WIC Association supports local agencies to involve fathers in programming related to the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Key lessons and considerations for human services programs include:
Case Study

Case Study of Father Engagement in Healthy Start Programs: Northeast Florida Healthy Start Coalition Fatherhood PRIDE

March 17, 2021
This case study focuses on how the Northeast Florida Healthy Start Coalition engaged fathers in its programming through the development of a fatherhood program, Fatherhood PRIDE. Key lessons and considerations include how human services programs can promote father engagement by:

Health Disparities by Race and Ethnicity during the COVID-19 Pandemic: Current Evidence and Policy Approaches

March 15, 2021
The COVID-19 pandemic has highlighted stark health disparities among Black, Hispanic, Native American, and Native Hawaiian/Pacific Islander populations in several areas, including infections, hospitalizations, death rates, and vaccination rates.

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

March 11, 2021
State and Local Estimates of the Uninsured Population in the U.S. Using the Census Bureau’s 2019 American Community Survey Methodological Description March 12, 2021

Medicaid Demonstrations and Impacts on Health Coverage: A Review of the Evidence

March 10, 2021
This issue brief examines the effects on coverage and access to care of policies in four major areas of state Medicaid section 1115 demonstrations: