Medicaid and the Marketplace are important sources of affordable, comprehensive healthcare coverage for millions of Americans living in rural areas, and the American Rescue Plan bolsters rural coverage options. But challenges in accessing care remain in many rural areas, including provider shortages, infrastructure limitations, and long distances to care.
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.
Noteworthy Resources and Reports
Vaccine Hesitancy for COVID-19: State, County, and Local Estimates
To support state and local communication and outreach efforts, ASPE developed state, county, and sub-state level predictions of hesitancy rates using the most recently available federal survey data. Explore the interactive map and other resources.
Topic Areas
Reports
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Advanced SearchASPE Issue Brief
The American Rescue Plan and the Unemployed: Making Health Coverage More Affordable After Job Loss
The American Rescue Plan (ARP) offers enhanced health insurance premium tax credits and cost-sharing reductions for people receiving unemployment compensation (UC) benefits in 2021. The enhanced subsidies are accessible on HealthCare.gov as of July 1, 2021.
ASPE Issue Brief
Health Insurance Coverage and Access to Care for LGBTQ+ Individuals: Recent Trends and Key Challenges
This Issue Brief analyzes national survey data to discuss demographic characteristics of the LGB+ community, recent trends in insurance coverage for this population, and various challenges and barriers to care faced by the broader LGBTQ+ community.Related Products
ASPE Issue Brief
The Impact of the COVID-19 Pandemic on Medicare Beneficiary Utilization and Provider Payments: Fee-For-Service (FFS) Data for 2020
Medicare FFS beneficiary service use and associated payments to providers dropped substantially from mid-March through mid-April, but had returned to near-2019 levels by the fall of 2020. The rebound in the fall was not sufficient to offset the earlier declines in the spring, and cumulative payment levels across all states were lower in 2020 compared to 2019.
Report
Vaccine Hesitancy for COVID-19: State, County, and Local Estimates
To support state and local communication and outreach efforts, ASPE developed state, county, and sub-state level predictions of hesitancy rates using the most recently available federal survey data, the Household Pulse Survey from May 26-June 7, 2021. This page includes an interactive map, a pdf file with a methodological description, and datasets for download.
Vaccine Hesitancy for COVID-19: PUMA Estimates
To support state and local communication and outreach efforts, ASPE developed state, county, and sub-state level predictions of hesitancy rates using the most recently available federal survey data, the Household Pulse Survey from May 25-June 7, 2021. This page includes an interactive map and datasets for download.
ASPE Issue Brief
Health Coverage Under the Affordable Care Act: Enrollment Trends and State Estimates
This Issue Brief presents current estimates of enrollment in health insurance coverage obtained through the ACA Marketplaces and the Medicaid expansion and the subsequent reductions in state-level uninsured rates since the ACA was implemented in 2014.Related Products
ASPE Issue Brief
COVID-19 Intensifies Home Care Workforce Challenges: Policy Perspectives Issue Brief
Link to Printer Friendly Version in PDF Format (5 PDF pages)
ASPE Issue Brief
COVID-19 Intensifies Home Care Workforce Challenges: Agency Perspectives Issue Brief
June 1, 2021
Link to Printer Friendly Version in PDF Format (5 PDF pages)
COVID-19 Intensifies Home Care Workforce Challenges
June 1, 2021
Link to Printer Friendly Version in PDF Format (66 PDF pages)