ASPE serves as a facilitator for HHS to advance equity in several ways.
Care Coordination
Reports
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Developing and Assessing the Validity of Claims-based Indicators of Frailty & Functional Disabilities in Electronic Health Records
This is the final report of an AHRQ study to address the operational gap between CFIs and EFIs. This project focused on validating an established CFI using linked claims-EHR databases of multiple large health systems. The project provides a systematic approach that health systems can use to examine the quality of the EHR data and prepare it for the application of EFI measures.
ASPE Issue Brief
Transition Options, Opportunities for Integration, and Funding Considerations Following Coordinated Specialty Care Issue Brief
This brief is the third publication from the Continuity of Care Services Following Coordinated Specialty Care study. It provides a short overview of the different approaches to continuity of care for young adults who have attended CSC programs and explores avenues for integration within programs and organizations as a way to support young adults following a completion of a CSC program.
Report
The Coordinated Specialty Care Transition Study: Final Report
The Coordinated Specialty Care Transition Study: Final Report provides an overview of transition services for clients graduating from Coordinated Specialty Care (CSC). This the second publication from the Continuity of Care Services Following Coordinated Specialty Care study.
Report
Comparing Outcomes for Dual Eligible Beneficiaries in Integrated Care: Final Report
Dual eligible beneficiaries are an important subset of the Medicare and Medicaid populations because they have a high prevalence of chronic conditions and disabilities, substantial care needs, and high health care and long-term services and supports (LTSS) utilization and costs.
Care Coordination for People With Alzheimer’s Disease and Related Dementias
This report summarizes the research literature on care coordination for people with Alzheimer’s disease, with a particular focus on programs that coordinate both medical care and long-term services and supports. Overall, there is limited evidence of the effectiveness of these programs in improving patient outcomes or reducing health care utilization.
Coordinating Care in the Fee-for-Service System for Medicaid Beneficiaries with Chronic Conditions
This report describes a range of approaches state Medicaid agencies use to coordinate health services and to coordinate long-term care services with health services for beneficiaries with chronic conditions. It then describes in detail two innovative programs: Georgia's SOURCE program and the Indiana Chronic Disease Management Program. [66 PDF pages]