This posting includes a report prepared by the RAND Corporation, “State All Payer Claims Databases Understanding the Current Landscape and Challenges to Use,” which builds on a 2021 report “The History, Promise and Challenges of State All Payer Claims Databases.” The new report provides additional detail on the objectives of and use cases for APCDs, the current APCD landscape, and implementati
The Assistant Secretary for Planning and Evaluation (ASPE) contracted with RAND Health Care to develop methods for imputing race and ethnicity among people who selected Marketplace plans on HealthCare.gov but did not report their race or ethnicity, and to apply these methods to data from the 2015 to 2022 Open Enrollment Periods.
The National Alzheimer’s Project Act (NAPA) requires “the inclusion of ethnic and racial populations at higher risk for Alzheimer's or least likely to receive care, in clinical, research, and service efforts with the purpose of decreasing health disparities in Alzheimer's”.1 In order to meet this requirement, in 2020 the Advisory Council on Alzheimer’s Research, Care, and Services recommended t
Long-standing health inequities and poor health outcomes remain a pressing policy challenge in the U.S. While opportunities to advance health equity through clinical care continue to be important, addressing the ways in which social determinants of health (SDOH) increase or decrease the risk of poor health outcomes is critical to improving the nation’s health and wellbeing.
This infographic illustrates the intersection of environmental justice with human services policies and programs. It presents key facts about how participants in human services programs are particularly affected by environmental injustice, and the ways in which these programs can help mitigate the effects of environmental issues, including climate change.
Limited initial supplies of the COVID-19 vaccine necessitated the development of strategies to ensure efficient and equitable vaccine distribution. This brief summarizes the different vaccine distribution strategies and approaches taken by states and evaluates the extent to which these may have impacted the efficiency with which doses delivered to states are administered to patients.
Ensuring equitable distribution of the COVID-19 vaccine is essential to mitigate the disproportionate impact of COVID-19 on racial and ethnic minority populations. This brief summarizes currently available data on race and ethnicity of vaccinated persons at the state level.
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.
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.
The COVID-19 pandemic has exposed long-standing health disparities through the disproportionate impact of COVID-19 on racial and ethnic minority communities. This brief analyzes data from state and county health departments on the racial and ethnic demographics of COVID-19 infection, hospitalization, and death.