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Reports

Displaying 1 - 25 of 4010

Participation in the U.S. Social Safety Net: Coverage of Low-income Families, 2018

Participation in the social safety net varies widely across programs—from 15 percent among eligibles for subsidized child care (CCDF) to over 75 percent for Medicaid/CHIP and EITC.  Participation differs by race and ethnicity, yet patterns are not consistent. In general rates differ more across programs than between race-ethnic groups.

Evidence on Surprise Billing: Protecting Consumers with the No Surprises Act

On January 1, 2022, the surprise billing provisions of the Consolidated Appropriations Act, 2021 - commonly referred to as the No Surprises Act - go into effect. Surprise billing occurs when a privately insured individual receives an unexpected bill either in an emergency situation or when a service in an in-network facility is provided by an out-of-network provider.

Network Adequacy for Behavioral Health: Existing Standards and Considerations for Designing Standards

Network adequacy is often defined as having enough providers within a health plan network to ensure reasonable and timely access to care. At a minimum, health plans should include a sufficient number of providers who deliver mental health and substance use disorder (SUD) services (collectively referred to in this report as behavioral health services) to support access to those services.

Assessing Uninsured Rates in Early Care and Education Workers

This Data Point presents current estimates of uninsured rates among early care and education workers (ECE), which includes individuals employed by Head Start, childcare center providers, and preschools. These populations have lower incomes on average and often lack access to benefits, including health coverage, commonly received by teachers in the K-12 system and post-secondary schools.

Emergency Playbook for Federal Human Services Programs

This playbook aims to synthesize lessons learned and recommendations from existing resources, emergency management protocols, and interviews with federal program staff about responding to emergencies and disasters.

Tracking Health Insurance Coverage in 2020-2021

Federal surveys relied on by researchers and policymakers for estimates of the uninsured population have been disrupted by the COVID-19 pandemic, potentially influencing the accuracy of their estimates. This report analyzes evidence from a variety of data sources, including surveys and administrative data, which collectively indicate that the number of uninsured people in the U.S.

U.S. Department of Health and Human Services Overdose Prevention Strategy

From 1999 through 2019, there were more than 840,000 drug overdose deaths in the United States. The crisis has continually evolved and escalated, including during the COVID-19 pandemic, when an estimated 93,000 persons lost their lives to drug overdose in 2020--approximately a 30% increase over the year prior.

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.

The Impacts and Implications of COVID-19 on Household Arrangements

This brief identifies emerging literature on the impacts and implications of the COVID-19 pandemic on household arrangements as well as considerations for how to best serve multiple individuals and families under one roof during the pandemic and in the future.

Improving Outcomes for American Indian/Alaska Native People Returning to the Community from Incarceration: A Resource Guide for Service Providers

This resource guide for providers working with American Indian/Alaska Native people reentering their communities from incarceration, contains a compilation of federal resources, research, examples, and helpful considerations for facilitating a successful reentry. Related Products:

Engaging Training and Technical Assistance Recipients: Lessons from the Field

Based on interviews with 12 individuals with experience designing, providing, and receiving training and technical assistance (TA), this brief outlines six elements necessary for creating engaging training and TA, summarizes how designers and providers might measure recipients’ engagement, and presents concrete strategies for providers to make training and TA engaging.

Developing Equitable Training and Technical Assistance

Based on interviews with 12 individuals with experience designing, providing, and receiving training and technical assistance (TA), this two page document summarizes four questions and related strategies for training and TA designers to consider to improve the likelihood that training and TA will engage potential recipients and their communities equitably.

Addressing Uncertainty in Regulatory Impact Analysis

In 2016, the U.S. Department of Health and Human Services finalized its Guidelines for Regulatory Impact Analysis under the leadership of its Assistant Secretary for Planning Evaluation and Analytics Team. The Guidelines discuss strategies for characterizing the uncertainty in quantified effects as well as the potential impacts of non-quantified effects.

Prescription Drug Supply Chains: An Overview of Stakeholders and Relationships

Many stakeholders and steps are involved in the life cycle of a prescription drug as it moves from chemical synthesis and formulation through dispensing or administration to patients. The specific steps involved in prescription drug supply chains often differ depending on the type of drug, the channel of distribution, and the patient’s source of prescription drug coverage.

Medical Device Supply Chains: An Overview and Description of Challenges During the COVID-19 Pandemic

This report provides an introduction to the supply chain for COVID-19 relevant medical devices and related challenges faced in ramping up their production during the COVID-19 pandemic.

Assessing Relationships between Drug Shortages in the United States and Other Countries

Drug shortages are a persistent public health problem in the United States and in other countries. Shortages can have important implications for the health care systems and pharmacies that purchase, store, and dispense drugs and for the patients who rely on the availability of drugs to treat and prevent disease.

Considerations for Building Federal Data Capacity for Patient-Centered Outcomes Research Related to Intellectual and Developmental Disabilities

This report describes the current state of Patient-Centered Outcomes Research (PCOR) data infrastructure resources related to Intellectual and Developmental Disabilities (ID/DD), highlights data issues in the ID/DD research landscape that require more research, and identifies opportunities to enhance data infrastructure to improve PCOR for ID/DD. Related Products:

Practice Guide: Centering Fathers in Human Services Programming to Increase Participation

Human services programs can implement recruitment and retention strategies to increase father engagement and participation in services to promote child and family well-being. When included in programming, fathers have the opportunity to expand their valuable role in their families and help generate positive child and family outcomes.

Program Snapshot: Engaging Fathers During the COVID-19 Pandemic and Beyond

During the COVID-19 pandemic, many human services organizations, including fatherhood programs, adapted their engagement approaches as the needs of the people they serve changed.

Fact Sheet: Approaches for engaging fathers in child support programs

Child support payments are associated with increased parent-child engagement, which can lead not only to better academic and social outcomes for children but also to better parent-child and parent-parent relationships. Moreover, child support payments lifted nearly three-quarters of a million families out of poverty in 2017.

Drug Checking Programs in the United States and Internationally: Environmental Scan Summary

This environmental scan presents a review and synthesis of approaches and strategies adopted by drug checking programs and existing evidence on their effectiveness in changing drug use attitudes, behavior, and health outcomes. It includes studies of drug checking programs across a variety of settings in the United States and internationally.

Associations Between County-level Vaccination Rates and COVID-19 Outcomes Among Medicare Beneficiaries

The purpose of this study is to identify associations between COVID-19 infections, hospitalizations, and deaths among Medicare fee-for-service (FFS) beneficiaries and the proportion of the population fully vaccinated at the county-level between January and May 2021.

Guidelines for Regulatory Impact Analysis Supplement: Addressing International Effects

This report extends the brief discussion of addressing international effects contained in the Department of Health and Human Service Guidelines for Regulatory Impact Analysis (2016). The purpose of this supplement is to expand that discussion and provide more detailed information on conducting such assessments. Related Products:

Reaching the Remaining Uninsured: An Evidence Review on Outreach and Enrollment

This Issue Brief reviews evidence on factors affecting enrollment in health coverage among uninsured populations, including take-up of Medicaid and subsidized Marketplace plans among eligible individuals.

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