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Human Services Financing & Expenditures


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The Cost of Subsidized Child Care: 2005-2016

October 24, 2019
This research brief presents findings using national data from child care subsidy administrative records that states submit to the U.S. Department of Health and Human Services (HHS). The analysis shows that a greater percentage of subsidized care occurred in licensed child care centers in FY 2016 than in FY 2005.
Case Study

Case Study: Early Assessment of the Mental Health Block Grant Set-Aside Program for Addressing First Episode Psychosis and Other Early Serious Mental Illness

September 28, 2015
ASPE is releasing a report on the initial evaluation of the implementation of the Mental Health Block Grant (MHBG) 5% Set Aside for early intervention programs for Early Serious Mental Illness (ESMI).

Medicaid and CHIP Risk-Based Managed Care in 20 States

June 30, 2012
This review of Medicaid and CHIP risk-based managed care over 2001-2010 shows that well-established programs exist in 19 of the 20 study states. While there is substantial variation across states, all the study states have developed ways to regularly select plans, define network requirements, and monitor access and quality. There is substantial stability in the number and types of plans.

Behavioral Health Providers: Expenditures, Methods and Sources of Payment, Electronic Health Record Incentive Payments for Certain Behavioral Health Providers Policy Descriptions

June 27, 2010
This report is intended to describe sources of payment for behavioral health providers and types of payments (methods, units, adjustments and updates) made to inpatient, outpatient, independent practitioners, and other providers of behavioral health services. A significant focus of this report describes these same factors in terms of Medicare and Medicaid spending. [209 PDF pages]

State Purchasing Strategies Drive State Contracts with Medicare Special Needs Plans

August 31, 2009
Tto understand better the Medicare Improvements for Patients and Providers Act (MIPPA) mandate for state Special Needs Plans (SNPs) contracting, it is important to understand the current status SNP contracting with state Medicaid agencies for their dually eligible members.

Medicaid Costs Under Consumer Direction for Florida Children with Developmental Disabilities

November 30, 2004
The randomized design of the evaluation of the national Cash and Counseling Demonstration enables researchers to rigorously analyze costs under traditional and consumer-directed approaches.