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
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Linking State Health Care Data to Inform Policymaking: Opportunities and Challenges
June 24, 2022
Report
Imputation of Race and Ethnicity in Health Insurance Marketplace Enrollment Data, 2015 – 2022 Open Enrollment Periods
June 13, 2022
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.
ASPE Issue Brief
Health Coverage Changes Under the Affordable Care Act: End of 2021 Update
April 29, 2022
This report examines recently-released 2021 National Health Interview Survey data to assess coverage changes during the pandemic, finding a decrease in the uninsured rate in 2021 for the population as a whole and by race, ethnicity, and income.
ASPE Issue Brief
HealthCare.gov Marketplace Enrollment During the 2021 Special Enrollment Period by Race and Ethnicity
March 24, 2022
In response to the COVID-19 Public Health Emergency, the Centers for Medicare & Medicaid Services provided a 2021 Special Enrollment Period (SEP) from February 15 to August 15, 2021. Understanding the sociodemographic composition of Marketplace enrollees allows for better targeted outreach and enrollment assistance. However, many enrollees do not report their race and ethnicity.
ASPE Data Point
Projected Coverage and Subsidy Impacts If the American Rescue Plan’s Marketplace Provisions Sunset in 2023
March 23, 2022
The American Rescue Plan (ARP) includes two key provisions that expand and increase premium tax credit benefits for Marketplace consumers, improving affordability of coverage for millions. Under current law, these provisions will sunset in 2023 if they are not extended, resulting in higher out-of-pocket costs for enrollees and an increase in the number of uninsured.
ASPE Issue Brief
Health Coverage for Women Under the Affordable Care Act
March 21, 2022
This brief provides an overview of the important role the Affordable Care Act (ACA) has had on increasing access to comprehensive coverage among women. Over 10 million adult women (19-64) gained coverage between 2010 and 2019, as did over 7 million women of reproductive age (15-44). Despite the ACA’s coverage gains, approximately 7.9 million women of reproductive age remain uninsured.
Research Summary
The Affordable Care Act and Its Accomplishments
March 18, 2022
The Affordable Care Act (ACA) was signed into law on March 23, 2010. Since then, the law has led to an historic expansion of health insurance coverage across all states and all demographic groups within the U.S. This Briefing Book features key findings from two dozen reports published in 2021-2022.
ASPE Issue Brief
Health Insurance Coverage and Access to Care Among Black Americans: Recent Trends and Key Challenges
February 22, 2022
This issue brief analyzes changes in health insurance coverage and examines trends in access to care among Black Americans using data from 2011-2020. This Issue Brief is part of a series of ASPE reports examining the change in coverage rates and access to care after implementation of the Affordable Care Act (ACA) among different racial and ethnic populations.
ASPE Data Point
Health Coverage Changes From 2020-2021
January 27, 2022
The National Health Interview Survey (NHIS) provides annual and quarterly data on health insurance coverage by insurance type, age, and income.
ASPE Issue Brief
Health Insurance Deductibles Among HealthCare.gov Enrollees, 2017-2021
January 13, 2022
The Affordable Care Act provides premium subsidies for Marketplace eligible individuals to improve health insurance affordability, as well as cost-sharing reductions (CSRs) for many enrollees that limit out-of-pocket spending such as deductibles.