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Reports

Displaying 1 - 50 of 4148

Health Care Transitions for Individuals Returning to the Community from a Public Institution: Promising Practices Identified by the Medicaid Reentry Stakeholder Group

This report summarizes the identified practices of the Medicaid Reentry Stakeholder Group and, as required by Section 5032 of the SUPPORT Act, informs design of a demonstration opportunity “under Section 1115 of the Social Security Act (42 U.S.C.

Recruiting Individuals with Lived Experience

Topics
Equity
This guide highlights questions for health and human services staff to consider and discuss as a team before recruiting individuals with lived experience, as well as key content to consider including in outreach materials. Related Products:

Strategies to Equitably Identify People with Lived Experience

Topics
Equity
This tool highlights concrete strategies that health and human services staff can use to help equitably identify people with lived experience to engage. Related Products:

What Does it Look Like to Equitably Engage People with Lived Experience?

Topics
Equity
This tool contrasts components of ideal, equitable engagements with components of inequitable engagements, which health and human services staff can use to identify opportunities to strengthen efforts to engage people with lived experience. Related Products:

What is Lived Experience?

Topics
Equity
This infographic describes key elements of lived experience in the context of health and human services work, and why engaging people with lived experience is essential to advancing equity. Related Products:

Insulin Affordability and the Inflation Reduction Act: Medicare Beneficiary Savings by State and Demographics

Effective January 1, 2023, out-of-pocket costs for insulin are capped at $35 per monthly prescription among Medicare Part D enrollees under the Inflation Reduction Act (IRA). A similar cap takes effect in Medicare Part B on July 1, 2023.

How Many People Participate in the Social Safety Net?

Social safety net programs provide different types of support to people facing economic hardship. This data point presents estimates of overall participation in the social safety net in 2019, the latest year of available data and presents rates of participation in multiple programs. Key Points:

How Many People that Receive One Safety Net Benefit Also Receive Others

People facing economic instability often need more than one program or service. This pre-pandemic analysis looks at the reach of the social safety net, including the interaction of specific programs, to better understand program participation as the economy continues to recover. Key Points:

The Impact of the COVID-19 Pandemic on the Child Care Industry and Workforce

This brief explores important trends in the child care industry during the first two years of the COVID-19 pandemic and places those trends in a historical context. Specifically, we find:

Linking Child Welfare and Medicaid Data: Lessons Learned from Two States

This report provides information to state, tribal, and local child welfare and behavioral health agencies that are interested in linking their Medicaid and child welfare data.

Changes in Health Insurance Coverage, 2019-2021: Geographic and Demographic Patterns in the Uninsured Rate

This Issue Brief examines the composition of the population that is uninsured and highlights changes in uninsured rates by geography and demographic factors from 2019 to 2021, during a time of significant federal policy efforts to expand coverage.

Tips on Engaging Diverse Groups of External Partners

This tip sheet provides key considerations for how organizations can identify potential diverse external partners, conduct outreach to them, and build and sustain productive relationships with them.

Guide on Advancing Equity through Quantitative Analysis

This guide explores opportunities to advance equity in quantitative analysis, including by recognizing common biases (e.g., research and measurement bias) and discussing specific quantitative methods and tools to help quantitative analyses address equity.

Tips on Equitable Communication

This tip sheet highlights the importance of using equitable communication and includes tips, guiding questions, and additional resources. The information is organized around three key strategies for equitable communication:

Guide on Advancing Equity by Incorporating Intersectionality in Research and Analysis

This guide explores intersectionality and why it is essential for advancing equity. It explores strategies for planning and conducting research with an intersectional lens, describes quantitative measures and methods to examine differences across groups of people with intersecting identities, and provides key considerations for using qualitative data to better understand intersectionality.

In-Depth Equity Assessment Guide

This tool describes how to conduct intensive equity assessments of existing programs, policies, and processes. The tool first describes the scoping work that needs to be done before conducting an equity assessment and then describes and provides guiding questions for each of the six steps in the in-depth equity assessment process. Those six steps are:

Equity Assessment Tip Sheet

This tool describes the six steps for conducting equity assessments and provides tips for completing each step. Although specific steps vary by equity assessment tool and context, core steps include:

National Plan to Address Alzheimer’s Disease: 2022 Update

Introduction National Alzheimer’s Project Act Alzheimer’s Disease and Related Dementias The Challenges Framework and Guiding Principles Goals as Building Blocks for Transformation 2022 Update National Plan Goals Access the AD/ADRD Trajectory

COVID-19 Antivirals Utilization: Geographic and Demographic Patterns of Treatment in 2022

This report examines the utilization of oral antiviral medications, Paxlovid and Lagevrio, for the treatment of COVID-19. The analyses include an examination of time trends of COVID-19 antiviral use as well as breakdowns by age cohorts and gender. The report finds that utilization in the U.S.

Report to Congress on the Affordability of Insulin

This Report to Congress examines the critical role that insulin plays in the treatment of diabetes, reviews evidence on how insulin affordability affects adherence to insulin treatment and affects downstream health consequences, and describes policy efforts to improve the affordability of insulin.

Ownership of Skilled Nursing Facilities: An Analysis of Newly-Released Federal Data

To enhance transparency in health care markets, in September 2022, the Centers for Medicare & Medicaid Services (CMS) publicly released comprehensive data on the ownership of all U.S. skilled nursing facilities (SNFs) that are enrolled in Medicare. This report provides an overview of the available data, a methodology for calculating the ownership shares by individuals vs.

Early Childhood Systems Collective Impact Project: Federal Recommendations to Improve Alignment, Coordination, and Equity across Early Childhood Programs

The Early Childhood Systems Collective Impact Project (ECS Collective Impact Project) will help to re-envision a truly coordinated approach to program implementation designed to advance equitable early childhood and family well-being outcomes across federal programs that support expectant parents, children ages 0 to 8, and their families.

Doula Care and Maternal Health: An Evidence Review

Doulas provide emotional, physical, and informational support before, during, and after labor and birth.

Characteristics of Medical Device Shortages in the US, 2006-20

Shortages of critical medical devices during the COVID-19 pandemic exposed vulnerabilities in device markets. From 2010 to 2019 there were approximately five shortages annually, but that number increased fourfold in the first half of 2020.

Early Changes in Waivered Clinicians and Utilization of Buprenorphine for Opioid Use Disorder After Implementation of the 2021 HHS Buprenorphine Practice Guidelines

In April 2021 the U.S. Department of Health and Human Services (HHS) issued revised Practice Guidelines for the Administration of Buprenorphine for Treating Opioid Use Disorder (Practice Guideline).

Identifying Environmental Data, Barriers, and Opportunities for HSR and PCOR: Environmental Scan

The authors conducted a landscape scan to identify environmental data suitable for health services research (HSR) and patient centered outcomes research (PCOR). Additional research was done to uncover examples of and opportunities for data linkage with other HHS data.

Meeting Substance Use and Social Service Needs in Communities of Color

In this brief, we highlight experiences and practices from substance use treatment providers and their human services partners when serving people of color. We selected providers that focused on serving people of color, and this study was not intended to assess outcomes or effectiveness of any of the practices highlighted.

Addressing the Opioid Overdose Crisis Through Better Data: Opioids Vignette

This updated 2022 vignette provides examples of how a range of Office of the Secretary Patient-Centered Outcomes Research Trust Fund (OS-PCORTF) cross-agency projects are working to address the opioid overdose crisis by 1) Improving Timeliness and Quality of Outcomes Data 2) Building Capacity for Collection of Patient-Reported Outcomes 3) Building Linkages to Address Co-Morbidities

State Medicaid Telehealth Policies Before and During the COVID-19 Public Health Emergency: 2022 Update

This issue brief provides updates on state Medicaid policies regarding delivery of telehealth services by provider types and modalities, as of January 2022. The COVID-19 pandemic substantially accelerated interest in and utilization of telehealth across all payers including Medicaid.

Enhancing Data Infrastructure to Improve Women’s Health Outcomes: Maternal Health Vignettes

This updated 2022 vignette provides examples of how a range of the Office of the Secretary Patient-Centered Outcomes Research (OS-PCORTF) cross-agency projects are working to improve maternal health by 1) Enhancing Women’s Health Data for Research 2) Adding Electronic Health Records to the Suite of Maternal Health Data for Research 3) Linking Maternal Survey Data with Other Health Data.

National and State Estimates of Children Living with Parents Using Substances, 2015–2019

This brief presents estimates of the number and percentage of children whose parents engage in problematic substance use, including past-year substance use and SUD by substance type and child demographics. Key findings include:

Racial/Ethnic Differences in Children’s Mental Health Services Use Before and During the COVID-19 Pandemic Issue Brief

Using a national Medicaid database, the report shows significant racial/ethnic disparities in mental health service use among children during the COVID-19 pandemic.

Avoiding Racial Bias in Child Welfare Agencies' Use of Predictive Risk Modeling

In recent years several researchers and child welfare agencies have begun developing predictive risk models to support child welfare decision-making. Predictive analytics is a sophisticated form of risk modeling that uses historical data to understand relationships between myriad factors to estimate a probability score for the outcome of interest.

Therapeutic Complex Medical Device Development

This report quantified the potential impacts of select clinical strategies on the cost, duration, and phase transition probability associated with therapeutic complex medical device development stages. The model used data from a variety of sources (public and non-public) and widely accepted economic methods.

Evaluating the Potential Impacts of Different Clinical Trial Strategies on Drug, Preventive Vaccine, and Therapeutic Complex Medical Device Development

This environmental scan, conducted from September 2016 – September 2021, examines the potential impacts of select strategies on the cost, duration, and phase transition probability associated with drug, preventive vaccine, and therapeutic complex medical device development stages.

Certified Community Behavioral Health Clinics (CCBHC) Demonstration Program

Per Section 223(d)(7)(A) of the Protecting Access to Medicare Act (PAMA) of 2014 (Public Law 113-93), the HHS Secretary must submit to Congress an annual report on the use of funds provided under all demonstration programs conducted under this subsection, not later than one year after the date on which the first state is selected for a demonstration program under this subsection, and annually t

Early Childhood Systems Collective Impact Project: Catalog and Crosswalk

The Early Childhood Systems Collective Impact Project (ECS Collective Impact Project) will help to re-envision a truly coordinated approach to program implementation designed to advance equitable early childhood and family well-being outcomes across federal programs that support expectant parents, children ages 0 to 8, and their families.

HealthCare.gov Enrollment by Race and Ethnicity, 2015-2022

This Data Point presents changes in HealthCare.gov enrollment by race and ethnicity from 2015-2022 using a validated imputation method for missing information on race and ethnicity.

Young Children's Geographic Access to Head Start Preschool Programs, 2022

Head Start preschool programs provide high-quality early childhood education (ECE) services for children ages three to five and engages families in comprehensive services to support health and well-being.

Early Childhood Systems Collective Impact Project: A Call for Coordinated Early Childhood Systems

The Early Childhood Systems Collective Impact Project (ECS Collective Impact Project) will help to re-envision a truly coordinated approach to program implementation designed to advance equitable early childhood and family well-being outcomes across federal programs that support expectant parents, children ages 0 to 8, and their families.

Medicare Data Linkages for Conducting Patient-Centered Outcomes Research on Economic Outcomes

This report and dataset inventory identifies federally funded data linkages that may facilitate patient-centered outcomes research (PCOR) on economic outcomes for Medicare fee-for-service (FFS) beneficiaries.

Linking Medicaid Claims, Birth Certificates, and Other Sources to Advance Maternal and Infant Health

Medicaid pays for nearly half of all births in the United States, including most births by Black and Hispanic pregnant population.

Reductions in Deaths and Hospitalizations Associated with COVID-19 Vaccinations Among Medicare Beneficiaries: Full Year 2021 Estimates

This study updates ASPE’s previous analysis of the associations between COVID-19 hospitalizations and deaths among Medicare beneficiaries and COVID-19 vaccination rates, with full year data through the end of 2021.

Nursing Home Staffing and the COVID-19 Pandemic

It is well known that in the early weeks of the COVID-19 pandemic in the United States much of the devastation was concentrated in nursing homes. In addition to the staggering death toll, isolation and suffering from COVID-19 among nursing home residents, the pandemic introduced new challenges for nursing home staff and exacerbated ongoing challenges.

Glossary of Common Data-Related Terms

The Department of Health and Human Services (HHS) has several different policy groups such as the HHS Data Council, Data Governance Board, Evidence and Evaluation Policy Council, and the HHS AI Council that frequently use many terms related to data, but likely with inconsistent understanding of their definitions and how these terms should be used.

Equitable Evaluation Series: Principles of Equitable Communication

The U.S. Department of Health and Human Services (HHS) enhances the health and well-being of all Americans by advancing equity, addressing social determinants of health, and supporting underserved communities.

Estimated Cost of Developing a Therapeutic Complex Medical Device in the US

This document presents the abstract of this paper, as published in JAMA Network Open. The full text of the article is available at: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2796179 Related Products:

Trends in Prescription Drug Spending, 2016-2021

High prescription drug costs are a leading concern among Americans. Americans pay higher prices for prescription drugs than any other country in the world, with prescription drug prices in the U.S. more than 2.5 times as high as those in other similar high-income nations.

Price Increases for Prescription Drugs, 2016-2022

Prescription drug price increases create affordability challenges for patients and for the government. This report tracks drug price changes from 2016-2022. There were 1,216 products whose price increases during the twelve-month period from July 2021 to July 2022 exceeded the inflation rate of 8.5 percent for that time period. The average price increase for these drugs was 31.6 percent.

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