ASPE Reports
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Research Brief
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.
Fact Sheet
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
Related…
ASPE Issue Brief
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. State Medicaid telehealth coverage policies and adoption of new flexibilities provided under the COVID-19 public…
Database, Dataset
State and Local Estimates of the Uninsured Population in the U.S. Using the Census Bureau’s 2021 American Community Survey
Methodological Description
In order to support state and local outreach efforts, ASPE has developed state, county, and local estimates of the number of U.S. residents without health insurance and their demographic characteristics, using the most recent Census data available from the 2021 American Community Survey (ACS). We analyzed the population of uninsured individuals ages 0-64 by family…
Fact Sheet
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.
Related…
ASPE Issue Brief
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:
ASPE Issue Brief
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. The report also shows that while telehealth services for mental health treatment increased during the pandemic, it was not sufficient to make-up for the overall decline in mental health service use, especially among children from…
Report
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. In the child welfare context, predictive risk…
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.
Report
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. Among others, some of the strategies examined included mobile technologies, simplified clinical trial protocols and…
Report
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…
Database, DatasetGuide
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 early childhood and family well-being outcomes across federal programs that support expectant parents, children ages 0 to 8, and their families. This project will develop recommendations to improve – and tools to…
ASPE Data Point
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. It finds that enrollment for all racial and ethnic groups increased from 2020 to 2022, with the number of Black and Latino enrollees in Marketplace coverage experiencing the largest increases in enrollment (49 percent…
ASPE Issue Brief
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. This brief examines geographic access to Head Start by 1) examining the extent to which income-eligible children have a Head Start center near enough to attend, regardless of slot availability,…
Research Brief
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 early childhood and family well-being outcomes across federal programs that support expectant parents, children ages 0 to 8, and their families. This project will develop recommendations to improve – and tools to…
Report
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. The work builds on a previous review, which identified a variety of data sources for PCOR economic research and recommended that linked data sources be considered to expand the availability…
Report
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. Maternal and infant claims data contain information on diagnoses and health care utilization; however, these data alone sometimes do not provide enough information and must be linked with other data to conduct complex longitudinal patient centered outcomes research on…
ASPE Issue Brief
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. The study uses a combination of person-level Medicare claims and county-level vaccination data to estimate reductions in COVID-19 hospitalizations and deaths among Medicare…
ASPE Issue BriefResearch Brief
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. This study explored the impact of the…
Guide
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. This brief provides a list of key data terms and…