ASPE Reports
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ASPE Data Point
Linking Medical Product Manufacturing Locations with Natural Hazard Risk: Implications for the Medical Product Supply Chain
This ASPE data point links manufacturer location data with the Federal Emergency Management Agency (FEMA) National Risk Index (NRI), which describes relative risk of experiencing a variety of natural hazards in order to highlight the ways in which natural disasters may pose supply chain vulnerabilities within the U.S. We found that drug and device manufacturers are disproportionately located in…
ASPE Issue Brief
Integrating Services to Strengthen Children, Youth, and Families and Prevent Involvement in the Child Welfare System
The Office of the Assistant Secretary for Planning and Evaluation in the U.S. Department of Health and Human Services has been working with researchers, human services agency leaders, and persons with lived experience to visualize, describe, and document models of primary prevention within human services.
Fact Sheet
Exploration of Child Welfare Systems’ Experiences with Custody Relinquishment
This one-pager describes the research questions and objectives of a project exploring the use of custody relinquishment, or when children enter foster care primarily to obtain behavioral health or disability services. This brief provides an overview of a project to examine the prevalence and characteristics of children who have experienced custody relinquishment, as well as factors associated…
Fact Sheet
Improving Services for Children and Families through Linked Child Welfare and Medicaid Data
This two-pager describes several child welfare and Medicaid data linking projects and lessons learned from those projects. For example, the brief highlights key lessons such as the value in providing states with support in navigating data governance and in strengthening and harmonizing data infrastructure on child welfare service.
Environmental Scan
Impact of COVID-19 on Clinical Trials Costs to Patients
This environmental scan, conducted by Mathematica and funded by ASPE, examines the types of direct and direct costs to patients associated with clinical trial participation. It also explores the effect of COVID-19 on costs to patients, including cost implications of clinical trial innovations widely implemented during COVID-19 and other efforts to increase diversity of clinical trials.
ASPE Issue BriefReport
Transformation of the Clinical Trial Enterprise: Lessons Learned from the COVID-19 Pandemic
In 2023, ASPE launched a research project to understand the impacts of COVID-19 on the clinical trial enterprise and identify key lessons learned. This project included an environmental scan of the peer-reviewed and gray literature from 2020 to 2023 as well as a series of interviews with experts in clinical trial design, clinical trial operations, decentralized clinical trials, digital health…
ASPE Issue Brief
Medical Product Shortages in the United States: Demographic and Geographic Factors and Impacts
Medical product shortages are an ongoing public health concern, with at least 140 products in shortage as of July 2024.We use the Household Pulse Survey to examine how many adults are affected by shortages of critical medical products in the United States.In fall 2023, shortages of medical products impacted about 38.8 million (18 percent) of individuals in the United States.Nearly half of those…
ASPE Issue Brief
Impacts of a Nonprofit Membership-Based Pharmaceutical Company on Volume of Drugs Sold and Drug Prices: A Case Study
We report findings of a case study of Civica Rx, a U.S. nonprofit pharmaceutical company whose model is based on long-term hospital membership agreements with minimum volume commitments and buffer stock requirements.Related Products:The Potential Role of The Nonprofit Pharmaceutical Industry in Addressing Shortages and Increasing Access to Essential Medicines and Low-Cost Medicines
Report
The Potential Role of The Nonprofit Pharmaceutical Industry in Addressing Shortages and Increasing Access to Essential Medicines and Low-Cost Medicines
We report findings of a study that described the emerging nonprofit pharmaceutical industry and its commercialization activities to enhance access to affordable and essential drugs, or resiliency in the supply chains of medical products.
Fact Sheet
State Fact Sheets: Impacts of the IRA and ACA on Lowering Health Care Costs, 2024
These Fact Sheets highlight health care cost savings achieved under the Inflation Reduction Act (IRA) and the Affordable Care Act (ACA) for each of the fifty states and the District of Columbia. Enrollee savings on Medicare Part D out-of-pocket costs, insulin, vaccines, and Marketplace premiums are presented. Gains in health coverage also are highlighted along with the latest enrollment data for…
ASPE Data Point
Nurse Staffing Estimates in US Nursing Homes, May 2024
In April 2024, CMS issued the Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting final rule which established new minimum nurse staffing requirements for nursing homes by nurse type. This brief uses Nursing Home Care Compare Data from May 2024 to examine current staffing levels in US nursing homes relative to specific minimum…
Research Summary
Costs of Drug Development and Research and Development Intensity in the US, 2000-2018
This landing page represents the abstract of a paper published in JAMA. The full text of the article is available at: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2820562.AbstractImportance: Understanding the cost of drug development can help inform the development of policies to reduce costs, encourage innovation, and improve patient access to drugs.
ASPE Issue Brief
Medicaid Home and Community-Based Services Section 1915(c) Waiver Policy Flexibilities During the COVID-19 Public Health Emergency: State Agency, Provider, and Consumer Experiences Issue Brief
States may use Appendix K to modify their existing Medicaid home and community-based services (HCBS) 1915(c) waiver programs during emergency situations. During the COVID-19 public health emergency, states used Appendix K to make temporary changes to access and eligibility, payment, services, and other aspects of their waiver programs. This brief describes experiences of state agencies and HCBS…
Report
FY 2024 HHS Capacity Assessment Check In
The FY2024 Capacity Assessment Check In is part of the Department of Health and Human Services’ (HHS) multi-year approach for addressing the primary capacity building needs identified through the initial FY2023-2026 HHS Capacity Assessment.
Research Brief
Behavioral Health Treatment by Service Type and Race and Ethnicity for Children and Youth Involved with the Child Welfare System
Children and youth involved with the child welfare system frequently have behavioral health conditions and are high users of behavioral health services compared to children and youth in other Medicaid eligibility categories. To ensure the needs of these vulnerable children and youth are addressed, Federal law requires that states establish policies and practices to assure children in foster care…
Research Brief
Changes in Ownership of Skilled Nursing Facilities from 2016 to 2021: Variations by Size, Occupancy Rate, Penalty Amount, and Type of Ownership
Stakeholders, researchers, and policymakers have identified varying nursing home ownership structures and ownership transactions as potentially influencing the quality of care delivered to vulnerable residents. ASPE has conducted several research projects aimed at understanding the relationship between various aspects of nursing home ownership and quality of care to inform evidence-based…
ASPE Issue Brief
Health Insurance Coverage and Access to Care among American Indians and Alaska Natives: Recent Trends and Key Challenges
The uninsured rate among non-elderly American Indians and Alaska Natives (AI/ANs) decreased from 32.4 percent in 2010 to 19.9 percent in 2022 – however, the AI/AN population continues to have the highest uninsured rate compared to other racial and ethnic populations.Related Products:
ASPE Issue Brief
Health Insurance Coverage and Access to Care Among Asian Americans, Native Hawaiians, and Pacific Islanders: Recent Trends and Key Challenges
Asian Americans, Native Hawaiians, and Pacific Islanders (AANHPIs) experienced larger relative gains in health insurance coverage than any other racial or ethnic group in the United States since the Affordable Care Act was enacted in 2010.Related Products:
ASPE Issue Brief
Health Insurance Coverage and Access to Care Among Latino Americans: Recent Trends and Key Challenges
The uninsured rate for nonelderly Latinos decreased from 32.7 percent to 18.0 percent, from 2010 to 2022, however, Latinos are more than twice as likely to be uninsured as non-Latino Whites.Related Products:
ASPE Issue Brief
Improving Access to Affordable and Equitable Health Coverage: A Review from 2010 to 2024
Recent legislative and administrative policy initiatives have built on the Affordable Care Act’s (ACA) expansion of health insurance coverage and improvements in access to and utilization of health care services. The important health and economic benefits that insurance coverage provides has been documented by a large body of research, including many studies evaluating the impact of the ACA.…