ASPE Reports
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ASPE Issue Brief
Health Insurance Coverage and Access to Care Among Black Americans: Recent Trends and Key Challenges
Since the implementation of the Affordable Care Act’s coverage provisions, the uninsured rate among nonelderly Black Americans decreased by 10 percentage points, from 20.9 percent in 2010 to 10.8 percent in 2022.Related Products:
Report to CongressVisualization
Welfare Indicators and Risk Factors: 23rd Report to Congress
The Welfare Indicators Act of 1994 (Public Law 103-432) requires the Secretary of the Department of Health and Human Services to prepare an annual report to Congress on indicators and predictors of “welfare dependence.” That Act requires the report to include three programs: Temporary Assistance for Needy Families (TANF) program (which replaced the Aid to Families with Dependent Children (AFDC)…
ASPE Data Point
National Uninsured Rate Remains at 7.7 Percent in the Fourth Quarter of 2023
Newly released data from the National Health Interview Survey indicates no statistically significant change in the uninsured rate from the previous three quarters of 2023 and a continued steady decline in uninsurance since 2020.Related Products:
Report
Medicare Advantage Coverage Among Individuals Receiving Federal Housing Assistance
Prior research from the U.S. Department of Health and Human Services (HHS) Office of the Assistant Secretary for Planning and Evaluation (ASPE) and U.S. Department of Housing and Urban Development (HUD) Office of Policy Development and Research (PD&R) show older adults receiving federal housing assistance face disproportionately high rates of chronic conditions and health care utilization.…
Report
Building the Data Capacity for Patient-Centered Outcomes Research: The 2023 Annual Report
The 2023 Office of the Secretary Patient-Centered Outcomes Research Trust Fund (OS-PCORTF) Annual Report highlights the accomplishments of 36 multi-agency projects that supports the four goals of the strategic plan:Data Capacity for National Health Priorities;Data Standards and Linkages for Longitudinal Research;Technology Solutions to Advance Research;Person-Centeredness, Inclusion, and Equity.…
ASPE Issue Brief
Tele-Behavioral Health Use Among Medicare Beneficiaries During COVID-19
This issue brief summarizes analyses of Medicare fee-for-service data examining beneficiary use of tele-behavioral health services during 2019 and 2020. Results demonstrate that the number of Medicare beneficiaries receiving behavioral health care via telehealth increased dramatically during the COVID-19 public health emergency.
ASPE Issue Brief
Trends and Disparities in Pandemic Telehealth Use among People with Disabilities
This Issue Brief explores telehealth use for people and Medicare beneficiaries with disabilities and examines questions on the use of audio-only telehealth during the second and third years of the coronavirus disease 2019 (COVID-19) pandemic. The study used data from the Medicare Current Beneficiary Survey (MCBS) COVID-19 2021 Winter Supplement and 2022 surveys, ASPE’s Medicare Telehealth Trends…
Report
Feasibility of Calculating Measures to Monitor Quality Performance of Behavioral Health Programs
The calculation of behavioral health quality measures at the clinic level holds great promise for monitoring clinic performance over time, and for providing information for clinics to use to revise their processes and procedures to improve their performance. This report describes a novel process of testing the feasibility of using the Transformed Medicaid Statistical Information System Analytic…
ASPE Data Point
Inflation Reduction Act Research Series: Medicare Part D Enrollee Vaccine Use After Elimination of Cost Sharing for Recommended Vaccines in 2023
Effective January 1, 2023, the Inflation Reduction Act (IRA) eliminated cost sharing and deductibles for adult vaccines recommended by the Advisory Committee on Immunization Practices (ACIP) covered under Medicare Part D. In 2023, 10.3 million Medicare Part D enrollees received a recommended vaccine free of charge, which saved enrollees more than $400 million in out-of-pocket costs. The majority…
ASPE Issue Brief
Improving Data on the Workforce Delivering Home and Community-Based Services
On April 25, 2024, HHS and DoL released recommendations, in the form of an Issue Brief, to improve data infrastructure on the workforce delivering home and community-based services (HCBS) in response to President Biden’s Executive Order 14095: Increasing Access to High-Quality Care and Supporting Caregiver
Report
Exploring Patient Care Navigation in the Medicare Program
Patient navigation provides support and information to patients and their families to help navigate the complexities of health care services. These programs or services may include providing support and resources to inform clinical patient choices, financial responsibilities, and available social and community services. The goal of this qualitative project was to capture the current state of…
ASPE Issue Brief
Primary care spending in Medicare fee-for-service: An illustrative analysis using alternative definitions of primary care
This issue brief uses Medicare fee-for-service data to conduct illustrative analyses of primary care spending using a methodology that has been frequently used by policymakers and academics and can be applied to claims data. Although the estimates do vary substantially from each other as expected, trends in each of the four measures were fairly consistent over the three years analyzed, with the…
Report
Impact of Drug Shortages on Patients in the United States: A Case Study of Three Drugs
Drug shortages are a persistent problem that can cause substantial disruption in patient treatment regimens and adversely impact a patient’s health. Drug shortages can have severe consequences for patients, including high costs, delayed care, and potential medication errors or unintended side effects when using alternative or unfamiliar drugs.
Report
The Availability, Quality, and Use of Administrative Data to Identify and Reduce Health and Human Services-Related Disparities: A Survey of HHS-Funded Programs and Interventions
Executive Orders No. 13985 (2021) and 14091 (2023) require federal agencies to ensure that their policies and services, including data collection, advance equitable outcomes for all populations. The Assistant Secretary for Planning and Evaluation (ASPE) and the U.S. Department of Health and Human Services (HHS) Data Council Equity Data Subcommittee sought to learn more about how administrative…
Fact Sheet
Inflation Reduction Act Research Series: Projected Impacts for Women Enrolled in Medicare
The Inflation Reduction Act (IRA) is helping people with Medicare, including nearly 30 million women enrolled in Part D. Our review shows that, in 2020, about 733,000 women enrolled in Part D and B would have benefited from the IRA’s $35 insulin cap and, in 2021, about 2 million women would not have had any out-of-pocket costs for recommended adult vaccines covered by Part D. Under the IRA’s Part…
ASPE Issue Brief
New Federal 12-Month Continuous Eligibility Expansion: Over 17 Million Children Could Gain New Protections from Coverage Disruptions
This issue brief presents estimates of children’s average monthly gains in Medicaid and CHIP eligibility under a federal 12-month CE requirement. Characteristics and household income of children gaining eligibility under a national, 12-month CE policy are also presented. Average monthly eligibility for Medicaid and CHIP will increase by 3.5 percent under a 12-month continuous eligibility…
ASPE Issue Brief
HealthCare.gov Enrollment by Race and Ethnicity, 2015-2023
This issue brief presents Marketplace enrollment and plan selections by race and ethnicity among 2015-2023 Open Enrollment Period enrollees in HealthCare.gov states using combined self-reported race and ethnicity information with imputed data for missing values. Overall, enrollment in Marketplace increased in 2023, and Black and Latino enrollment growth in Marketplace over the study period…
ASPE Issue Brief
Health Insurance Marketplaces: 10 Years of Affordable Private Plan Options
The Affordable Care Act substantially transformed the market for non-group private health insurance, introducing new consumer protections and coverage standards and establishing Health Insurance Marketplaces. The Marketplaces allow consumers to choose from among a menu of health insurance plans and to receive financial support in the form of Advanced Premium Tax Credits and Cost Sharing Reduction…
ASPE Issue Brief
Health Coverage Under the Affordable Care Act: Current Enrollment Trends and State Estimates
This Issue Brief presents current estimates of enrollment in health insurance coverage obtained through the ACA Marketplaces and the Medicaid expansion and the subsequent reductions in state-level uninsured rates since the ACA was implemented in 2014. Based on 2023 and early 2024 enrollment data, more than 45 million people are currently enrolled in Marketplace or Medicaid expansion coverage…