ASPE Reports
Displaying 141 - 160 of 4487 results. 20 results shown per page. Page 8 of 225.
Environmental ScanResearch Brief
Availability and Access of Bacterial Infection Diagnostics in the United States
Key Findings:
Report
New Jersey Home Care Workforce Case Study: Final Report
This New Jersey case study provides insights into the daunting challenges states face in seeking to address the home care worker shortage, which has become more acute as New Jersey and other states have striven to “re-balance” Medicaid long-term services and supports use and spending away from institutional care toward home and community-based services.
A Framework for Evaluating the Impact of the Center for Medicare and Medicaid Innovation
This ASPE issue brief lays out a proposed comprehensive analytic framework to fully evaluate the impact of the CMS Innovation Center’s efforts on the Medicare program and the broader health care system as a whole to test innovative payment and service delivery models that reduce program expenditures while preserving or enhancing the quality of care. The proposed framework accounts for observed…
ASPE Issue BriefReport
Direct Care Worker Wages
Direct care workers (DCWs) such as nursing assistants, home health aides, and personal care assistants play an essential role in the health and well-being of over 20 million Americans. Yet DCW wages are not enough to make jobs competitive with entry level positions in other industries with similar job requirements which exacerbates the challenges in recruitment and retention of these workers.…
ASPE Issue Brief
Bridging Healthcare and Social Services for People Living with Dementia and Their Caregivers
People living with dementia often have complex health and social support needs that can best be met by health care and community-based providers working together. This brief examines promising practices for bridging community-based organizations and health care systems in the providing comprehensive dementia care. The effort investigated the ways in which the two systems can work together to…
ASPE Issue Brief
An Examination of March-in Rights and Drug Products with Government-Interest Patents
March-in authority allows the federal government to grant licenses on privately owned patents for inventions developed with federal funding provided certain statutory requirements are met. It was designed to ensure that the benefits of the American taxpayers’ investment in research and development are reasonably accessible to the public. To date, no agency has initiated march-in proceedings, but…
ASPE Issue Brief
Trends in Medicaid and CHIP Telehealth, 2019-2021 Part II: Medicaid and CHIP Telehealth Utilization Trends by Enrollee and Provider Rurality
During the pandemic period, telehealth utilization increased among both urban and rural enrollees in Medicaid, with urban enrollees sustaining greater gains in telehealth utilization at the end of 2021. This Issue Brief is part of a series of ASPE Issue Briefs examining changes in Medicaid utilization of services delivered via telehealth by enrollee and provider characteristics.
Report
Estimating the Effects of the Medicare $2 Drug List on Part D Enrollees
The Centers for Medicare & Medicaid Services (CMS) Innovation Center is in the process of developing the Medicare $2 Drug List (M2DL) Model. This would allow Part D plan sponsors to offer a standardized list of generic drugs for a copayment of $2 or less for a month’s supply that would not be subject to prior authorization, quantity limits, or other utilization management restrictions.
ASPE Issue Brief
Characteristics of Part D Drugs in Shortage
In this Report, we matched a sample of Part D drugs and biological products that had price changes between January 2011 and October 2023 to FDA’s January 2023 list of drug shortages database. Then we analyzed price changes that occurred before and after the shortage, overall and by select drug characteristics of interest. This analysis is illustrative, it can help identify whether drugs in…
ASPE Issue Brief
Characteristics of Part B Drugs in Shortage
In this Report, we matched a sample of Part B drugs and biological products that had price changes between January 2011 and October 2023 with the FDA’s January 2023 list of drug shortages database. Then we analyzed price changes that occurred before and after the shortage, overall and by select drug characteristics of interest. This analysis is illustrative, it can help identify whether drugs in…
Report
Reentry and Housing Stability: Final Report
Individuals returning to the community from prisons and jails face numerous barriers to reentry, and securing safe, stable housing is often the most immediate challenge. Housing is a vital element of successful reentry. Without housing, it is difficult for individuals to obtain employment, re-establish ties to family, access health and behavioral health treatment services, or comply with…
ASPE Issue Brief
Use of Medicare-Covered Telerehabilitation for PT/OT/SLP Services during the COVID-19 PHE
This study examined the extent therapist practices and nursing homes adopted telehealth services for physical therapy (PT), occupational therapy (OT), and speech-language pathology (SLP); explored the major challenges and facilitators in adopting telerehabilitation services, and whether these services were effective in addressing patient care and staffing needs during the public health emergency…
ASPE Issue Brief
Identifying Employer Supports for Family Caregivers of Older Adults Issue Brief
Recruiting and retaining a talented workforce requires employers to implement supports for family caregivers who are balancing the dual roles of working and caregiving. To support working family caregivers, employers have begun to increasingly implement caregiver-friendly workplace policies and strategies as part of benefit packages, which can improve employee morale and workplace culture, while…
Report
Readiness of Our Crisis System for 988
The recent designation of the three-digit “988” dialing code is intended to improve public awareness of an immediate means to behavioral health crisis services, resulting in both a diversion of behavioral health calls from 911 as well as increased utilization of call services among people in crisis who are not currently getting help. Call volume is projected to increase over the initial years of…
Report
Federal Funding Compendium of Crisis Services: Final Report
The Substance Abuse and Mental Health Services Administration (SAMHSA) has recently developed guidelines for establishing a comprehensive crisis response system for behavioral health. Per these guidelines, a comprehensive system should provide individuals in crisis with “someone to call,” “someone to respond,” and “a place to go” to receive crisis response services.
ASPE Issue Brief
Comparing U.S. and International Market Size and Average Pricing for Prescription Drugs, 2017-2022
This issue brief examines trends related to market size measured via sales revenues and volume of prescription drug use between the U.S. and other countries between 2017 and 2023. Specifically, we compare the U.S. to the rest of the world (excluding the U.S.) and the other OECD countries (excluding the U.S.). We also present trends in the average drug price calculated as aggregate sales revenues…
Report
Use of Inpatient Psychiatric Facilities by Medicare Beneficiaries with Dementia
Inpatient psychiatric facilities (IPFs) stabilize patients in a mental health crisis and provide services to patients with serious mental illnesses and those who may cause harm to themselves or others, including people living with dementia who have severe behavioral and psychological symptoms.
ASPE Issue Brief
Innovative 988 Crisis Service Systems for Children, Youth, and People with Disabilities
In 2020, Congress designated the new 988 dialing code to be operated through the existing National Suicide Prevention Lifeline. The 988 Suicide and Crisis Lifeline was established to improve access to immediate support to meet the behavioral health crisis needs in the United States. In July 2022, the new 988 Suicide and Crisis Lifeline went live, along with an influx of funding for implementation…
Research Brief
Timing of Medicaid Enrollment for Children Engaged with Child Welfare Services in Two States
This brief examines the timing of Medicaid and Children’s Health Insurance Plan (CHIP) enrollment relative to timing of engagement with child welfare services for children in Florida and Kentucky. The analysis covers children involved in child welfare systems from 2017-2021. Medicaid funds essential health and behavioral services for children from low-income families, including services that can…
Report
Research Applications of Electronic Recovery Records
Recovery support services (RSS) are non-clinical services that assist individuals and families in attaining and sustaining recovery from substance use disorders. These services include social support, a full range of human services that facilitate recovery and wellness contributing to an improved quality of life (e.g., transportation, employment services and job training, housing assistance,…