ASPE Reports
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Research Brief
Refugees’ Experience Prior to Resettlement Predicts Early Socioeconomic Integration in the U.S.
This brief describes the relationship between employment and formal educational experiences of refugees prior to resettling in the U.S., and their socioeconomic situation within their first five years in the country.Key Points
Report
Availability and Correlates of Integrated Treatment for People with Co-Occurring Disorders in Outpatient Behavioral Health Treatment Facilities
People with co-occurring mental health and substance use disorders (SUDs) benefit from integrated treatment to address both disorders concurrently. For several decades, policymakers and behavioral health systems have worked to overcome the historical separation between mental health and SUD treatment to improve care for people with co-occurring disorders. Such efforts could translate into changes…
Report
Health Information Technology Adoption and Utilization in Behavioral Health Settings: Final Report
Health Information Technology (HIT) was identified as a critical component of the HHS Roadmap for Behavioral Health Integration. To support the implementation of the Roadmap, an ASPE study was conducted to provide an overview of HIT adoption and utilization among behavioral health providers.
ASPE Data Point
Trends in In-Person and Telehealth-Involved Controlled Medication Initiations Among Adults with Private Insurance
Since March 2020, HHS and DEA have allowed health care practitioners to initiate controlled medications via a telehealth visit without first conducting an in-person medical evaluation, representing a substantial change in how these medications, and the conditions they are used to treat, can be managed. In November 2024, HHS and DEA issued a third extension of the flexibilities, effective through…
ASPE Issue Brief
Understanding the Optimal Balance of Using Telehealth and In-person Services to Support Adults with Serious Mental Illness and Children with Serious Emotional Disturbance
This brief summarizes findings from a research project that examined access to and use of tele-mental health services among individuals with serious mental illness (SMI) and children with serious emotional disturbance (SED) and behavioral health consumer and provider perceptions of the optimal balance of telehealth and in-person services for people with SMI and SED.
Report
Wait Time Standards for Behavioral Health Network Adequacy
Insufficient access to behavioral health (BH) care and the inability to get timely care are significant problems in the United States. Concerns about BH network adequacy have been prompted by evidence of narrow networks for BH, variation in network adequacy across plans, and evidence that network adequacy impacts access to certain specialties. Federal and state regulatory agencies have therefore…
Report to Congress
No Surprises Act Drug Pricing Report to Congress
Prescription drug prices are a top concern for policymakers and the public, but little data is available on prescription drug prices or other costs that contribute to premiums for commercial drug coverage.
ASPE Issue Brief
Medical Respite Programs: A Critical Service for Individuals Experiencing Homelessness
People experiencing homelessness often have complex health care and social service needs which present significant care challenges to hospitals, such as longer lengths of stays, higher readmission rates, and complicated chronic illnesses. Transitions from emergency department visits or hospital inpatient stays can be a dangerous experience for people experiencing homelessness, as they tend to…
Report
Understanding Economic Risk for Low-Income Families: Economic Security, Program Benefits, and Decisions about Work
IntroductionMeans-tested benefits are designed to support basic needs such as food, health insurance, and child care for households with low incomes. When considering whether to take a new job opportunity that will increase their income, recipients of these benefits may be forced to consider trade-offs. For example:
Fact SheetPolicy Brief
Understanding Economic Risk for Low-Income Families: Economic Security, Program Benefits, and Decisions about Work
This project explored how workers with low incomes who receive federal benefits weigh factors including marginal tax rates, benefit loss, ease of resuming benefits once lost, and job instability when deciding whether to accept an earnings increase. The study team fielded a discrete choice experiment survey to assess the impact of these factors on benefit recipients’ potential willingness to…
Fact SheetVisualization
Earnings, Benefit Loss, and Job Instability: What Do People Receiving TANF Consider When Offered a Higher-Paying Job?
Infographic: Earnings, Benefit Loss, and Job Instability: What Do People Receiving TANF Consider When Offered a Higher-Paying Job?Related Products:Policy BriefFull Report and Technical AppendixASPE’s Effective Marginal Tax Rates/Benefit Cliffs Home Page
ASPE Issue Brief
Use of Supported Employment in the Medicaid and CHIP Working-Age Population (2019) Issue Brief
State Medicaid programs have the option to cover supported employment services, but use of these services by the Medicaid population has not been widely studied. Using data from 2017-2019 Research Identifiable Files (RIF), which are derived from Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files (TAF), this brief identified the number and percentage of Medicaid and…
ASPE Issue Brief
Medicare Coverage of Anti-Obesity Medications
In November 2024, the Centers for Medicare & Medicaid Services (CMS) released the Medicare Program; Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly proposed rule.
ASPE Issue Brief
Federal Alignment with Research-Based Practices on School-Age Development and Well-Being
Childhood development experts recommend specific practices for afterschool and youth development programs to promote well-being and healthy development, including positive relationships; rich learning experiences and knowledge development; environments filled with safety and belonging; the development of skills, habits, and mindsets; and integrated support systems. This brief examines the extent…
ReportReport to Congress
Evaluation of the Impact of the No Surprises Act on Health Care Market Outcomes: Exploring Pre-Implementation Trends - Report Two
This second report focuses largely on updating pre-NSA trends in claims data presented in the first report. Surprise bills are difficult to cleanly identify in claims data; therefore, we generally examine trends in all OON bills associated with emergency items and services (regardless of network status) or non-emergency items and services furnished with respect to a visit at an in-network health…
ASPE Issue Brief
Novel Antimicrobial Drug Development and Access: U.S. Government Support and Opportunities
The pipeline and commercial market for novel antimicrobial drugs is insufficient to address current and future patient needs or mitigate the loss of effective treatments as antimicrobial resistance spreads. The U.S. Government implements a range of efforts to ensure sustainable availability of antimicrobial treatments, supporting research, product development, and appropriate use.
ASPE Data Point
Evaluating Medicaid Strategies to Streamline Ex Parte Renewals
National estimates indicate that streamlined renewal options for Medicaid beneficiaries with incomes below 100 percent of the federal poverty level and without an ex parte income data source would provide timely and accurate eligibility determinations. Within the context of all Medicaid renewals, this strategy would result in a potentially erroneous eligibility determination for only slightly…
Buprenorphine Dispensing Among Women of Reproductive Age in the U.S. by Provider Type, 2013-2022 Data Brief
This study of national retail pharmacy data from 2013 to 2022, found an overall increase in buprenorphine dispensed to women of reproductive age and a marked increase in fills that were prescribed by nurse practitioners/physician assistants. These findings suggest that many women of reproductive age with opioid use disorder are receiving treatment with a prominent role being played by mid-level…
Report to Congress
Overview of Bereavement and Grief Services in the United States
This report presents findings of an environmental scan and semi-structured interviews with key contributors, including governmental and non-governmental contributors, such as researchers, clinicians, advocates, service provider/payers, and policy experts. The findings included in this report are organized by specific domains and themes found within the peer-reviewed and grey literature.
Report
Feasibility of Obtaining Identifiers for Self-Directing Home and Community-Based Services Users in Medicaid Claims
This report outlines a feasibility study focused on obtaining identifiers for self-directed Home and Community-Based Services (HCBS) users within Medicaid claims data. Financial Management Services (FMS) entities assist individuals in managing the financial aspects of self-directed care, including payroll and billing. The study examines the data collected by FMS entities, variations in data…