ASPE Reports
Displaying 181 - 200 of 4487 results. 20 results shown per page. Page 10 of 225.
Database, Dataset
State and Local Estimates of the Uninsured Population in the U.S. Using the Census Bureau’s 2023 American Community Survey
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 2023 American Community Survey (ACS). We analyzed the population of uninsured individuals ages 0-64 by health insurance unit (HIU) income.We…
ASPE Issue Brief
Marketplace Coverage of Small Business Owners and Self-Employed Workers
The Affordable Care Act Marketplace has led to substantial coverage gains among small business owners and self-employed individuals. The enhanced premium tax credits introduced by the American Rescue Plan and the Inflation Reduction Act have contributed to further increases in Marketplace coverage among small business owners and self-employed workers.
Report
Access to Health Care in Rural America: Current Trends and Key Challenges
This research report describes patterns in insurance coverage and uninsurance rates in rural and urban areas, reviews non-financial challenges in accessing care faced by many rural residents, and describes disparities in health outcomes between urban and rural areas.
Report
Developing and Piloting a Federal Evaluation Approach for Complex Cross-Agency Initiatives: The Overdose Prevention Test Case
The final summary report on “Developing and Piloting a Federal Evaluation Approach for Complex Cross-Agency Initiatives: The Overdose Prevention Test Case” lays out the findings of HHS effort to test a cross-departmental methodology. As a large, decentralized agency with 13 Operating Divisions and 10 Staff Divisions (Op/Staff Divs) that conduct a wide-range of activities and deliver a wide set of…
ASPE Issue Brief
Health Insurance Coverage and Access to Care Among Young Adults, Ages 19 to 25
This issue brief shows coverage gains among young adults under the Affordable Care Act, the American Rescue Plan, and the Inflation Reduction Act. The uninsured rate among this group declined by more than half, from 31.5 percent in 2009 to 13.1 percent in 2023, as employer-sponsored dependent coverage increased by over 20 percent. Medicaid coverage increased in both expansion and non-expansion…
Report
Health Care Workforce: Key Issues, Challenges, and the Path Forward
This report outlines the major issues faced by the U.S. health care workforce. It addresses medical, dental and behavioral health components of the workforce as well as direct care workers. The report also describes opportunities for progress to address these issues and existing activities supported by the Department to address these issues.
ASPE Issue Brief
Medicare Part D Enrollees Reaching the Out-of-Pocket Limit by June 2024
The Inflation Reduction Act established a limit on out-of-pocket spending (“the 2024 cap”) for enrollees with very high prescription drug spending in Medicare Part D, for the first time in the history of the program. More than half a million enrollees who did not qualify for the Low-Income Subsidy hit the catastrophic cap on out-of-pocket costs by June 30, 2024, saving enrollees nearly $1 billion…
Report
Guidance on Proper Consideration of Small Entities in Rulemakings of the U.S. Department of Health and Human Services
This guidance, originally published in 2003, contains the following introduction:“Executive Order 13272 (the Order), issued by the President on August 13, 2002, requires that the Department of Health and Human Services (HHS) thoroughly review draft rules to assess and take appropriate account of their potential impact on small business, small governmental jurisdictions, and small organizations,…
ASPE Issue Brief
Participant Diversity by Race, Ethnicity, and Sex in Rare Disease Clinical Trials: A Case Study of Eight Rare Cancers
Rare cancer clinical trials appear to enroll less diverse participants than clinical trials more broadly and therefore may require additional considerations or unique solutions to diversify participant recruitment. These differences persisted within both NIH and non-NIH funded trials.
Report
Assessing Medicaid Payment Rates and Costs of Caring for the Medicaid Population Residing in Nursing Homes: Final Report
The purpose of this research was to understand the relationship between state Medicaid payment rates to nursing homes and those facilities’ costs of providing care to Medicaid residents. Using 2019 Medicaid payment data collected from individual states and Medicare Cost Reports for freestanding nursing homes in 44 states, we calculated the national average and median per diem Medicaid payment…
Report
Impact of Climate Change on Health and Drug Demand
It is anticipated that extreme weather events due to climate change will increase the prevalence of a number of acute and chronic diseases. As a result, the demand for drugs to prevent or treat those conditions is likely to increase. If the anticipated increase in demand for these drugs is not planned for, already strained medical supply chains will be further strained, resulting in poor health…
Report
Drug Development
The cost of bringing a medical product to the U.S. market has been increasing and clinical trials constitute a large portion of these costs. In drug development, the clinical phase lasts an average of around 95 months compared to 31 months for the non-clinical phase and accounts for 69 percent of overall R&D costs (DiMasi, et al., 2016). Clinical trials contribute significantly to the rising…
ASPE Issue Brief
Case Studies in Supporting Prevention through Human Services Program Integration
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 prevention within human services.
Case Study
Supporting Child and Family Well-Being: Case Studies
The Office of the Assistant Secretary for Planning and Evaluation (ASPE) in the U.S. Department of Health and Human Services (HHS) seeks to understand efforts to promote child and family well-being in jurisdictions across the country. ASPE contracted with Mathematica and Child Trends, two independent research organizations, to conduct case studies about states and localities that developed and…
Case Study
Elevating Prevention and Promotion Efforts in Early Childhood Mental Health: A Case Study Series Page
This series of five case studies describe evidence-based, innovative, and exemplary practices that support positive mental health for children. The case studies in five organizations highlight key elements of prevention and promotion efforts in early childhood mental health, as well as the contextual factors that support implementation.Available Reports:
Research Brief
Participant Experiences with Improving Well-Being Through Human Services Programs
This brief summarizes focus groups and interviews with individuals who receive support through human services programs and federal benefits. These conversations explored participants’ feelings about well-being, including what it means to them and how the support they received through federal benefits and local human services programs influenced their well-being.Available Reports:
ASPE Issue Brief
HealthCare.gov Plan Selections by Race and Ethnicity, 2015-2024
This issue brief presents Marketplace plan selections by race and ethnicity among 2015-2024 Open Enrollment Period enrollees in HealthCare.gov states using combined self-reported race and ethnicity information with imputed data for missing values. Plan selections increased for all racial and ethnic populations; the gains were especially large for Latino, Black, and American Indian/Alaska Natives…
Report
HHS Strategic Approach to Addressing Social Determinants of Health: Agency Program, Activity, and Policy Highlights
This report highlights key programs, activities, and policies of HHS’ strategic approach to addressing social determinants of health, including early accomplishments to date and stories of the on-the-ground impact that these initiatives are making in people’s lives. These and other actions being taken by HHS, and across the federal government, as well as cross-sector initiatives at the…
ASPE Issue Brief
Coordinating Integrated Prevention Approaches to Serve the Whole Person
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 prevention within human services.
Research Brief
Elevating Prevention and Promotion in Early Childhood Mental Health
Efforts to promote positive mental health and prevent the onset of mental health difficulties are crucial for supporting healthy early childhood social-emotional development and well-being. Although much attention has been dedicated to the urgent mental health needs among young children, there has been limited focus on identifying practices and programs that can prevent mental health difficulties…