ASPE Reports
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Report
How Increased Funding Can Advance the Mission of the Indian Health Service to Improve Health Outcomes for American Indians and Alaska Natives
This ASPE report discusses disparities in health and health care experienced by American Indian and Alaska Native (AI/AN) populations, the role of the federal government in financing and providing health care services to these populations, and how enhanced funding could help further the Indian Health Service’s mission in ensuring that tribal communities have access to high quality health care…
Report to Congress
Report to Congress: Unified Payment for Medicare-Covered Post-Acute Care
The Improving Post-Acute Care Transformation (IMPACT) Act of 2014 requires a report to Congress on unified payment for Medicare post-acute care (PAC). Medicare PAC providers are skilled nursing facilities, inpatient rehabilitation facilities, long-term care hospitals, and home health agencies. Each PAC provider setting has a separate Medicare fee-for-service prospective payment system. A goal of…
ASPE Issue Brief
Marketplace Coverage and Economic Benefits: Key Issues and Evidence
This report highlights the impacts of the Affordable Care Act's Marketplace subsidies on coverage rates among self-employed adults and small business owners, based on tax data from the Department of Treasury and national survey data. The report also reviews the research evidence on the impact of health coverage on consumer financial security, which has been aided by the enhanced subsidies…
Research Brief
Changes in Ownership of Skilled Nursing Facilities from 2016 to 2021: Variations by Geographic Location and Quality
Newly released CMS skilled nursing facilities (SNF) Change of Ownership data (CHOW) data allows for a better understanding of how the nursing home ownership financial structures are changing. A total of 3,258 SNFs have been sold since 2016. Roughly 3.5% of skilled nursing facilities are sold in the US each year since then. Data also shows that more than 30% of SNFs in Utah, Texas, Arkansas,…
Report
International Prescription Drug Price Comparisons: Current Empirical Estimates and Comparisons with Previous Studies
Key FindingsPolicy discussion surrounding U.S. prescription drug prices focuses on whether prices in the United States are too high or appropriate relative to the benefits that they offer to patients.
Report
Linking State Health Care Data to Inform Policymaking: Opportunities and Challenges
This posting includes a report prepared by the RAND Corporation, “State All Payer Claims Databases Understanding the Current Landscape and Challenges to Use,” which builds on a 2021 report “The History, Promise and Challenges of State All Payer Claims Databases.” The new report provides additional detail on the objectives of and use cases for APCDs, the current APCD landscape, and implementation…
Report
Survey on Substance Use Disorder Patient Placement Criteria and Assessments
To identify and address gaps in substance use disorder (SUD) treatment capacity, state and federal policymakers need information on the need and demand for different SUD levels of care. To develop this information, this project fielded a survey of Single State Agencies for Substance Use Services and Medicaid agencies to every state and the District of Columbia. It collected information on how…
Report
Imputation of Race and Ethnicity in Health Insurance Marketplace Enrollment Data, 2015 – 2022 Open Enrollment Periods
The Assistant Secretary for Planning and Evaluation (ASPE) contracted with RAND Health Care to develop methods for imputing race and ethnicity among people who selected Marketplace plans on HealthCare.gov but did not report their race or ethnicity, and to apply these methods to data from the 2015 to 2022 Open Enrollment Periods. This technical report describes the imputation methods applied and…
ASPE Issue Brief
Federal Efforts to Address Racial and Ethnic Disparities in Alzheimer’s Disease and Related Dementias
The National Alzheimer’s Project Act (NAPA) requires “the inclusion of ethnic and racial populations at higher risk for Alzheimer's or least likely to receive care, in clinical, research, and service efforts with the purpose of decreasing health disparities in Alzheimer's”.1 In order to meet this requirement, in 2020 the Advisory Council on Alzheimer’s Research, Care, and Services recommended…
Research Summary
Early Childhood Systems Collective Impact Project: Overview
The Early Childhood Systems Collective Impact Project (ECS Collective Impact Project) will help to re-envision a truly coordinated approach to program implementation designed to advance early childhood and family well-being outcomes across federal programs that support expectant parents, children ages 0 to 8, and their families. This project will develop recommendations to improve – and tools to…
Report
Building the Data Capacity for Patient-Centered Outcomes Research: The 2021 Annual Report Executive Summary and Full Report
The 2021 Office of the Secretary Patient-Centered Outcomes Research Trust Fund (OS PCORTF) Annual Report Executive Summary and Full Report highlights the accomplishments of 34 multi-agency projects to build data capacity and support the mission of HHS to advance science and improve knowledge about the comparative effectiveness of health care interventions. In FY 2021, the report focuses on…
Research Brief
Challenges to Identifying and Supporting Human Services Participants with Substance Use Disorder
This brief summarizes an environmental scan and series of key informant interviews describing the challenges that human services programs face in identifying participants with substance use disorders (SUD), and subsequently referring them to treatment. The review focused on child welfare services, domestic violence services, Head Start, and Temporary Assistance for Needy Families. The results…
Report
National Action Plan for Combating Antibiotic-Resistant Bacteria Progress Report: Year 5
The National Action Plan for Combating Antibiotic-Resistant Bacteria 2015 – 2020 (2015 Plan) has guided the U.S. Government’s response to combating antibiotic-resistant infections since its establishment in 2015. The U.S. Government’s Interagency Task Force for Combating Antibiotic-Resistant Bacteria (CARB) has produced four previous reports on progress toward the 2015 Plan. This Year 5 Report…
Report
Mitigating Direct Care Workforce Injuries in Homecare: A Summary of the Evidence
Due to the increasing demand for homecare workers and the high rate of occupational injuries among these workers, addressing homecare worker safety is critically important. High injury rates among homecare workers contribute to turnover and absenteeism, and lead to high costs of workers’ compensation insurance for employers. The COVID-19 pandemic has further underscored the essential role that…
ASPE Issue Brief
Practice Guide: Strengthening Partnerships Between Fatherhood and Human Services Programs to Improve Father Engagement
This practice guide is a resource for a broad range of human services and fatherhood programs aiming to be more inclusive of and responsive to fathers. Building on literature from the field and interviews with human services providers that engage fathers in services, this guide outlines the benefits of developing community partnerships between father-focused and other human services programs. It…
ASPE Issue Brief
Connecting Youth During the COVID-19 Pandemic
This infographic explores the impact the COVID-19 pandemic had on programs that support young people, ages 16-24, who experience disconnection from school and work, often referred to as "opportunity youth." It provides an overview of which education, job training, and supportive services, in addition to enrollment and implementation practices were added or ended during the first year (spring 2020…
ASPE Data Point
Hospitalization Cost Savings Associated with COVID-19 Vaccinations Among Medicare Beneficiaries in Early 2021
Using Medicare FFS claims data and county-level vaccination rates, we estimate savings of about $2.6 billion from reduced Medicare hospitalizations associated with COVID-19 vaccinations in early 2021. These cost savings reflect 107,000 fewer Medicare (FFS and Medicare Advantage) COVID-19 hospitalizations during this period, compared to projections if no COVID-19 vaccines were available during…
ASPE Issue Brief
Impact of the COVID-19 Pandemic on the Hospital and Outpatient Clinician Workforce: Challenges and Policy Responses
The COVID-19 pandemic has put extreme stress on the health care workforce in the United States, leading to workforce shortages as well as increased health care worker burnout, exhaustion, and trauma. These pandemic-related challenges have taken place in a context of significant pre-existing workforce shortages and maldistribution, as well as in a workforce where burnout, stress, and mental health…
Environmental Scan
Continuity of Care Services Following Coordinated Specialty Care: An Environmental Scan
This report provides an overview of transition services for clients graduating from Coordinated Specialty Care (CSC). CSC Programs have been successfully implemented across the US, including through support from the Community Mental Health Services Block Grant set aside funds for people with early psychosis. CSC services are designed to be implemented within 2 years of onset of psychosis to…
ASPE Issue Brief
Transition Options, Opportunities for Integration, and Funding Considerations Following Coordinated Specialty Care Issue Brief
This brief is the third publication from the Continuity of Care Services Following Coordinated Specialty Care study. It provides a short overview of the different approaches to continuity of care for young adults who have attended CSC programs and explores avenues for integration within programs and organizations as a way to support young adults following a completion of a CSC program. This issue…