ASPE Reports
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ASPE Data Point
Estimates of Medicaid Eligibility in Non-Expansion States
This Data Point presents estimates of potential Medicaid eligibility among uninsured, non-elderly adults in states that have not expanded Medicaid coverage to adults with incomes up to 138% of the Federal Poverty Level (FPL).
Technology Considerations for Virtual Human Services Delivery
Program administrators and frontline workers across a range of human services programs early in the COVID-19 pandemic shared important takeaways around how to better utilize technology to administer virtual services. This brief highlights key considerations which emerged from programs, including around technology access and capacity, staff and participant support and training, and confidentiality…
Increases in Out-of-Pocket Child Care Costs: 1995 to 2016
This brief documents the increases in the average amount that families have paid for ECE over two decades among children under age five using data from the National Household Education Survey, Early Childhood Program Participation (NHES-ECPP). The findings show that the child care market has experienced considerable change in recent decades. While families were less likely to pay for ECE…
Health Insurance Coverage Changes: Asian Americans and Pacific Islanders
This Issue Brief analyzes changes in coverage from 2013-2019 among Asian Americans and Pacific Islanders (AAPIs) and AAPI subgroups, using a combination of data from the American Community Survey (ACS) and Marketplace data, including estimated impacts of the 2021 American Rescue Plan. AAPIs experienced larger relative gains in health insurance coverage than any other racial group since the…
State and Community Efforts to Address Stimulant Use
State and Community Efforts to Address Stimulant Use Rebecca L. Haffajee and Sara Heins RAND Corporation May 2021 Link to Printer Friendly Version in PDF Format (48 PDF pages)
Perspectives of Program Participants on Virtual Human Services During COVID-19
Focus groups with a small sample of program participants across a range of human services programs in Fall 2020 captured the perspectives of people served to better understand the perceived strengths and limitations of virtual services. Participants noted that future service systems should be carefully tailored to participants’ needs, strengths, and preferences to reach all participants…
Developing Health Equity Measures
Socially at-risk individuals receive lower-quality health care and experience worse health outcomes than more advantaged individuals. One way to address this in the Medicare population is to use Medicare’s value-based purchasing (VBP) programs, quality reporting efforts, and confidential reports as tools to drive improvements in quality. In particular, including health equity measurement…
Physician Understanding and Willingness to Prescribe Biosimilars: Findings from a US National Survey
This study presents the findings of a national survey of physicians about their knowledge of biosimilar biological products as well as the impact of biological product naming conventions on prescriber choice.
Related Products
Department of Health & Human Services FY 2022 Evaluation Plan
As part of the Evidence Act, HHS is required to submit “an evaluation plan describing activities the agency plans to conduct pursuant to [its evidence-building plan].” Nine operating divisions within HHS and one staff division developed evaluation plans and included information on priority questions being examined by the agencies as well as data, methods, and challenges to addressing those…
Department of Health & Human Services Evaluation Policy
This is an evaluation policy for the Department of Health and Human Services (HHS), required by the Foundations for Evidence-based Policymaking Act of 2018 (Evidence Act). ASPE convened a group of agency representatives from across HHS operating and staff divisions to develop the policy. The group reviewed existing Federal evaluation policies, consulted evaluation leadership and staff across HHS…
Disparities in COVID-19 Vaccination Rates across Racial and Ethnic Minority Groups in the United States
Ensuring equitable distribution of the COVID-19 vaccine is essential to mitigate the disproportionate impact of COVID-19 on racial and ethnic minority populations. This brief summarizes currently available data on race and ethnicity of vaccinated persons at the state level. Additionally, this brief explores vaccination rates between racial and ethnic groups and compares vaccination rates by race…
Factors influencing variation between states in efficiency of COVID-19 vaccine administration
Limited initial supplies of the COVID-19 vaccine necessitated the development of strategies to ensure efficient and equitable vaccine distribution. This brief summarizes the different vaccine distribution strategies and approaches taken by states and evaluates the extent to which these may have impacted the efficiency with which doses delivered to states are administered to patients.
Related…
Report
State Residential Treatment for Behavioral Health Conditions: Regulation and Policy
ABSTRACT: Residential treatment facilities are a key component of states' behavioral health systems. They form part of the spectrum of treatment for both mental and substance use disorders (M/SUDs). Residential treatment includes providing health services or treatment in a 24-hour-a-day, 7-day-a-week structured living environment for individuals who need support for their mental health or…
Visualization
Measuring the Effectiveness of Virtual Human Services
The COVID-19 pandemic drove a large and rapid transition from in-person human service delivery to virtual approaches. Measuring the implementation and outcomes of virtual human services in a timely way is crucial to understanding the challenges and successes for a variety of participants across programs and services. Research on telehealth and remote home visiting can inform strategies, outcomes…
Measuring the Implementation and Outcomes of Emergency Economic Mobility and Recovery Waivers and Flexibilities: Key Lessons from Demonstration Waivers
Program managers can take clear steps during emergencies to initially assess the extent to which emergency flexibilities or waivers achieve intended outcomes and advance programmatic goals. Building off the demonstration waiver research base, this brief illustrates a step-by-step guide for program managers to assess implementation and outcomes of an emergency flexibility or waiver focused on…
ASPE Issue Brief
Crisis Services and the Behavioral Health Workforce Issue Brief
March 2021
Link to Printer Friendly Version in PDF Format (9 PDF pages)
Workforce Implications of Behavioral Health Care Models: Final Report
March 2021Link to Printer Friendly Version in PDF Format (57 PDF pages)
ASPE Issue Brief
Has Treatment for Substance Use Disorders Increased? Issue Brief
Has Treatment for Substance Use Disorders Increased? ASPE ISSUE BRIEF Ellen Bouchery Mathematica March 2021 Link to Printer Friendly Version in PDF Format (10 PDF pages)
Chartbook on Behavioral Health Treatment Demand and Provider Capacity in the United States
March 2021
Link to Printer Friendly Version in PDF Format (80 PDF pages)
ASPE Issue Brief
Mental Health Treatment Need and Treatment System Capacity Issue Brief
Mental Health Treatment Need and Treatment System Capacity ASPE ISSUE BRIEF Ellen Bouchery Mathematica March 2021 Link to Printer Friendly Version in PDF Format (8 PDF pages)