ASPE Reports
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Trends in Nursing Home-Hospice Contracting and Common Ownership between Hospice Agencies and Nursing Homes: Final Report
Between 2005 and 2015, the number of hospice agencies with common ownership to nursing homes nearly quintupled in number and now represents almost 1-in-5 hospice agencies participating in the Medicare program. Using data from 2005-2015, the report describes: (1) trends in nursing home-hospice contracting relationships and in common ownership between hospice agencies and nursing homes; (2)…
Tracking the Impact of Ownership Changes in Hospice Care Provided to Medicare Beneficiaries: Final Report
January 19, 2017
Printer Friendly Version in PDF Format (39 PDF pages)
Trends in Nursing Home-Hospice Contracting and Common Ownership between Hospice Agencies and Nursing Homes: Final Report
David Stevenson, Nicholas Sinclair, and Shiyuan Zhang Vanderbilt School of Medicine Laurie Meneades and Haiden Huskamp Harvard Medical School November 16, 2018 Printer Friendly Version in PDF Format (43 PDF pages)
Medication-Assisted Treatment for Opioid Use Disorder in the Child Welfare Context: Challenges and Opportunities
This brief describes four key challenges related to the use of medication-assisted treatment (MAT) in child welfare contexts for parents with opioid use disorder. It draws upon results from a mixed methods study examining how substance use affects child welfare systems across the country. Key challenges discussed include:
National Action Plan for Combating Antibiotic-Resistant Bacteria Progress Report: Year 3
Antibiotic Resistance continues to pose a significant threat to our Nation’s public health. To coordinate and enhance the public health response to this threat, the U.S. Government developed the National Action Plan for Combating Antibiotic-Resistant Bacteria (CARB). The CARB Task Force is co-chaired by HHS, USDA, and DOD. This report describes progress made in the third year of implementation of…
Research Brief
¡Cuídate!: Impact Findings from the Teen Pregnancy Prevention Replication Study (Research Brief)
This research brief highlights findings from the evaluation of ¡Cuídate!, an HIV/AIDS prevention program that uses an approach culturally tailored to Latino youth. The study examined data from three different replications of ¡Cuídate!, pooling the data to examine the overall program impact. Overall, ¡Cuídate! did not have an impact on sexual activity, contraceptive use, or pregnancy at either the…
¡Cuídate!: Final Impact Report from the Teen Pregnancy Prevention Replication Study
This research report highlights findings from the evaluation of ¡Cuídate!, an HIV/AIDS prevention program that uses an approach culturally tailored to Latino youth. The study examined data from three different replications of ¡Cuídate!, pooling the data to examine the overall program impact. Overall, ¡Cuídate! did not have an impact on sexual activity, contraceptive use, or pregnancy at either…
Report
Reducing the Risk: Impact Findings from the Teen Pregnancy Prevention Replication Study (Research Brief)
This research brief highlights findings from the evaluation of Reducing the Risk, a sexual health curriculum developed in the early 1990s to help prevent pregnancy and reduce sexually-transmitted infections (STIs) in adolescents. The study examined data from three different replications of Reducing the Risk, pooling the data to examine the overall program impact. Overall, Reducing the Risk did…
Report
Reducing the Risk: Final Impact Report from the Teen Pregnancy Prevention Replication Study
This research report details findings from the evaluation of Reducing the Risk, a sexual health curriculum developed in the early 1990s to help prevent pregnancy and reduce sexually-transmitted infections (STIs) in adolescents. The study examined data from three different replications of Reducing the Risk, pooling the data to examine the overall program impact. Overall, Reducing the Risk did not…
Report
Safer Sex Intervention: Impact Findings from the Teen Pregnancy Prevention Replication Study (Research Brief)
This research brief highlights the impact findings from the evaluation of three replications of the Safer Sex Intervention (SSI), a clinic-based intervention intended to reduce the incidence of sexually transmitted infections (STIs) and increase condom use among high-risk sexually active female adolescents. The study examined data from three different replications of SSI, pooling the data to…
Report
Safer Sex Intervention: Final Impact Report from the Teen Pregnancy Prevention Replication Study
This research report details the impact findings from the evaluation of three replications of the Safer Sex Intervention (SSI), a clinic-based intervention intended to reduce the incidence of sexually transmitted infections (STIs) and increase condom use among high-risk sexually active female adolescents. The study examined data from three different replications of SSI, pooling the data to…
Visualization
Child Support Cooperation Requirements in Child Care Subsidy Programs and SNAP: Key Policy Considerations
States have the option to require recipients of child care subsidies and the Supplemental Nutrition Assistance Program (SNAP) to cooperate with child support agencies seeking to establish paternity and support orders; and to enforce child support obligations as a condition of eligibility. This brief, and one-page summary, examines the current policy landscape and provides context for policy…
ASPE Issue Brief
Using Telehealth to Support Opioid Use Disorder Treatment Issue Brief
This Issue Brief was informed by an ASPE-funded study conducted by RTI International that assessed the use of telehealth to identify and manage SUDs in rural areas. The final research brief included an environmental scan and site visits with participants that represented a wide range of telehealth experiences throughout the country.
ASPE Issue Brief
Using Telehealth to Support Opioid Use Disorder Treatment Issue Brief
Laura Dunlap, Saira Haque, and Erin Mallonee RTI International Joel Dubenitz, Laurel Fuller, and Daniel Schwartz U.S. Department of Health and Human Services Printer Friendly Version in PDF Format (5 PDF pages)
Health Plan Choice and Premiums in the 2019 Federal Health Insurance Exchange
This brief presents information on qualified health plans (QHPs) available in the Exchange for states that use the HealthCare.gov platform, including estimates for issuer participation, health plan options, premiums, and subsidies in the upcoming open enrollment period (OEP), and trends since the first OEP. National estimates and summary tables are presented in each section of the text.
Comparison of U.S. and International Prices for Top Medicare Part B Drugs by Total Expenditures
The prices charged by drug manufacturers to wholesalers and distributors (commonly referred to as exmanufacturers prices) in the United States are 1.8 times higher than in other countries for the top drugs by total expenditures separately paid under Medicare Part B. U.S. prices were higher for most of the drugs included in the analysis, and U.S. prices were more likely to be the highest prices…
The Costs and Benefits of Expanding Hepatitis C Screening in the Indian Health Service
The Indian Health Service (IHS) serves approximately 2.2 million American Indian and Alaska Native (AI/AN) people in the U.S. According to surveillance data from the Centers for Disease Control and Prevention, AI/AN populations have the highest incidence of acute hepatitis C virus (HCV) and the highest rate of HCV-related mortality relative to other racial and ethnic groups. Understanding the…
Cost Drivers in the Development and Validation of Biomarkers Used in Drug Development
Despite the increasing investment and interest in drug development, the amount of time and resources needed to develop a new drug continues to rise. Biomarkers are an important tool with the potential to decrease the time, cost, and failure rate of drug development. Given the role of biomarkers in drug development, it is important to understand how biomarkers are identified, developed, and…
National Plan to Address Alzheimer's Disease: 2018 Update
This is the PDF version of the 2018 Update of the National Plan to Address Alzheimer's Disease. More information about the National Alzheimer's Project Act is available at https://aspe.hhs.gov/national-alzheimers-project-act.
Environmental Scan
Types and Costs of Services for Dual Beneficiaries by Medicare Advantage Health Plans: An Environmental Scan
The Centers for Medicare and Medicaid Services (CMS) uses the Star Rating program to measure the quality of Medicare Advantage (MA) plans, publicly report plan performance, and determine quality bonus payments and rebates for MA plans. MA plans that serve a high proportion of beneficiaries who are dually enrolled in both Medicare and Medicaid have lower performance and lower MA Star Ratings, on…