ASPE Reports
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Addressing Social Determinants of Health Needs of Dually Enrolled Beneficiaries in Medicare Advantage Plans: Findings from Interviews and Case Studies
Medicare Advantage (MA) plans that serve relatively higher proportions of dually enrolled beneficiaries have lower ratings in the MA Star Rating program than plans that serve fewer dually enrolled beneficiaries. However, some MA plans that serve a high proportion of dually enrolled beneficiaries are high performers. Their high performance may be the result of successful strategies they have…
Report
Incorporating Social Determinants of Health in Electronic Health Records: A Qualitative Study of Perspectives on Current Practices among Top Vendors
Background: Social determinants of health (SDH) are increasingly seen as important to understanding patient health and identifying appropriate interventions to improve health outcomes, in what is a complex interplay between health system, community, and individual level factors.
Linking People with Criminal Records to Employment in the Healthcare Sector: 5 Things to Consider
This project explores how the need for workers in healthcare professions can be partially met by hiring individuals with criminal records who do not pose a risk to public safety. The report is organized around the following five things to consider for employing certain individuals with criminal records in the healthcare sector: Growth in the healthcare sector has created a demand for healthcare…
Are parents with a child support order more likely to be eligible for both SNAP and subsidized child care?
This analysis builds on the ASPE publication on child support cooperation requirements to determine the overlap in the populations of custodial and noncustodial parents with and without formal child support orders, that are eligible for both Supplemental Nutrition Assistance Program (SNAP) and subsidized child care (CCDF). The data used in the infographic are based on TRIM3 analysis of the…
Addressing the Opioids Crisis: Data Sources and Linking Strategies
This report highlights key research questions and identifies opportunities to use existing data sources and implement data-linking strategies that can support the HHS five point strategy to combat the opioid crisis.
Building the Next Generation of Child Support Policy Research
This project brought together policymakers, practitioners and evaluators in October 2017 to identify key policy research questions in the child support program. The discussions, coupled with a series of informant interviews from 2016, led to the development of the research agenda. It is a framework for the broader child support community to collectively answer pressing policy…
ASPE Data Point
Data point: Prescription Pharmaceutical Price Changes since the Release of the President’s Drug Pricing Blueprint
Using manufacturer-reported prescription pharmaceutical prices, we observe that the number of price increases has been reduced considerably since the release of the President’s Drug Pricing Blueprint, compared to the same time period in the year prior. Since the Blueprint’s release, there are 60% fewer brand name product price increases in 2018 compared to the same period in 2017, and 54% more…
An Overview of Long-Term Services and Supports and Medicaid: Final Report
This report examines the role of long-term services and supports (LTSS) in Medicaid. It also examines how sociodemographic changes are likely to affect the demand for LTSS in the future, and as a result, Medicaid use and expenditures. The report shows: the demand for LTSS is likely to increase dramatically; LTSS is a major part of the Medicaid program, accounting for about a third of total…
An Overview of Long-Term Services and Supports and Medicaid: Final Report
Nga T. Thach, BS, and Joshua M. Wiener, PhD RTI International May 2018 Printer Friendly Version in PDF Format (34 PDF pages)
State and Local Policy Levers for Increasing Treatment and Recovery Capacity to Address the Opioid Epidemic: Final Report
This report summarizes financing and workforce policies that can be used by states to expand treatment access and capacity for opioid use disorder (OUD), focusing especially on medication-assisted treatment (MAT). Our evaluation team used a case-study approach and conducted an environmental scan and stakeholder interviews for five states: California, Missouri, New Hampshire, Ohio, and Virginia.
State and Local Policy Levers for Increasing Treatment and Recovery Capacity to Address the Opioid Epidemic: Final Report
Jesse Hinde, PhD, Jennifer Hayes, BA, Tami Mark, PhD, Shampa Bernstein, JD, BA, and Sarita L. Karon, PhD RTI International September 29, 2017 Printer Friendly Version in PDF Format (76 PDF pages)
Examining Substance Use Disorder Treatment Demand and Provider Capacity in a Changing Health Care System: Final Report
Ellen Bouchery Mathematica Policy Research December 5, 2017 Printer Friendly Version in PDF Format (101 PDF pages) ABSTRACT
Examining Substance Use Disorder Treatment Demand and Provider Capacity in a Changing Health Care System: Final Report
Federal policies implemented in the last decade, including the Affordable Care Act (ACA) and the Mental Health Parity and Addiction Equity Act, have promoted insurance coverage for substance use disorders (SUDs). By providing funding for treatment services, these federal policies were intended to increase the proportion of individuals with SUDs who seek and receive evidence-based treatments.
2017 Annual Report of HHS Projects to Build Data Capacity for Patient-Centered Outcomes Research
The OS PCORTF Annual Report provides project descriptions for each of the OS-PCORTF portfolio’s 21 projects that were active in calendar year 2017.
ASPE Data Point
Data Point: Savings Available Under Full Generic Substitution of Multiple Source Brand Drugs in Medicare Part D
ASPE analyzed Part D prescription drug event data from 2016 to estimate spending on brand drugs with generic therapeutic equivalents.
Child Care Subsidy Duration and Caseload Dynamics: A Multi-State Examination from 2004-2014
This Brief provides an examination of the amount of time that low-income families from 32 states received child care subsidies. These families began receiving government-funded child care subsidies during Fiscal Year 2012, prior to the reauthorization of the Child Care and Development Block Grant (CCDBG) Act. In general, families utilized child care subsidy programs for short time…
How many families might be newly reached by child support cooperation requirements in SNAP and subsidized child care, and what are their characteristics?
States have flexibility to require a person that receives SNAP or subsidized child care to cooperate with the child support program. This infographic introduces the child support cooperation policy variation across the states and then presents characteristic information about the custodial and noncustodial parents that may be subject to cooperation requirements in SNAP and subsidized child…
Economic Opportunity and the Opioid Crisis: Geographic and Economic Trends
This study examines relationships between indicators of economic opportunity and the prevalence of prescription opioids and substance use in the United States. We have three primary findings: The prevalence of drug overdose deaths and opioid prescriptions has risen unevenly across the county, with rural areas more heavily impacted. Specific geographic areas, such as Appalachia, parts of the West…
Cross-Domain Instability in Families with Some College Education
This brief examines instability across key areas of family life for children and their households, and the characteristics of those most likely to experience instability. It explores a finding from an earlier ASPE brief that instability was pronounced among children in households where the highest level of education was “Some College,” and looks more closely at three types of these households—…