ASPE Reports
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Report
The Coordinated Specialty Care Transition Study: Final Report
The Coordinated Specialty Care Transition Study: Final Report provides an overview of transition services for clients graduating from Coordinated Specialty Care (CSC). This the second publication from the Continuity of Care Services Following Coordinated Specialty Care study. The final report is a synthesis of findings from an environmental scan of programs and case studies of nine CSC programs.
ASPE Issue Brief
Health Coverage Changes Under the Affordable Care Act: End of 2021 Update
This report examines recently-released 2021 National Health Interview Survey data to assess coverage changes during the pandemic, finding a decrease in the uninsured rate in 2021 for the population as a whole and by race, ethnicity, and income. The report also examines the most recent enrollment statistics for coverage related to the Affordable Care Act, including Marketplace, Medicaid expansion…
ReportReport to Congress
Welfare Indicators and Risk Factors, 21st Report to Congress
This report provides welfare dependence indicators through 2019 for most indicators and through 2020 for other indicators, reflecting changes that have taken place since enactment of the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) in 1996.
Report
Building the Data Capacity for Patient-Centered Outcomes Research: The 2016 Annual Report
The OS-PCORTF Annual Report provides project descriptions for each of the OS-PCORTF portfolio’s 18 projects that were active in calendar year 2016.
Report
Building the Data Capacity for Patient-Centered Outcomes Research: The 2017 Annual Report
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.
Report
Building the Data Capacity for Patient-Centered Outcomes Research: The 2018 Annual Report
The OS-PCORTF Annual Report provides project descriptions for each of the OS-PCORTF portfolio’s 25 projects that were active in calendar 2018.
Report
Building the Data Capacity for Patient-Centered Outcomes Research: The 2019 Annual Report
The OS-PCORTF Annual Report provides project descriptions for each of the OS-PCORTF portfolio’s 27 projects that were active in calendar year 2019, as well as the major accomplishments.
Report
Building the Data Capacity for Patient-Centered Outcomes Research: The 2020 Annual Report
The OS-PCORTF Annual Report provides project descriptions for each of the OS-PCORTF portfolio’s 34 projects that were active in calendar year 2020, as well as the major accomplishments.
ASPE Data Point
Changes in Ownership of Hospital and Skilled Nursing Facilities: An Analysis of Newly-Released CMS Data
This report analyzes newly-released data from CMS that provides information on changes in ownership among hospitals and skilled nursing facilities (SNFs), based on information reported to CMS through the Provider Enrollment, Chain, and Ownership System (PECOS). Analyses of this dataset demonstrate 347 changes in ownership among hospitals and more than 3000 among skilled nursing facilities between…
ASPE Issue Brief
Quality of Federal COVID-19 Data
This analysis applies the Federal Committee on Statistical Methodology's Data Quality Framework to assess the data quality of federal data for understanding and responding to the COVID-19 pandemic, focusing on five COVID-19 indicators: testing, cases, hospitalizations, deaths, and vaccinations. These are assessed over six specific dimensions of data quality: granularity, accessibility, timeliness…
ASPE Issue Brief
Antipsychotic Medication Prescribing in Long Term Care Facilities Increased in the Early Months of the COVID-19 Pandemic Issue Brief
Prescriptions dispensed for antipsychotics in nursing homes and assisted living facilities increased since the beginning of the pandemic, with 20.8 thousand dispensed in 2020 compared to 20.5 thousand in 2019. This represents a 1.5% increase in total prescriptions since the beginning of the pandemic despite lower resident census levels in long-term care facilities (LTCFs). In 2020, the highest…
ASPE Issue Brief
Trends in COVID-19 Vaccination Intentions
We document a number of key facts related to trends in COVID-19 vaccination intentions of unvaccinated adults in the United States from April 2021 to January 2022 using the Household Pulse Survey. First, among unvaccinated adults both those who were willing to vaccinate and those who were previously unwilling to vaccinate eventually vaccinated in large numbers.
Addressing Social Determinants of Health: Examples of Successful Evidence-Based Strategies and Current Federal Efforts
Long-standing health inequities and poor health outcomes remain a pressing policy challenge in the U.S. While opportunities to advance health equity through clinical care continue to be important, addressing the ways in which social determinants of health (SDOH) increase or decrease the risk of poor health outcomes is critical to improving the nation’s health and wellbeing.
Report
FY 2023 HHS Evaluation Plan
This Annual Evaluation Plan is one of several required Evidence Act products, including the 4-year Evidence-Building Plan (also referred to as the Learning Agenda), Capacity Assessment, and agency Evaluation Policy. The FY2023 Evaluation Plan priority areas are aligned with the goals of the FY 2022-2026 HHS Strategic Plan and the FY 2023- 2026 HHS Evidence-Building Plan.Related Products:
Report
FY 2023-2026 HHS Capacity Assessment
Under the Foundations for Evidence-Based Policymaking Act of 2018 (Evidence Act), the Capacity Assessment requires agencies to assess the coverage, quality, methods, effectiveness, and independence of their statistics, evaluation, research, and analysis efforts. HHS has drawn upon existing federal policies and guidance identified in Circular A-11 as well as agency policies and guidance from…
Report
FY 2023-2026 HHS Evidence-Building Plan
The HHS Evidence Building Plan, required by the Evidence Act, is a systematic plan for identifying and addressing policy questions relevant to the programs, policies, and regulations of the agency.
Research Summary
Identifying and Supporting Human Services Participants with Substance Use Disorder: Roundtable Summary
This brief summarizes discussions among experts participating in a roundtable. The discussions focused on promising strategies to identify substance use disorder (SUD) among human services participants and refer them to treatment and recovery supports. The roundtable concentrated on four programs: Temporary Assistance for Needy Families, child welfare, domestic violence, and Head Start.…
ASPE Issue Brief
HealthCare.gov Marketplace Enrollment During the 2021 Special Enrollment Period by Race and Ethnicity
In response to the COVID-19 Public Health Emergency, the Centers for Medicare & Medicaid Services provided a 2021 Special Enrollment Period (SEP) from February 15 to August 15, 2021. Understanding the sociodemographic composition of Marketplace enrollees allows for better targeted outreach and enrollment assistance. However, many enrollees do not report their race and ethnicity. Using…
ASPE Data Point
Projected Coverage and Subsidy Impacts If the American Rescue Plan’s Marketplace Provisions Sunset in 2023
The American Rescue Plan (ARP) includes two key provisions that expand and increase premium tax credit benefits for Marketplace consumers, improving affordability of coverage for millions. Under current law, these provisions will sunset in 2023 if they are not extended, resulting in higher out-of-pocket costs for enrollees and an increase in the number of uninsured. This Data Point highlights…
ASPE Issue Brief
Health Coverage for Women Under the Affordable Care Act
This brief provides an overview of the important role the Affordable Care Act (ACA) has had on increasing access to comprehensive coverage among women. Over 10 million adult women (19-64) gained coverage between 2010 and 2019, as did over 7 million women of reproductive age (15-44). Despite the ACA’s coverage gains, approximately 7.9 million women of reproductive age remain uninsured. Access to…