ASPE Reports
Displaying 41 - 60 of 4487 results. 20 results shown per page. Page 3 of 225.
Database, DatasetReport
Building infrastructure and evidence for COVID-19 related research, using integrated data from NCHS Data Linkage Program
The overall goal of the project is to expand the utility of National Center for Health Statistics (NCHS) linked data resources to support patient-centered outcomes research (PCOR) through the development of publicly available synthetic linked data files. To protect NCHS survey participants’ confidentiality, most of the linked datasets produced by the NCHS Data Linkage Program are only available…
Report to CongressVisualization
Welfare Indicators and Risk Factors, Twenty-Fifth Report to Congress
The Welfare Indicators Act of 1994 (Public Law 103-432) requires the Secretary of the Department of Health and Human Services to prepare an annual report to Congress on indicators and predictors of “welfare dependence.” That Act requires the report to include three programs: Temporary Assistance for Needy Families (TANF) program (which replaced the Aid to Families with Dependent Children (AFDC)…
Report
Creating Effective Medicaid Data Linkages for Health Outcomes Research
Patients, clinicians, decision makers, and other stakeholders depend on robust, evidence-based information to make informed health care decisions. Linking Medicaid data to other sources enables a deeper understanding of how Medicaid services and interventions influence health outcomes. Sharing insights and best practices from existing data linkage projects can support future linkage efforts that…
Research Brief
Medicaid Work Requirements Incentivize Employment and Are Estimated to Reduce Poverty
Research Brief
Child Welfare Technology System Implementation Shows Minimal Progress: After 10 years and $2 Billion, Modern Information Systems Are Still Out of Reach
This summary highlights key findings from this study. Readers are encouraged to download the full report for complete details and analysis.
Research Brief
The Title IV-E Guardianship Assistance Program (GAP): Use of Guardianship is Growing, but Lags Adoption Assistance and is Unevenly Used Across States
The Title IV-E Guardianship Assistance Program (GAP): Use of Guardianship is Growing, but Lags Adoption Assistance and is Unevenly Used Across States May 2026 Administration for Children and Families & Office of the Assistant Secretary for Planning and Evaluation
Research Brief
Child Welfare Ombudsman Offices Provide System Oversight That Can Lead to Policy and Practice Reforms
This brief provides an overview of child welfare ombudsman offices, describes the landscape of state child welfare ombudsman programs and their common functions, reviews the effectiveness of their oversight, and identifies successes in improving child welfare processes and procedures. Key findings include:
ASPE Issue BriefVisualization
The State of Rural Hospitals in the U.S, 2012-2023
ASPE’s Office of Health Policy has developed an Issue Brief modeling the key determinants of rural hospital closure or conversion as well as an interactive Rural Hospital Dashboard to highlight key characteristics and trends among rural hospitals. The Issue Brief uses a Cox proportional hazards model to identify low occupancy rates, for-profit ownership and proximity to an urban county as key…
Report
Advancing an Operational Definition of Intellectual and Developmental Disabilities for Use in Research
Background. Accurately estimating the prevalence of intellectual and developmental disabilities (ID/DD) in the United States remains a challenge, with reported rates varying widely (3%-17%) based on the definitions and data sources used. Administrative data, especially from Medicare and Medicaid claims, due to their broad population coverage and longitudinal structure, can be a valuable resource…
Research Brief
Consolidating Grants for Insular Areas Under SSBG Enables Funding Flexibility and Cuts Grant Administrative Burden
This brief describes Consolidated Block Grant (CBG) authority, which allows federal agencies to consolidate grants to insular areas into a single block grant, and how it is used with the Social Services Block Grant (SSBG) within the Administration for Children and Families (ACF). Key findings include:
ASPE Issue Brief
While often similar in design, home visiting models eligible for MIECHV and Title IV-E Prevention Services reflect the different programmatic goals of child and family wellbeing versus foster care prevention.
This brief address the HHS programs that fund evidence-based home visiting models. It provides a high-level comparison of the primary federal funding streams supporting home visiting. Key points are:
ASPE Issue BriefVisualization
Availability of Care for Older Adults in Outpatient Behavioral Health Facilities
Behavioral health (BH) conditions are rising among older adults, who are less likely to receive mental health (MH) or substance use disorder (SUD) treatment compared to younger adults. This study examined the availability of care for older adults in outpatient BH facilities across the United States both quantitatively and qualitatively.
Report
Integrated Care and Health Outcomes for Dual Eligible Individuals
This report examines how integrated care models served full-benefit dually eligible Medicare‑Medicaid beneficiaries in 2021. It compares three types of integrated plans—PACE, FIDE‑SNPs, and D‑SNPs—to standard Medicare Advantage plans, with a focus on hospitalizations, emergency department visits, nursing facility use, home‑ and community‑based services, and mortality. Using CMS data and matching…
Report
Environmental Scan of Pathways to Economic Self-Sufficiency for People with Disabilities
In the U.S., about 11 percent of people ages 18 to 64 living in the community have a disability. Health conditions that cause disability can negatively affect the human capital development of children and the ability of adults to engage in the labor force. Adults ages 16 to 64 with disabilities have a substantially lower rate of labor force participation than their counterparts without…
ASPE Issue Brief
Accelerating Innovative and Effective Pediatric Health Care Delivery Systems: Interventions and Value-Based Care Models for Children with Chronic Health Conditions and Complex Needs
Children, youth, and families have unique health needs, which set the foundation for health across the life course; chronic conditions now affect nearly one in three U.S. children, with disproportionate prevalence in those enrolled in Medicaid and CHIP.
Research Brief
CSBG Reporting Is Burdensome and Does Not Accurately Describe How Funds Are Actually Used
This brief describes the reporting practices used by the Community Services Block Grant (CSBG), the burden associated with the reporting process and the limitations of the resulting information for understanding how CSBG funds are used by eligible entities. CSBG provides flexible funds to states, territories, and tribes to support services that alleviate the causes and conditions of poverty and…