Reports

The COVID-19 pandemic and the slowdown in economic activity have impacted the well-being of many U.S. families. Unemployment peaked at 14.7 percent in April, and remained above 8 percent in August. The CARES Act and the Family First Coronavirus Response Act used several short-term policy strategies to address this challenge.

The National Action Plan for Combating Antibiotic-Resistant Bacteria (CARB), 2020-2025, presents coordinated, strategic actions that the United States Government will take in the next five years to improve the health and wellbeing of all Americans by changing the course of antibiotic resistance. This Plan is based on the U.S.

Advance Care Planning Among Medicare Fee-For-Service Beneficiaries and Practitioners: Research Brief Fang He, PhD; Angela Gasdaska, BS; Hannah Friedman, BA; Brendan Wedehase, BS; Alexis Kirk, PhD; Ila Broyles, PhD; Sarita L.

ADVANCE CARE PLANNING AMONG MEDICARE FEE-FOR-SERVICE BENEFICIARIES AND PRACTITIONERS: FINAL REPORT Fang He, PhD, Angela Gasdaska, BS, Hannah Friedman, BA, Brendan Wedehas, BS, Alexis Kirk, PhD, Ila Broyles, PhD, and SaritaL.

ADVANCE CARE PLANNING AMONG MEDICARE FEE-FOR-SERVICE BENEFICIARIES AND PRACTITIONERS: FINAL REPORT Fang He, PhD, Angela Gasdaska, BS, Hannah Friedman, BA, Brendan Wedehas, BS, Alexis Kirk, PhD, Ila Broyles, PhD, and SaritaL.

Advance Care Planning Among Medicare Fee-For-Service Beneficiaries and Practitioners: Research Brief Fang He, PhD; Angela Gasdaska, BS; Hannah Friedman, BA; Brendan Wedehase, BS; Alexis Kirk, PhD; Ila Broyles, PhD; Sarita L.

Beginning in mid-March 2020, the COVID-19 pandemic has had an unprecedented impact on health care utilization. The impact on patients, their families and the health care system was significant.

This handbook is a go-to resource for human services providers looking for practical ways to implement social capital building practices to improve participant outcomes.

Insulin prices have increased dramatically over the past decade in the United States. This report presents results from international price comparisons of insulins using a price index approach.

September 2020 Printer Friendly Version in PDF Format (58 PDF pages)

September 2020 Printer Friendly Version in PDF Format (200 PDF pages)

September 2020 Printer Friendly Version in PDF Format (32 PDF pages)

September 2020 HTML Format (58 PDF pages)

Trauma-informed approaches provide a framework for preventing and addressing childhood trauma and building resilience in children and families.

Recent focus on evidence-based decision-making has led to multiple federal efforts to determine the evidence behind various programs, particularly those seeking federal funding.

Douglas County Community Mental Health Center fosters relationships for incarcerated and reentering individuals recovering from substance use in Douglas County, Nebraska through coffee chats and connections with staff.

This report describes progress HHS has made over the past year to implement the Department’s Advancing American Kidney Health (AAKH) initiative and the Executive Order that accompanied the initiative.

The Advisory Council on Alzheimer's Research, Care, and Services, as well as the agencies/organizations that are in the National Alzheimer's Project Act, invite anyone to submit comments. Comments can be about Advisory Council meetings, NAPA and its documents, or issues involving Alzheimer's disease and related dementias.

This report responds to a requirement in Executive Order 13877, "Improving Price and Quality Transparency in American Healthcare to Put Patients First." It describes the phenomenon of a "surprise billing," particularly in the commercial insurance market, the underlying federal and state regulatory frameworks, and recent state actions to address the problem.

This ASPE issue brief examines changes in Medicare fee-for-service primary care visits and use of telehealth at the start of the COVID-19 public health emergency (PHE). This brief seeks to address the issue of how and whether the Medicare telehealth flexibilities introduced to address the COVID-19 pandemic may have helped maintain access to primary health care during the PHE.

This research summary and brief describe nine programs and highlight ways they have addressed challenges to serving child welfare-involved parents with substance use issues, with a particular focus on their applicability to rural communities.

This is the third ASPE brief about a qualitative study examining lower-income mothers’ attachment to work around the time of childbirth and the role of state paid family leave (PFL) programs in supporting their return to employment. This brief focuses on the role of PFL in facilitating child care arrangements of a sample of mothers. Highlights are:

Children under age five are about as likely to participate in nonparental care arrangements as they were in the mid-1990s. Children in nonparental care are now more likely to participate in center programs and less likely to receive care from family child care providers.

This is the PDF version of the Research Recommendations from the Workforce Development Stakeholder Group prepared for the 2020 National Research Summit on Care, Services, and Supports for Persons with Dementia and Their Caregivers (also called the Research Summit on Dementia Care).

This is the PDF version of the Research Recommendations from the Service Providers Stakeholder Group prepared for the 2020 National Research Summit on Care, Services, and Supports for Persons with Dementia and Their Caregivers (also called the Research Summit on Dementia Care).

This is the PDF version of the Research Recommendations from the Payer Stakeholder Group prepared for the 2020 National Research Summit on Care, Services, and Supports for Persons with Dementia and Their Caregivers (also called the Research Summit on Dementia Care).

This is the PDF version of the Research Recommendations from the Family Caregiver Stakeholder Group prepared for the 2020 National Research Summit on Care, Services, and Supports for Persons with Dementia and Their Caregivers (also called the Research Summit on Dementia Care).

MODELS FOR MEDICATION-ASSISTED TREATMENT FOR OPIOID USE DISORDER, RETENTION, AND CONTINUITY OF CARE Peggy L.

Treatment providers, policymakers, and others are seeking ways to reverse the tide of mortality and morbidity that has accompanied the opioid epidemic. There are evidence-based treatments for opioid use disorder (OUD), including medication-assisted treatment (MAT) using buprenorphine, methadone, and naltrexone. Research shows that retention in MAT results in better outcomes.

Potential Impacts of Minimum Wage Increases on Nursing Homes: Issue Brief Michael Lepore, PhD; Ian Livingstone, PhD; David Naden, MA; and Zhanlian Feng, Ph.D. RTI International June 2020 Printer Frien

IMPACTS OF MINIMUM WAGE INCREASES ON NURSING HOMES: FINAL REPORT Michael Lepore, PhD, Ian Livingstone, PhD, David Naden, MA, Mark Hatem, BA, and ZhanlianFeng, PhD RTI International June 2020 Printer Friend

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Nursing homes employ large proportions of their workforce at the minimum wage. This project sought to understand the potential impacts of federal minimum wage increases on nursing staffing and labor costs of nursing homes.

Nursing homes employ large proportions of their workforce at the minimum wage. This project sought to understand the potential impacts of federal minimum wage increases on nursing staff hours and labor costs of nursing homes.

As required by the IMPACT Act, the second Report to Congress examines the effect of individuals’ social risk factors on quality measures, resource use, and other measures under the Medicare program, as well as analyses of the effects of Medicare’s current value-based payment programs on providers serving socially at-risk beneficiaries and simulations of potential policy options to address these

June 2020 Printer Friendly Version in PDF Format (5 PDF pages)

This brief uses a proprietary dataset of electronic health records to describe the prevalence rates of chronic health conditions associated with a higher risk of severe illness from COVID-19 among people with a history of homelessness. The paper found that for many of the health conditions examined, people with a history of homelessness have greater prevalence than the general population.

In response to the COVID-19 pandemic, in March 2020 Congress enacted emergency paid family leave (Emergency Family and Medical Leave Expansion Act (EFMLEA)) for use by parents when their children are unable to attend school or child care due to the crisis.

The COVID-19 pandemic is forcing child care providers across the country to close. Between February and April 2020, employment in the child care industry dropped by about one third, losing 360,000 jobs. We do not yet know how this will affect the longer-term economic health of this sector. This has implications for the supply, quality, and price of child care for low-income families.

Economic Impact Payments under the CARES Act can increase economic independence and labor force attachment among individuals reentering from incarceration through helping cover basic expenses while individuals seek employment and get on their feet.

Parental opioid use disorder (OUD) is a risk factor for the maltreatment of children and placement into foster care. Opioid agonist therapy (OAT) is an evidence-based treatment for OUD using medications such as methadone and buprenorphine. OAT can help parents enter recovery and reduce the risk of maltreatment, and potentially improve child welfare outcomes.

This compendium is an effort to understand and document the data collected by ACF that is or could be used for evidence-building purposes. It includes summaries of twelve major ACF administrative data sources and seven surveys.

This brief analyzes information on administrative data resources collected by the Administration for Children and Families (ACF). It explores how the data can be leveraged to improve evidence and research on ACF programs and beneficiaries. Key highlights include:

In response to the COVID-19 pandemic, in March 2020 Congress enacted emergency paid family leave (Emergency Family and Medical Leave Expansion Act) as well as emergency paid sick leave. This brief suggests lessons for facilitating the use of emergency paid family leave by lower-income families, drawing on research by ASPE on families’ participation in state paid family leave programs.

By Annette Waters, Pamela Winston, and Robin Ghertner April 1, 2020

This toolkit aims to help states develop a plan for Title IV-E prevention services, and to assist states in planning a comprehensive array of services to help prevent the need for foster care placement (“prevention services”) by braiding Title IV-E prevention services reimbursement with Medicaid and other funding mechanisms.

This toolkit aims to help states develop a plan for Title IV-E prevention services, and to assist states in planning a comprehensive array of services to help prevent the need for foster care placement (“prevention services”) by braiding Title IV-E prevention services reimbursement with Medicaid and other funding mechanisms.

This toolkit aims to help states develop a plan for Title IV-E prevention services, and to assist states in planning a comprehensive array of services to help prevent the need for foster care placement (“prevention services”) by braiding Title IV-E prevention services reimbursement with Medicaid and other funding mechanisms.

This toolkit aims to help states develop a plan for Title IV-E prevention services, and to assist states in planning a comprehensive array of services to help prevent the need for foster care placement (“prevention services”) by braiding Title IV-E prevention services reimbursement with Medicaid and other funding mechanisms.

This toolkit aims to help states develop a plan for Title IV-E prevention services, and to assist states in planning a comprehensive array of services to help prevent the need for foster care placement (“prevention services”) by braiding Title IV-E prevention services reimbursement with Medicaid and other funding mechanisms.