Recent legislative and administrative policy initiatives have built on the Affordable Care Act’s (ACA) expansion of health insurance coverage and improvements in access to and utilization of health care services.
Health Outcomes
Reports
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Improving Access to Affordable and Equitable Health Coverage: A Review from 2010 to 2024
ASPE Issue Brief
Health Insurance Coverage and Access to Care Among Black Americans: Recent Trends and Key Challenges
Since the implementation of the Affordable Care Act’s coverage provisions, the uninsured rate among nonelderly Black Americans decreased by 10 percentage points, from 20.9 percent in 2010 to 10.8 percent in 2022.Related Products:
ASPE Issue Brief
Project Update: Child Welfare and Health Infrastructure for Linking and Data Analysis of Resources, Effectiveness, and Needs (CHILDREN) Initiative
This brief describes progress in the Child Welfare and Health Infrastructure for Linking and Data Analysis of Resources, Effectiveness, and Needs (CHILDREN) Initiative, which is entering its second year. At this time, four jurisdictions have been selected for participation in the CHILDREN Initiative and are engaging in feasibility studies to determine readiness for linking data.
Research Brief
Trends in Ownership Structures of U.S. Nursing Homes and the Relationship with Facility Traits and Quality of Care (2013-2022)
Stakeholders, researchers, and policymakers have identified varying nursing home ownership structures and ownership transactions as potentially influencing the quality of care delivered to vulnerable residents.
Policy Brief
Refugee and Asylee Data on the Utilization of Medicaid
This brief describes a joint project of the ASPE and the Office of Refugee Resettlement in the Administration for Children and Families to enhance the data infrastructure of agencies managing refugees and Medicaid services. This project is funded by the Patient-Centered Outcomes Research Trust Fund.
Report
Linking State Medicaid Data and Birth Certificates For Maternal Health Research
This report presents the set of guiding principles for linking state Medicaid data with birth certificates that was developed by state and national experts and leaders. These guiding principles can be implemented to create a multistate linked database that researchers would be able to access and use for research on maternal health, including patient-centered outcomes research (PCOR).
Environmental Scan
Identifying Environmental Data, Barriers, and Opportunities for HSR and PCOR: Environmental Scan
The authors conducted a landscape scan to identify environmental data suitable for health services research (HSR) and patient centered outcomes research (PCOR). Additional research was done to uncover examples of and opportunities for data linkage with other HHS data.
Report
Linking Medicaid Claims, Birth Certificates, and Other Sources to Advance Maternal and Infant Health
Medicaid pays for nearly half of all births in the United States, including most births by Black and Hispanic pregnant population.
ASPE Issue Brief
Reductions in Deaths and Hospitalizations Associated with COVID-19 Vaccinations Among Medicare Beneficiaries: Full Year 2021 Estimates
This study updates ASPE’s previous analysis of the associations between COVID-19 hospitalizations and deaths among Medicare beneficiaries and COVID-19 vaccination rates, with full year data through the end of 2021.
Report
How Increased Funding Can Advance the Mission of the Indian Health Service to Improve Health Outcomes for American Indians and Alaska Natives
This ASPE report discusses disparities in health and health care experienced by American Indian and Alaska Native (AI/AN) populations, the role of the federal government in financing and providing health care services to these populations, and how enhanced funding could help further the Indian Health Service’s mission in ensuring that tribal communities have access to high quality health care s