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Evaluation

Evaluation and analysis provide essential evidence for HHS to understand how its programs work, for whom, and under what circumstances. HHS builds evidence through evaluation and analysis in order to inform decisions in budget, legislative, regulatory, strategic planning, program, and policy arenas. Given the breadth of work supported by HHS, many evaluations and analyses are conducted each year. These efforts range in scope, scale, design, and methodology, but all aim to understand how the effect of programs and policies and how they can be improved. 

Across HHS, evaluation comes in many forms, including: 

  • Program evaluations using the most rigorous designs appropriate; 
  • Capacity-building initiatives to improve administrative data collection, accessibility, and use for management; 
  • Exploratory and preliminary quantitative and qualitative analysis to build evidence; 
  • Pilots and demonstrations; and 
  • Statistical analysis of factors related to health and human services programs and policies. 

ASPE coordinates the evaluation community by regularly convening the HHS Evaluation & Evidence Policy Council, which builds capacity by sharing best practices and promising new approaches across HHS. 

Reports

Displaying 1 - 10 of 312. 10 per page. Page 1.

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ASPE Issue Brief

Participation in the U.S. Social Safety Net: Coverage of Low-income Families, 2018

November 24, 2021
Participation in the social safety net varies widely across programs—from 15 percent among eligibles for subsidized child care (CCDF) to over 75 percent for Medicaid/CHIP and EITC.  Participation differs by race and ethnicity, yet patterns are not consistent. In general rates differ more across programs than between race-ethnic groups.
Report

Comparing Outcomes for Dual Eligible Beneficiaries in Integrated Care: Final Report

October 22, 2021
Dual eligible beneficiaries are an important subset of the Medicare and Medicaid populations because they have a high prevalence of chronic conditions and disabilities, substantial care needs, and high health care and long-term services and supports (LTSS) utilization and costs.
Report

Addressing Uncertainty in Regulatory Impact Analysis

October 15, 2021
In 2016, the U.S. Department of Health and Human Services finalized its Guidelines for Regulatory Impact Analysis under the leadership of its Assistant Secretary for Planning Evaluation and Analytics Team. The Guidelines discuss strategies for characterizing the uncertainty in quantified effects as well as the potential impacts of non-quantified effects.
Research Brief

Associations Between County-level Vaccination Rates and COVID-19 Outcomes Among Medicare Beneficiaries

October 5, 2021
The purpose of this study is to identify associations between COVID-19 infections, hospitalizations, and deaths among Medicare fee-for-service (FFS) beneficiaries and the proportion of the population fully vaccinated at the county-level between January and May 2021.
Report

Guidelines for Regulatory Impact Analysis Supplement: Addressing International Effects

October 1, 2021
This report extends the brief discussion of addressing international effects contained in the Department of Health and Human Service Guidelines for Regulatory Impact Analysis (2016). The purpose of this supplement is to expand that discussion and provide more detailed information on conducting such assessments. Related Products:
Report

Valuing COVID-19 Mortality and Morbidity Risk Reductions in U.S. Department of Health and Human Services Regulatory Impact Analyses

August 20, 2021
This report develops an approach for valuing COVID-19 mortality and morbidity risk reductions based on the U.S. Department of Health and Human Services (HHS) Guidelines for Regulatory Impact Analysis. Valuing risk reductions associated with regulations or other policies that address the novel coronavirus disease 2019 (COVID-19) presents major challenges.

Department of Health & Human Services Evaluation Policy

May 12, 2021
This is an evaluation policy for the Department of Health and Human Services (HHS), required by the Foundations for Evidence-based Policymaking Act of 2018 (Evidence Act). ASPE convened a group of agency representatives from across HHS operating and staff divisions to develop the policy.

Department of Health & Human Services FY 2022 Evaluation Plan

May 12, 2021
As part of the Evidence Act, HHS is required to submit “an evaluation plan describing activities the agency plans to conduct pursuant to [its evidence-building plan].” Nine operating divisions within HHS and one staff division developed evaluation plans and included information on priority questions being examined by the agencies as well as data, methods, and challenges to addressing those ques
Case Study

Case Study of Father Engagement in Substance Use Disorder Treatment Programs: ForeverDads

March 17, 2021
This case study focuses on how a fatherhood program in rural Ohio—ForeverDads—reaches a subpopulation of fathers through partnerships with area substance use disorder treatment programs. Key lessons and considerations include how human services programs can promote father engagement by:
ASPE Issue Brief

Extended LTSS Utilization Makes Older Adults More Reliant on Medicaid Issue Brief

January 31, 2021
Extended LTSS Utilization Makes Older Adults More Reliant on Medicaid Issue Brief ASPE ISSUE BRIEF Richard W. Johnson and Melissa M. Favreault Urban Institute Judith Dey, William Marton, and Lauren Anderson