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.
Health & Health Care
ASPE produces health policy research with a focus on equity, coverage, and access. Find resources related to a broad range of topics, including the uninsured population, vaccine hesitancy, Medicaid/CHIP, Medicare, the federal marketplace (HealthCare.gov), telehealth, health care delivery, underserved areas, delivery system transformation, health outcomes, and social determinants of health.
Noteworthy Resources and Reports
Vaccine Hesitancy for COVID-19: State, County, and Local Estimates
To support state and local communication and outreach efforts, ASPE developed state, county, and sub-state level predictions of hesitancy rates using the most recently available federal survey data. Explore the interactive map and other resources.
Topic Areas
Reports
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Availability of Care for Older Adults in Outpatient Behavioral Health Facilities
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.
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.
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.
ASPE Data Point
HHS Standard Values for Regulatory Analysis
The U.S. Department of Health and Human Services (HHS) analyzes the benefits, costs, and other impacts of significant proposed and final rulemakings, consistent with the requirements of several executive orders and statutes. HHS develops these analyses according to technical guidance published by the U.S.
Report to Congress
Evaluation of the Impact of the No Surprises Act on Health Care Market Outcomes: Initial Post-Implementation Trends - Report Three
This third report extends trends in claims data in this series into 2022, the first year post-NSA implementation. In 2022, the prevalence of out-of-network bills declined 15 percent for emergency services and 11 percent for non-emergency services furnished at in-network facilities relative to 2021.
Report
Behavioral Health Navigation Services Offered by Health Insurers: Models, Characteristics, and Perceived Impact
In the United States, accessing behavioral health care is a persistent and complex challenge, even among those with insurance coverage. Behavioral health care access challenges stem from a combination of provider shortages, systemic barriers, and logistical hurdles. People frequently encounter difficulties determining the type of provider or level of care that best suits their needs.
Report
Medicare Advantage Plans & Evidence-Based Prevention Program Uptake
This report explores how Medicare Advantage (MA) plans deliver evidence-based prevention programs (EBPs) to support health promotion among older adults.
ASPE Issue Brief
Approaches to Dementia Care in Special Needs Plans
This issue brief examines how Medicare Advantage Special Needs Plans (SNPs) address the care needs of people living with dementia (PLWD) and their caregivers.
Report
Building the Data Capacity for Patient-Centered Outcomes Research: The 2025 Annual Report and Infographic
In Fiscal Year 2025, OS-PCORTF projects and other OS-PCORTF initiatives collectively enhanced the data infrastructure available for patient-centered and comparative clinical effectiveness research (CER) across national and HHS health objectives.