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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.

Reports

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ASPE Issue Brief

Health Insurance Coverage and Access to Care for LGBTQ+ Individuals: Recent Trends and Key Challenges

This Issue Brief analyzes national survey data to discuss demographic characteristics of the LGB+ community, recent trends in insurance coverage for this population, and various challenges and barriers to care faced by the broader LGBTQ+ community.Related Products
ASPE Issue Brief

The Impact of the COVID-19 Pandemic on Medicare Beneficiary Utilization and Provider Payments: Fee-For-Service (FFS) Data for 2020

Medicare FFS beneficiary service use and associated payments to providers dropped substantially from mid-March through mid-April, but had returned to near-2019 levels by the fall of 2020. The rebound in the fall was not sufficient to offset the earlier declines in the spring, and cumulative payment levels across all states were lower in 2020 compared to 2019.

Vaccine Hesitancy for COVID-19: PUMA 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, the Household Pulse Survey from May 25-June 7, 2021. This page includes an interactive map and datasets for download.
Report

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, the Household Pulse Survey from May 26-June 7, 2021. This page includes an interactive map, a pdf file with a methodological description, and datasets for download.
ASPE Issue Brief

Health Coverage Under the Affordable Care Act: Enrollment Trends and State Estimates

This Issue Brief presents current estimates of enrollment in health insurance coverage obtained through the ACA Marketplaces and the Medicaid expansion and the subsequent reductions in state-level uninsured rates since the ACA was implemented in 2014.Related Products
ASPE Issue Brief

COVID-19 Intensifies Home Care Workforce Challenges: Policy Perspectives Issue Brief

Link to Printer Friendly Version in PDF Format (5 PDF pages)
ASPE Issue Brief

COVID-19 Intensifies Home Care Workforce Challenges: Agency Perspectives Issue Brief

June 1, 2021 Link to Printer Friendly Version in PDF Format (5 PDF pages)

COVID-19 Intensifies Home Care Workforce Challenges

June 1, 2021 Link to Printer Friendly Version in PDF Format (66 PDF pages)

Perspectives of Program Participants on Virtual Human Services During COVID-19

Focus groups with a small sample of program participants across a range of human services programs in Fall 2020 captured the perspectives of people served to better understand the perceived strengths and limitations of virtual services.

Factors influencing variation between states in efficiency of COVID-19 vaccine administration

Limited initial supplies of the COVID-19 vaccine necessitated the development of strategies to ensure efficient and equitable vaccine distribution. This brief summarizes the different vaccine distribution strategies and approaches taken by states and evaluates the extent to which these may have impacted the efficiency with which doses delivered to states are administered to patients.