Service Delivery & Capacity Building

This report provides an overview of the characteristics of the immigrant population in the United States, their health status and barriers to care, recent trends in health insurance coverage, their access to Federal health programs, and how they have been affected by the Covid-19 pandemic. It also offers possible policy approaches to improve health care equity for this diverse population.

Network adequacy is often defined as having enough providers within a health plan network to ensure reasonable and timely access to care. At a minimum, health plans should include a sufficient number of providers who deliver mental health and substance use disorder (SUD) services (collectively referred to in this report as behavioral health services) to support access to those services.

Virtual human services delivery has the potential to improve long-standing disparities in service access and outcomes. This brief highlights emerging lessons from the field, identifying considerations for programs to advance equity across all elements of service delivery. Related Products

Medicaid and the Marketplace are important sources of affordable, comprehensive healthcare coverage for millions of Americans living in rural areas, and the American Rescue Plan bolsters rural coverage options. But challenges in accessing care remain in many rural areas, including provider shortages, infrastructure limitations, and long distances to care.

March 2021 Link to Printer Friendly Version in PDF Format (9 PDF pages)

March 2021 Link to Printer Friendly Version in PDF Format (80 PDF pages)

Mental Health Treatment Need and Treatment System Capacity ASPE ISSUE BRIEF Ellen Bouchery Mathematica March 2021 Link to Printer Friendly Version in PDF Format (8 PDF pages)

This project report provides potential approaches to expand and strengthen the entry-level health care workforce in the United States, with a primary focus on seven occupations: nurses, medical assistants, dental ass istants and hygienists, health aides, community health workers, peer specialists, and other specialized providers. Resource:

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.