Medicare Advantage (MA) is the current program under which beneficiaries can enroll in private health plans rather than having their care covered through Medicare's traditional fee for service (FFS) program. Payments to MA plans in many areas are now substantially greater than the cost of treating comparable beneficiaries in the traditional program.
Office of Health Policy (HP)
The Office of Health Policy (HP) provides a cross-cutting perspective that bridges Departmental programs, state, local, and private sector activities, and the research community, in order to develop, analyze, coordinate and inform leadership on health policy issues for the Secretary. HP carries out this mission by conducting policy and economic and budget analyses, assisting in the development and review of regulations, budgets, legislation, and survey design efforts, as well as conducting and coordinating research, evaluation, and information dissemination on issues relating to health policy.
HP is organized in four divisions that align with major Department programs:
Division of Health Care Financing Policy (HFP)
Division of Public Health Services (PHS)
Division of Health Care Quality and Outcomes (HQO)
Division of Health Care Access and Coverage (HAC)
Health Policy Research:
- Reports to Congress
- Research & Issue Briefs
- HP Authored or Sponsored Work Published in Journals
Other Helpful Information:
Topic Areas:
- Children's Health Insurance Program (CHIP)
- Data
- Evaluation
- Health & Health Care
- Health Indicators
- Health Care Coverage and Access
- Health Policy
- Healthcare Reform
- Healthcare Safety Net
- HIV & AIDS
- Medicaid
- Medicare
- Patient-Centered Outcomes Research Trust Fund (PCORTF)
- Prescription Drugs & Other Medical Products
- Public Health
- Uninsured & Underinsured
Contact Us: ASPEHealthPolicy@hhs.gov
Reports
Displaying 381 - 390 of 542. 10 per page. Page 39.
Advanced SearchDisease Management and Medicaid Waiver Services for HIV/AIDS Patients
This paper examines the limited evidence to date on the impact of disease management (DM) for low-income populations enrolled in public insurance programs, and explores issues concerning the effectiveness of DM targeted to people living with HIV/AIDS. [22 PDF pages]
Exploring Episode-Based Approaches for Medicare Performance Measurement, Accountability and Payment
This project examines alternative episode definitions to better align performance measures, incentives, payments, and accountability within Medicare fee-for service in the near term and options for broader episode-based reforms.
Examining Post Acute Care Relationships in an Integrated Hospital System
This project continues the analysis of Medicare beneficiary level episodes of post-acute care. RTI builds on its previously funded ASPE project by expanding the episode file to include 2006 claims.
Exploring Episode-Based Approaches for Medicare Performance Measurement, Accountability and Payment Final Report
Cheryl l. Damberg, Melony E. Sorbero, Peter S. Hussey, Susan Lovejoy, hangsheng liu, and ateev mehrotra WR-633-ASPE February 2009 Assistant Secretary for Planning and Evaluation U.S. Department of Health and Human Services
Volume Growth in Medicare. An Investigation of Ten Physicians' Services
Medicare’s Sustainable Growth Rate (SGR) is a target rate of growth in spending for physicians’ services. Payments for physicians’ services are supposed to automatically adjust in response to actual spending falling either above or below the target.
Regulation of the Individual Health Insurance Market
Several proposals to increase health coverage for the currently uninsured rely on encouragements to utilize and potentially expand the individual insurance market. In broadening health insurance coverage, it is important to understand the regulatory environment under which these proposals would be implemented.
The Regulation of the Individual Health Insurance Market
IntroductionAlthough the majority of Americans with health insurance obtain their coverage through group health plans offered through their employers, many individuals obtain their coverage through the nongroup (or individual) insurance market.
Federal Medical Assistance Percentages (FMAP), Fiscal Year 2010
The Federal Medical Assistance Percentages and Enhanced Federal Medical Assistance Percentages are calculated pursuant to the Social Security Act (the Act). These percentages will be effective from October 1 through September 30 of the indicated year.