Reports

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This is the first of two briefs about a qualitative study examining lower-income mothers' attachment to work around the time of childbirth and the role of state paid family leave (PFL) programs in supporting their return to employment. Seventy-five mothers who used PFL participated in the study.

This is the second of two ASPE briefs about a qualitative study of lower-income mothers' attachment to work around childbirth and the role of state paid family leave (PFL) programs.

ASPE has contracted with Research Triangle Institute and the University of North Carolina School of Government to understand how local, state, faith-based, and nonprofit human services programs and organizations can create and use social capital to increase employment, reduce poverty, and improve child and family well-being.

Richard W. Johnson Urban Institute Printer Friendly Version in PDF Format (14 PDF pages)

This Research Brief summarizes recent research on older adults' LTSS risks and financial resources that the Urban Institute completed for ASPE. Except where noted, the studies used data from the Health and Retirement Study, a large, nationally representative survey that has been tracking older Americans since 1992.

In February 2007, the Eastern Research Group (ERG) submitted to the Office of the Assistant Secretary for Planning and Evaluation (ASPE) Analysis of Supply, Distribution, Demand, and Access Issues Associated with Immune Globulin Intravenous (IG

By statute, the majority of patients with end-stage renal disease (ESRD) are eligible for Medicare, regardless of age. Kidney transplantation is ultimately considered the best treatment for ESRD, but ESRD-related eligibility for Medicare coverage extends for only 36 months post-transplant.

Between 1996 and 2013, there was a 54% decrease in the incidence of diabetes-related end-stage renal disease (ESRD-DM) in American Indian and Alaska Native (AI/ AN) populations. This decline has occurred since the Special Diabetes Program for Indians (SDPI) was established in 1997.

For child support programs, the emergence of the gig economy presents a new dimension to the longstanding challenge of establishing and enforcing child support orders for noncustodial parents working outside traditional salaried employment – in jobs that are often temporary, part-time, and contingent.

Zhanlian Feng, PhD,Alison Vadnais, MHS, Emily Vreeland, BA, Susan Haber, PhD, Joshua Wiener, PhD, and Bob Baker, BA RTI International Printer Friendly Version in PDF Format (46 PDF pages)

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There are multiple pathways to becoming dually eligible for Medicare and Medicaid. The purpose of this study is to identify the frequency with which these pathways are followed and the beneficiary characteristics and patterns of service use by pathway.

This paper seeks to document the frequency of Medicaid coverage loss among full-benefit dual eligible beneficiaries and identify potential causes for coverage loss. For dual eligible beneficiaries, the loss of full-benefit Medicaid coverage is of concern because most of them do not have an alternative source of health insurance for the services covered by full-benefit Medicaid.

Melissa Azur, Daniel Friend, Dmitriy Poznyak, Kathleen Feeney, Danielle Chelminsky, Breanna Miller, Lareina La Flair, and Junqing Liu Mathematica Policy Research Printer Friendly Version in PDF Format (120 PDF pages)

The 2018 HHS Data Strategy focuses on improving the Department’s capacity to develop statistical evidence to support policymaking and program evaluation over the next six to eight years.

Despite advances in the development of evidence-based treatment for adults with post-traumatic stress disorder (PTSD), the implementation of these treatments varies widely. To reduce this gap through wider dissemination of effective behavioral health treatment, the U.S.

Randall Blair, Jonathan D. Brown, Xiao Barry, and Angela Schmitt Mathematica Policy Research Printer Friendly Version in PDF Format (22 PDF pages)

Medicare beneficiaries in inpatient psychiatric facilities (IPFs) have complex conditions that require sustained engagement with physical and mental health care providers. People who receive care from IPFs are at risk for a range of negative health outcomes, but surprisingly little is known about their patterns of care.

Nancy Archibald, Michelle Soper, Leah Smith, and Alexandra Kruse Center for Health Care Strategies Joshua Wiener RTI International Printer Friendly Version in PDF Format (59 PDF pages)

The 11 million individuals dually-eligible for Medicare and Medicaid are among the highest need populations in either program. However, a lack of coordination between the Medicare and Medicaid programs makes it difficult for individuals enrolled in both to navigate these fragmented systems of care and adds to the cost of both programs.

Richard W. Johnson and Claire Xiaozhi Wang Urban Institute Printer Friendly Version in PDF Format (22 PDF pages)

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Richard W. Johnson Urban Institute Printer Friendly Version in PDF Format (26 PDF pages)

This brief provides new evidence on the lifetime risk that older adults will need LTSS and receive paid services and supports.

To estimate home much paid home could possibly be purchased out of income and wealth, we estimated the share of older adults with sufficient monthly income to cover median home care costs as well as other living expenses. Our results show that many older adults with severe LTSS needs could not afford 2 years of paid home care without financial assistance.

This study conducted exploratory analyses to develop a better understanding of community-admitted Medicare home health patients, including whether there have been any differential trends between community-admitted and post-acute care (PAC) patients over time and what their patterns of care tell us about the underlying reasons for the community-admitted increased numbers.

Gary R. Bond, Debra Lerner, Robert E. Drake, Cheryl Reidy, and Jacky Choi Westat Printer Friendly Version in PDF Format (55 PDF pages)

Among employed adults, major depression is a leading cause of work absences (absenteeism) and impaired work performance (presenteeism) as well as short-term and long-term work disability. Depression is one of the largest and fastest growing categories of work disability claims filings in the public and private disability insurance sectors.

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This report describes an extension of the RAND Corporation's evaluation of the Substance Abuse and Mental Health Services Administration's Primary and Behavioral Health Care Integration (PBHCI) grants program.

The impact of the opioid epidemic on infectious disease transmission is an important public health issue. The problem came dramatically to light in 2015 when an outbreak of new human immunodeficiency virus (HIV) infections occurred in rural Scott County, Indiana.

Peggy O'Brien, Erika Crable, Catherine Fullerton, and Lauren Hughey Truven Health Analytics March 2019 Printer Friendly Version in PDF Format (201 PDF pages)

Health centers are experimenting with telehealth for a range of conditions, working with different types of remote providers, and confronting different telehealth policies and implementation barriers, depending on their locations and payer mix.  This paper explores the experiences of health centers and state Medicaid programs in seven states.

This report presents the findings from the Policy Analysis and Decision-Making Capacity project, funded by the Office of Science and Data Policy within the Office of the Assistant Secretary for Planning and Evaluation at the U.S. Department of Health and Human Services.

Substance use disorders (SUDs) represent a serious public health problem in the United States. Recent attention has focused most on opioid use, including heroin use and prescription opioid misuse, with the attendant high rates of opioid-related overdoses. Alcohol use disorders are more common than opioid use disorders and also represent a public health concern.

This report responds to the December 2016 “Expanding Capacity for Health Outcomes (ECHO) Act,” Public Law 114-270, which requires the Department to report to Congress on a range of issues related to technology-enabled collaborative learning and capacity building models and make recommendations on their use.  This report consists of a summary document that includes the Department’s recommen

Norah Mulvaney-Day, Brent Gibbons, and Shums Alikhan TruvenHealth Analytics, an IBM company February 2019 Printer Friendly Version in PDF Format (111 PDF pages)

ABSTRACT

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Many women facing opioid addiction are either pregnant or caring for children and face a number of social, structural and economic barrier in accessing treatment.

This Issue Brief represents the finding of a white paper prepared by RTI under funding from ASPE. The analysis included a programs scan of policy initiatives in 21 states and individual interviews with academics, federal experts, state officials and individual providers.

Brenda C. Spillman, Joshua Leopold, Eva H. Allen and Pamela Blumenthal Urban Institute Printer Friendly Version in PDF Format (25 PDF pages)

This project examined current collaborations between housing providers and health care providers. Recent delivery system reforms have provided new or expanded opportunities at the state, local, and organizational level to forge collaborations between health care and housing providers.

Truven Health Analytics Printer Friendly Version in PDF Format (67 PDF pages)

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Truven Health Analytics Printer Friendly Version in PDF Format (60 PDF pages)

This is the final report of the Balancing Incentive Program evaluation. Five earlier progress reports on the Balancing Incentive Program (BIP) have already been published. The BIP, legislated in the 2010 Affordable Care Act, offered states temporary enhanced federal financial participation for Medicaid home and community-based services (HCBS).

This project assessed changes in opioid use disorder (OUD) treatment utilization and expenditures in the employer-sponsored private health insurance market during 2007 and 2014.