Reports

Created by the Deficit Reduction Act of 2005 and amended by the Patient Protection and Affordable Care Act (ACA), Section 1915(i) of the Social Security Act gives state Medicaid programs the flexibility to cover home and community-based services (HCBS) through a Medicaid state plan amendment (SPA) without the need to seek a federal waiver.

Stan Dorn, Rebecca Peters and Morgan Cheeks Urban Institute Pat Casanova and Gina Eckart Health Management Associates Ted Lutterman

This report summarizes findings from an ASPE study of the first year of the White House Rural Council/HHS Rural IMPACT demonstration, which aims to reduce poverty through coordinated services for both children and parents.

This infographic shows that, in the United States, infancy is the age at which individuals are most likely to enter shelter or transitional housing, followed by ages one to five, and homelessness during pregnancy and in the early years is harmful to children’s development. Given the research showing the importance of addressing early childhood homelessness, the U.S.

This issue brief presents analysis of Qualified Health Plan (QHP) data in the individual market Marketplace for states that use the HealthCare.gov Marketplace platform and State-Based Marketplaces where data is available.  It examines plan affordability in 2017 after taking into account premium tax credits and also examines the plan choices that new and returning consumers will have for 20

This research brief highlights interim findings from the evaluation of Reducing the Risk, a sexual health curriculum developed in the early 1990s to help prevent pregnancy and reduce sexually-transmitted infections (STIs) in adolescents. The study examined data from three different replications of Reducing the Risk, pooling the data to examine the overall program impact.

This report presents interim findings from the evaluation of Safer Sex Intervention, a clinic-based intervention intended to reduce the incidence of sexually transmitted infections (STIs) and increase condom use among high-risk sexually active female adolescents.

This research brief highlights interim findings from the evaluation of Safer Sex Intervention, a clinic-based intervention intended to reduce the incidence of sexually transmitted infections (STIs) and increase condom use among high-risk sexually active female adolescents.

This report presents interim findings from the evaluation of Reducing the Risk, a sexual health curriculum developed in the early 1990s to help prevent pregnancy and reduce sexually-transmitted infections (STIs) in adolescents. The study examined data from three different replications of Reducing the Risk, pooling the data to examine the overall program impact.

This report presents interim findings from the evaluation of ¡Cuídate!, an HIV/AIDS prevention program that uses an approach culturally tailored to Latino youth. The study examined data from three different replications of ¡Cuídate!, pooling the data to examine the overall program impact.

This research brief highlights interim findings from the evaluation of ¡Cuídate!, an HIV/AIDS prevention program that uses an approach culturally tailored to Latino youth. The study examined data from three different replications of ¡Cuídate!, pooling the data to examine the overall program impact.

This statutorily mandated report to Congress responds for the U.S. Department of Health and Human Services to the many recommendations contained in the March 2016 final report of the Commission to Eliminate Child Abuse and Neglect Fatalities.

Bradley Herring, Ph.D. Johns Hopkins University, Bloomberg School of Public Health Xue Song, Ph.D. Thomson Medstat Mark Pauly, Ph.D. University of Pennsylvania, Wharton School

Historic gains in health insurance coverage have been achieved since the implementation of the Affordable Care Act (ACA). In this brief, we use new and previously published estimates from the National Health Interview Survey to examine gains in health insurance coverage for non-elderly adults from 2010 to 2015.

This report summarizes findings from an environmental scan about practices and programs addressing trauma and related behavioral health needs among American Indian and Alaska Native (AI/AN) youth.

Rosemary Borck and Robert Schmitz Mathematica Policy Research Pamela Doty and John Drabek

This study is a follow-up to earlier research conducted with 2006 and 2009 Medicaid (MAX) data on interstate variations on the extent of the "re-balancing" of Medicaid long-term services and supports (LTSS) from nursing home care toward greater reliance on home and community-based services (HCBS).

The Building Capacity to Use Linked Data project has developed several short, easy-to-read resources to help program leaders work toward linking their data with data from other agencies, and using linked data to support quality improvement.  One of these resources includes a research brief titled, Strength in Numbers: Supporting Quality Improvement in Early Care

Galina Khatutsky, Joshua M. Wiener, Nga Thach and Angela M. Greene RTI International Printer Friendly Version in PDF Format (18 PDF pages)

Joshua M. Wiener, PhD; Elizabeth Gould, MSW; Sari B. Shuman, MPH, MSW; Ramandeep Kaur, PhD; and Magdalena Ignaczak, BS RTI International Katie Maslow, MSW Project Consultant

Derek Brown Washington University Benjamin Allaire and Joshua Wiener RTI International Printer Friendly Version in PDF Format (25 PDF pages)

Angela M. Greene, Nga Thach, Joshua M. Wiener and Galina Khatutsky RTI International Printer Friendly Version in PDF Format (17 PDF pages)

A growing number of programs to help persons with dementia and their family caregivers are being developed, tested, and implemented in the United States. To learn more about whether and how models of dementia care meet practice standards, 14 components of comprehensive dementia care were identified and site visits conducted to a small sample of programs to assess how they are implemented.

Long-term services and supports (LTSS) are expensive. The average private pay cost of a private room nursing home stay in 2014 was about $88,000 a year. Although this cost is insurable through private long-term care (LTC) insurance, coverage is low.

Despite the high costs for long-term services and supports (LTSS), the current financing system inadequately protects people from the financial devastation of long-term disabling conditions such as Alzheimer's disease or stroke. Private long-term care (LTC) insurance coverage is low and Medicare does not cover LTSS.

This issue brief examines concerns individuals have about becoming disabled and needing long-term services and supports (LTSS), how these concerns vary by household income and assets, what actions people are willing to take to address their LTSS needs, and how homeowners who are willing to use home equity to finance LTSS differ from those who are not willing.

Previous research demonstrates that lack of planning for the potential need for long-term services and supports (LTSS) is associated with lack of knowledge about these services. People who do not have a firm understanding of their longevity risks, probability of needing and using LTSS, and the associated costs for services may be less likely to plan for their future LTSS needs.

Joshua M. Wiener, Galina Khatutsky, Nga Thach and Angela M. Greene RTI International Printer Friendly Version in PDF Format (22 PDF pages)

Printer Friendly Version in PDF Format (93 PDF pages) Table of Contents Introduction

This is a one page summary of a report published in May 2016. The summary presents key takeaway messages from the report which describes the characteristics and experiences of the approximately 2.3 million U.S.

This is a one page summary of a research brief published in June 2016.  The study sought to determine whether children in counties that more frequently use alternative responses to respond to child maltreatment reports are more or less likely to be re-reported to child protective services and/or confirmed to have been victims of subsequent abuse or neglect.

This short research summary highlights findings to date from an ASPE study seeking to understand how states currently use treatment foster care to serve youth with serious emotional and behavioral disorders in the least restrictive possible setting.

This report provides welfare indicators through 2013 for most indicators and through 2014 for some indicators, reflecting changes that have taken place since enactment of the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) in 1996.  The report analyzes the proportion of individuals who receive more than half of their total family income in one year from the Tempora

This report responds to a request from the Committees on Appropriations of the U.S. House of Representatives and the U.S. Senate. It examines the rapid proliferation of telehealth modalities when providing medical care and highlights HHS’s efforts to identify and address obstacles to e-health and telemedicine.

Printer Friendly Version in PDF Format (52 PDF pages)

Carol Hafford, PhD and Kim Nguyen, PhD NORC at the University of Chicago Printer Friendly Version in PDF Format (116 PDF pages) ABSTRACT

Printer Friendly Version in PDF Format (22 PDF pages)

The Lewin Group Printer Friendly Version in PDF Format (67 PDF pages)

In 2012, AoA awarded 5 cooperative agreements to test elder abuse prevention interventions to: Alaska Division of Senior and Disabilities Services (AK DSDS); New York State Office for the Aging (NYSOFA); University of Southern California-Irvine, Program in Geriatrics (USC); University of Texas Health Science Center at Houston (UTHSC); and, Texas Department of Family and Protective Services and

This is a follow-up to four earlier evaluation reports on the Balancing Incentive Program (BIP). The BIP, legislated in the 2010 Affordable Care Act, offered states temporary enhanced federal financial participation for Medicaid home and community-based services (HCBS).

To assess the financial impact on families of LTSS needs and the potential for families to set aside funds to cover future LTSS spending, this brief examines later-life household wealth before and after disability onset.

This brief assesses the adequacy of the income allowances granted to older Medicaid HCBS enrollees and their spouses.

The report Picture of Housing and Health (released by ASPE in 2014), found high prevalence of chronic conditions and higher health care utilization for HUD-assisted Medicare beneficiaries compared to unassisted beneficiaries. This second report seeks to understand whether the characteristics of the sample could explain the higher utilization.