Using a national Medicaid claims database, this brief estimates the number of pregnant beneficiaries with substance use disorder who lost Medicaid coverage 60 days postpartum at the national and state-level.
Reports
Displaying 251 - 300 of 4395
22nd Welfare Indicators and Risk Factors Report to Congress
Topics
Caseload Trends & Dynamics
| Workforce
| Family Well-Being
| Administrative Data
| Survey Data
| Modeling & Simulation
| Key Indicators
| Access to Services and Benefits & Services Integration
| Employment & Self-Sufficiency
| Social Safety Net
| Welfare, Welfare Reform, & TANF
| Poverty Measures
This report provides welfare dependence indicators through 2019 for most indicators and through 2020 for other indicators, reflecting changes that have taken place since enactment of the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) in 1996.
Labor Force Trends of Recently-Arrived Refugees During the COVID-19 Pandemic
This analysis identifies labor force trends of recently-arrived refugees, focused on the period after the start of the COVID-19 pandemic.
Updated National Survey Trends in Telehealth Utilization and Modality (2021-2022)
Topics
Care & Service Delivery Settings
| Evidence-Based Policies & Practices
| Prevention
| Social Determinants of Health
| Telehealth & Virtual Service Delivery
| Demographic Data
| Survey Data
| Chronic Conditions & Illnesses
| COVID-19
| Health Insurance
| Healthcare Coverage & Access
| Healthcare Delivery
| Preventive Services
| Primary Care
| Health Policy
Telehealth utilization has changed over time since the steep increase from the early stages of the COVID-19 pandemic. This report updates prior findings on national trends of telehealth use through an analysis using the Census Bureau’s Household Pulse Survey data from April 2021 through August 2022.
Optimizing Clinical Guidelines to Address Antimicrobial-Resistant Infections: A Conceptual Framework Reflecting Stakeholder Perspectives
Objectives: Clinical guidelines or guidance is an important tool for preventing and treating antimicrobial-resistant (AMR) infections. We sought to understand and support the effective use of guidelines and guidance for AMR infections.
Medicaid Enrollees Who are Employed: Implications for Unwinding the Medicaid Continuous Enrollment Provision
Many Medicaid enrollees are employed, and in 2021, 15 percent of working enrollees reported having both Medicaid and employer sponsored health coverage. The intersection between Medicaid and employment has implications for employers and others as the pandemic-related Medicaid continuous enrollment ends.
State Level Estimates of Medicaid Enrollees Currently Working and their Demographic Characteristics
Topics
Health Insurance
ASPE has developed national and state estimates of the number of U.S. residents enrolled in Medicaid, along with data on employment, income, and demographic characteristics of those who are currently working, using the most recent Census data available from the 2021 American Community Survey (ACS).
Medicaid After Pregnancy: State-Level Implications of Extending Postpartum Coverage (2023 Update)
This brief provides an overview of the important role Medicaid plays in postpartum maternal health, reviews states’ existing pregnancy-related Medicaid eligibility limits, and assesses the projected eligibility impact if all states were to provide 12 months of postpartum Medicaid eligibility. This Issue Brief updates a previous report that was originally published in December 2021.
Participation in the U.S. Social Safety Net: Multiple Programs, 2019
Safety net programs provide critical support to people during times of economic hardship. Yet the reach and coverage of the safety net, particularly in times of increased need and among economically disadvantaged groups, is not well understood. The U.S.
Developing and Assessing the Validity of Claims-based Indicators of Frailty & Functional Disabilities in Electronic Health Records
This is the final report of an AHRQ study to address the operational gap between CFIs and EFIs. This project focused on validating an established CFI using linked claims-EHR databases of multiple large health systems. The project provides a systematic approach that health systems can use to examine the quality of the EHR data and prepare it for the application of EFI measures.
Synthetic Health Data Generation to Accelerate Patient-Centered Outcomes Research (PCOR): Final Report
The Synthetic Health Data Generation to Accelerate PCOR project was launched in 2019 by the Office of the National Coordinator for Health Information Technology (ONC).
FDA User Fees: Examining Changes in Medical Product Development and Economic Benefits
This issue brief provides a primer on FDA user fees, presents findings of how user fees affect the cost of medical product development, and summarizes the research literature on user fees, most notably in expediting medical product development and approval.Related Products:
COVID-19 Vaccine Hesitancy and Reasons for Hesitancy Among Essential and Non-Essential Workers
Using 2021-2022 survey data from the U.S. Census Bureau’s Household Pulse Survey, this ASPE Research Report examined sociodemographic factors and trends in vaccine hesitancy among workers based on the likelihood of exposure risk to SARS-CoV-2. We classified work setting into three categories: essential healthcare, essential non-healthcare, and non-essential.
Health Coverage Under the Affordable Care Act: Current Enrollment Trends and State Estimates
This Issue Brief presents current estimates of enrollment in health insurance coverage obtained through the Affordable Care Act (ACA) Marketplaces, Medicaid expansion, Children's Health Insurance Program, Basic Health Program and the subsequent reductions in state-level uninsured rates since the ACA was implemented in 2014.
Inflation Reduction Act Research Series: Medicare Part D Enrollee Savings from Elimination of Vaccine Cost-Sharing
Topics
Healthy Aging
| Prevention
| Administrative Data
| Demographic Data
| Chronic Conditions & Illnesses
| Health Insurance
| Healthcare Coverage & Access
| Healthcare Reform
| Immunization & Vaccines
| Health Policy
| Healthcare Financing & Expenditures
| Drug Pricing
| Out-of-Pocket Costs
| Prescription Drugs
| Global Health & Global Health Security
Effective January 1, 2023, the Inflation Reduction Act (IRA) eliminated enrollee cost-sharing for recommended vaccines covered under Medicare Part D. In 2021, 3.4 million people received vaccines under Part D, and annual out-of-pocket costs were $234 million.
2024 HHS Evaluation Plan
The Fiscal Year (FY) HHS 2024 Evaluation plan lists a total of thirty-two (32) evaluations from ten (10) Operating and Staff Divisions across the U.S. Department of Health and Human Services (HHS).
Children’s Health Coverage Trends: Gains in 2020-2022 Reverse Previous Coverage Losses
This Issue Brief examines children’s health coverage trends using the National Health Interview Survey from 2010 through the third quarter of 2022 and reviews recent research findings from the National Survey of Children's Health on children’s access to and utilization of health care services during this period, including the COVID-19 pandemic.
Factors Contributing to Reductions in Patient Wait Times at Indian Health Service Emergency Department Facilities: A Mixed-Methods Assessment
This ASPE Research Report summarizes findings about factors affecting Emergency Department wait times and Primary Care appointment scheduling intervals, and it describes strategies Indian Health Service (IHS) federal facilities have implemented associated with decreased wait times in Emergency Departments.Available Reports:
Implementing and Sustaining Zero Suicide: Health Care System Efforts to Prevent Suicide
Zero Suicide is a system-wide approach for health systems to improve the quality and safety of care for those at risk of suicide, with the underlying goal of preventing all suicide deaths among patients. Although evidence has indicated that Zero Suicide is effective in reducing suicide-related outcomes, little is known about how organizations fund and sustain the Zero Suicide initiative.
Health Care Transitions for Individuals Returning to the Community from a Public Institution: Promising Practices Identified by the Medicaid Reentry Stakeholder Group
This report summarizes the identified practices of the Medicaid Reentry Stakeholder Group and, as required by Section 5032 of the SUPPORT Act, informs design of a demonstration opportunity “under Section 1115 of the Social Security Act (42 U.S.C.
Recruiting Individuals with Lived Experience
This guide highlights questions for health and human services staff to consider and discuss as a team before recruiting individuals with lived experience, as well as key content to consider including in outreach materials.
Strategies to Identify People with Lived Experience
This tool highlights concrete strategies that health and human services staff can use to help identify people with lived experience to engage.
What is Lived Experience?
This infographic describes key elements of lived experience in the context of health and human services work, and why engaging people with lived experience is essential to ensuring our services reach all people.Related Products:
Insulin Affordability and the Inflation Reduction Act: Medicare Beneficiary Savings by State and Demographics
Effective January 1, 2023, out-of-pocket costs for insulin are capped at $35 per monthly prescription among Medicare Part D enrollees under the Inflation Reduction Act (IRA). A similar cap takes effect in Medicare Part B on July 1, 2023.
How Many People Participate in the Social Safety Net?
Social safety net programs provide different types of support to people facing economic hardship. This data point presents estimates of overall participation in the social safety net in 2019, the latest year of available data and presents rates of participation in multiple programs.Key Points:
How Many People that Receive One Safety Net Benefit Also Receive Others
Topics
Child Care
| Child Support
| Early Care & Education
| Family Well-Being
| Administrative Data
| Survey Data
| Modeling & Simulation
| Health Insurance
| Key Indicators
| Housing-Related Services
| Access to Services and Benefits & Services Integration
| Social Safety Net
| Welfare, Welfare Reform, & TANF
People facing economic instability often need more than one program or service. This pre-pandemic analysis looks at the reach of the social safety net, including the interaction of specific programs, to better understand program participation as the economy continues to recover.Key Points:
The Impact of the COVID-19 Pandemic on the Child Care Industry and Workforce
This brief explores important trends in the child care industry during the first two years of the COVID-19 pandemic and places those trends in a historical context. Specifically, we find:
Linking Child Welfare and Medicaid Data: Lessons Learned from Two States
This report provides information to state, tribal, and local child welfare and behavioral health agencies that are interested in linking their Medicaid and child welfare data.
Changes in Health Insurance Coverage, 2019-2021: Geographic and Demographic Patterns in the Uninsured Rate
Topics
Healthcare Coverage & Access
This Issue Brief examines the composition of the population that is uninsured and highlights changes in uninsured rates by geography and demographic factors from 2019 to 2021, during a time of significant federal policy efforts to expand coverage.
Synthetic Data in Health Care: A Narrative Review
ASPE recently published a narrative review in PLOS Digital Health exploring how synthetic data are being used. Researchers searched published literature and known, publicly available synthetic datasets.
COVID-19 Antivirals Utilization: Geographic and Demographic Patterns of Treatment in 2022
This report examines the utilization of oral antiviral medications, Paxlovid and Lagevrio, for the treatment of COVID-19. The analyses include an examination of time trends of COVID-19 antiviral use as well as breakdowns by age cohorts and sex. The report finds that utilization in the U.S.
Report to Congress on the Affordability of Insulin
This Report to Congress examines the critical role that insulin plays in the treatment of diabetes, reviews evidence on how insulin affordability affects adherence to insulin treatment and affects downstream health consequences, and describes policy efforts to improve the affordability of insulin.
Ownership of Skilled Nursing Facilities: An Analysis of Newly-Released Federal Data
To enhance transparency in health care markets, in September 2022, the Centers for Medicare & Medicaid Services (CMS) publicly released comprehensive data on the ownership of all U.S. skilled nursing facilities (SNFs) that are enrolled in Medicare. This report provides an overview of the available data, a methodology for calculating the ownership shares by individuals vs.
Early Childhood Systems Collective Impact Project: Federal Recommendations to Improve Alignment and Coordination across Early Childhood Programs
The Early Childhood Systems Collective Impact Project (ECS Collective Impact Project) will help to re-envision a truly coordinated approach to program implementation designed to advance early childhood and family well-being outcomes across federal programs that support expectant parents, children ages 0 to 8, and their families.
Doula Care and Maternal Health: An Evidence Review
Doulas provide emotional, physical, and informational support before, during, and after labor and birth.
Characteristics of Medical Device Shortages in the US, 2006-20
Shortages of critical medical devices during the COVID-19 pandemic exposed vulnerabilities in device markets. From 2010 to 2019 there were approximately five shortages annually, but that number increased fourfold in the first half of 2020.
Early Changes in Waivered Clinicians and Utilization of Buprenorphine for Opioid Use Disorder After Implementation of the 2021 HHS Buprenorphine Practice Guidelines
In April 2021 the U.S. Department of Health and Human Services (HHS) issued revised Practice Guidelines for the Administration of Buprenorphine for Treating Opioid Use Disorder (Practice Guideline).
Identifying Environmental Data, Barriers, and Opportunities for HSR and PCOR: Environmental Scan
The authors conducted a landscape scan to identify environmental data suitable for health services research (HSR) and patient centered outcomes research (PCOR). Additional research was done to uncover examples of and opportunities for data linkage with other HHS data.
Meeting Substance Use and Social Service Needs in Communities of Color
Topics
Behavioral Health
| Access to Services & Benefits
| Opioids, Opioid Use Disorder, & Overdose Prevention
| Prevention
| Rural Providers
| Service Delivery & Capacity Building
| Social Determinants of Health
| Substance Use & Substance Use Disorders (SUD)
| Child Welfare
| Early Care & Education
| Family Well-Being
| Housing with Services & Congregate Housing
| Housing-Related Services
| Education & Well-Being
| Employment & Self-Sufficiency
In this brief, we highlight experiences and practices from substance use treatment providers and their human services partners when serving people of color. We selected providers that focused on serving people of color, and this study was not intended to assess outcomes or effectiveness of any of the practices highlighted.
Addressing the Opioid Overdose Crisis Through Better Data: Opioids Vignette
This updated 2022 vignette provides examples of how a range of Office of the Secretary Patient-Centered Outcomes Research Trust Fund (OS-PCORTF) cross-agency projects are working to address the opioid overdose crisis by 1) Improving Timeliness and Quality of Outcomes Data 2) Building Capacity for Collection of Patient-Reported Outcomes 3) Building Linkages to Address Co-Morbidities
State Medicaid Telehealth Policies Before and During the COVID-19 Public Health Emergency: 2022 Update
Topics
Aging & Disability
| Home- & Community-Based Services (HCBS)
| Long-Term Services & Supports (LTSS)
| Behavioral Health
| Access to Services & Benefits
| Care & Service Delivery Settings
| Prevention
| Telehealth & Virtual Service Delivery
| COVID-19
| Healthcare Safety Net
| Preventive Services
| Primary Care
| Public Health Emergencies
This issue brief provides updates on state Medicaid policies regarding delivery of telehealth services by provider types and modalities, as of January 2022. The COVID-19 pandemic substantially accelerated interest in and utilization of telehealth across all payers including Medicaid.
State and Local Estimates of the Uninsured Population in the U.S. Using the Census Bureau’s 2021 American Community Survey
Methodological Description
Enhancing Data Infrastructure to Improve Women’s Health Outcomes: Maternal Health Vignettes
This updated 2022 vignette provides examples of how a range of the Office of the Secretary Patient-Centered Outcomes Research (OS-PCORTF) cross-agency projects are working to improve maternal health by 1) Enhancing Women’s Health Data for Research 2) Adding Electronic Health Records to the Suite of Maternal Health Data for Research 3) Linking Maternal Survey Data with Other Health Data.
National and State Estimates of Children Living with Parents Using Substances, 2015–2019
This brief presents estimates of the number and percentage of children whose parents engage in problematic substance use, including past-year substance use and SUD by substance type and child demographics. Key findings include:
Racial/Ethnic Differences in Children’s Mental Health Services Use Before and During the COVID-19 Pandemic Issue Brief
Using a national Medicaid database, the report shows significant racial/ethnic disparities in mental health service use among children during the COVID-19 pandemic.
Avoiding Racial Bias in Child Welfare Agencies' Use of Predictive Risk Modeling
In recent years several researchers and child welfare agencies have begun developing predictive risk models to support child welfare decision-making. Predictive analytics is a sophisticated form of risk modeling that uses historical data to understand relationships between myriad factors to estimate a probability score for the outcome of interest.
Therapeutic Complex Medical Device Development
This report quantified the potential impacts of select clinical strategies on the cost, duration, and phase transition probability associated with therapeutic complex medical device development stages. The model used data from a variety of sources (public and non-public) and widely accepted economic methods.
Evaluating the Potential Impacts of Different Clinical Trial Strategies on Drug, Preventive Vaccine, and Therapeutic Complex Medical Device Development
This environmental scan, conducted from September 2016 – September 2021, examines the potential impacts of select strategies on the cost, duration, and phase transition probability associated with drug, preventive vaccine, and therapeutic complex medical device development stages.
Certified Community Behavioral Health Clinics (CCBHC) Demonstration Program
Topics
Behavioral Health
| Access to Services & Benefits
| Behavioral Health
| Evidence-Based Policies & Practices
| Mental Health
| Opioids, Opioid Use Disorder, & Overdose Prevention
| Peer Supports
| Rural Providers
| Serious Mental Illness (SMI)
| Service Delivery & Capacity Building
| Social Determinants of Health
| Substance Use & Substance Use Disorders (SUD)
| Suicide & Suicide Prevention
| Telehealth & Virtual Service Delivery
| Workforce
| Program Evaluation
| Quality Measurement
| Healthcare Coverage & Access
| Access to Services and Benefits & Services Integration
Per Section 223(d)(7)(A) of the Protecting Access to Medicare Act (PAMA) of 2014 (Public Law 113-93), the HHS Secretary must submit to Congress an annual report on the use of funds provided under all demonstration programs conducted under this subsection, not later than one year after the date on which the first state is selected for a demonstration program under this subsection, and annually t
Early Childhood Systems Collective Impact Project: Catalog and Crosswalk
The Early Childhood Systems Collective Impact Project (ECS Collective Impact Project) will help to re-envision a truly coordinated approach to program implementation designed to advance early childhood and family well-being outcomes across federal programs that support expectant parents, children ages 0 to 8, and their families.