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Evaluation

Evaluation and analysis provide essential evidence for HHS to understand how its programs work, for whom, and under what circumstances. HHS builds evidence through evaluation and analysis in order to inform decisions in budget, legislative, regulatory, strategic planning, program, and policy arenas. Given the breadth of work supported by HHS, many evaluations and analyses are conducted each year. These efforts range in scope, scale, design, and methodology, but all aim to understand how the effect of programs and policies and how they can be improved. 

Across HHS, evaluation comes in many forms, including: 

  • Program evaluations using the most rigorous designs appropriate; 
  • Capacity-building initiatives to improve administrative data collection, accessibility, and use for management; 
  • Exploratory and preliminary quantitative and qualitative analysis to build evidence; 
  • Pilots and demonstrations; and 
  • Statistical analysis of factors related to health and human services programs and policies. 

ASPE coordinates the evaluation community by regularly convening the HHS Evaluation & Evidence Policy Council, which builds capacity by sharing best practices and promising new approaches across HHS. 

Reports

Displaying 1 - 10 of 403. 10 per page. Page 1.

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ASPE Issue Brief

Use of Contract Staff in Nursing Homes Remains High After the COVID-19 Pandemic

Over one million Americans rely on nursing homes for care, yet nursing homes face challenges in recruiting and retaining staff. Nursing homes rely on registered nurses (RNs), licensed practical nurses (LPNs), and nursing assistants (NAs) to provide care, but staff shortages that increased during the COVID-19 pandemic have persisted.
ASPE Issue Brief

Health Insurance Coverage and Healthcare Access from 2021-2024

This Issue Brief investigates how health insurance coverage, as well as healthcare access and affordability, has changed in recent years, with an emphasis on policies implemented from 2021 to 2024. Over 300 million Americans now have health insurance coverage. The U.S. uninsured rate has fallen significantly over the past four years.
Report

Assessing the Feasibility of Creating a National Behavioral Health Workforce Database

The U.S. behavioral health (BH) workforce faces significant shortages and distribution disparities, hindering access to quality care and worsening health outcomes. A comprehensive, centralized database of BH providers is vital for advancing patient-centered outcomes research (PCOR), comparative effectiveness research (CER), and evidence-based policymaking.
ASPE Issue Brief

Medicaid Behavioral Health Providers Delivering Most Behavioral Health Services via Telehealth Before and During the COVID-19 Pandemic Issue Brief

The goal of this study was to examine the extent to which Medicaid providers who deliver behavioral health services shifted their practices to mostly tele-behavioral health services during the COVID-19 pandemic.
ASPE Issue Brief, Report

An Evaluation Framework for the Inflation Reduction Act’s Medicare Prescription Drug Related Provisions

The Inflation Reduction Act (IRA) changes the way Medicare pays for prescription drugs. These changes will impact various stakeholders, including Medicare, Medicare enrollees, drug manufacturers, and others.
ASPE Issue Brief

An Examination of the Return on Investment of Generic Injectable Prescription Drugs

The generic injectable drug market has recently experienced numerous shortages, which impose substantial public health costs. One potential cause of these shortages is low profitability of generic injectables. This brief examines the profitability of recently launched generic injectables.

A Framework for Evaluating the Impact of the Center for Medicare and Medicaid Innovation

This ASPE issue brief lays out a proposed comprehensive analytic framework to fully evaluate the impact of the CMS Innovation Center’s efforts on the Medicare program and the broader health care system as a whole to test innovative payment and service delivery models that reduce program expenditures while preserving or enhancing the quality of care.
Report

Estimating the Effects of the Medicare $2 Drug List on Part D Enrollees

The Centers for Medicare & Medicaid Services (CMS) Innovation Center is in the process of developing the Medicare $2 Drug List (M2DL) Model. This would allow Part D plan sponsors to offer a standardized list of generic drugs for a copayment of $2 or less for a month’s supply that would not be subject to prior authorization, quantity limits, or other utilization management restrictions.
ASPE Issue Brief

Use of Medicare-Covered Telerehabilitation for PT/OT/SLP Services during the COVID-19 PHE

This study examined the extent therapist practices and nursing homes adopted telehealth services for physical therapy (PT), occupational therapy (OT), and speech-language pathology (SLP); explored the major challenges and facilitators in adopting telerehabilitation services, and whether these services were effective in addressing patient care and staffing needs during the public health emergenc
ASPE Issue Brief

Federal Alignment with Research-Based Practices on School-Age Development and Well-Being

Childhood development experts recommend specific practices for afterschool and youth development programs to promote well-being and healthy development, including positive relationships; rich learning experiences and knowledge development; environments filled with safety and belonging; the development of skills, habits, and mindsets; and integrated support systems.