Healthcare Safety Net

This paper examines health care spending and the impact on the economy of the United States. The relationship between health care spending growth and the U.S. economy is inherently complex and multidimensional. Rising health care spending can be viewed as both a weight on broader economic growth and as a driver of sectoral and local prosperity. [PDF - 9 pages]

Research Note: The Long-Term Uninsured This report is available on the Internet at:http://aspe.hhs.gov/health/long-term-uninsured04/ Report in PDF format for printing

This report describes the design and implementation of the Consumer-Directed Care Research Project (CDC), Florida's model of Cash and Counseling, and draws lessons from the state's experience. The report is based primarily on in-person interviews conducted in January 2002, about 18 months after the project began enrolling beneficiaries.

Cash and Counseling, an innovative model of consumer direction, has been implemented as a three-state demonstration designed to weigh the advantages and disadvantages of allowing Medicaid beneficiaries to assume more responsibility for the supportive services they may need.

Understanding Different Estimates of Uninsured Children: Putting the Differences in Context Acknowledgments: ASPE would like to thank those reviewers at the Agency for Health Care Policy and Research (AHCPR), the National Center for Health Statistics (NCHS), and the Census Bureau whose helpful comments and expertise contributed greatly to this document.

This paper examines the current state of nurse practice acts and their implementing regulations to determine the extent to which they permit more consumer direction in home and community based services. This analysis may be helpful to consumers and states that are seeking ways to balance better state policies to support consumer-directed care. [38 PDF pages]

Contents Background About the Four Cities Immigrants Access to Medicaid and the State Childrens Health Insurance Program (SCHIP) Immigrants Access to Health Services Safety Net Providers Organizational and Financial Responses

This report describes how the state of Oregon designed and implemented its Exceptional Needs Care Coordinator (ENCC) function, assesses the extent to which this role is meeting the state's objectives, and discusses design elements that support the state's objectives.

[Federal Register: May 7, 1998 (Volume 63, Number 88)] [Proposed Rules] [Page 25320-25357] [DOCID:fr07my98-26] DEPARTMENT OF HEALTH AND HUMAN SERVICES Office of the Secretary 45 CFR Part 142 [HCFA-0045-P]

Volume I. NARRATIVE REPORTS IntroductionThis report presents the results of work pursued by analysts at two separate research institutions in a collaboration designed to provide the best information available to describe the children living without a parent in kinship care arrangements in the United States.