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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

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Report

FY 2024 HHS Capacity Assessment Check In

The FY2024 Capacity Assessment Check In is part of the Department of Health and Human Services’ (HHS) multi-year approach for addressing the primary capacity building needs identified through the initial FY2023-2026 HHS Capacity Assessment.
Research Brief

Changes in Ownership of Skilled Nursing Facilities from 2016 to 2021: Variations by Size, Occupancy Rate, Penalty Amount, and Type of Ownership

Stakeholders, researchers, and policymakers have identified nursing home ownership structures and ownership transactions as potentially influencing the quality of care delivered to vulnerable residents.
ASPE Issue Brief

Health Insurance Coverage and Access to Care Among Latino Americans: Recent Trends and Key Challenges

The uninsured rate for nonelderly Latinos decreased from 32.7 percent to 18.0 percent, from 2010 to 2022, however, Latinos are more than twice as likely to be uninsured as non-Latino Whites.
ASPE Issue Brief

Improving Access to Affordable and Equitable Health Coverage: A Review from 2010 to 2024

Recent legislative and administrative policy initiatives have been built on the Affordable Care Act’s (ACA) expansion of health insurance coverage and improvements in access to and utilization of health care services.
ASPE Issue Brief

Health Insurance Coverage and Access to Care Among Black Americans: Recent Trends and Key Challenges

Since the implementation of the Affordable Care Act’s coverage provisions, the uninsured rate among nonelderly Black Americans decreased by 10 percentage points, from 20.9 percent in 2010 to 10.8 percent in 2022.
Report to Congress, Visualization

Welfare Indicators and Risk Factors: 23rd Report to Congress

The Welfare Indicators Act of 1994 (Public Law 103-432) requires the Secretary of the Department of Health and Human Services to prepare an annual report to Congress on indicators and predictors of “welfare dependence.” That Act requires the report to include three programs: Temporary Assistance for Needy Families (TANF) program (which replaced the Aid to Families with Dependent Children (AFDC)
Report

Building the Data Capacity for Patient-Centered Outcomes Research: The 2023 Annual Report

The 2023 Office of the Secretary Patient-Centered Outcomes Research Trust Fund (OS-PCORTF) Annual Report highlights the accomplishments of 36 multi-agency projects that supports the four goals of the strategic plan:
Guide

Measuring Success in Advancing Equity

Health and human services policies and programs have wide-ranging effects on individuals and communities that can facilitate optimal health and well-being or impose harm, particularly for historically underserved communities.
Report

Feasibility of Calculating Measures to Monitor Quality Performance of Behavioral Health Programs

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The calculation of behavioral health quality measures at the clinic level holds great promise for monitoring clinic performance over time, and for providing information for clinics to use to revise their processes and procedures to improve their performance.
ASPE Issue Brief

Improving Data on the Workforce Delivering Home and Community-Based Services

On April 25, 2024, HHS and DoL released recommendations, in the form of an Issue Brief, to improve data infrastructure on the workforce delivering home and community-based services (HCBS) in response to President Biden’s