Using MEPS Data to Inform Public-Plan Consumerism

使用 MEPS 数据为公共计划消费主义提供信息

• 批准号: 7322652
• 负责人: Matthew M Davis
• 金额: $ 10万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-07-01 至 2008-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7322652
• 关键词: Using; MEPS; Data; Inform; Public

DESCRIPTION (Provided by the Applicant): To help control health care costs, an increasing number of health insurers and employers are applying principles of consumerism through "consumer-driven" high-deductible plans. High deductibles are often accompanied by health savings accounts that plan holders can use to pay for deductible expenses. The federal Deficit Reduction Omnibus Reconciliation Act of 2005, signed into law in February 2006, applies principles of consumerism for the first time to public plans, by allowing states to modify Medicaid by implementing deductibles supplemented by "health opportunity accounts" (HOAs) that beneficiaries will use to pay deductible expenses. Consumerism may promote informed health care-seeking behavior and thereby help control Medicaid costs, but some experts are concerned that deductibles place vulnerable Medicaid child and adult beneficiaries at risk. No one has determined which Medicaid beneficiaries have health care expenditures within a range that would be appropriate for HOAs and yet would place them at low risk for having to pay for deductible expenses out of pocket. The Medical Expenditure Panel Survey (MEPS) dataset is ideal for investigation of these issues, and will permit the investigators to magnify the impact of this new federal legislation for policymakers, Medicaid programs, and individuals affected by the HOAs initiative. Specific aims include: (1) To identify the socio-econo-demographic and health care characteristics of children and adults enrolled in Medicaid whose expenditure patterns in MEPS indicate that they would fall within acceptable ranges for HOA programs and have low likelihood of exceeding HOA allocations; (2) To use the 2-year panel format of MEPS waves to follow individuals on Medicaid over time, to model the risk for exceeding HOA allocations for hypothetical cohorts of individuals identified through Aim #1; (3) For the models in Aim #2, to estimate the net fiscal impact of HOA initiatives for Medicaid programs. Findings will have immediate relevance for implementation of the HOA projects and other consumerism efforts.

描述（由申请人提供）：为了帮助控制医疗费用，越来越多的健康保险公司和雇主正在通过“消费者驱动”的高免赔额计划应用消费主义原则。高免赔额通常伴随着健康储蓄账户，计划持有人可以用它来支付免赔额。2005年的《联邦赤字削减综合协调法案》于2006年2月签署成为法律，该法案首次将消费主义原则应用于公共计划，允许各州通过实施由受益人用于支付可扣除费用的“健康机会账户”（HOA）补充的免赔额来修改医疗补助计划。消费主义可能会促进知情的医疗保健寻求行为，从而有助于控制医疗补助费用，但一些专家担心，免赔额将脆弱的医疗补助儿童和成人受益人置于风险之中。没有人确定哪些医疗补助受益人的医疗保健支出在适合HOA的范围内，但会使他们处于低风险，因为他们必须自掏腰包支付可扣除的费用。医疗支出小组调查（MEPS）数据集是调查这些问题的理想选择，并将允许调查人员放大这一新的联邦立法对政策制定者、医疗补助计划和受HOA计划影响的个人的影响。具体目标包括：（1）确定参加医疗补助的儿童和成人的社会经济人口和卫生保健特征，其MEPS中的支出模式表明他们将在HOA计划的可接受范围内，并且超出HOA分配的可能性很低;（2）使用MEPS波的2年面板格式来跟踪医疗补助个人，对通过目标#1确定的假设人群的超过HOA分配的风险进行建模;（3）对于目标#2中的模型，估计HOA倡议对医疗补助计划的净财政影响。调查结果将直接相关的HOA项目和其他消费主义的努力的实施。