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）：为了帮助控制医疗保健成本，越来越多的健康保险公司和雇主正在通过“以消费者为导向”的高扣除计划来应用消费主义原则。高额免赔额通常伴随着计划持有人可以用来支付可扣除费用的健康储蓄帐户。 2005年的《联邦赤字减少综合和解法》于2006年2月签署为法律，首次将消费主义原则应用于公共计划，通过允许各州通过实施“健康机会帐户”（HOAAS）来修改医疗补助，以修改“健康机会帐户”（HOAS），该公司将使用受益人用于支付可扣除费用。消费主义可能会促进知情的医疗保健行为，从而有助于控制医疗补助成本，但一些专家担心，免赔额使弱势医疗补助儿童和成人受益人处于危险之中。没有人确定哪些医疗补助受益人在适合HOA的范围内拥有医疗保健支出，但仍将他们的风险降低，因为他们不得不从袋中支付可扣除支出。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项新的联邦立法对政策制定者，医疗补助计划以及受HOAS倡议影响的个人的影响。具体目的包括：（1）确定参加医疗补助的儿童和成人的社会人口统计学和医疗保健特征，其支出模式在MEP中的支出模式表明，他们将属于HOA计划的可接受范围，并且可能低可能超过HOA分配； （2）使用MEPS波的2年面板格式随着时间的推移跟随医疗补助人员的个人，以建模超过HOA分配的风险，以通过AIM＃1识别的假设同类群体； （3）对于AIM＃2中的模型，以估算HOA计划对医疗补助计划的净财政影响。调查结果将与HOA项目和其他消费主义努力的实施有关。