Measuring adequacy of coverage for the privately insured: new state estimates to monitor trends in health insurance coverage.

Medical care research and review : MCRR Pub Date : 2009-04-01 Epub Date: 2009-01-16 DOI:10.1177/1077558708330426
Lynn A Blewett, Holly Rodin, Gestur Davidson, Michael Davern
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引用次数: 6

Abstract

The privately insured are assuming a greater share of the costs of their health care, yet little is known about changes in out-of-pocket spending at the state level. The central problem is that national surveys with the relevant data are not designed to generate state-level estimates. The study addresses this shortcoming by using a two-sample modeling approach to estimate state-level measures of out-of-pocket spending relative to income for privately insured adults and children. National data from the Medical Expenditure Panel Survey-Household Component and state representative data from the Current Population Survey are used. Variation in out-of-pocket spending over time and across states is shown, highlighting concern about the adequacy of coverage for 2.9% of privately insured children and 7.8% of privately insured adults. Out-of-pocket spending relative to income is an important indicator of access to care and should be monitored at the state level.

衡量私人保险覆盖的充分性:监测健康保险覆盖趋势的新州估计。
私人保险承担了更大的医疗费用份额,但人们对州一级自付支出的变化知之甚少。核心问题是,具有相关数据的全国性调查并非旨在产生州级估计。该研究通过使用双样本建模方法来估计各州自费支出相对于私人保险成人和儿童收入的衡量标准,从而解决了这一缺点。使用来自医疗支出小组调查-住户组成部分的国家数据和来自当前人口调查的州代表性数据。显示了不同时期和不同州的自费支出差异,突显了2.9%的私人保险儿童和7.8%的私人保险成年人的覆盖率是否足够。相对于收入的自付支出是获得医疗服务的一个重要指标,应在州一级进行监测。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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