National Medical Care Utilization and Expenditure Survey (Series). Series B, Descriptive report最新文献

{"title":"Total family expenditures for health care: United States, 1980.","authors":"J H Sunshine,&nbsp;M Dicker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Information on total family expenditures for health care in 1980 is presented in this report. Total expenditures are the total amounts billed (either actual or imputed) to families whether these amounts are paid out-of-pocket by the family, paid by private health insurance or a public health care coverage program, or remain unpaid. The data discussed here were gathered in the national household sample of the National Medical Care Utilization and Expenditure Survey (NMCUES). In this sample, information was collected on health problems, health care received, expenditures for care, health insurance, and related topics throughout calendar year 1980 from approximately 6,800 families in the civilian noninstitutionalized population of the United States. The survey excluded all individuals who were in institutions or in the military. This report also entirely excludes families with military heads, even if they had some civilian members. For this report, a family was initially defined as (1) two or more persons living together who were related by either blood, marriage, adoption, or a formal foster care relationship or (2) a single person living outside such relationships. Because data on these families were collected across an entire year, the important concept of \"longitudinal family\" was developed. This concept was necessary to deal with the fact that the composition of a family could change over time and that families could come into existence and go out of existence over time. As the data are based on this dynamic concept of families, all measures of expenditures for care are calculated in annual rates. Family data are important for understanding the health care system because decisions to seek and use health care are usually family decisions, health care is usually paid for out of family resources, and family distributions for health-related variables differ from the distributions found for individuals. This report deals with total expenditures for health care as reported by a sample of consumers of health care. These types of data are limited by the knowledge the respondent has as to the amount of the total bill. For various reasons, which are discussed in detail in the text, the respondent often doesn't know the amount of the total bill. Therefore, the statistics in this report should be regarded as having more limitations than the statistics in two previous family reports: \"Family Use of Health Care: United States, 1980\" (Dicker and Sunshine, 1987) and \"Family Out-of-Pocket Expenditures for Health Care: United States, 1980\" (Sunshine and Dicker, 1987).</p>","PeriodicalId":80090,"journal":{"name":"National Medical Care Utilization and Expenditure Survey (Series). Series B, Descriptive report","volume":" 15","pages":"1-311"},"PeriodicalIF":0.0,"publicationDate":"1987-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21185887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family out-of-pocket expenditures for health care: United States, 1980.","authors":"J H Sunshine,&nbsp;M Dicker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Information on out-of-pocket health care expenditures for families in 1980 is presented in this report. The data discussed here were gathered through the national household sample of the National Medical Care Utilization and Expenditure Survey (NMCUES). Information for the year 1980 was collected on health problems, health care received, expenditures for care, health insurance, and related topics from approximately 6,800 families in the U.S. civilian, noninstitutionalized population. All individuals who are in institutions or in the military are excluded from this analysis as are all families with military heads of family, even if they have civilian members. For this report, a family was initially defined as: two or more persons living together who were related either by blood, marriage, adoption, or a formal foster care relationship; or as a single person living outside such relationships. Because these data were collected throughout an entire year, the important concept of \"longitudinal family\" was developed. This concept was necessary to deal with the fact that the composition of a family could change over time, and that families could come into existence and go out of existence over time. As the data are based on this dynamic concept of families, all measures of health care expenditures are calculated in terms of annual rates. Family data are important for understanding the health care system because decisions to seek and use health care are usually family decisions, health care is usually paid for out of family resources, and family distributions for health-related variables differ from the distributions found for individuals.</p>","PeriodicalId":80090,"journal":{"name":"National Medical Care Utilization and Expenditure Survey (Series). Series B, Descriptive report","volume":" 11","pages":"1-309"},"PeriodicalIF":0.0,"publicationDate":"1987-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21183932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outpatient prescription drug utilization and expenditure patterns of noninstitutionalized aged Medicare beneficiaries.","authors":"L M LaVange,&nbsp;H A Silverman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The goal of the National Medical Care Utilization and Expenditure Survey (NMCUES) of 1980 was to improve the understanding of the ways in which Americans use and pay for health care. This report is one in a series of descriptive reports based on NMCUES data. This report provides data regarding prescription drugs obtained on an outpatient basis by noninstitutionalized elderly people who reported being covered by Medicare in 1980. The results presented are based on NMCUES data collected about the civilian noninstitutionalized persons in the NMCUES national household sample who at any time during the survey year of 1980: (1) were 65 years of age or over, and (2) reported having been covered by Medicare hospital insurance (HI) or Medicare supplementary medical insurance (SMI) or both. These results include the number of prescriptions obtained during the survey year, the total charges for these prescriptions, the amounts paid by various sources, and the types of drugs obtained. Noninstitutionalized aged Medicare beneficiaries obtained an estimated 288 million prescriptions during 1980 and spent an estimated $2.3 billion for prescription drugs. Four of five beneficiaries used prescription drugs during the year. Although aged Medicare beneficiaries represented only 10.9 percent of the U.S. population during 1980, they accounted for 28.6 percent of all prescriptions and 30.2 percent of total prescription drug charges. The average aged beneficiary during the year purchased 12.1 prescriptions and incurred $98 of expenditures, about three times the average of those under 65 years of age. The average charge per prescription was $8.05. Prescription drug charges accounted for 5.5 percent of an estimated $42 billion spent by aged Medicare beneficiaries for health care during 1980, excluding charges for institutional care. Prescription drug use and expenditures were lower among people 65-69 years of age than among people 70-74 or 75-79 years of age. On average, women used more prescriptions and incurred higher charges than did men. Regionally, the average number of prescriptions that were filled per beneficiary was highest in the South and lowest in the West. People who perceived their health status to be poor had approximately four times as many prescriptions filled per person and incurred four times the average annual charge of people who perceived their health status to be excellent. Approximately 68 percent of the total dollars spent by aged Medicare beneficiaries for prescription drugs was paid out-of-pocket, 13.9 percent was paid by private health insurance, and 10.8 percent was paid by Medicaid. The remaining charges were distributed among other payers.(ABSTRACT TRUNCATED AT 400 WORDS)</p>","PeriodicalId":80090,"journal":{"name":"National Medical Care Utilization and Expenditure Survey (Series). Series B, Descriptive report","volume":" 12","pages":"1-43"},"PeriodicalIF":0.0,"publicationDate":"1987-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21182989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family use of health care: United States, 1980.","authors":"M Dicker,&nbsp;J H Sunshine","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Information on families' use of health care in 1980 is presented in this report. The data discussed here were gathered in the national household sample of the National Medical Care Utilization and Expenditure Survey. In this sample, information was collected on health problems, health care received, expenditures for care, health insurance, and related topics throughout calendar year 1980 from approximately 6,800 families in the U.S. civilian noninstitutionalized population. (The report entirely excludes families with military heads, even if they have civilian members.) For this report, a family was initially defined as (1) two or more persons living together who were related by either blood, marriage, adoption, or a formal foster care relationship or (2) a single person living outside such relationships. But because these data were collected across an entire year, the important concept of \"longitudinal family\" was developed. This concept was necessary to deal with the fact that the composition of a family could change over time and that families could come into existence and go out of existence over time. As the data are based on this dynamic concept of families, all measures of the use of health services are calculated in annual rates. Family data are important for understanding the health care system because decisions to seek and use health care are usually family decisions, health care is usually paid for out of family resources, and family distributions for health-related variables differ from the distributions found for individuals. Data on both multiple-person families (families that averaged 1.5 persons or more during the year) and one-person families (families that averaged less than 1.5 persons during the year) are presented in this report. Only findings for multiple-person families, however, are addressed in this section. It is multiple-person families that are usually referred to in discussions of families by both the general public and professional social scientists.</p>","PeriodicalId":80090,"journal":{"name":"National Medical Care Utilization and Expenditure Survey (Series). Series B, Descriptive report","volume":" 10","pages":"1-281"},"PeriodicalIF":0.0,"publicationDate":"1987-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21166627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"First 6 months of Medicaid data.","authors":"A Dobson,&nbsp;J Scharff,&nbsp;L Corder","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This is the first in a series of comprehensive Medicaid program reports based on National Medical Care Utilization and Expenditure Survey (NMCUES) data. Preliminary analyses are presented based on data from the first half of 1980, which include the personal characteristics and medical care utilization patterns of noninstitutional Medicaid enrollees and the health insurance coverage of the U.S. noninstitutionalized population. More comprehensive analyses employing full calendar year 1980 data will be available in subsequent reports. The information contained in this report is useful in appraising the impact of eligibility, benefit package, and reimbursement policy on Medicaid enrollee health care utilization at both the Federal and the State Medicaid level. Despite the expectations of the Medicaid program's architects that it would be smaller and less significant than the Medicare program, the Medicaid program has experienced dramatic growth in the number of recipients and total expenditures since its creation. By early 1980, State Medicaid program expenditures accounted for between 10 and 15 percent of individual State general operating funds. The Medicaid program is continuing to grow relative to State budgets. State budgets have been expanding by only about 9 percent per year, while Medicaid budget expenditures have been expanding at approximately twice that rate. These factors are forcing States to devise program changes concerning eligibility, benefits, or reimbursement approaches that will enable them to maintain fiscal stability as expenditures increase and the Federal role changes. These problems present a major challenge to policymakers and administrators at both the Federal and State levels. Solutions to these problems are difficult because of the differences in Medicaid programs, the constantly changing character of the Medicaid programs within States, and a lack of data to describe, monitor, and forecast Medicaid program activities in a consistent fashion. NMCUES was designed with these data problems in mind. Survey Background The goal of the National Medical Care Utilization and Expenditure Survey (NMCUES) is to collect information that will improve our understanding of the way Americans use and pay for health care. In addition to providing reliable statistical descriptions of the types of health services consumed and the amount of dollars expended for health care by the Nation, NMCUES was designed to permit health policy analysts to investigate a broad range of issues concerning the financing and delivery of health services in the United States. NMCUES data reflect health care experiences of the civilian noninstitutionalized population during 1980.(ABSTRACT TRUNCATED AT 400 WORDS)</p>","PeriodicalId":80090,"journal":{"name":"National Medical Care Utilization and Expenditure Survey (Series). Series B, Descriptive report","volume":" 1","pages":"1-81"},"PeriodicalIF":0.0,"publicationDate":"1986-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21182988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health services utilization in the U.S. population by health insurance coverage.","authors":"S A Garfinkel,&nbsp;L S Corder","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The goal of the National Medical Care Utilization and Expenditure Survey (NMCUES) is to improve the understanding of the ways in which Americans use and pay for health care. This report is one in a series of descriptive reports based on NMCUES data. Data concerning several aspects of insurance coverage were collected from household respondents in NMCUES. These data included the kind of insurance in effect for each person (Medicare, Medicaid, private, or other) and the use of inpatient and ambulatory health services. The purpose of this report is to provide descriptive information about the distribution of insurance coverage among the U.S. population and the use of inpatient and ambulatory services by people with different kinds of insurance. The results presented are based on data collected about the civilian noninstitutionalized persons in the NMCUES national household sample. In this report, \"person-year\" estimates for health insurance coverage are used; that is, individuals are assigned to different categories of insurance coverage according to the proportion of the year that they were covered by each kind of insurance. Although estimates are calculated as person-years of coverage, they are expressed as persons covered for convenience. Two important subpopulations--persons under 65 years of age and persons 65 years of age or over--are addressed separately because they have different patterns of insurance coverage and because utilization is so heavily influenced by age. Persons 65 years of age or over used significantly more inpatient and ambulatory services than persons under 65 years of age did. Only those in the younger group with Medicare, who were disabled, had utilization rates very similar to those of the aged. Persons under 65 years of age are classified by six mutually exclusive insurance categories: All Medicare. Medicaid, no private health insurance. Private health insurance, no Medicaid. Medicaid and private health insurance. Other coverage only. No insurance. Persons 65 years of age or over are classified by four mutually exclusive categories: Medicare only. Medicare and Medicaid. Medicare and private or other coverage. No Medicare. These categories of insurance coverage describe the kind of organization or program that supplies the coverage. With the exception of Medicare, which is a national program, these classifications provide little information about the scope of benefits and level of payment available to people who are covered. Considerable variation exists by State within the Medicaid category and by plan or program within the private insurance and other coverage categories.(ABSTRACT TRUNCATED AT 400 WORDS)</p>","PeriodicalId":80090,"journal":{"name":"National Medical Care Utilization and Expenditure Survey (Series). Series B, Descriptive report","volume":" 13","pages":"1-38"},"PeriodicalIF":0.0,"publicationDate":"1986-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21173655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perspectives on health care: United States, 1980.","authors":"J D Kasper,&nbsp;A McMillan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The National Medical Care Expenditure Survey (NMCUES) was designed to address numerous policy issues concerning costs of medical care, sources of payment, and access to care. Special emphasis is given in this volume to Medicare and Medicaid beneficiaries and the role of these programs as payors for health care. Among the findings presented here a few deserve special attention. These are grouped under the areas of coverage, utilization, and expenditures and are briefly outlined in the following. Coverage--Medicaid covers about half of the noninstitutionalized population living below the poverty level. Coverage is higher among poor children; 60 percent of those under age 6 have Medicaid coverage. Medicaid coverage is higher among black people (30 percent) and Hispanics (19 percent), groups with more low income people and people in poor health, than among white people (8 percent). Medicaid eligibles in all aid categories are in poorer health than others of their age; twice the percent of Aid to Families With Dependent Children eligibles report their health as fair or poor, compared with 18-44 years of age. A higher percentage of Medicaid eligibles have activity and functional limitations at all ages. Although high among all age groups, use of health services is highest among the elderly. Almost two-thirds report their health status as excellent or good. Among those with private insurance in addition to Medicare, over 80 percent saw a doctor at least once in a year and over 75 percent took at least one prescribed drug. About a fifth of those 65-74 years of age, and fewer than a third of those 75 years or over, were hospitalized in 1980. About two-thirds of aged Medicare beneficiaries had some type of private supplementary health insurance. The uninsured are likely to be young (19-24 years of age). Among black people, however, those 45-64 years of age are as likely to be uninsured (14.3 percent) as those 19-24 years of age (12.6 percent). The uninsured are likely to be poor (below poverty level) or near poor (under one and a half times the poverty level) as well. A quarter of the poor and near poor with full-time employment were uninsured, compared to 6 percent of higher income persons employed full time. Utilization--Medicare and Medicaid substantially improved access to care among their beneficiaries.(ABSTRACT TRUNCATED AT 400 WORDS)</p>","PeriodicalId":80090,"journal":{"name":"National Medical Care Utilization and Expenditure Survey (Series). Series B, Descriptive report","volume":" 14","pages":"1-143"},"PeriodicalIF":0.0,"publicationDate":"1986-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21182626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health care visits with nurses by place of visit: United States, 1980.","authors":"R H Mugge","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In this report, based on the National Medical Care Utilization and Expenditure Survey of 1980, the National Center for Health Statistics presents statistical estimates on health care visits--and on the people who had such visits--with nurses and on places visited by the civilian noninstitutionalized population of the United States. The report does not include telephone visits, emergency room visits, visits in which a physician was also seen, or visits in dental offices and clinics. The report also excludes all services provided to patients in hospitals or nursing homes. In general, the subject of this report may be described as ambulatory services provided independently by nurses in the course of patient visits. The nurse visits and the visiting patients are reported here according to where the visits took place--in doctors' offices or group practices, doctors' clinics, neighborhood or family health centers, company clinics, school clinics, other clinics, patients' homes, laboratories, hospital outpatient departments, other places, and unknown places. Indications are that nurse visits in these places are greatly outnumbered by nurse visits in institutions and in situations where the doctor is included in the visit; nevertheless, a very extensive set of nurses' services are accounted for in this report, and the data on circumstances of visits and characteristics of clients by place of visit are both meaningful and useful. Data on nurse visits in each type of place are compared with the total nurse visits in all types of places. Highlights of these findings are as follows: Persons having nurse visits in doctors' offices or group practices tended to be older than the average nurse patients. Most were white persons; relatively few were black. A large proportion of those 17 years of age and over were married. Family incomes tended to be above average. Charges for the visits were lower than average for nurse visits. The patient or the patient's family paid for about one-half of the charges. Persons having nurse visits in doctors' clinics shared similar characteristics with persons having nurse visits in doctors' offices. One difference is that payment for services in doctors' clinics is less likely to come from the patient or the patient's family. Nearly 44 percent of the clinic visits were in the North Central Region. Persons having nurse visits in neighborhood and family health centers tended to be quite young. They had relatively low educational and family income levels. They tended to live in the South and in rural, nonmetropolitan areas. Persons with visits in these centers averaged only 2.7 such visits during the year.(ABSTRACT TRUNCATED AT 400 WORDS)</p>","PeriodicalId":80090,"journal":{"name":"National Medical Care Utilization and Expenditure Survey (Series). Series B, Descriptive report","volume":" 9","pages":"1-52"},"PeriodicalIF":0.0,"publicationDate":"1986-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21167358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Visits to selected health care practitioners: United States, 1980.","authors":"R H Mugge","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This report, based on data from the 1980 National Medical Care Utilization and Expenditure Survey, presents statistical estimates on visits to different types of practitioners by the noninstitutionalized civilian population of the United States. The report does not include dental visits, telephone visits, emergency room visits, or visits in which a physician was also seen. The practitioners whose visits are reported vary from the highly independent practitioners with doctorate degrees (opticians, chiropractors, podiatrists, and many psychologists); to the nurses, paramedics, social workers, and counselors who often provide services less independently; to the physical therapists and the laboratory, radiology, and other technicians who largely provide services under physician prescriptions or on teams headed by physicians. In general it was found that the most independent practitioners (optometrists, chiropractors, and podiatrists) tended most to provide services in their own facilities and to be paid directly by the patients or their families. Persons who visited technicians and physical therapists almost invariably saw a physician at least once during the year. Physicians were visited by 70.8 percent of the population. Persons seeing physicians averaged 4.5 visits to them during the year. There were nearly twice as many physician visits--by the survey's definition--than there were visits to all of the other types of practitioners reported on here. Nearly three-fourths of the physician visits took place in the doctors' offices, and about one-twentieth in doctors' clinics. The patient or the patient's family paid 40 percent of the charges for physician visits, and insurance and prepayment plans paid another 30 percent. Each of the remaining practitioner types is compared with all others and with physicians in terms of particular features of their practices. Following are some of the more notable findings for the respective practitioners: Nurses made more visits to the home than any other practitioner type. They also accounted for more clinic visits. More than half of the nurse visits for specific problems involved respiratory or circulatory diseases. Visits to nurses were the least expensive kind of visits reported. Most people who saw optometrists saw them only once or twice during the year. Optometry visits usually took place in the optometrist's office and usually involved eye examinations for glasses. The average visit was expensive, partly because it often included the cost of the eyeglasses. People who saw chiropractors tended to see them often during the year. Visits were usually in the chiropractor's office or clinic. The problems presented to chiropractors most often involved musculoskeletal diseases or injuries.(ABSTRACT TRUNCATED AT 400 WORDS)</p>","PeriodicalId":80090,"journal":{"name":"National Medical Care Utilization and Expenditure Survey (Series). Series B, Descriptive report","volume":" 8","pages":"1-58"},"PeriodicalIF":0.0,"publicationDate":"1986-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21167357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Supplemental health insurance coverage among aged Medicare beneficiaries.","authors":"S A Garfinkel,&nbsp;L S Corder","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The goal of the National Medical Care Utilization and Expenditure Survey (NMCUES) of 1980 was to improve the understanding of the ways in which Americans use and pay for health care. This report is one in a series of descriptive reports based on NMCUES data. Data concerning insurance coverage were collected from household respondents in NMCUES. These data included the kind of insurance in effect for each person, the services covered, and the amounts paid by each source. In addition, the administration of private insurance plans and the kinds of charges covered were identified. The purpose of this report is to provide descriptive information about supplemental insurance coverage among the aged Medicare population with special emphasis on private supplemental health insurance coverage. For this report, supplemental insurance is defined as coverage (i.e., Medicaid, private, or other) in addition to Medicare and is to be distinguished from the Supplementary Medical Insurance part of Medicare that is known as SMI or Part B of Medicare. The results presented are based on data collected about the civilian, noninstitutionalized persons in the NMCUES national household sample who at any time during the survey year of 1980: (1) were 65 years of age or over, and (2) reported having been covered by Medicare Hospital Insurance (HI), or Medicare Supplementary Medical Insurance (SMI), or both. This report uses time-adjusted estimates that assign a single individual to different categories of insurance coverage according to the proportion of the year that he or she was covered by each kind of insurance. Consequently, estimates are made for person-years of coverage although they are expressed as persons for convenience. Approximately 4 out of 5 aged Medicare beneficiaries reported having some kind of insurance coverage in addition to Medicare during 1980. Approximately 67 percent of the aged Medicare population are estimated to have had private insurance in addition to Medicare; an estimated 13 percent had Medicaid. (Both of these estimates include 2.5 percent who reported Medicaid and private insurance simultaneously.) About 21 percent of the aged Medicare beneficiaries reported that Medicare was their only source of third-party coverage. The percentage of the aged Medicare beneficiaries who reported Medicare as their only source of third-party coverage was consistently 20 percent regardless of health status. However, the distribution among insurance categories of the remaining 80 percent who reported supplemental coverage of some type varied by health status. Medicare beneficiaries who were in poor health were much more likely to have Medicaid than Medicare beneficiaries who reported being in excellent health.(ABSTRACT TRUNCATED AT 400 WORDS)</p>","PeriodicalId":80090,"journal":{"name":"National Medical Care Utilization and Expenditure Survey (Series). Series B, Descriptive report","volume":" 5","pages":"1-37"},"PeriodicalIF":0.0,"publicationDate":"1985-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21173659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}