AGING VETERANS: WILL THEY OVERWHELM THE VA MEDICAL CARE SYSTEM?

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "AGING VETERANS: WILL THEY OVERWHELM THE VA MEDICAL CARE SYSTEM?"

Transcription

1 AGING VETERANS: WILL THEY OVERWHELM THE VA MEDICAL CARE SYSTEM? by Constance Horgan, Amy Taylor, and Gail Wilensky Prologue: Within the American medical care system, the Veterans Administration (VA) operates a vast subsystem that is charged by law with curing for the health care needs of veterans of the armed services. Outlays-to finance this enterprise of 172 medical centers, forty-nine satellite or independent outpatient clinics, and 195,000 employees consumed some $8 billion in fiscal Even in an era of austerity, the VA has proven resilient politically, handily dispensing with any designs the Reagan administration may have had to check its growth. The future, though, remains less clear. The implications of an aging society have been receiving an increasing amount of attention in the last several years. Although much of the discussion has focused on the viability of Social Security and Medicare s Hospital Insurance Trust Fund, the VA has focused its concern on the aging veteran. Specifically, what impact will the growing population of aging veterans have on the comprehensive service-s offered by the VA medical care system? In its 1978 report to Congress, the Veterans Administration declared: After 1985, the projected veterans demand for VA hospital beds is expected to accelerate rapidly assuming current eligibility and utilization factors. But will the increase be us large us the bulge in the veterans population due to World War II and Korean War might suggest? Three health conomists, Constance Horgan and Amy Taylor of the National Center for Health Services Research and Gail Wilensky, vice-president of Project HOPE s domestic division and director of its Center for Health Information, Research and Analysis, explore this issue. They focus on the extent to which veterans used the VA system in based on data from the National Medical care Expenditure Survey - and are likely to use it in the future.

2 78 HEALTH AFFAIRS Veterans of the U.S. Armed Forces are eligible to use the health services of the Veterans Administration (VA), outlays for which accounted for 3 percent of total U.S. health expenditures in Because eligibility to use the VA system can also extend to veterans otherwise insured by public or private mechanisms, there is reason to ask whether the VA is primarily serving veterans who have other forms of insurance, or primarily those who have no other coverage. This issue of overlapping coverage is particularly important in view of the aging of the veteran population. At age sixty-five, most veterans become eligible for Medicare and receive a higher priority status for use of the VA health care system. Many World War II and Korean War veterans are now approaching or have already reached age sixty-five. Figure 1 shows that while in 1977 approximately 25 percent of adult males over sixty-five years of age were veterans, by 1995 this percentage will have increased to over sixty out of a hundred. Also, as indicated in Figure 2, the number of elderly veterans will more than double between 1980 and 1990, from slightly more than 3 million in 1980 to well over 7.5 million by Although determining the exact number of veterans eligible to use the VA health care system is not straightforward because of the complex criteria used to determine eligibility and priority status for the use of services in the VA system, veterans sixty-five years of age or older can use the VA system for the treatment of other than service-connected conditions without attesting to inability to pay. 2 This change in eligibility exists regardless of Medicare coverage and the, availability of private insurance. It has been argued that the aging of the veteran population will put increasing pressure on the VA health care system. 3 Figure 1 Veterans Over 65 Years As Percent Of All U.S. Males Over 65 Years, Source: A Report on the Aging Veteran, U.S. Senate Committee on Veterans Affairs, p. 23.

3 AGING VETERANS 79 Figure 2 Number Of Veterans Over 65 Years, Source: A Report on the Aging Veteran, U.S. Senate Committee on Veterans Affairs, p. v. The focus of this paper is the extent to which veterans in different age groups and with different types of insurance coverage in fact used the VA system in 1977 and are likely to use it in the future. We base these estimates on the use of three VA services: short-term hospital inpatient care, ambulatory physician services, and prescribed medicine use. Also, we have limited this examination of health care utilization patterns of veterans to the probability that a veteran will have used the VA health care system in the course of a year for the three specified services; but we do not discuss the amount of use of these services. The emphasis of this analysis, therefore, is not on producing national estimates of use of the VA health care system but rather on issues related to which veterans use the VA and why, and what impact this is likely to have on the VA health care system in the future. The analysis is based on data from the National Medical Care Expenditure Survey (NMCES), household survey of the civilian noninstitutionalized population in NMCES was funded by the National Center for Health Services Research and cosponsored by the National Center for Health Statistics. About 14,000 randomly selected households were interviewed six times over an eighteen-month period about use, expenditures, and insurance coverage for health care in calendar year Standard demographic and socioeconomic data were collected as well as information on insurance coverage and whether any household members had ever served in the Armed Forces or had a service-connected disability, reflecting the veteran status of all individuals in the survey. Information was also collected on medical events occurring in Events for which the VA was reported as the source of payment were assumed to have occurred in the VA health care system. This definition therefore includes both care which took place in a VA facility as well as care for which the VA may have paid for services rendered at a non-va facility for eligible

4 80 HEALTH AFFAIRS veterans. Our analysis is limited to male veterans twenty years of age or older, as the number of female veterans was too small for separate analysis. Finally, persons residing in nursing homes or other institutionalized settings are not included. The institutionalized population represents a relatively small group of VA users, although their importance to the VA with respect to level of use is likely to be disproportionate to their numbers. In the first section of the paper we will look at survey findings concerning the public and private insurance coverage of the veteran population and then at the effects of age and insurance on use of the VA health care system. Finally, we discuss the implications of the aging of the veteran population for the likelihood of use of the VA system in the future. Insurance Coverage And Use Of Selected VA Health Care Services In 1977, about 4 percent of the approximately 29 million male veterans in the United States used some VA health services (ambulatory physician visits, hospital stays, or prescribed medicines; Table 1). 5 The characteristics of these veterans have been described on the basis of NMCES data. 6 Veterans using the VA in 1977 appeared to be different from veterans who received their health care elsewhere. They were more likely to be poor, elderly, and have had less education. They also appeared to be in poorer health, and were much more likely to have a service-connected disability and more likely to report a mental condition. These differences are not unexpected, given VA eligibility criteria with respect to serviceconnected disabilities, age, and ability to pay. These observations are borne out by the relationship between insurance coverage and use of the VA system shown in Table 1. 7 In fact, most veterans were covered by private insurance in 1977 and these were least Table 1 Likelihood of Use of Selected Health Service by Veterans According to Insurance Coverage and Source of Care (row percents) a Use of services Veterans without Total Any V.A. No V.A. use veterans Percent distribution (1000s) All veterans ,859 Private insurance ,686 Medicare Medicaid 7.3* Uninsured ,514 a Selected services include ambulatory physician services, hospital stays, and prescribed medicines. *The relative standard error of this estimate exceeds 30 percent and is thus too high to permit confidence. Source: National Medical Expenditures Survey. National Center for Health Services Research.

5 AGING VETERANS 81 likely to have used VA services. Veterans with Medicare coverage were four times as likely to have used the VA as those with private insurance, and a comparable but threefold difference is found for veterans without any insurance, although the latter group were much less likely to have used any health services at all. 8 However, when they used services, they were more likely to have used those provided by the VA than the privately insured. A similar picture emerges if we consider only those veterans who used the VA system. Among all users of VA services, almost half were uninsured or on Medicare (see Table 2), while the corresponding percentage for those using services outside the VA system only was less than 20 percent. Even more important in view of the aging of the veteran population is the strong relationship between age and use of the VA (see Table 3). Veterans below the age of forty-nine were half as likely to use VA services as those above age fifty. In order to test whether the overall relationships between age, insurance status, and use of the VA are independent of other factors which might influence use of the VA, we examined a regression equation ex- Table 2 Likelihood of Use of Selected Health Service by Veterans According to Insurance Coverage and Source of Care (column percents) a Total veterans (in thousands) Percent with private insurance Percent with Medicare Percent with Medicaid Percent Uninsured Total Use of services Veterans without Any V.A. No V. A. use 1,103 19,528 8, % 80.7% 77.1% * a Selected services include ambulatory physician services. hospital stays, and prescribed medicincs. *The relative standard error of this estimate exceeds 30 percent and is thus too high to permit confidence. Source: National Medical Expenditures Survey, National Center for Health Services Research. Table 3 Percent of Veterans a Using the VA for Selected Health Services b by Age, United States, 1977 Age in years Percent of veterans using the VA a The table excludes veterans who used no medical services in b Selectcd services include ambulatory physician services, hospital stays, and prescribed medicines. Source: National Medical Expenditures Survey. National Center for Health Serviccs Research

6 82 HEALTH AFFAIRS plaining the use of VA services by controlling for the characteristics of the individual veteran who used any medical services in This equation expresses the probability of using the VA as a function of insurance coverage, presence of a service-connected disability, access to a VA facility, age, income, health status, and other sociodemographic variables. 9 As expected in view of the eligibility criteria mentioned above, the most important characteristic explaining use of the VA system was the presence of a service-connected disability. Having private insurance lowered the probability of use, as observed in Table 2. Nonwhites were more likely to use the VA than whites, as were persons living in the Northeast compared to other regions of the U.S. Health status clearly played a role, in that veterans with a higher number of disability days in 1977 and veterans in only fair or poor health were more likely to use the VA than others. Persons employed throughout 1977, and those who never worked in 1977 (most of whom are elderly), were less likely to use the VA than the unemployed. Finally, in comparison with other factors such as lack of private insurance or poor health status, being over sixty-five did not itself increase the likelihood of use of the VA system. This is not to say that age is an unimportant factor in predicting the impact of the aging of the veteran population on the VA health care system. As can be seen in Table 4, in 1977 the size of the near-elderly veteran population, years, was close to four times that of veterans over sixty-five years of age. More importantly, only 27 percent of elderly males were veterans in 1977, while 45 percent of the cohort in 1977 were veterans, and as much as 75 percent in the year cohort. The bulk of the elderly male population for this decade and into the 1990s are the veterans of World War II and the Korean conflict. Even taking into account normal attrition due to death, there clearly is a large increase in the number of veterans who will turn sixty-five and become eligible to use the VA system in this decade. Table 4 Adult Male Population According to Veteran Status, United States, Total Percent Age in years (In 1000s) Veteran Other , I 1, , , , , , Source: National Medical Expenditures Survey, National Center for Health Services Research.

7 The Implications Of An Aging Veteran Population AGING VETERANS 83 The important question is how many of these elderly veterans will survive and choose to use VA health services. As pointed out before, most elderly veterans are covered by Medicare. In addition, about twothirds are also covered by private insurance supplementary to Medicare 10. First, in order to ascertain whether the influence of private insurance coverage on VA use observed in Tables 2 and 3 also holds for the elderly population, thus reducing the additional burden that aging veteran population will place on the VA health care system, we used regression analysis to predict use of the VA for the three specified services by the elderly veteran. We found that having private insurance in addition to Medicare in fact lowers the likelihood of VA use, while service-connected disabilities and poor health status increase this likelihood, as was found for the veteran population as a whole; Second, we aged our base population (that is, the 29 million veterans in our survey) from 1977 to 1982 and Data on age, service connected disability, health status, education, race, region of residence, and presence of a VA facility came from these aged files. Data on percent married and SMSA residence were calculated from census data, and future physician/ population ratios were obtained from the Bureau of Health Professions. It was assumed that the percent of elderly veterans in poverty and the percent employed, as well as disability days and region of residence remain the same. The likelihood of having private insurance and using the VA was predicted using two regression equations based on NMCES data. These indicated that the probability of having only Medicare coverage and of using the VA in the future remains about-the same for the elderly veteran as in Combining these probabilities with the number of elderly veterans predicted for 1987 indicated that although the likelihood of use of the VA system for ambulatory physician visits, short-term hospital stays, and prescribed medicines remains the same, the increase in the absolute number of elderly veterans means that more than twice as many elderly will use the VA system for the services specified between 1977 and However, the eventual impact on the VA system as a whole is probably smaller than suggested by the increase in the elderly veteran user population projected for the decade of the eighties. Although the number of new elderly users of VA services will more than double by 1987 due to the increase in the aged veteran population, overall use of the VA system will not increase by nearly as much because elderly users will remain the minority of total users. As shown in Table 5, based on projections by the VA up to 1995, the percentage of veterans over age sixtyfive will increase to 28.6 percent, while the total number of veterans will not increase. Our calculations indicate that total users of the VA system

8 84 HEALTH AFFAIRS Table 5 Projected Increases in the Population of Elderly Veterans, Total veterans (in 1,000s) 29,459 29,827 29,699 29,090 28,132 Percent 65 and over Percent less than Source: Adapted from A Report on the Aging Veteran U.S. Senate Committee on Veterans Affairs, p. 19. for the services examined would increase by about 16 percent if the number of elderly users doubled. 13 In addition, projections of the change in the nonaged veteran population suggest that the number of users of the VA system under the age of sixty-five will decline by 15 percent over this time period. 14 This decline can be expected to offset at least part of the increase in use by the elderly veteran population, although this assumption does not take into account the distinction between the number of users and the potential extent of use by the elderly, who are likely to be heavy users of services because of the decline in health status with age. It should also be recalled that our data excluded use of long-term care. 15 The potential increase in need for long-term care services which accompanies an aging population is important to the VA. Private insurance and Medicare coverage for nursing home care is minimal, and our data show that insurance coverage is an important determinant of VA use for the three services examined. Given the lack of coverage for nursing home care, the VA may well experience a larger increase in demand for this type of service. In summary, this analysis suggests that the increase in use of the VA health care system for the three services examined is not likely to be as large as one might expect given the magnitude of the projected increase in the elderly veteran population, despite their change in eligibility status at age sixty-five. We have shown that the holding of private insurance coverage lowers the use of the VA system. Thus, increased pressure on the VA system may depend more on whether these veterans have private insurance in addition to Medicare than on the mere increase in the size of this population.

9 AGING VETERANS 85 NOTES 1. H. Sapolsky and S. Wallach, The Veterans Health Care System in Federal Health Programs, ed. S. Altman and H. Sapolsky (Lexington Mass.: Lexington Books, 1981). 2. Veterans who have a service-connected disability have the highest priority for receiving care through the VA; veterans who state under oath that they are unable to pay for necessary hospital care are also eligible for treatment. 3. U.S. Senate Committee on veterans Affairs, A Report on the Aging Veteran, (Washington, D.C.: Government Printing Office, 1978). 4. For the interview instruments, see G.S. Bonham and L.S. Corder, National Health Care Expenditures Study, Instruments and Procedures 1: NMCES Household Interview Instruments, DHHS Publication No. (PHS) (Washington, D.C.: U.S. Department of Health and Human Services Research, 1981); and for a detailed description of the sample design, see S.B. Cohen and W.D. Kalsbeek, National Health care Expenditures Study, Instruments and Procedures 2: NMCES Estimation and Sampling Variances in the Household Survey, DHHS Publication No. (PHS) (Washington, D.C.: U.S. Department of Health and Human Services, National Center for Health Services Research, 1981). 5. Unpublished data from the VA indicate that approximately 10 percent of veterans used the VA health care system in This VA estimate is based on patient encounter records which the VA maintains and reflects total use of the VA health care system. The NMCES estimates of 4 percent reflects a partial picture of VA use, as noted previously. Therefore, a lower NMCES estimate was expected. The exclusions from the NMCES estimate fall into two categories. First, a certain amount of care provided in the VA is for veterans who for the purpose of NMCES would be classified as institutionalized. Included in the VA estimate is the use of long-term care facilities, domiciliaries, and psychiatric hospitals. Additionally, many beds in short-term VA hospitals are actually used for extended care. Second, a large amount of outpatient care in the VA is provided by nonphysicians. Such providers include physical therapists. social workers, pharmacists, mental health counselors, dentists, optometrists, and others. The NMCES estimate includes only visits to physicians. 6. Constance Horgan, Amy Bernstein, and Marc Berk, Use of Health Care Services by Veterans, Paper presented at annual meeting of the American Public Health Association, The insurance categories have been defined to be mutually exclusive. Medicare includes Medicare coverage only or Medicare combined with private practice or other insurance. Medicaid includes veterans who had any Medicaid coverage, but no Medicare. Uninsured refers to those veterans who did not have insurance coverage for all of If a veteran was uninsured for only part of 1977, he would have been classified according to the type of coverage he had when insured. Private refers to all other coverage, mainly private insurance, but also including CHAMPUS and CHAMPVA. 8. Of users of the VA health care system, 28 percent were covered by Medicare but only 16 percent were sixty-five years or older, suggesting that some veterans who use the VA are covered by Medicare because of disabilities rather than age. 9. The actual estimated equations are not presented in this paper. Results are available from the authors on request. The findings are discussed in terms of their statistical significance or lack of it. 10. G.C. Cafferata. Private Health Insurance Coverage, NMCES Report Series, National Center for Health Services Research, Department of Health and Human Services, forthcoming. 11. The data were aged by adding five and ten years, respectively, to a veteran s age in Life tables were used to estimate the surviving population. The means of the relevant variables were then calculated from these aged data files.

10 86 HEALTH AFFAIRS 12. Our estimates indicate that the number of elderly veterans will increase by almost three million from 1977 to The estimated equation predicts that 7 percent of these veterans will use the VA for the selected health care services. This means that the number of elderly users will increase by about 200, This estimate is based on data presented in Horgan, Bernstein, and Berk, See note The projected number of veterans age for 1982 and 1987 was obtained from unpublished VA data. A weighted average of the probability of using the VA for the three specified services was calculated using five-year age groupings based on NMCES data. 15. In 1982, 58 percent of beds in VA Medical Centers were devoted to medical/surgical beds. The balance of beds were psychiatric, domiciliary, or nursing home (VA Annual Report, 1982). An earlier version of this paper was prepared for the 95th annual meeting of the American Economic Association, New York, New York, December, We are grateful to Sandy Smoot and Karen Pinkston of Social & Scientific Systems, Inc., for their programming assistance and Renate Wilson for her helpful comments. The views expressed in this paper are those of the authors and no official endorsement by the National Center for Health Services Research, U.S. Department of Health and Human Services or Project HOPE is intended or should be inferred.

Research. Dental Services: Use, Expenses, and Sources of Payment, 1996-2000

Research. Dental Services: Use, Expenses, and Sources of Payment, 1996-2000 yyyyyyyyy yyyyyyyyy yyyyyyyyy yyyyyyyyy Dental Services: Use, Expenses, and Sources of Payment, 1996-2000 yyyyyyyyy yyyyyyyyy Research yyyyyyyyy yyyyyyyyy #20 Findings yyyyyyyyy yyyyyyyyy U.S. Department

More information

Health Insurance Coverage, Poverty, and Income of Veterans: 2000 to 2009

Health Insurance Coverage, Poverty, and Income of Veterans: 2000 to 2009 Health Insurance Coverage, Poverty, and Income of Veterans: 2 to 29 February 211 NCVAS National Center for Veterans Analysis and Statistics Data Source and Methods Data for this analysis come from years

More information

Health Status, Health Insurance, and Medical Services Utilization: 2010 Household Economic Studies

Health Status, Health Insurance, and Medical Services Utilization: 2010 Household Economic Studies Health Status, Health Insurance, and Medical Services Utilization: 2010 Household Economic Studies Current Population Reports By Brett O Hara and Kyle Caswell Issued July 2013 P70-133RV INTRODUCTION The

More information

Employment-Based Health Insurance: 2010

Employment-Based Health Insurance: 2010 Employment-Based Health Insurance: 2010 Household Economic Studies Hubert Janicki Issued February 2013 P70-134 INTRODUCTION More than half of the U.S. population (55.1 percent) had employment-based health

More information

STATISTICAL BRIEF #93

STATISTICAL BRIEF #93 Agency for Healthcare Medical Expenditure Panel Survey Research and Quality STATISTICAL BRIEF #93 August 2005 Health Care Expenditures for Injury- Related Conditions, 2002 Steven R. Machlin, MS Introduction

More information

The role of t he Depart ment of Veterans Affairs (VA) as

The role of t he Depart ment of Veterans Affairs (VA) as The VA Health Care System: An Unrecognized National Safety Net Veterans who use the VA health care system have a higher level of illness than the general population, and 60 percent have no private or Medigap

More information

IMMIGRATION FACTS. Health Insurance Coverage of the Foreign Born in the United States: Numbers and Trends

IMMIGRATION FACTS. Health Insurance Coverage of the Foreign Born in the United States: Numbers and Trends The Migration Policy Institute is an independent, non-partisan, and non-profit think tank dedicated to the study of the movement of people worldwide. The institute provides analysis, development, and evaluation

More information

Financial Burden of Medical Care: A Family Perspective

Financial Burden of Medical Care: A Family Perspective NCHS Data Brief No. 14 January 014 Financial Burden of Medical Care: A Family Perspective Robin A. Cohen, Ph.D., and Whitney K. Kirzinger, M.P.H. Key findings Data from the National Health Interview Survey,

More information

Methodological Comparison of Estimates of Ambulatory Health Care Use from the Medical Expenditure Panel Survey and Other Data Sources

Methodological Comparison of Estimates of Ambulatory Health Care Use from the Medical Expenditure Panel Survey and Other Data Sources Methodological Comparison of Estimates of Ambulatory Health Care Use from the Medical Expenditure Panel Survey and Other Data Sources Jeffrey A. Rhoades, Joel W. Cohen, and Steven R. Machlin Agency for

More information

STATISTICAL BRIEF #87

STATISTICAL BRIEF #87 Agency for Healthcare Medical Expenditure Panel Survey Research and Quality STATISTICAL BRIEF #87 July 2005 Attitudes toward Health Insurance among Adults Age 18 and Over Steve Machlin and Kelly Carper

More information

Access to Health Services

Access to Health Services Ah Access to Health Services Access to Health Services HP 2020 Goal Improve access to comprehensive, quality health care services. HP 2020 Objectives Increase the proportion of persons with a usual primary

More information

LONG-TERM CARE IN AMERICA: AMERICANS OUTLOOK AND PLANNING FOR FUTURE CARE

LONG-TERM CARE IN AMERICA: AMERICANS OUTLOOK AND PLANNING FOR FUTURE CARE Research Highlights LONG-TERM CARE IN AMERICA: AMERICANS OUTLOOK AND PLANNING FOR FUTURE CARE INTRODUCTION In the next 25 years, the U.S. population is expected to include 82 million Americans over the

More information

United States HIT Case Study

United States HIT Case Study center for health and aging Health Information Technology and Policy Lab Howard Isenstein, Vice President for Public Affairs and Quality, Federation of American Hospitals Summary U.S. adoption of health

More information

Setting the Record Straight about Medicare

Setting the Record Straight about Medicare Fact Sheet Setting the Record Straight about Medicare Keith D. Lind, JD, MS As the nation considers the future of Medicare, it is important to separate the facts from misconceptions about Medicare coverage,

More information

Custodial Mothers and Fathers and Their Child Support: 2011

Custodial Mothers and Fathers and Their Child Support: 2011 Custodial Mothers and Fathers and Their Child Support: 2011 Current Population Reports By Timothy Grall Issued October 2013 P60-246 IntroductIon This report focuses on the child support income that custodial

More information

FINDINGS FROM THE 2014 MASSACHUSETTS HEALTH INSURANCE SURVEY

FINDINGS FROM THE 2014 MASSACHUSETTS HEALTH INSURANCE SURVEY CENTER FOR HEALTH INFORMATION AND ANALYSIS FINDINGS FROM THE MASSACHUSETTS HEALTH INSURANCE SURVEY MAY 2015 Prepared by: Laura Skopec and Sharon K. Long, Urban Institute Susan Sherr, David Dutwin, and

More information

75 Washington Ave. Suite 206 Portland, ME 04101. (207) 767-6440 www.marketdecisions.com

75 Washington Ave. Suite 206 Portland, ME 04101. (207) 767-6440 www.marketdecisions.com 75 Washington Ave. Suite 206 Portland, ME 04101 (207) 767-6440 www.marketdecisions.com Comprehensive Report 2014 Vermont Household Health Insurance Survey Vermont Department of Regulation, Insurance Division

More information

BRIEF No.10 SPRING 2002

BRIEF No.10 SPRING 2002 THE HOME CARE RESEARCH INITIATIVE: A PROGRAM OF THE ROBERT WOOD JOHNSON FOUNDATION P O L I C Y BRIEF No.1 SPRING 22 The Use of Nursing Home and Assisted Living Facilities Among Private Long-Term Care Insurance

More information

Essential Hospitals VITAL DATA. Results of America s Essential Hospitals Annual Hospital Characteristics Survey, FY 2012

Essential Hospitals VITAL DATA. Results of America s Essential Hospitals Annual Hospital Characteristics Survey, FY 2012 Essential Hospitals VITAL DATA Results of America s Essential Hospitals Annual Hospital Characteristics Survey, FY 2012 Published: July 2014 1 ABOUT AMERICA S ESSENTIAL HOSPITALS METHODOLOGY America s

More information

Problems Paying Medical Bills Among Persons Under Age 65: Early Release of Estimates From the National Health Interview Survey, 2011 June 2015

Problems Paying Medical Bills Among Persons Under Age 65: Early Release of Estimates From the National Health Interview Survey, 2011 June 2015 Problems Paying Medical Bills Among Persons Under Age 65: Early Release of Estimates From the National Health Interview Survey, June 5 by Robin A. Cohen, Ph.D., and Jeannine S. Schiller, M.P.H. Division

More information

Essential Hospitals VITAL DATA. Results of America s Essential Hospitals Annual Hospital Characteristics Report, FY 2013

Essential Hospitals VITAL DATA. Results of America s Essential Hospitals Annual Hospital Characteristics Report, FY 2013 Essential Hospitals VITAL DATA Results of America s Essential Hospitals Annual Hospital Characteristics Report, FY 2013 Published: March 2015 1 ABOUT AMERICA S ESSENTIAL HOSPITALS METHODOLOGY America s

More information

America s Neglected Veterans: 1.7 Million Who Served Have No Health Coverage

America s Neglected Veterans: 1.7 Million Who Served Have No Health Coverage Embargoed until October 19, 12:00 p.m. Eastern time America s Neglected Veterans: 1.7 Million Who Served Have No Health Coverage Report of the Harvard/Cambridge Hospital Study Group on Veterans Health

More information

Health Insurance Coverage: Early Release of Estimates From the National Health Interview Survey, January March 2013

Health Insurance Coverage: Early Release of Estimates From the National Health Interview Survey, January March 2013 Health Insurance Coverage: Early Release of Estimates From the National Health Interview Survey, January March 2013 by Robin A. Cohen, Ph.D., and Michael E. Martinez, M.P.H., M.H.S.A. Division of Health

More information

The Cost of Care for the Uninsured: What Do We Spend, Who Pays, and What Would Full Coverage Add to Medical Spending?

The Cost of Care for the Uninsured: What Do We Spend, Who Pays, and What Would Full Coverage Add to Medical Spending? The Cost of Care for the : What Do We Spend, Who Pays, and What Would Full Coverage Add to Medical Spending? Issue Update 2004 Jack Hadley, Ph.D. and John Holahan, Ph.D. Prepared for the Kaiser Commission

More information

Health Insurance Coverage: Estimates from the National Health Interview Survey, 2004

Health Insurance Coverage: Estimates from the National Health Interview Survey, 2004 Health Insurance Coverage: Estimates from the National Health Interview Survey, 2004 by Robin A. Cohen, Ph.D., and Michael E. Martinez, M.P.H., Division of Health Interview Statistics, National Center

More information

Ch a n g i n g h e a l t h p l a n s may be

Ch a n g i n g h e a l t h p l a n s may be Health Plan Switching: Choice Or Circumstance? Data from the Community Tracking Study give a glimpse of who among the privately insured are likely to switch plans, and why. b y P e t e r J. Cu n n i n

More information

Health Coverage among 50- to 64-Year-Olds

Health Coverage among 50- to 64-Year-Olds Health Coverage among 50- to 64-Year-Olds In 2005, more than 51 million Americans were age 50 64. This number is projected to rise to 58 million in 2010, when the first baby boomers turn 64. The aging

More information

National Findings on Access to Health Care and Service Use for Non-elderly Adults Enrolled in Medicaid

National Findings on Access to Health Care and Service Use for Non-elderly Adults Enrolled in Medicaid National Findings on Access to Health Care and Service Use for Non-elderly Adults Enrolled in Medicaid By Sharon K. Long Karen Stockley Elaine Grimm Christine Coyer Urban Institute MACPAC Contractor Report

More information

In Search of a Elusive Truth How Much do Americans Spend on their Health Care?

In Search of a Elusive Truth How Much do Americans Spend on their Health Care? In Search of a Elusive Truth How Much do Americans Spend on their Health Care? David M. Betson University of Notre Dame Introduction One of the main goals of research this year has been the construction

More information

STATISTICAL BRIEF #170

STATISTICAL BRIEF #170 Medical Expenditure Panel Survey STATISTICAL BRIEF #17 Agency for Healthcare Research and Quality June 7 Use of Breast Cancer Detection Exams among Women Age 4 and Over, U.S. Noninstitutionalized Population,

More information

Choice Of Health Insurance And The Two-Worker Household by Claudia L. Schur and Amy K. Taylor

Choice Of Health Insurance And The Two-Worker Household by Claudia L. Schur and Amy K. Taylor DataWatch Choice Of Health Insurance And The Two-Worker Household by Claudia L. Schur and Amy K. Taylor The past decade has seen a dramatic rise in the number of families in which both the husband and

More information

Overview of Methodology for Imputing Missing Expenditure Data in the Medical Expenditure Panel Survey

Overview of Methodology for Imputing Missing Expenditure Data in the Medical Expenditure Panel Survey Overview of Methodology for Imputing Missing Expenditure Data in the Medical Expenditure Panel Survey Agency for Healthcare Research and Quality U.S. Department of Health & Human Services March 2007 ABSTRACT

More information

The Risk of Losing Health Insurance Over a Decade: New Findings from Longitudinal Data. Executive Summary

The Risk of Losing Health Insurance Over a Decade: New Findings from Longitudinal Data. Executive Summary The Risk of Losing Health Insurance Over a Decade: New Findings from Longitudinal Data Executive Summary It is often assumed that policies to make health insurance more affordable to the uninsured would

More information

COMPARISON OF THE SURVEY ESTIMATES FROM THE MEDICAL EXPENDITURE PANEL SURVEY AND THE MEDICARE CURRENT BENEFICIARY SURVEY

COMPARISON OF THE SURVEY ESTIMATES FROM THE MEDICAL EXPENDITURE PANEL SURVEY AND THE MEDICARE CURRENT BENEFICIARY SURVEY o COMPARISON OF THE SURVEY ESTIMATES FROM THE MEDICAL EXPENDITURE PANEL SURVEY AND THE MEDICARE CURRENT BENEFICIARY SURVEY D.E.B. Potter and Steven R. Machlin, AHCPR, D.E.B Potter, Agency for Health Care

More information

Changes in Health Insurance Coverage in the Great Recession, 2007-2010 John Holahan and Vicki Chen The Urban Institute Executive Summary

Changes in Health Insurance Coverage in the Great Recession, 2007-2010 John Holahan and Vicki Chen The Urban Institute Executive Summary I S S U E P A P E R kaiser commission on medicaid and the uninsured Changes in Health Insurance Coverage in the Great Recession, 2007-2010 John Holahan and Vicki Chen The Urban Institute Executive Summary

More information

DOCUMENT RESUME. AUTHOR Farley, Pamela J. TITLE. Private Health Insurance in the United States,

DOCUMENT RESUME. AUTHOR Farley, Pamela J. TITLE. Private Health Insurance in the United States, DOCUMENT RESUME ED 273 916 CG 019 381 AUTHOR Farley, Pamela J. TITLE. Private Health Insurance in the United States, National Health Care Expenditures Study. Data Preview 23. INSTITUTION National Center

More information

Amidst rapidly rising costs, policymakers have proposed changes to. DataWatch

Amidst rapidly rising costs, policymakers have proposed changes to. DataWatch DataWatch Health Insurance And The Elderly by George S. Chulis, Franklin J?. Eppig, Mary 0. Hogan, Daniel R. Waldo, and Ross H. Arnett III Abstract: The effectiveness of proposed changes to the Medicare

More information

Profile of Rural Health Insurance Coverage

Profile of Rural Health Insurance Coverage Profile of Rural Health Insurance Coverage A Chartbook R H R C Rural Health Research & Policy Centers Funded by the Federal Office of Rural Health Policy www.ruralhealthresearch.org UNIVERSITY OF SOUTHERN

More information

Medicare Supplemental Coverage in Minnesota

Medicare Supplemental Coverage in Minnesota Medicare Supplemental Coverage in Minnesota December 2002 h ealth e conomics p rogram Health Policy and Systems Compliance Division Minnesota Department of Health Medicare Supplemental Coverage in Minnesota

More information

Jessica S. Banthin and Thomas M. Selden. Agency for Healthcare Research and Quality Working Paper No. 06005. July 2006

Jessica S. Banthin and Thomas M. Selden. Agency for Healthcare Research and Quality Working Paper No. 06005. July 2006 Income Measurement in the Medical Expenditure Panel Survey Jessica S. Banthin and Thomas M. Selden Agency for Healthcare Research and Quality Working Paper No. 06005 July 2006 Suggested citation: Banthin

More information

Veteran Poverty Trends

Veteran Poverty Trends Veteran Poverty Trends Prepared by the National Center for Veterans Analysis and Statistics May 2015 NCVAS National Center for Veterans Analysis and Statistics Data Sources and Methods Data for the demographic

More information

Changing Demographics: Implications for Physicians, Nurses, and Other Health Workers Spring 2003

Changing Demographics: Implications for Physicians, Nurses, and Other Health Workers Spring 2003 Changing Demographics: Implications for Physicians, Nurses, and Other Health Workers Spring 2003 U.S. Department of Health and Human Services Health Resources and Services Administration Bureau of Health

More information

Paul Glassman DDS, MA, MBA Professor and Director of Community Oral Health University of the Pacific School of Dentistry San Francisco, CA

Paul Glassman DDS, MA, MBA Professor and Director of Community Oral Health University of the Pacific School of Dentistry San Francisco, CA Paul Glassman DDS, MA, MBA Professor and Director of Community Oral Health University of the Pacific School of Dentistry San Francisco, CA pglassman@pacific.edu We re Getting Older! U.S. Census. The Older

More information

Health Care Expenditures for Uncomplicated Pregnancies

Health Care Expenditures for Uncomplicated Pregnancies Health Care Expenditures for Uncomplicated Pregnancies Agency for Healthcare Research and Quality U.S. Department of Health & Human Services August 2007 ABSTRACT This report uses data pooled from three

More information

issue brief Medicaid: A Key Source of Insurance in New Hampshire

issue brief Medicaid: A Key Source of Insurance in New Hampshire issue brief April 20, 2011 Medicaid: A Key Source of Insurance in New Hampshire As state and federal policymakers come to grips with substantial budget shortfalls both now and into the future one public

More information

VA NURSING HOMES. Reporting More Complete Data on Workload and Expenditures Could Enhance Oversight

VA NURSING HOMES. Reporting More Complete Data on Workload and Expenditures Could Enhance Oversight United States Government Accountability Office Report to the Ranking Member, Committee on Veterans Affairs, House of Representatives December 2013 VA NURSING HOMES Reporting More Complete Data on Workload

More information

Health Insurance Coverage: Early Release of Estimates From the National Health Interview Survey, 2012

Health Insurance Coverage: Early Release of Estimates From the National Health Interview Survey, 2012 Health Insurance Coverage: Early Release of Estimates From the National Health Interview Survey, 2012 by Robin A. Cohen, Ph.D., and Michael E. Martinez, M.P.H., M.H.S.A. Division of Health Interview Statistics,

More information

AAMFT Report: MFTs in the Military

AAMFT Report: MFTs in the Military AAMFT Report: MFTs in the Military Abstract: FamilyTherapyResources.net. AAMFT Report: MFTs in the Military. Marriage and family therapists desiring to provide services to military personnel and their

More information

STATISTICAL BRIEF #40

STATISTICAL BRIEF #40 Medical Expenditure Panel Survey STATISTICAL BRIEF #40 Agency for Healthcare Research and Quality May 2004 Health Insurance Coverage and Income Levels for the U.S. Noninstitutionalized Population under

More information

The Interaction of Workforce Development Programs and Unemployment Compensation by Individuals with Disabilities in Washington State

The Interaction of Workforce Development Programs and Unemployment Compensation by Individuals with Disabilities in Washington State Number 6 January 2011 June 2011 The Interaction of Workforce Development Programs and Unemployment Compensation by Individuals with Disabilities in Washington State by Kevin Hollenbeck Introduction The

More information

The Cost Of Providing Health Care Benefits To Early Retirees by Paul Fronstin, Sara C. Snider, William S. Custer, and Dallas L.

The Cost Of Providing Health Care Benefits To Early Retirees by Paul Fronstin, Sara C. Snider, William S. Custer, and Dallas L. DataWatch The Cost Of Providing Health Care Benefits To Early Retirees by Paul Fronstin, Sara C. Snider, William S. Custer, and Dallas L. Salisbury Abstract: Subsidized health care benefits would be guaranteed

More information

Medicare Beneficiaries Out-of-Pocket Spending for Health Care

Medicare Beneficiaries Out-of-Pocket Spending for Health Care Insight on the Issues OCTOBER 2015 Beneficiaries Out-of-Pocket Spending for Health Care Claire Noel-Miller, MPA, PhD AARP Public Policy Institute Half of all beneficiaries in the fee-for-service program

More information

Carolinas HealthCare System Hospital Coverage Assistance and Financial Assistance Policy

Carolinas HealthCare System Hospital Coverage Assistance and Financial Assistance Policy Carolinas HealthCare System Hospital Coverage Assistance and Financial Assistance Policy Created: 10/1/2013 Approved Version: 5/11/2015 Revised: 5/7/2015 Objective The Hospital Coverage Assistance and

More information

Deja-vu all over again, or is it? : nursing home use in the 1990 s

Deja-vu all over again, or is it? : nursing home use in the 1990 s Scripps Gerontology Center Scripps Gerontology Center Publications Miami University Year 2001 Deja-vu all over again, or is it? : nursing home use in the 1990 s Shahla Mehdizadeh Robert Applebaum Jane

More information

GAO HEALTH INSURANCE. Report to the Committee on Health, Education, Labor, and Pensions, U.S. Senate. United States Government Accountability Office

GAO HEALTH INSURANCE. Report to the Committee on Health, Education, Labor, and Pensions, U.S. Senate. United States Government Accountability Office GAO United States Government Accountability Office Report to the Committee on Health, Education, Labor, and Pensions, U.S. Senate March 2008 HEALTH INSURANCE Most College Students Are Covered through Employer-Sponsored

More information

STATISTICAL BRIEF #113

STATISTICAL BRIEF #113 Medical Expenditure Panel Survey STATISTICAL BRIEF #113 Agency for Healthcare Research and Quality January 26 Children s Dental Care: Periodicity of Checkups and Access to Care, 23 May Chu Introduction

More information

DataWatch Trends In Employee Health Benefits by Pamela Farley Short

DataWatch Trends In Employee Health Benefits by Pamela Farley Short DataWatch Trends In Employee Health Benefits by Pamela Farley Short This DataWatch describes the trends in employee health insurance benefits and out-of-pocket expenditures during the past decade. Employee

More information

The Burden of Proof: Panel Attrition and Record Usage on the Medicare Current Beneficiary Survey. Ryan Hubbard and Brad Edwards

The Burden of Proof: Panel Attrition and Record Usage on the Medicare Current Beneficiary Survey. Ryan Hubbard and Brad Edwards The Burden of Proof: Panel Attrition and Record Usage on the Medicare Current Beneficiary Survey AAPOR Annual Conference 2010 Ryan Hubbard and Brad Edwards Outline MCBS & Record Usage Research Questions

More information

2012 Vermont Household Health Insurance Survey: Comprehensive Report

2012 Vermont Household Health Insurance Survey: Comprehensive Report Vermont Department of Financial Regulation Insurance Division 2012 Vermont Household Health Insurance Survey: Comprehensive Report Brian Robertson, Ph.D. Jason Maurice, Ph.D. Table of Contents Page I.

More information

Declining Health Insurance in Low-Income Working Families and Small Businesses

Declining Health Insurance in Low-Income Working Families and Small Businesses ACA Implementation Monitoring and Tracking Declining Health Insurance in Low-Income Working Families and Small Businesses April 2012 John Holahan and Vicki Chen The Urban Institute Executive Summary Employer-sponsored

More information

Health Insurance Coverage: Estimates from the National Health Interview Survey, 2005

Health Insurance Coverage: Estimates from the National Health Interview Survey, 2005 Health Insurance Coverage: Estimates from the National Health Interview Survey, 2005 by Robin A. Cohen, Ph.D., and Michael E. Martinez, M.P.H., Division of Health Interview Statistics, National Center

More information

For children, as for the population in general, health insurance is a

For children, as for the population in general, health insurance is a DataWatch Children And Health Insurance: An Overview Of Recent Trends by Paul W. Newacheck, Dana C. Hughes, and Miriam Cisternas Abstract: This DataWatch examines trends in health insurance coverage of

More information

The level of health care spending continues to make headlines,

The level of health care spending continues to make headlines, DataWatch The Concentration Of Health Expenditures: An Update by Marc L. Berk and Alan C. Monheit Abstract: An earlier study tracing trends in health spending from 1928 to 1980 found health expenditures

More information

Number, Timing, and Duration of Marriages and Divorces: 2009

Number, Timing, and Duration of Marriages and Divorces: 2009 Number, Timing, and Duration of Marriages and Divorces: 2009 Household Economic Studies Issued May 2011 P70-125 INTRODUCTION Marriage and divorce are central to the study of living arrangements and family

More information

Improved Medicare for All

Improved Medicare for All Improved Medicare for All Quality, Guaranteed National Health Insurance by HEALTHCARE-NOW! Single-Payer Healthcare or Improved Medicare for All! The United States is the only country in the developed world

More information

Merrile Sing. Agency for Healthcare Research and Quality Working Paper No. 08011. December 2008

Merrile Sing. Agency for Healthcare Research and Quality Working Paper No. 08011. December 2008 Benchmarking Medicare Managed Care Plan Enrollment Estimates from the Medical Expenditure Panel Survey and Administrative Enrollment Files from the Centers for Medicare & Medicaid Services Merrile Sing

More information

Access Provided by your local institution at 02/06/13 5:22PM GMT

Access Provided by your local institution at 02/06/13 5:22PM GMT Access Provided by your local institution at 02/06/13 5:22PM GMT brief communication Reducing Disparities in Access to Primary Care and Patient Satisfaction with Care: The Role of Health Centers Leiyu

More information

0;;876 / (- VI3D B-276884. May 27, 1997. The Honorable Daniel Patrick Moynihan Ranking Minority Member Committee on Finance United States Senate

0;;876 / (- VI3D B-276884. May 27, 1997. The Honorable Daniel Patrick Moynihan Ranking Minority Member Committee on Finance United States Senate United States O JGA General Accounting Office Washington, D.C. 20548 Health, Education and Human Services Division 158730 B-276884 May 27, 1997 The Honorable Daniel Patrick Moynihan Ranking Minority Member

More information

Health Insurance by Work Characteristics: 2006

Health Insurance by Work Characteristics: 2006 WASHINGTON STATE OFFICE OF FINANCIAL MANAGEMENT WASHINGTON STATE POPULATION SURVEY Research Brief No. 43 February 2007 A ccording to the 2006 Washington State Population Survey, 87 percent of nonelderly

More information

Application of Information Systems and Secondary Data. Lynda Burton, ScD Johns Hopkins University

Application of Information Systems and Secondary Data. Lynda Burton, ScD Johns Hopkins University This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike License. Your use of this material constitutes acceptance of that license and the conditions of use of materials on this

More information

Health Care Data CHAPTER 1. Introduction

Health Care Data CHAPTER 1. Introduction CHAPTER 1 Health Care Data Introduction...1 People and Health Care...2 Recipients/Users/Patients...2 Providers...3 Health Care Language...4 Diagnoses...4 Treatment Protocols...5 Combinations of Diagnoses

More information

Improved Medicare for All

Improved Medicare for All Take Action: Get Involved! The most important action you can take is to sign up for Healthcare-NOW! s email list, so you can stay connected with the movement and get updates on organizing efforts near

More information

Issue Brief Number 1. Profile of Veteran Business Owners: More Young Veterans Appear To Be Starting Businesses

Issue Brief Number 1. Profile of Veteran Business Owners: More Young Veterans Appear To Be Starting Businesses Issue Brief Number 1 Issue Brief Advocacy: the voice of small business in government Profile of Veteran Business Owners: More Young Veterans Appear To Be Starting Businesses By Jules Lichtenstein At A

More information

Is Health Care Spending Higher under Medicaid or Private Insurance?

Is Health Care Spending Higher under Medicaid or Private Insurance? Jack Hadley John Holahan Is Health Care Spending Higher under Medicaid or Private Insurance? This paper addresses the question of whether Medicaid is in fact a high-cost program after adjusting for the

More information

How to Apply Documentation When Needed CHAMPVA Affairs eterans artment of V

How to Apply Documentation When Needed CHAMPVA Affairs eterans artment of V CHAMPVA 2003 What is the Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA)? CHAMPVA is a health benefits program in which the Department of Veterans Affairs (VA) shares

More information

Medicare does not directly provide an outpatient prescription

Medicare does not directly provide an outpatient prescription Medicare Beneficiaries And Drug Coverage A high rate of drug coverage masks low medication use and high out-of-pocket spending among the noncovered and poor elderly. by John A. Poisal and George S. Chulis

More information

ARMY FAMILIES AND VETERANS IN WASHTENAW COUNTY

ARMY FAMILIES AND VETERANS IN WASHTENAW COUNTY 1 ARMY FAMILIES AND VETERANS IN WASHTENAW COUNTY Community Profile Contents Marcie Kryka, Amanda Pfaff, and Katie Schultz Basic overview of Veteran Population 2 3 Key Findings 4 Key Findings Continued

More information

The Current and Future Role and Impact of Medicaid in Rural Health

The Current and Future Role and Impact of Medicaid in Rural Health The Current and Future Role and Impact of Medicaid in Rural Health Prepared by the RUPRI Health Panel Keith J. Mueller, PhD, Chair Andrew F. Coburn, PhD Jennifer P. Lundblad, PhD, MBA A. Clinton MacKinney,

More information

Advancing Health in Rural America: Maximizing Nursing s Impact

Advancing Health in Rural America: Maximizing Nursing s Impact Fact Sheet Advancing Health in Rural America: Maximizing Nursing s Impact Mary S. Gorski AARP Public Policy Institute AARP Public Policy Institute This Fact Sheet provides a link between the evidence-based

More information

Every year health care expenditures rise appreciably due to the growth

Every year health care expenditures rise appreciably due to the growth DataWatch The Effects Of Aging And Population Growth On Health Care Costs by Daniel N. Mendelson and William B. Schwartz Abstract: Aging and population growth both contribute importantly to the rise in

More information

Consumer-Directed Health Care for Persons Under 65 Years of Age with Private Health Insurance: United States, 2007

Consumer-Directed Health Care for Persons Under 65 Years of Age with Private Health Insurance: United States, 2007 Consumer-Directed Health Care for Persons Under 65 Years of Age with Private Health Insurance: United States, 2007 Robin A. Cohen, Ph.D., and Michael E. Martinez, M.P.H. Key findings Data from the National

More information

Policy Forum. Understanding the Effects of Medicare Prescription Drug Insurance. About the Authors. By Robert Kaestner and Kelsey McCoy

Policy Forum. Understanding the Effects of Medicare Prescription Drug Insurance. About the Authors. By Robert Kaestner and Kelsey McCoy Policy Forum Volume 23, Issue 1 October 2010 Understanding the Effects of Medicare Prescription Drug Insurance By Robert Kaestner and Kelsey McCoy The Medicare Modernization The size and potential significance

More information

A Guide to Nursing Homes

A Guide to Nursing Homes A Guide to Nursing Homes A nursing home should be a place of refuge ideally, it is a place where those who have grown too elderly or frail to live on their own can go and live safely in close proximity

More information

VA HEALTH CARE ENROLLMENT. Department of Veterans Affairs New York Harbor HealthCare System

VA HEALTH CARE ENROLLMENT. Department of Veterans Affairs New York Harbor HealthCare System VA HEALTH CARE ENROLLMENT Department of Veterans Affairs New York Harbor HealthCare System Veterans Health Administration Honoring Those Who Served VA s health care system is patient-centered and focused

More information

uninsured RESEARCH BRIEF: INSURANCE COVERAGE AND ACCESS TO CARE IN PRIMARY CARE SHORTAGE AREAS

uninsured RESEARCH BRIEF: INSURANCE COVERAGE AND ACCESS TO CARE IN PRIMARY CARE SHORTAGE AREAS kaiser commission on medicaid and the uninsured RESEARCH BRIEF: INSURANCE COVERAGE AND ACCESS TO CARE IN PRIMARY CARE SHORTAGE AREAS Prepared by Catherine Hoffman, Anthony Damico, and Rachel Garfield The

More information

Personal Health Information Management and the Design of Consumer Health Information Technology

Personal Health Information Management and the Design of Consumer Health Information Technology Personal Health Information Management and the Design of Consumer Health Information Technology Secondary Analysis of Data From the Medical Expenditure Panel Survey Prepared for: Agency for Healthcare

More information

Tracking Report. Medical Bill Problems Steady for U.S. Families, 2007-2010 MEDICAL BILL PROBLEMS STABILIZE AS CONSUMERS CUT CARE

Tracking Report. Medical Bill Problems Steady for U.S. Families, 2007-2010 MEDICAL BILL PROBLEMS STABILIZE AS CONSUMERS CUT CARE I N S U R A N C E C O V E R A G E & C O S T S Tracking Report RESULTS FROM THE HEALTH TRACKING HOUSEHOLD SURVEY NO. 28 DECEMBER 2011 Medical Bill Problems Steady for U.S. Families, 2007-2010 By Anna Sommers

More information

Abuse of Vulnerable Adults in England. 2011-12, Final Report, Experimental Statistics

Abuse of Vulnerable Adults in England. 2011-12, Final Report, Experimental Statistics Abuse of Vulnerable Adults in England 2011-12, Final Report, Experimental Statistics Published: 6 March 2013 We are England s national source of health and social care information www.ic.nhs.uk enquiries@ic.nhs.uk

More information

kaiser medicaid uninsured commission on Health Insurance Coverage of the Near Elderly Prepared by John Holahan, Ph.D. The Urban Institute and the

kaiser medicaid uninsured commission on Health Insurance Coverage of the Near Elderly Prepared by John Holahan, Ph.D. The Urban Institute and the kaiser commission on medicaid and the uninsured Health Insurance Coverage of the ear Elderly Prepared by John Holahan, Ph.D. The Urban Institute July 2004 kaiser commission medicaid uninsured and the The

More information

Rising Premiums, Charity Care, and the Decline in Private Health Insurance. Michael Chernew University of Michigan and NBER

Rising Premiums, Charity Care, and the Decline in Private Health Insurance. Michael Chernew University of Michigan and NBER Rising Premiums, Charity Care, and the Decline in Private Health Insurance Michael Chernew University of Michigan and NBER David Cutler Harvard University and NBER Patricia Seliger Keenan NBER December

More information

Health Insurance Coverage: Early Release of Estimates From the National Health Interview Survey, January June 2013

Health Insurance Coverage: Early Release of Estimates From the National Health Interview Survey, January June 2013 Health Insurance Coverage: Early Release of Estimates From the National Health Interview Survey, January June 2013 by Michael E. Martinez, M.P.H., M.H.S.A., and Robin A. Cohen, Ph.D. Division of Health

More information

Medicaid. Administration

Medicaid. Administration MEDICAID care is reasonable, necessary, and provided in the most appropriate setting. The PROs are composed of groups of practicing physicians. To receive Medicare payments, a hospital must have an agreement

More information

Men in Nursing Occupations

Men in Nursing Occupations Men in Nursing Occupations American Community Survey Highlight Report Issued February 2013 Introduction Healthcare is one of the fastest growing industries. 1 The aging of our population fuels an increasing

More information

The Supply and Demand for Registered Nurses and Licensed Practical Nurses in Nebraska

The Supply and Demand for Registered Nurses and Licensed Practical Nurses in Nebraska The Supply and Demand for Registered Nurses and Licensed Practical Nurses in Nebraska February 6, 2006 David I. Rosenbaum, Ph.D. 4103 South Gate Blvd Lincoln NE 68506 402-489-1218 Executive Summary Recent

More information

Financial Assistance Program 100-18

Financial Assistance Program 100-18 GWINNETT HOSPITAL SYSTEM ADMINISTRATION Financial Assistance Program 100-18 Original Date Review Dates Revision Dates 04/1987 01/2004; 03/2007 03/1989; 09/1989; 06/1994; 04/1998; 04/2001; 01/2004, 03/2007;

More information

Facts. America s Direct-Care Workforce

Facts. America s Direct-Care Workforce November 2013 Update Facts 3 America s Direct-Care Workforce irect-care workers provide an estimated 70 to 80 percent of the paid hands-on long-term care and personal assistance received by Americans who

More information

LABORPARTY. Financing Just Health Care Labor Party Briefing Paper. Revised February 2002. Key Components of Just Health Care Financing

LABORPARTY. Financing Just Health Care Labor Party Briefing Paper. Revised February 2002. Key Components of Just Health Care Financing LABORPARTY Financing Just Health Care Labor Party Briefing Paper Revised February 2002 The Labor Party proposes a national health insurance program for the United States that would provide universal coverage

More information

A DATA BOOK. Health Care Spending and the Medicare Program

A DATA BOOK. Health Care Spending and the Medicare Program J U N E 2 0 1 5 A DATA BOOK Health Care Spending and the Medicare Program J U N E 2 0 1 5 A DATA BOOK Health Care Spending and the Medicare Program The MedPAC Data Book provides information on national

More information