A Burden or Merely a Load: New Empirical Estimates of Health Insurance Loading Fees by Group Size
|
|
- Bonnie Carr
- 8 years ago
- Views:
Transcription
1 A Burden or Merely a Load: New Empirical Estimates of Health Insurance Loading Fees by Group Size Pinar Karaca-Mandic, University of Minnesota Jean M. Abraham, University of Minnesota Charles E. Phelps, University of Rochester 1
2 What is a Load? 2
3 In the context of health insurance Expected Insurance Benefits + Loading Fee = Premium Portion of the premium that is above and beyond the expected amount of medical expenditures to be paid by the insurance company 3
4 What does the loading fee cover? Loading Fee Administrative Costs Insurer Profits Taxes Costs associated with Selling insurance Collecting premiums Processing claims 4
5 In summary, loading fee is the relevant price of insurance Expected Insurance Benefits ($1) + Loading Fee ($0.25) = Premiu m ($1.25) 5
6 What do we know about loads? Non group policies: 60-80%, sometimes up to 100% Group policies: on average 15-20% varies by group size By how much? We know very little. No published academic research Some historical estimates cited from 1980s era: can be as high as 40% for small firms 6
7 Why do we care about loading fees? They represent the price of health insurance, and we care about price They tell us about the extent of administrative costs and profits Their magnitude has implications for Both for the demand and supply of health insurance Affordability of health insurance 7
8 Why care how loads vary with group size? For small businesses, high loads may be a serious issue. Too small to self insure Small firms repeatedly report barriers to afford health insurance. Only 45% offer health insurance If loads contribute a lot, could policy and reform proposals address this issue? National or regional insurance exchange proposals How to attract small businesses Whether/how to subsidize small businesses Assessing cost savings from reductions in loads Implications for employer sponsored insurance 8
9 Our objective To provide new estimates on the size and nature of loading fees and how they differ between small and larger groups 9
10 Summary findings Small firms pay a lot more in administrative costs relative to large employer groups. Relative to firms with less than 100 employees, loading fees are smaller by 20% for firms with employees 60% for firms with 5000 or more employees At this point, we estimate the following lower and upper bounds for loading fees 100 or fewer employees : 27% - 47% 1000 or fewer employees: 24% - 43% Across all firm sizes : 13% - 30% 10
11 Data Source Medical Expenditure Panel Survey (MEPS), the Household Component Insurance Component Linked File for the years 1997, 1998, 1999, 2001 Access at the AHRQ data center Household Component (HC) Demographic, health and expenditure data on all individuals in the household Insurance Component (IC) Information on employers, health insurance offerings, benefit designs, premiums for a subset of the HC individuals 11
12 Data Extraction Used the Person-Round-Plan files Identified individuals covered by ESI either as the policy holder or dependent during the first round of their MEPS interview (IC collects data on the employer reported in the first round) Require that individuals stay with the same employer throughout the whole year and do not change insurance plans Exclude individuals with multiple private plans 22,663 individuals 12
13 Merge the sample to employers and plan Merge individuals to the employer and held plan in MEPS-IC MEPS-IC linkage is available only for a subset Focus on individuals for whom there was an exact match between the health plan reported by the individual and the employer. 7,875 individuals Exclude those with missing key info (firm size, premiums etc). 6,116 individuals Supplement with additional data Small group regulations by business state/year InterStudy data on HMO penetration rate in MSA/year Area Resource File data on relevant market conditions in county/year 13
14 Econometric framework individual firm size fixed component, varies by firm size, captured with firm size indicators Expected Insurance Payment Firm attributes other than firm size State group regulations Other market 14
15 Estimating Expected Insurance Payment Two Part Model Part I: Probability of Positive Private Insurance Payment Predict probability of any private pay Part II: Amount of Private Insurance Payment Conditional on Positive Private Pay Predict conditional private pay In both parts, controls include individual demographics, health insurance benefit design and scope of policy Expected Insurance Payment = probability of any spending x conditional private payment 15
16 Caution: Expenditures in MEPS are biased down Private insurer payments are 21% greater in National Health Expenditure Accounts than in MEPS (Sing et al, 2006) Selden and Sing (2008) construct NHEA aligned private insurance payments by adjusting them up 24.4% Zuvekas et al, 2005 compare mean health expenditures in MEPS to those in MarketScan data for large self insured employers. Again 21%-29% lower private health insurance payments in MEPS. Zuvekas and Olin (2009) compare MEPS expenditures and claims of the Medicare beneficiaries 50% of the discrepancy due to missing data for people with more than $100,000 in annual total expenditures 50% due to underreporting The bias is uniform across population 16
17 Our approach for adjusting MEPS Want to make sure MEPS is aligned to other employer sponsored insurance Inflate MEPS private payments to match those in MarketScan by age and gender (provided by Zuvekas and colleagues) Female Male Age Age MEPS MarketScan Adjustment Factor
18 Select Summary Statistics of Individuals Individual characteristics Mean Std % msa 81 % age % age % age % age % female 50 % white 83 % black 12 % hispanic 18 % married 46 total household income ($1000), 2007 dollars num kids fam size num years of education Health Conditions % cancer 1.26 % diabetes 2.39 % high cholesterol 1.95 % heart disease 1.68 % hypertension 5.8 % asthma 3.34 % depression, anxiety disorder
19 Select Summary Statistics of Employers/Plans Employer's workforce composition Mean Std % female workers % workers over age % union representation % workers earning $15 per hour or more % Government owned 9 % Nonprofit 20 % in business 0-5 years 3 % in business 6-10 years 3 % in business years 18 % in business more than 50 years 20 Benefit Design Features % Exclusive provider organization 44 Individual deductible % zero individual deductible 70 Ind. deductible among positive deductible plans % with OOP maximum 63 Total premium for single coverage Employee contribution to single coverage % Plan includes: Outpatient prescription 70 Dental 19 Inpatient mental illness coverage 79 Outpatient mental illness coverage 67 Alcohol/substance abuse 60 19
20 Firm size distribution, raw data MarketScan Adjusted Private Ratio of Mean Premiums to Mean Adjusted Prv. Ins. Pay Firm Size Number Any Spending Unadjusted Private Insurance Pay Insurance Pay Single Premiums (%) mean st dev mean st dev mean st dev > Mean across all size categories
21 Two-part model for predicting insurance payments Part I Part II Coef. Est Std. Err. stat. sig. Coef. Est Std. Err. stat. sig. Demographic/Socio-Economic age between * ** age between *** age between *** female *** *** number of children ** *** number of children squared *** *** family size *** ** family size squared ** ** # years of schooling * *** # years of schooling squared * *** Total household income ($1000) *** ** Total household income ($1000) squared *** ** work less than 20 hours *** ** work between hours ** * work between hours ** ** job tenure under 1 year ** * job tenure 1-5 years ** ** job tenure 6-10 years ** *** Health cancer *** *** chol/diabetes/heart *** *** asthma *** *** pregnant/delivered *** *** depression/anxiety *** *** muscle disorders *** *** oth_chronic ** *** Benefit Features family coverage *** ** exclusive provider org *** ** individual deductible 0-$ ** ** individual deductible $300-$ ** ** 21
22 Premium Equation (1) Coef. Est Std. Err. stat. sig. Firm Size cat 1:1-10 reference cat 2:11_ cat 3:26_ cat 4: 51_ * cat 5:101_ cat 6:500_ ** cat 7:5000_ ** cat 8:> ** Expected Insurer Payment and Firms Size Interactions Expected Ins. Pay ** Expected Ins. Pay x cat *** Expected Ins. Pay x cat ** Expected Ins. Pay x cat Expected Ins. Pay x cat * Expected Ins. Pay x cat ** Expected Ins. Pay x cat * Expected Ins. Pay x cat ** 22
23 Premium Equation (2) Coef. Est Std. Err. stat. sig. Workforce Composition Less than 25% female ** Between 26%-50% female Less than 25% over age *** More than 50% unionized *** More than 50% earning $15/hour or more *** Industry of the Business Retail * Personnel Services *** Business Services ** Other Services ** Manufacturing * Wholesale Trade * Finance/Insurance *** Transportation ** Construction Agriculture Mining * Other Business Characteristics Government owned Nonprofit ** In business 0-5 years In business 6-10 years In business years Market Conditions MSA Indicator mean nurse wage rate *** average malpractice payment in state ($1000) ** percapita hospitals * % over age * HMO penetration rate x MSA indicator
24 Predicted Insurer Payments and Premiums $ (in 2007) >10000 Predicted Insurer Payments Number of employees Predicted Premiums Predicted Loading Fees >10000 Number of employees 24
25 These estimates differ from other reports We find that loading fees are similar for firms under 100 employees Previous reports indicate a downward gradient 30-40% up to 10 employee, 20% employees Our estimates are higher for all firm size categories Even for the largest, we estimate loads around 17%, other reports indicate 10% or lower 25
26 Aggregate implications from MEPS (1) Extract the nationally representative number of enrollees by group size from MEPS-IC summary tables Information available for various firm size categories Number of employees % employees in firms that offer coverage % employees that enroll in ESI fin forms that offer coverage Estimate primary vs. dependent population from HC-IC linked data by firm size Estimate total # enrollees in ESI by firm size 26
27 Aggregate implications from MEPS (2): overall loading fee of 30% Inferred Number of Employees and Dependents Covered by ESI Expected Insurer Payments Premiums for Single Coverage Ratio of Premiums to Expected Insurer Payments Total Premiums Paid Total Insurer Payments Firm Size ,689, E E ,684, E E ,272, E E ,657, E E+10 > ,663, E E+11 Ratio Total 135,966, E E These figures are for 2001, with 2007 dollars 27
28 NHEA Estimates of Private Insurance Costs Table 1: Private Health Insurance Premiums Paid and Benefits Received Private Health Insurance Premiums Private Health Insurance Benefits Net Cost Net Cost as Percent of Benefits Source: (Table 12) NHEA estimates suggest an overall loading fee of 13-15%, much lower than our 30% 28
29 Why are our estimates higher? Although we inflated the MEPS private payments to match other ESI, maybe it is still not sufficient, and we need to inflate more - coming up next NHEA estimates include many other components besides ESI. We need to sort out and understand the portion of NHEA figures attributable to ESI work in progress We are working with single coverage premiums and expected payments for individuals Our estimates may well be lower when we distinguish single coverage and family coverage work in progress 29
30 Estimates Comparable to NHEA Further inflate insurance benefits paid out by 10%: Obtain an overall loading fee of 19% by 15%: Obtain an overall loading fee of 13% (the magic number) status quo 10% adjustment 15% adjustment Number of employees >
31 Range of Estimates (lower bound: status quo, upper bound: 15% inflation of private payment) Across all firms, average loading fee (total premiums/total insurer payments) ranges between 13% to 30% 100 or fewer employees : 27% - 47% 1000 or fewer employees: 24% - 43% Assuming 136 million covered under ESI, loading costs are between $55 - $108 billion (in 2007 dollars 100 or fewer employees : $24 - $36 billion 1000 or fewer employees: $39 - $60 billion 31
32 Implications 15% reduction in loading costs would save (assuming no other changes) $4-5 billion annually for firms with 100 or fewer employees $6-9 billion annually for firms with 1000 or fewer employees If loading fees were reduced to 15%, annual savings would be (assuming no other changes) $11-24 billion annually for firms with 100 or fewer employees $15-$39 billion annually for firms with 1000 or fewer employees. 32
33 Next Steps More refined aligning MEPS private payments to match NHEA Take into account different points in expenditure distribution Take into account adjustments by sevrice categories Estimate separate models for those in single coverage and family coverage 33
Household health care spending: comparing the Consumer Expenditure Survey and the National Health Expenditure Accounts Ann C.
Household health care spending: comparing the Consumer Expenditure Survey and the National Health Expenditure Accounts Ann C. Foster Health care spending data produced by the Federal Government include
More informationMerrile 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 informationNear-Elderly Adults, Ages 55-64: Health Insurance Coverage, Cost, and Access
Near-Elderly Adults, Ages 55-64: Health Insurance Coverage, Cost, and Access Estimates From the Medical Expenditure Panel Survey, Center for Financing, Access, and Cost Trends, Agency for Healthcare Research
More informationTask 7: Study of the Uninsured and Underinsured
75 Washington Avenue, Suite 206 Portland, Maine04101 Phone: 207-767-6440 Email: research@marketdecisions.com www.marketdecisions.com Task 7: Study of the Uninsured and Underinsured Vermont Office of Health
More informationINSIGHT on the Issues
INSIGHT on the Issues AARP Public Policy Institute Medicare Beneficiaries Out-of-Pocket for Health Care Claire Noel-Miller, PhD AARP Public Policy Institute Medicare beneficiaries spent a median of $3,138
More informationSTATISTICAL BRIEF #182
Medical Expenditure Panel Survey STATISTICAL BRIEF #182 Agency for Healthcare Research and Quality August 27 Co-pays, Deductibles, and Coinsurance Percentages for Employer-Sponsored Health Insurance in
More informationUsing the MEPS-IC* to Understand the Impact of the ACA**
Using the MEPS-IC* to Understand the Impact of the ACA** Alice Zawacki, PhD Alice.M.Zawacki@Census.gov U.S. Census Bureau, Center for Economic Studies Federal Economic Statistics Advisory Committee December
More informationHealth Economics Program
Health Economics Program Issue Brief 2006-05 August 2006 Medicare Supplemental Coverage and Prescription Drug Use, 2004 Medicare is a federal health insurance program that provides coverage for the elderly
More informationMedicare 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 informationSTATISTICAL BRIEF #209
Medical Expenditure Panel Survey STATISTICAL BRIEF #29 Agency for Healthcare Research and Quality July 28 Co-pays, Deductibles, and Coinsurance Percentages for Employer-Sponsored Health Insurance in the
More informationJessica 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 informationHealth Insurance - A statisticical Overview For Employers
STATISTICAL BRIEF #323 April 2011 Co-pays, Deductibles, and Coinsurance Percentages for Employer-Sponsored Health Insurance in the Private Sector, by Industry Classification, 2009 Karen E. Davis, MA Introduction
More informationNational 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 informationMedicare- Medicaid Enrollee State Profile
Medicare- Medicaid Enrollee State Profile Montana Centers for Medicare & Medicaid Services Introduction... 1 At a Glance... 1 Eligibility... 2 Demographics... 3 Chronic Conditions... 4 Utilization... 6
More informationOut-of-Pocket Financial Burden Experienced by Children with Private Health Insurance, 2001-2009
Out-of-Pocket Financial Burden Experienced by Children with Private Health Insurance, 2001-2009 Pinar Karaca-Mandic, Ph.D. Sung Choi Yoo University of Minnesota University of Minnesota Acknowledgements
More informationFINDINGS 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 informationAnalysis of the Costs and Impact of Universal Health Care Coverage Under a Single Payer Model for the State of Vermont
Analysis of the Costs and Impact of Universal Health Care Coverage Under a Single Payer Model for the State of Vermont Prepared for: The Vermont HRSA State Planning Grant, Office of Vermont Health Access
More informationMedicare- Medicaid Enrollee State Profile
Medicare- Medicaid Enrollee State Profile North Centers for Medicare & Medicaid Services Introduction... 1 At a Glance... 1 Eligibility... 2 Demographics... 3 Chronic Conditions... 4 Utilization... 6 Spending...
More informationResearch. 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 informationMedicare 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 informationHealth Insurance Decisions, Expectations, and Job Turnover. Randall P. Ellis Boston University and UTS-CHERE Albert Ma Boston University
Health Insurance Decisions, Expectations, and Job Turnover Randall P. Ellis Boston University and UTS-CHERE Albert Ma Boston University Outline of presentation Introduction Policy context and prior literature
More informationHealth Reform and the AAP: What the New Law Means for Children and Pediatricians
Health Reform and the AAP: What the New Law Means for Children and Pediatricians Throughout the health reform process, the American Academy of Pediatrics has focused on three fundamental priorities for
More informationSamuel Zuvekas and Gary Olin. Agency for Healthcare Research and Quality Working Paper No. 08004. March 2008
Validating the Collection of Separately Billed Doctor Expenditures for Hospital Services: Results from the Medicare-MEPS Validation Study Samuel Zuvekas and Gary Olin Agency for Healthcare Research and
More informationPolicy Options to Improve the Performance of Low Income Subsidy Programs for Medicare Beneficiaries
Policy Options to Improve the Performance of Low Income Subsidy Programs for Medicare Beneficiaries January 2012 Stephen Zuckerman, Baoping Shang, Timothy Waidmann Introduction One of the principal goals
More informationPresentation for Licensed Producers The Affordable Care Act
Presentation for Licensed Producers The Affordable Care Act Bruce Donaldson, CHC Producer & Stakeholder Specialist Arkansas Insurance Department Affordable Care Act The ACA was passed by Congress and signed
More informationChoosing A Medigap Policy
Choosing A Medigap Policy 2002 Guide To Health Insurance For People With Medicare For People in the Original Medicare Plan This Guide has easy steps to help you buy Medicare Supplement Insurance. Developed
More informationHow To Improve Health Care For All
TIMELINE FOR IMPLEMENTATION OF THE AFFORDABLE CARE ACT 2010: NEW CONSUMER PROTECTIONS Eliminated pre-existing coverage exclusions for children: under age 19. Prohibited insurers from dropping coverage:
More informationSTATISTICAL BRIEF #189
Medical Expenditure Panel Survey STATISTICAL BRIEF #189 Agency for Healthcare Research and Quality November 07 Co-pays and Coinsurance Percentages for an Office Visit to a Physician for Employer-Sponsored
More informationSTATISTICAL BRIEF #167
Medical Expenditure Panel Survey STATISTICAL BRIEF #167 Agency for Healthcare Research and Quality March 27 The Five Most Costly Conditions, 2 and 24: Estimates for the U.S. Civilian Noninstitutionalized
More informationCALCULATING DISEASE BASED MEDICAL CARE EXPENDITURE INDEXES FOR MEDICARE BENEFICIARIES: A COMPARISON OF METHOD AND DATA CHOICES 1
CALCULATING DISEASE BASED MEDICAL CARE EXPENDITURE INDEXES FOR MEDICARE BENEFICIARIES: A COMPARISON OF METHOD AND DATA CHOICES 1 Anne E. Hall* Tina Highfill * June 2014 ABSTRACT Disease based medical care
More informationto Health Care Reform
The Employer s Guide to Health Care Reform What you need to know now to: Consider your choices Decide what s best for you Follow the rules 2013-2014 Health care reform is the law of the land. Some don
More informationIs 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 informationStrengthening Community Health Centers. Provides funds to build new and expand existing community health centers. Effective Fiscal Year 2011.
Implementation Timeline Reflecting the Affordable Care Act 2010 Access to Insurance for Uninsured Americans with a Pre-Existing Condition. Provides uninsured Americans with pre-existing conditions access
More informationMedicare Advantage Stars: Are the Grades Fair?
Douglas Holtz-Eakin Conor Ryan July 16, 2015 Medicare Advantage Stars: Are the Grades Fair? Executive Summary Medicare Advantage (MA) offers seniors a one-stop option for hospital care, outpatient physician
More informationGAO MEDICARE ADVANTAGE. Relationship between Benefit Package Designs and Plans Average Beneficiary Health Status. Report to Congressional Requesters
GAO United States Government Accountability Office Report to Congressional Requesters April 2010 MEDICARE ADVANTAGE Relationship between Benefit Package Designs and Plans Average Beneficiary Health Status
More informationPreliminary Health Insurance Landscape Analysis
Preliminary Health Insurance Landscape Analysis Prior to addressing some of the issues listed under Section 3.1 3.5 of the HRSA State Planning Grant report template, here is some of the information available
More informationMedicare- Medicaid Enrollee State Profile
Medicare- Medicaid Enrollee State Profile Kentucky Centers for Medicare & Medicaid Services Introduction... 1 At a Glance... 1 Eligibility... 2 Demographics... 3 Chronic Conditions... 4 Utilization...
More informationMassachusetts Health Connector logo. What Does National Health Care Reform Mean for You?
Massachusetts Health Connector logo What Does National Health Care Reform Mean for You? 1 National health care reform offers more opportunities for individuals, families, and small businesses to save on
More informationSingle Payer 101 Training Universal Health Care for Massachusetts
Single Payer 101 Training Universal Health Care for Massachusetts http://masscare.org What s Wrong With Our Health Care System? (the easy part) U.S. Has Lowest Life Expectancy in the Industrialized World
More informationThe Patient Protection and Affordable Care Act. Implementation Timeline
The Patient Protection and Affordable Care Act Implementation Timeline 2009 Credit to Encourage Investment in New Therapies: A two year temporary credit subject to an overall cap of $1 billion to encourage
More informationEmployee Benefit Research Institute 2121 K Street, NW, Suite 600 Washington, DC 20037
FACTS from EBRI Employee Benefit Research Institute 2121 K Street, NW, Suite 600 Washington, DC 20037 Employment-Based Health Care Benefits and Self-Funded Employment-Based Plans: An Overview April 2000
More informationGeneva Association 10th Health and Aging Conference Insuring the Health of an Aging Population
Geneva Association 10th Health and Aging Conference Insuring the Health of an Aging Population November 18, 2013 Diana Dennett EVP, Global Issues and Counsel America s Health Insurance Plans (AHIP) America
More informationFederal Health Reform FAQs
Federal Health Reform FAQs Individuals 1. What is an exchange? An exchange, as created under the Affordable Care Act (ACA), is a place where consumers can purchase subsidized health insurance coverage.
More informationPrivate Employer-Sponsored Health Insurance
Washington State Private Employer-Sponsored Health Insurance Office of Financial Management Forecasting and Research Division October 2014 To accommodate persons with disabilities, this document is available
More informationDEPARTMENT OF HEALTH AND HUMAN SERVICES
Minimum Value Calculator Methodology DEPARTMENT OF HEALTH AND HUMAN SERVICES Patient Protection and Affordable Care Act; Minimum Value Calculator Methodology AGENCY: Department of Health and Human Services
More informationMedicare- Medicaid Enrollee State Profile
Medicare- Medicaid Enrollee State Profile Centers for Medicare & Medicaid Services Introduction... 1 At a Glance... 1 Eligibility... 2 Demographics... 3 Chronic Conditions... 4 Utilization... 6 Spending...
More informationAppendix VI. Patient-Centered Medical Homes (Initiative Memorandum) APRIL 2013
Appendix VI. Patient-Centered Medical Homes (Initiative Memorandum) APRIL 2013 http://berkeleyhealthcareforum.berkeley.edu 1 Appendix VI. Patient-Centered Medical Homes (Initiative Memorandum) See Appendix
More informationOverview 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 informationGuide to Purchasing Health Insurance
Guide to Purchasing Health Insurance What are your health insurance choices? Which type is right for you? Sample questions Looking for insurance in specific situations Tips for shopping for health coverage
More informationEmployment-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 informationWhite Paper. Medicare Part D Improves the Economic Well-Being of Low Income Seniors
White Paper Medicare Part D Improves the Economic Well-Being of Low Income Seniors Kathleen Foley, PhD Barbara H. Johnson, MA February 2012 Table of Contents Executive Summary....................... 1
More informationSection 1: Minnesota Health Care Spending and Cost Drivers
Section 1: Minnesota Health Care Spending and Cost Drivers Minnesota health care spending by source of funds Minnesota health care spending by type of service Minnesota/U.S. health care spending comparisons
More informationSteven R. Machlin and Marc W. Zodet. Agency for Healthcare Research and Quality Working Paper No. 07001. October 2007
A Methodological Comparison of Ambulatory Health Care Data Collected in Two National Surveys Steven R. Machlin and Marc W. Zodet Agency for Healthcare Research and Quality Working Paper No. 07001 October
More informationHow Non-Group Health Coverage Varies with Income
How Non-Group Health Coverage Varies with Income February 2008 Policy makers at the state and federal levels are considering proposals to subsidize the direct purchase of health insurance as a way to reduce
More informationFRAMEWORK FOR MONITORING
FRAMEWORK FOR MONITORING THE MARYLAND HEALTH CONNECTION DRAFT - Proposed Measures December, 2012 Prepared for The Maryland Health Connection Funded by Submitted by Elizabeth Lukanen, MPH Kelli Johnson,
More informationPRESCRIPTION DRUG COSTS FOR MEDICARE BENEFICIARIES: COVERAGE AND HEALTH STATUS MATTER
PRESCRIPTION DRUG COSTS FOR MEDICARE BENEFICIARIES: COVERAGE AND HEALTH STATUS MATTER Bruce Stuart, Dennis Shea, and Becky Briesacher January 2000 ISSUE BRIEF How many Medicare beneficiaries lack prescription
More informationMedicare Economics. Part A (Hospital Insurance) Funding
Medicare Economics Medicare expenditures are a substantial part of the federal budget $556 billion, or 15 percent in 2012. They also comprise 3.7 percent of the country s gross domestic product (GDP),
More informationHealth Insurance Reform at a Glance Implementation Timeline
Health Insurance Reform at a Glance Implementation Timeline 2010 Access to Insurance for Uninsured Americans with a Pre-Existing Condition. Provides uninsured Americans with pre-existing conditions access
More informationAnswers For Families And Small Business
http://healthreform.gov/about/answers.html Answers For Families And Small Business Q: What is the small business tax credit and how do I know if I am eligible? A: Effective January 1, 2010, tax credits
More informationSources of supplemental coverage among noninstitutionalized Medicare beneficiaries, 2011
3 Chart 3-1. Sources of supplemental coverage among noninstitutionalized Medicare beneficiaries, 2011 No supplemental coverage 13.5% Medigap 17.3% Medicare managed care 29.8% Employersponsored insurance
More informationRisk Adjustment: Implications for Community Health Centers
Risk Adjustment: Implications for Community Health Centers Todd Gilmer, PhD Division of Health Policy Department of Family and Preventive Medicine University of California, San Diego Overview Program and
More informationMedicare Cost Sharing and Supplemental Coverage
Medicare Cost Sharing and Supplemental Coverage Topics to be Discussed Medicare costs to beneficiaries Review Medicare premiums and cost sharing Background on Medicare beneficiary income Current role of
More informationChart 11-1. Number of dialysis facilities is growing, and share of for-profit and freestanding dialysis providers is increasing
11 0 Chart 11-1. Number of dialysis facilities is growing, and share of for-profit and freestanding dialysis providers is increasing Average annual percent change 2014 2009 2014 2013 2014 Total number
More informationTrends in Employer- Sponsored Insurance Related to Children s Coverage
Trends in Employer- Sponsored Insurance Related to Children s Coverage Medicaid and CHIP Payment and Access Commission Benjamin Finder October 29, 2015 1 Context: Employer-Sponsored Coverage If separate
More informationLong-term Health Spending Persistence among the Privately Insured: Exploring Dynamic Panel Estimation Approaches
Long-term Health Spending Persistence among the Privately Insured: Exploring Dynamic Panel Estimation Approaches Sebastian Calonico, PhD Assistant Professor of Economics University of Miami Co-authors
More informationGAO 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 informationDisplay and Categorization of Source of Funds Estimates in the National Health Expenditure Accounts: Incorporating the MMA
Display and Categorization of Source of Funds Estimates in the National Health Expenditure Accounts: Incorporating the MMA Prepared by the National Health Statistics Group (NHSG), Office of the Actuary
More informationWhat is Healthcare Reform? Get a view of the future health care system in the US; learn. success factors for healthcare administrators?
What is Healthcare Reform? Get a view of the future health care system in the US; learn about primary resources and tools for the healthcare administrator, and what are the success factors for healthcare
More informationData Bulletin Findings from the Medical Expenditure Panel Survey Insurance Component
Data Bulletin Findings from the Medical Expenditure Panel Survey Insurance Component Employer Sponsored Health Insurance Coverage in Ohio, 2000 By Dave Dorsky Center for Public Health Data and Statistics
More informationChapter 8: Just in Case Additional Material
Chapter 8: Just in Case Additional Material Here I go into detail about Medicare, Medicare Advantage (MA) plans, and Medigap plans. What about Medicare? Medicare is a federal health insurance program for
More informationConsumer-Driven Strategies: What do we know about Health Savings Accounts and Other Account-Based Health Plans?
Consumer-Driven Strategies: What do we know about Health Savings Accounts and Other Account-Based Health Plans? Paul Fronstin, Ph.D. Director, Health Research & Education Program March 14, 2007 Copyright
More informationThe Potential Impact of State Mandatory Assignment Legislation on Consumers
The Potential Impact of State Mandatory Assignment Legislation on Consumers September 4, 2003 Prepared by: Jon M. Wander, F.S.A., M.A.A.A. Daniel E. Freier, F.S.A., M.A.A.A. At the Request of the Blue
More informationSenate Finance Committee Health Care Reform Bill
Senate Finance Committee Health Care Reform Bill Below is a review of those measures contained in the Senate Finance Committee s draft on health care reform that correspond to issues contained in the NLN
More informationSTATISTICAL BRIEF #369
STATISTICAL BRIEF #369 April 212 Trends in Employer-Sponsored Health Insurance Plans that Required No Employee Contribution to the Premium, to 21 Marc Roemer, MS Introduction The escalation in health insurance
More informationManaging Health Care Reform Benefit Changes within your Own Organization
ICCMHC Winter Conference February 17, 2011 Managing Health Care Reform Benefit Changes within your Own Organization John F. Gause, President jgause@apexbg.com Overview Health Care Reform - Short Term Impact
More informationUnderstanding Health Insurance Options in Retirement
Understanding Health Insurance Options in Retirement A White Paper by Manning & Napier www.manning-napier.com 1 Over the past several years, the spike in the cost of health care and insurance premiums
More informationTAX CHANGES IN THE HEALTHCARE REFORM ACT
TAX CHANGES IN THE HEALTHCARE REFORM ACT Paul Varner 1 June 3, 2010 Jackson, Mississippi 2010 Butler, Snow, O Mara, Stevens & Cannada, PLLC. All rights reserved. Tax Law Changes In Healthcare Reform THREE
More informationHealth Insurance Coverage for Direct Care Workers: Key Provisions for Reform
Health Insurance Coverage for Direct Care Workers: Key Provisions for Reform Introduction As an organization dedicated to our nation s 3 million direct-care workers and the millions of elders and people
More informationSTATISTICAL BRIEF #160
Medical Expenditure Panel Survey STATISTICAL BRIEF #16 Agency for Healthcare Research and Quality January 27 A Comparison of Employer-Sponsored Health Insurance Characteristics for the Private Sector for
More informationMercer s National Survey of Employer-Sponsored Health Plans 2007
February 21, 2008 s National Survey of Employer-Sponsored Health Plans 2007 Bob Boyer, Indianapolis Services provided by Health & Benefits LLC Welcome! About the survey Largest and most comprehensive annual
More informationIn 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 informationAnalysis of the Costs and Impact of Universal Health Care Models for the State of Maryland: The Single-Payer and Multi-Payer Models
Analysis of the Costs and Impact of Universal Health Care Models for the State of Maryland: The Single-Payer and Multi-Payer Models Final Report Presented to: The Maryland Citizens Health Initiative Education
More informationElderCare Medicare Health Plan Analyzer
ElderCare Medicare Health nalyzer 1999 Prism Innovations, Inc. All Rights Reserved ElderCare Medicare Health nalyzer Table of Contents Introduction 2 Explanations of New Health Plan Options 3 Analysis
More informationMEASURING HEALTH CARE COSTS OF INDIVIDUALS WITH EMPLOYER-SPONSORED HEALTH INSURANCE IN THE U.S.: A COMPARISON OF SURVEY AND CLAIMS DATA
MEASURING HEALTH CARE COSTS OF INDIVIDUALS WITH EMPLOYER-SPONSORED HEALTH INSURANCE IN THE U.S.: A COMPARISON OF SURVEY AND CLAIMS DATA Ana Aizcorbe* Eli Liebman* Sarah Pack * David M. Cutler*** Michael
More informationGary Olin and Samuel Zuvekas and Virender Kumar and Pat Ward and Kitty Williams and Diana Wobus
Medicare-MEPS Validation Study: A Comparison of Hospital and Physician Expenditures Gary Olin and Samuel Zuvekas and Virender Kumar and Pat Ward and Kitty Williams and Diana Wobus Agency for Healthcare
More informationACTUARIAL VALUE AND EMPLOYER- SPONSORED INSURANCE
NOVEMBER 2011 ACTUARIAL VALUE AND EMPLOYER- SPONSORED INSURANCE SUMMARY According to preliminary estimates, the overwhelming majority of employer-sponsored insurance (ESI) plans meets and exceeds an actuarial
More informationPapers presented at the ICES-III, June 18-21, 2007, Montreal, Quebec, Canada
A Comparison of the Results from the Old and New Private Sector Sample Designs for the Medical Expenditure Panel Survey-Insurance Component John P. Sommers 1 Anne T. Kearney 2 1 Agency for Healthcare Research
More informationAdvanced Health Economics Econ555/HPA543. Week 4: Health Insurance
Advanced Health Economics Econ555/HPA543 Week 4: Health Insurance Types of Insurance Coverage Fee-for-Service: Coinsurance Deductibles Catastrophic Maximum Indemnity Capitation Mixed Coinsurance - Patient
More informationMedicare Advantage National Senior Survey 600 Senior Registered Voters in the Medicare Advantage Program February 24-28, 2015
Medicare Advantage National Senior Survey 600 Senior Registered Voters in the Medicare Advantage Program February 24-28, 2015 1. In what year were you born? 1. Before 1950 (CONTINUE TO QUESTION 2) 100
More informationAGING GRACEFULLY & RETIRING WELL
AGING GRACEFULLY & RETIRING WELL Information to help you make the Right Decisions When the Time is Right for You! Compliments of King s College Human Resources Department Contents: Introduction Steps to
More informationPrescription drugs are a critical component of health care. Because of the role of drugs in treating conditions, it is important that Medicare ensures that its beneficiaries have access to appropriate
More informationCare needs for dual-eligible beneficiaries
C h a p t e r6 Care needs for dual-eligible beneficiaries C H A P T E R 6 Care needs for dual-eligible beneficiaries Chapter summary In this chapter Dual-eligible beneficiaries are eligible for both Medicare
More informationIntroduction to Health Insurance Policy
Introduction to Health Insurance Policy Len Nichols, Ph.D. Director, Health Policy Program New America Foundation National Health Policy Forum February 21, 2008 Washington, DC 1 Overview Insurance as a
More informationHealth Care Utilization and Costs of Full-Pay and Subsidized Enrollees in the Florida KidCare Program: MediKids
Health Care Utilization and Costs of Full-Pay and Subsidized Enrollees in the Florida KidCare Program: MediKids Prepared for the Florida Healthy Kids Corporation Prepared by Jill Boylston Herndon, Ph.D.
More informationMedicare Quick Reference
Medicare Quick Reference 2016 Income Investment Estate Retirement Social Security NOT FDIC INSURED NO BANK GUARANTEE MAY LOSE VALUE This guide provides general Medicare information. Part A Part C (Medicare
More informationFAQ New Health Insurance Law
FAQ New Health Insurance Law (Enacted on March 21, signed into law on March 23, and amended on March 25) On March 23, 2010 President Barack Obama signed the Patient Protection & Affordable Care Act (H.R.
More informationhealth insurance Why It s Important & What You Need to Know
health insurance Why It s Important & What You Need to Know HEALTH INSURANCE: WHY IT S IMPORTANT & WHAT YOU NEED TO KNOW Worry Less: Protect Your Health and Your Wallet No one plans to get sick or hurt,
More informationRandall Chun, Legislative Analyst 651-296-8639 Updated: October 2007. MinnesotaCare
INFORMATION BRIEF Research Department Minnesota House of Representatives 600 State Office Building St. Paul, MN 55155 Randall Chun, Legislative Analyst 651-296-8639 Updated: October 2007 MinnesotaCare
More informationhealth insurance Why It s Important & What You Need to Know
health insurance Why It s Important & What You Need to Know If you do not have health insurance: Fixing a broken arm can cost up to $7,500 The average cost of a 3-day hospital stay is around Worry Less:
More information