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AHRQ Research Studies Date
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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 13 of 13 Research Studies DisplayedMcGuire TG, Glazer J, Newhouse JP
AHRQ Author: Zuvekas SH
Integrating risk adjustment and enrollee premiums in health plan payment.
Paying health plans from two different sources such as risk-adjusted payments from a regulator and premiums charged to individual enrollees raises issues in payment design for both Medicare Advantage plans and the new State-run exchanges created by the Affordable Care Act. The primary purpose of this study is to demonstrate the versatility of least squares methods for risk adjustment in individual insurance markets with enrollee premiums.
AHRQ-authored
Citation: McGuire TG, Glazer J, Newhouse JP .
Integrating risk adjustment and enrollee premiums in health plan payment.
J Health Econ. 2013 Dec;32(6):1263-77. doi: 10.1016/j.jhealeco.2013.05.002..
Keywords: Healthcare Costs, Medical Expenditure Panel Survey (MEPS), Medicare
Sarpong EM, Miller GE
AHRQ Author: Sarpong EM, Miller GE
Racial and ethnic differences in childhood asthma treatment in the United States.
The authors examined racial-ethnic differences in asthma controller medication use among insured U.S. children. They found that non-Hispanic black and Hispanic children were less likely to use controllers than non-Hispanic white children. They concluded that the large observed differences in controller use highlight the continuing challenges of ensuring that all U.S. children have access to quality asthma care.
AHRQ-authored.
Citation: Sarpong EM, Miller GE .
Racial and ethnic differences in childhood asthma treatment in the United States.
Health Serv Res 2013 Dec;48(6 Pt 1):2014-36. doi: 10.1111/1475-6773.12077.
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Keywords: Asthma, Children/Adolescents, Medical Expenditure Panel Survey (MEPS), Medication, Racial and Ethnic Minorities
Cohen SB, Rohde F, Yu W
AHRQ Author: Cohen SB, Rohde F, Yu W
Building wave response rates in a longitudinal survey:Essential for nonsampling error reduction or last in–first out?
This study examined the implications of a reduction in targeted first-round response rates in the Medical Expenditure Panel Survey (MEPS), a national health care survey designed to produce estimates of health care utilization, expenditures, and insurance coverage. Study findings revealed nonuniform results when evaluating the capacity of alternative design strategies to achieve precision targets while simultaneously satisfying data collection budget constraints for a variety of medical care expenditure estimates.
AHRQ-authored.
Citation: Cohen SB, Rohde F, Yu W .
Building wave response rates in a longitudinal survey:Essential for nonsampling error reduction or last in–first out?
Field Methods 2013 Nov;25(4):361-87. doi: 10.1177/1525822x13507863..
Keywords: Medical Expenditure Panel Survey (MEPS), Research Methodologies
Abdus S, Selden TM
AHRQ Author: Abdus S, Selden TM
Preventive services for adults: how have differences across subgroups changed over the past decade?
This study uses MEPS data to track changes over time in the distribution of preventive services use across groups defined by poverty status, race/ethnicity, insurance coverage, Census region, and urbanicity. The analysis found that differences across subgroups tended to persist over time, with some of the largest gaps between adults with and without coverage. Regional differences persisted or widened over the study period.
AHRQ-authored.
Citation: Abdus S, Selden TM .
Preventive services for adults: how have differences across subgroups changed over the past decade?
Med Care 2013 Nov;51(11):999-1007. doi: 10.1097/MLR.0b013e3182a97bc0.
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Keywords: Healthcare Utilization, Health Insurance, Medical Expenditure Panel Survey (MEPS), Prevention, Social Determinants of Health
Levit KR, Friedman B, Wong HS
AHRQ Author: Friedman B, Wong HS
Estimating inpatient hospital prices from state administrative data and hospital financial reports.
The researchers developed a tool for estimating hospital-specific inpatient prices for major payers. They found that hospital prices can be reasonably estimated for 10 geographically diverse states. They further found that estimated prices compare well with Medicare, MarketScan private insurance, and the Medical Expenditure Panel Survey prices for major payers, given limitations of each dataset.
AHRQ-authored; AHRQ-funded.
Citation: Levit KR, Friedman B, Wong HS .
Estimating inpatient hospital prices from state administrative data and hospital financial reports.
Health Serv Res 2013 Oct;48(5):1779-97. doi: 10.1111/1475-6773.12065.
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Keywords: Healthcare Costs, Healthcare Cost and Utilization Project (HCUP), Hospitalization, Medical Expenditure Panel Survey (MEPS)
Robin Yabroff K, Short PF, Machlin S
AHRQ Author: Machlin S
Access to preventive health care for cancer survivors.
The researchers evaluated the association between cancer survivorship and access to primary and preventive health care. They concluded that, although access and preventive care use in cancer survivors is generally equivalent or greater compared to that of other individuals, disparities for uninsured and publicly insured cancer survivors aged 18-64 years suggest that improvements in survivor care are needed.
AHRQ-authored.
Citation: Robin Yabroff K, Short PF, Machlin S .
Access to preventive health care for cancer survivors.
Am J Prev Med 2013 Sep;45(3):304-12. doi: 10.1016/j.amepre.2013.04.021.
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Keywords: Access to Care, Cancer, Medical Expenditure Panel Survey (MEPS), Prevention, Primary Care
Berdahl TA, Friedman BS, McCormick MC
AHRQ Author: Berdahl TA, Friedman BS
Annual report on health care for children and youth in the United States: trends in racial/ethnic, income, and insurance disparities over time, 2002-2009.
Using MEPS and HCUP data, the authors examined trends in children's health access, utilization, and expenditures over time by race/ethnicity, income, and insurance status/expected payer. They found that disparities by race/ethnicity and income persist in access to and use of care, with Hispanic children experiencing progress in a number of measures, while black children did not.
AHRQ-authored.
Citation: Berdahl TA, Friedman BS, McCormick MC .
Annual report on health care for children and youth in the United States: trends in racial/ethnic, income, and insurance disparities over time, 2002-2009.
Acad Pediatr 2013 May-Jun;13(3):191-203. doi: 10.1016/j.acap.2013.02.003.
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Keywords: Children/Adolescents, Disparities, Healthcare Cost and Utilization Project (HCUP), Medical Expenditure Panel Survey (MEPS), Social Determinants of Health
Clancy CM, Chesley F, Dougherty D
AHRQ Author: Clancy CM, Chesley F, Dougherty D
Health care for children and youth in the United States: 13 years of evidence.
In this article, the authors discuss the 10th in a series of annual reports summarizing various dimensions of health care for children and youth in the United States. They cover the evolution of the reports and reflect on changes in and improvements to children's health services research.
AHRQ-authored.
Citation: Clancy CM, Chesley F, Dougherty D .
Health care for children and youth in the United States: 13 years of evidence.
Acad Pediatr 2013 May-Jun;13(3):181-3. doi: 10.1016/j.acap.2013.03.012.
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Keywords: Children/Adolescents, Children's Health Insurance Program (CHIP), Healthcare Cost and Utilization Project (HCUP), Medical Expenditure Panel Survey (MEPS)
Cohen SB, Cohen JW
AHRQ Author: Cohen SB, Cohen JW
The capacity of the Medical Expenditure Panel Survey to inform the Affordable Care Act.
The authors provided a summary of the capacity of the Medical Expenditure Panel Survey to inform program planning, implementation, and evaluations of program performance for several components of the Affordable Care Act.
AHRQ-authored.
Citation: Cohen SB, Cohen JW .
The capacity of the Medical Expenditure Panel Survey to inform the Affordable Care Act.
Inquiry 2013 May;50(2):124-34. doi: 10.1177/0046958013513678.
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Keywords: Data, Healthcare Costs, Health Insurance, Policy, Medical Expenditure Panel Survey (MEPS)
Machlin SR, Soni A
AHRQ Author: Machlin SR, Soni A
Health care expenditures for adults with multiple treated chronic conditions: estimates from the Medical Expenditure Panel Survey, 2009.
The authors illustrated the usefulness of MEPS data for examining variations in medical expenditures for people with multiple chronic conditions (MCC). They found that the proportion of adults treated for MCC increased with age, with white non-Hispanic adults most likely and Hispanic and Asian adults least likely to be treated for MCC. Regardless of age or sex, hypertension and hyperlipidemia was the most common dyad among adults treated for MCC, and diabetes in conjunction with these 2 conditions was a common triad. They concluded that MEPS has the capacity to produce national estimates of health care expenditures associated with MCC.
AHRQ-authored.
Citation: Machlin SR, Soni A .
Health care expenditures for adults with multiple treated chronic conditions: estimates from the Medical Expenditure Panel Survey, 2009.
Prev Chronic Dis 2013 Apr 25;10:E63. doi: 10.5888/pcd10.120172.
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Keywords: Cancer: Colorectal Cancer, Chronic Conditions, Healthcare Costs, Medical Expenditure Panel Survey (MEPS)
Pylypchuk Y, Sarpong EM
AHRQ Author: Sarpong EM
Comparison of health care utilization: United States versus Canada.
The purpose of this paper was to compare health care utilization between Canadian and U.S. residents. Findings showed that the poor and less educated were more likely to utilize health care in Canada than in the United States, while health care use for residents with high incomes and higher levels of education were not markedly different between the two countries and often higher for U.S residents. Also, foreign-born residents were more likely to use health care in Canada than in the United States.
AHRQ-authored.
Citation: Pylypchuk Y, Sarpong EM .
Comparison of health care utilization: United States versus Canada.
Health Serv Res 2013 Apr;48(2 Pt 1):560-81. doi: 10.1111/j.1475-6773.2012.01466.x.
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Keywords: Health Services Research (HSR), Healthcare Utilization, Medical Expenditure Panel Survey (MEPS), Social Determinants of Health
Miller GE, Selden TM
AHRQ Author: Miller GE, Selden TM
Tax subsidies for employer-sponsored health insurance: updated microsimulation estimates and sensitivity to alternative incidence assumptions.
Using MEPS data, the authors estimated 2012 tax expenditures for employer-sponsored insurance (ESI) in the United States and explored the sensitivity of estimates to assumptions regarding the incidence of employer premium contributions. They concluded that the aggregate value of the ESI tax subsidy and its distribution across firms can be reliably estimated using simplified incidence assumptions.
AHRQ-authored.
Citation: Miller GE, Selden TM .
Tax subsidies for employer-sponsored health insurance: updated microsimulation estimates and sensitivity to alternative incidence assumptions.
Health Serv Res 2013 Apr;48(2 Pt 2):866-83. doi: 10.1111/1475-6773.12037.
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Keywords: Healthcare Costs, Health Insurance, Medical Expenditure Panel Survey (MEPS)
Abdus S, Selden TM
AHRQ Author: Abdus S, Selden TM
Adherence with recommended well-child visits has grown, but large gaps persist among various socioeconomic groups.
Using MEPS data, the authors examined trends in well-child visit adherence and whether differences across population subgroups narrowed or widened over time. They found that the ratio of actual to recommended visits rose, with large differences in adherence at the start of the study period across income, race or ethnicity, parent education, region, insurance coverage, and having a usual source of care. None of these differences had narrowed significantly by the end of the study period, and differences widened across parent education, between those with and without insurance coverage, by usual source of care, and between the Northeast and the Midwest and West regions.
AHRQ-authored.
Citation: Abdus S, Selden TM .
Adherence with recommended well-child visits has grown, but large gaps persist among various socioeconomic groups.
Health Aff 2013 Mar;32(3):508-15. doi: 10.1377/hlthaff.2012.0691.
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Keywords: Children/Adolescents, Medical Expenditure Panel Survey (MEPS), Prevention, Social Determinants of Health