People covered only by non-comprehensive State-specific programs (e.g., Maryland Kidney Disease Program) or private single service plans such as coverage for dental or vision care only, or coverage for accidents or specific diseases, were considered uninsured.Īny private: Individuals classified as having any private health insurance coverage had private insurance that provided coverage for hospital and physician care (including Medigap coverage and TRICARE) at some point during the year. The uninsured were defined as people not covered by Medicaid, Medicare, TRICARE (Armed Forces-related coverage), other public hospital/physician programs, private hospital/physician insurance (including Medigap coverage) or insurance purchased through health insurance Marketplaces. Uninsured: Individuals who did not have health insurance coverage for the entire calendar year were classified as uninsured. Any charges associated with uncollected liability, bad debt, and charitable care (unless provided by a public clinic or hospital) are not counted as expenditures.Įxpenditures shown over time are not adjusted for inflation. Indirect payments not related to specific medical events, such as Medicaid Disproportionate Share and Medicare Direct Medical Education subsidies, also are not included. Payments for over-the-counter drugs and phone contacts with medical providers are not included in MEPS total expenditure estimates. Expenditures in MEPS are defined as the sum of direct payments for care provided during the year, including out-of-pocket payments and payments by private insurance, Medicaid, Medicare, and other sources. Other medical equipment and services are not included in utilization estimates because information for these events is collected per interview or per year for each person, rather than on a per-purchase basis.Įxpenditures: Expenditures include payments for medical events reported during the calendar year. Expenditures for these events are not collected, and are denoted on the event files as “-1 Inapplicable”. Office-based visits and Outpatient events that are phone calls, and informal Home Health care are not included in utilization estimates. A home health event is defined as one month during which home health service was received. Utilization: For event-based estimates (mean events per person, mean expenditure per event, and total number of events), events include all dental visits, prescribed medicine purchases (including refills), office-based and outpatient visits, emergency room visits, inpatient stays, and home health events. These improvements likely contribute to observed increases (and may dampen any actual decreases) in events and expenditures from 2016 to 2018, particularly from 2017 to 2018. Restricted Data Files (AHRQ Data Center)Ģ018 Design Change – Impact on Use and Expenditures: Starting with interviews conducted in 2018, the MEPS Household Component questionnaire was revised to improve respondents' reporting of health care use.Methods Used in the National Healthcare Reports.Resources for Addressing Disparities and Improving Quality.National Healthcare Quality and Disparities Reports (NHQDR)
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