A 21st Century Data Strategy for Health and Health Care Surveys (Text Version)

On September 29, 2010, Sherry Glied made this presentation at the 2010 Annual Conference. Select to access the PowerPoint® presentation (210 KB).

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Slide 1

A 21st Century Data Strategy for Health and Health Care Surveys

Sherry Glied, Ph.D.
Assistant Secretary for Planning and Evaluation

Slide 2

Current Portfolio

• HHS currently supports 9 major surveys.
• Portfolio includes household, provider, and establishment-based surveys:
  • Several household surveys are integrated.
  • Certain surveys are linked to Medicare claims data.
  • Some surveys provide state-level data.

Slide 3

Surveys and Health Reform

• Baseline
• Transform health care financing system:
  • Immutable characteristics—survey
  • Behavioral parameters—survey
• Simulation models:
  • CBO—SIPP + MEPS
  • Others—MEPS only; CPS+MEPS; CPS+NHIS

Slide 4

What was Missing?

• Health reform models retain ESI:
  • Nested units—employer decision making:
    • Employer + employee
• Simulated firms methodologies:
  • MEPS—IC component
  • BLS data on compensation

Slide 5

ACA: Opportunities & Challenges

• Coverage reform:
  • Layered system—Medicaid expansions, Exchanges, Large Employers, Medicare
• Provider initiatives:
  • Medicare ACOs, bundled payments
  • Private sector response

Slide 6

New Data Availability

• Claims data
• Electronic health records data:
  • HMO Networks
• Coverage information via personal responsibility requirements

Slide 7

Monitoring Health Reform I

• Context of ACA: Unit of analysis:
  • Person—SES attributes
  • Family/Household—Coverage varies
  • Employer/Family/Person—decision process
  • Providers—characteristics

Slide 8

Monitoring Health Reform II

• Transitions:
  • Coverage:
    • Newly insured
    • Within system
  • Utilization patterns
• Transitions by providers

Slide 9

An Illustration

Health Insurance Premium Increases—Plan vs. Person

Image: Line graph displays the followiing data:

Year	Milliman	MEPS	2889
2002	16.1%	10.4%	3189
2003	10.1%	9.2%	3481
2004	10.1%	6.4%	3705
2005	9.1%	7.7%	3991
2006	9.6%	3.2%	4118
2007	8.4%	6.5%	4386
2008	7.6%	6.5%	4669

Slide 10

Monitoring Health Reform III

• Policy relevant unit:
  • State level exchanges
  • Sub-state level health plans
  • Local provider organizations

Slide 11

Monitoring Health Reform

• Population-based Household Surveys
• Health Care Providers Surveys
• Data on health plans
• Employer/Employee Surveys

Slide 12

Monitoring Health Reform

• Federal-State Efforts
• Race and Ethnicity Data
• Key subpopulations:
  • Transitions into Medicaid/exchanges
  • Personal responsibility requirements

Slide 13

Sherry Glied, Ph.D.
Assistant Secretary for Planning and Evaluation
U.S. Department of Health and Human Services

Sherry.Glied@hhs.gov
202-690-7858
www.aspe.hhs.gov