Center for Financing, Access, and Cost Trends (CFACT): Publications by Staff

David Kashihara

Authors: Kashihara D, Carper K
Title: National health care expenses in the U.S. civilian noninstitutionalized population, 2006
Publication: MEPS Statistical Brief No. 229. Available on the MEPS Web site
Date: December 2008
Abstract: In 2006, there was an estimated total of $1.03 trillion paid for hospital inpatient and outpatient care, emergency room services, office-based medical provider services, dental services, home health care, prescription medicines, and/or other medical services and equipment for about 299.3 million persons in the U.S. civilian noninstitutionalized population.

Authors: Kashihara D, Wobus D
Title: The effect of reporting aid use on the accuracy of household-reported medical expenditure data
Publication: American Statistical Association, Joint Statistical Meetings—Section on Survey Research Methods, pp. 3926-32 (CD-ROM), Alexandria, VA
Date: August 2007

Authors: Kashihara D, Machlin S, Carper K
Title: National health care expenses in the U.S. civilian noninstitutionalized population, 2005
Publication: MEPS Statistical Brief No. 193. Available on the MEPS Web site
Date: December 2007
Abstract: Using data from the Medical Expenditure Panel Survey Household Component (MEPS-HC) and Medical Provider Component (MEPS-MPC), this Statistical Brief presents estimates of health care expenses by type of service and distributions by payment sources for the U.S. civilian noninstitutionalized population in 2005. Health care expenses represent payments to hospitals, physicians, and other health care providers for services reported by respondents in the MEPS-HC. These expenses are defined as direct payments by individuals, private insurance, Medicare, Medicaid, and other payment sources.

Authors: Zodet M, Wobus D, Machlin, S, Kashihara D, Dougherty D
Title: Class variables for MEPS expenditure imputations
Publication: MEPS Methodology Report No. 20. Available on the MEPS Web site
Date: March 15, 2007
Abstract: The Medical Expenditure Panel Survey collects data on health care utilization, expenditures, sources of payment, insurance coverage, and health care quality measures. The survey was designed to produce national and regional estimates for the U.S. civilian noninstitutionalized population. The data on medical expenses are collected from both household respondents in the Household Component and from a sample of their health care providers in the Medical Provider Component. In the absence of payment information from either component, expenditure data are derived for sample persons through an imputation process. Missing expense data are imputed at the event level for each medical event type using a weighted hot-deck procedure. This process utilizes individual- and event-level data collected in MEPS that are correlated with medical expenditures. Bivariate analyses and linear regression models were utilized to assess the current class variables used for imputation. This paper details the methodology used to select, prioritize, and categorize the class variables used to impute missing expenditures for two event types: doctor visits and inpatients hospitalizations. (Previously published as Working Paper #4005, December 2004.)

Authors: Kashihara D, Wobus D
Title: Accuracy of household-reported expenditure data in the Medical Expenditure Panel Survey
Publication: American Statistical Association, Joint Statistical Meetings—Section on Survey Research Methods, pp. 3193-200 (CD-ROM), Alexandria, VA
Date: 2006

Authors: Kashihara D, Sommers J
Title: Examination of alternative nonresponse adjustments: An application to expenditure data in the Household Component of the Medical Expenditure Panel Survey (MEPS-HC)
Publication: American Statistical Association, Joint Statistical Meetings—Section on Survey Research Methods, pp. 1547-53 (CD-ROM), Alexandria, VA
Date: 2005

Authors: Kashihara D, Carper K
Title: National health care expenses in the U.S. civilian noninstitutionalized population, 2003
Publication: MEPS Statistical Brief No. 103. Available on the MEPS Web site.
Date: November 2005
Abstract: Using data from the 2003 MEPS-HC, this statistical brief presents estimates of health care expenses for the U.S. civilian noninstitutionalized population in calendar year 2003. Health care expenses represent payments to hospitals, physicians, and other health care providers for services reported by respondents in the MEPS-HC.

Authors: Kashihara D, Carper K
Title: Trends in national health care expenses in the U.S. civilian noninstitutionalized population, 1997 versus 2002
Publication: MEPS Statistical Brief No. 86. Available on the MEPS Web site
Date: July 2005
Abstract: Using data from the MEPS-HC, this statistical brief compares national health care expenses in 1997 with those in 2002 for the overall U.S. civilian noninstitutionalized (community) population and by age, health insurance status, and income status.

Authors: Kashihara D, Ezzati-Rice T
Title: Characteristics of survey attrition in the Household Component of the Medical Expenditure Panel Survey (MEPS)
Publication: American Statistical Association, Proceedings of the Section on Survey Research Methods, 3758-65 (CD-ROM), Alexandria, VA
Date: 2004

Authors: Sommers J, Riesz S, Kashihara D
Title: Response propensity weighting for the Medical Expenditure Panel Survey—Insurance Component (MEPS-IC)
Publication: American Statistical Association, Proceedings of the Section on Survey Research Methods, 4410-7 (CD-ROM), Alexandria, VA
Date: 2004

Authors: Zodet M, Wobus D, Machlin S, Kashihara D, Dougherty D
Title: Class variables for MEPS expenditure imputations
Publication: American Statistical Association, Proceedings of the Section on Survey Research Methods, 4697-702 (CD-ROM), Alexandria, VA
Date: 2004

Authors: Kashihara D, Carper K
Title: National health care expenses in the U.S. community population, 2002
Publication: MEPS Statistical Brief No. 61. Available on the MEPS Web site.
Date: December 2004
Abstract: Using data from the 2002 MEPS-HC, this statistical brief presents estimates on the health care expenses in the U.S. civilian noninstitutionalized (community) population in calendar year 2002. Health care expenses represent payments to hospitals, physicians, and other health care providers for services reported by respondents in the MEPS-HC.

Authors: Kashihara D, Carper K
Title: National health care expenses in the U.S. community population, 2001
Publication: MEPS Statistical Brief No. 56. Available on the MEPS Web site
Date: 2004
Abstract: Using data from the 2001 MEPS-HC, this statistical brief presents estimates on the health care expenses in the U.S. civilian noninstitutionalized (community) population in calendar year 2001. Health care expenses represent payments to hospitals, physicians, and other health care providers for services reported by respondents in the MEPS-HC.

Authors: Ezzati-Rice T, Kashihara D, Machlin, S.
Title: Health care expenses in the United States, 2000.
Publication: MEPS Research Findings No. 21. AHRQ Pub. No. 04-0022. Available on the MEPS Web site
Date: 2004
Abstract: This report presents descriptive data on health care spending in the United States. Estimates are based on data from the 2000 MEPS and cover the civilian noninstitutionalized U.S. population. Estimates of total health care expenses and expenses for hospital inpatient services, ambulatory services (including office-based, hospital outpatient, and emergency room visits), prescription medicines, dental services, home health services, and other medical equipment and supplies are provided.

Authors: Kashihara D, Ezzati-Rice T, Wun L, Baskin R
Title: An evaluation of nonresponse adjustment cells from the household component of the Medical Expenditure Panel Survey (MEPS)
Publication: American Statistical Association, Proceedings of the Section on Survey Research Methods, pp. 2072-9 (CD-ROM), Alexandria, VA
Date: 2003

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