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Health Insurance/Access to Care

The Accuracy of Reported Insurance Status in the MEPS. S. Hill, Inquiry, 44:Winter 2007/2008, 443-468. Uses four sources of validation data, including surveys of employers and providers, to assess the quality of respondents' reports of private insurance and uninsurance in the Medical Expenditure Panel Survey Household Component. (AHRQ 08-R051)

Changes in Hospital Readmissions for Diabetes-Related Conditions: Differences by Payer. H. Jiang, B. Friedman, R. Andrews, Managed Care Interface, 21(1):July 2008, 24-30. Examines changes in hospital readmissions for diabetes-related conditions in light of evidence showing improvements in the quality of diabetes care in the United States. Includes adult, nonmaternal patients covered by private, Medicare, or Medicaid insurance who were hospitalized for diabetes-related conditions in six States between 1999 and 2003. (AHRQ 09-R013)

Children's Eligibility and Coverage: A Look Ahead. J. Hudson, T. Selden, Health Affairs 26(5):2007, w618-w629. Tracks changes in children's public insurance eligibility and coverage using data from the 1996-2005 Medical Expenditure Panel Survey. (AHRQ 07-R078)

Diffusion of New Technology and Payment Policies: Coronary Stents. C. Shih, E. Berliner, Health Affairs, 27(6):November/December 2008, 1566-1576. Discusses the role of Medicare payment as a driver of medical technology diffusion and access to new technologies, using the case of coronary stents as an example. (AHRQ 09-R012)

Health Insurance Coverage During a 24-Month Period: A Comparison of Estimates from Two National Health Surveys. S. Cohen, D. Makuc, T. Ezzati-Rice, Health Services and Outcomes Research Methodology 7:2007, 125-144. Compares national estimates of health insurance coverage over generally comparable 24-month time periods using two integrated Federal health-related surveys, the Medical Expenditure Panel Survey and the National Health Interview Survey. (AHRQ 08-R029)

Health Insurance Enrollment Decisions: Preferences for Coverage, Worker Sorting, and Insurance Take-Up. A. Monheit, J. Vistnes, Inquiry, 45:Summer 2008, 153-167. Examines decisions by single workers to seek out and enroll in employer-sponsored health insurance plans. (AHRQ 09-R008)

The Impact of Increased Tax Subsidies on the Insurance Coverage of Self-Employed Families: Evidence from the 1996-2004 Medical Expenditure Panel Survey. T. Selden, Journal of Human Resources, 44(1):Winter 2009, 115-139. Using data from the Medical Expenditure Panel Survey, shows effects of tax subsidies on the expansion of health insurance coverage among self-employed families during the period 1996-2004. (AHRQ 09-R023)

The Impact of Survey Attrition on Health Insurance Coverage Estimates in a National Longitudinal Health Care Survey. S. Cohen, T. Ezzati-Rice, W. Yu, Health Services and Outcomes Research Methodology 6:2006, 111-125. Summarizes the survey operations, informational materials, interviewer training and experience, and the refusal conversion techniques used in the Medical Expenditure Panel Survey to maintain respondent cooperation for five rounds of interviewing and to help minimize sample attrition. (AHRQ 07-R048)

Informed Participation in TennCare by People with Disabilities. S. Hill, J. Woolridge, Journal of Health Care for the Poor and Underserved 17: November 2006, 851-875, Uses survey results to examine informed health care choices by nonelderly people with diverse disabilities—including mental retardation, mental illness, visual and hearing impairments, and difficulty communicating—who were enrolled in TennCare, Tennessee's Medicaid managed care program. The survey was fielded between October 1998 and March 1999. (AHRQ 07-R045)

Parity for Whom? Exemptions and the Extent of State Mental Health Parity Legislation. T. Buchmueller, P. Cooper, M. Jacobson, et al., Health Affairs 26(4):2007, w483-w487. Summarizes the extent and scope of State parity legislation in terms of the number of insured private-sector employees covered. (AHRQ 07-R062)

Partially Identifying Treatment Effects with an Application to Covering the Uninsured. B. Kreider, S. Hill, Journal of Human Resources 44(2):Spring 2009, 409-449. Uses analytical tools and results to describe the impact of universal health insurance on provider visits and medical expenditures across the nonelderly population. (AHRQ 09-R058)

Pathways to Coverage: The Changing Roles of Public and Private Sources. J. Vistnes, B. Schone, Health Affairs 27(1): January/February 2008, 44-57. Analyzes the growing trend of families' obtaining insurance in patchwork fashion from both private and public sources. (AHRQ 08-R033)

Payer Perspectives on Pharmacogenomics Testing and Drug Development. R. Epstein, F. Frueh, D. Geren, et al., Pharmacogenomics 10(1):January 2009, 149-151. Presents the results of a workshop held to elicit the opinions of health plan, government, and employer representatives on important considerations for study design around coverage determination. (AHRQ 09-R034)

Poor People, Poor Places and Access to Health Care in the United States. J. Kirby, Social Forces 87(1):September 2008, 325-355. Describes the negative relationship that exists between the prevalence of poverty in communities and access to health care and discusses the effects of this relationship on individuals at various income levels. (AHRQ 09-R047)

Serving the Uninsured: Safety-Net Hospitals, 2003. R. Andrews, D. Stull, I. Fraser, et al., HCUP Fact Book, No. 8, January 2007, 34 pp. Presents data on hospitals that treat a disproportionately large share of uninsured patients, including both financial status and structural and geographic characteristics of these "safety-net" hospitals as well as clinical characteristics of the patients they serve. (AHRQ 07-0006)

State Differences in Employer-Sponsored Health Insurance, 2003. J. Branscome, B. Crimmel, MEPS Chartbook, No. 15, May 2006, 25 pp. Presents State estimates from the 2003 Medical Expenditure Panel Survey Insurance Component. Examines workers' access to job-related health insurance and their enrollment rates, and examines State differences in the cost of that insurance, both to the employer offering coverage and to the worker taking coverage. (AHRQ 06-0030)

Tax Subsidies for Employment-Related Health Insurance: Estimates for 2006. T. Selden, B. Gray, Health Affairs 25(6): November/December 2006, 1568-1579. Presents tax-subsidy projections from a new data resource constructed using a statistical linkage between the establishment and household components of the Medical Expenditure Panel Survey. Presents per worker tax-subsidy estimates and an analysis of insurance incidence by establishment characteristics. (AHRQ 07-R014)

The Utility of Prediction Models to Oversample the Long-Term Uninsured. S. Cohen, W. Yu, Medical Care 47(1):January 2009, 80-87. Evaluates the performance of prediction models in identifying the long-term uninsured and the usefulness of the models for oversampling purposes in national health care surveys. (AHRQ 09-R029)

Wealth, Income, and the Affordability of Health Insurance. D. Bernard, J. Banthin, Health Affairs 28(3):May/June 2009, 887-896. Examines the difference in assets between the privately insured and uninsured to explore the relationship between assets and affordability of health insurance. (AHRQ 09-R059)

Workers Who Decline Employment-Related Health Insurance. D. Bernard, T. Selden, Medical Care Supplement, 44(5): May 2006, I-12-I-18. Examines health status, access to health care, utilization, and expenditures among families that declined health insurance coverage offered by employers using data from the Medical Expenditure Panel Survey for 2001 and 2002. (AHRQ 07-R012)

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