Informing Health Initiatives: Summary of Requests and Assistance Provided, February-May 2009

Summary of requests to the Center for Financing, Access, and Cost Trends (CFACT) for information to inform health initiatives and of the assistance provided from February through May 2009.
Source of RequestRequestDateStaff ResponsibleAssistance Provided
Senate rept. 110-410) and House of Representatives Appropriation CommitteesStudy comparing the economic burden of an early diagnosis to that of a later diagnosis2/09John FleishmanPrepared Agency for Healthcare Research and Quality (AHRQ) Report to Congress: Estimate of the Economic Burden of Late Entry Into Medical Care for HIV Infection. A copy of the report is available upon request.
Office of Health Reform, HHSUpdate of Content in (MEPS Chartbook No. 133/09

Steven Machlin

James Kirby

Prepared report, Health Care in Urban and Rural Areas, Combined Years 2004-2006.

Findings featured in report Hard Times in the Heartland: Health Care in Rural America, outlining the health care challenges facing rural communities.

Office of Health Reform, HHSInformation on the medical expenditures, coverage, and access to care of the near elderly4/09

Jessica Vistnes

Philip Cooper

Didem Bernard

Jessica Banthin

Prepared report, Near-Elderly Adults, Ages 55-64: Health Insurance Coverage, Cost and Access.
SAMHSA/CMHSNational estimates of mental health treatment expenditures from MEPS4/09Samuel ZuvekasPrepared report, National Estimates of Health Insurance Coverage, Mental Health Utilization, and Spending for Low-Income Individuals.
House Ways and Means CommitteeNational estimates of the uninsured and availability of employer-sponsored coverage4/09Steven CohenProvided substantive assistance and national estimates from MEPS on the long-term uninsured.
Office of Health Reform, HHSNational estimates of availability of employer-sponsored coverage and take-up4/09

Jim Branscome

Beth Crimmel

Jessica Vistnes

Philip Cooper

Provided national estimates from MEPS on availability of employer-sponsored coverage and employee take-up, further distinguished by establishment and employee characteristics. Descriptive statistics are available upon request.
Full House Committee on Veterans' AffairsExpert testimony on accuracy of long-term health care projection models4/09Jessica BanthinPresented written and oral testimony on the general topic of long-term health care projection models and was included on a panel that included other experts from RAND, GAO, and CRS who had reviewed the VA's Enrollee Health Care Projection Model.
Office of Health Reform, HHSEstimates of family-level out-of-pocket expenditures on health care services and premiums for families with group and nongroup coverage by poverty category4/09Didem Bernard

Jessica Banthin
Provided Research Findings #29 on family-level expenditures on health care services and premiums and Statistical Brief #202 on premiums in the nongroup market, as well as more disaggregated expenditure estimates by poverty and insurance (group vs. nongroup) using pooled data from recent years.
Stuart Hagen, Congressional Budget OfficeAnalytical MEPS data file containing immigration and documentation status variables4/09Tom SeldenDeveloped MEPS analytical file, an important microsimulation data tool that plays a critical role in determining eligibility for certain public insurance programs, including Medicaid and SCHIP. Data are available in the AHRQ Data Center.
Office of Health Reform, HHSInformation on eligibility in the childless adult population below poverty level4/09Jessica Banthin

Julie Hudson
Provided PUBSIM estimates and documentation in same format as Fall 2008 estimates sent to Chris Peterson of the Congressional Research Service. Descriptive statistics and documentation are available upon request.
Chris Peterson, Congressional Research ServiceInformation on differences between nongroup and small-group markets by State5/09Jessica BanthinProvided estimates derived from MEPS that identify differences between nongroup and small-group markets by State. Descriptive statistics are available upon request.
Office of Health Reform, HHS

National estimates of health insurance

Coverage and availability for women

5/09DSER and DMS staff in CFACTProvided MEPS-derived national estimates of health insurance coverage and availability for women. A report on women's health prominently featuring data from special runs done by DSER and DMS staff using both the MEPS HC and IC.
Office of Health Reform, HHSRecent trends and updated estimates of out-of-pocket burdens and affordability thresholds by insurance status and poverty5/09Didem Bernard

Jessica Banthin
Provided (1) a copy of the Health Affairs article on financial out-of-pocket burdens (Banthin, Cunningham, and Bernard) and updated the tables in this article using MEPS data from 2006; (2) updated estimates of affordability thresholds by income level based on the methodology in the Blumberg et al. 2006 Health Affairs article; and (3) a copy of the article titled "Wealth, Income and the Affordability of Health Insurance" by Bernard, Banthin, and Encinosa, which was recently published in Health Affairs. Descriptive statistics and copies of manuscripts are available upon request.
Office of Health Reform, HHSInformation on gender differences in financial out-of-pocket burdens5/09Jessica BanthinProvided charts on trends in financial out-of-pocket burdens, 2001 through 2005. The differences by gender were included in the report.
Chris Peterson, Congressional Research ServiceDemographics and characteristics of individuals who receive uncompensated care5/09Tom SeldenProvided national estimates derived from MEPS on the uninsured who could have afforded coverage but decided not to buy it and individuals with pre-existing conditions who are unable to obtain coverage. Descriptive statistics are available upon request.
Senator Bingaman's officeThe number of uninsured childless adults with chronic conditions by poverty status5/09Jessica VistnesProvided national estimates derived from MEPS on the number of uninsured childless adults with chronic conditions by poverty status. Descriptive statistics are available upon request.

Requests for data and publications: Please contact Cindy Nunley at cindy.nunley@ahrq.hhs.gov.

Notes: CFACT is Center for Financing, Access, and Cost Trends. CRS is Congressional Research Service. HHS is U.S. Department of Health and Human Services. DMS is Division of Modeling and Simulation. DSER is Division of Social and Economic Research. GAO is U.S. Government Accountability Office. HC is Household Component of MEPS. IC is Insurance Component of MEPS. MEPS is Medical Expenditure Panel Survey. SAMHSA/CMHS is Substance Abuse and Mental Health Services Administration/Center for Mental Health Services. SCHIP is State Children's Health Insurance Program. VA is U.S. Department of Veterans Affairs.

Source: Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality.

Page last reviewed June 2009
Internet Citation: Informing Health Initiatives: Summary of Requests and Assistance Provided, February-May 2009. June 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/policymakers/health-initiatives/summaries/ihisumtab.html