meps health insurance data. health insurance public use files, 2004-2005 meps hc-084: meps hc-084:...

MEPS MEPS

Health Insurance DataHealth Insurance Data

Health InsuranceHealth InsurancePublic Use Files, 2004-2005Public Use Files, 2004-2005

MEPS HC-084: MEPS HC-084: 2005 P9R3/P10R1 Population Characteristics2005 P9R3/P10R1 Population Characteristics

MEPS HC-088: MEPS HC-088: 2004 Person Round Plan Public Use File2004 Person Round Plan Public Use File

MEPS HC-089: MEPS HC-089: 2004 Full Year Consolidated Data File 2004 Full Year Consolidated Data File

MEPS HC-084: 2005 P9R3/P10R1MEPS HC-084: 2005 P9R3/P10R1Health InsuranceHealth Insurance

TRINW13X COV BY TRICARE AT INTERVIEW – TRINW13X COV BY TRICARE AT INTERVIEW – EDITEDEDITED

MCARE13X COV BY MEDICARE – EDITEDMCARE13X COV BY MEDICARE – EDITED

MCAID13X COV BY MEDICAID – EDITEDMCAID13X COV BY MEDICAID – EDITED

OTPUBA13 COV BY/PAYS OTH GOV MCAID HMOOTPUBA13 COV BY/PAYS OTH GOV MCAID HMO

OTPUBB13 COV BY OTH PUBLIC NOT MCAID HMOOTPUBB13 COV BY OTH PUBLIC NOT MCAID HMO

STPRG13 COV BY STATE SPECIFIC PROGRAMSTPRG13 COV BY STATE SPECIFIC PROGRAM

PUB13X COV BY PUBLIC INS - EDITED PUB13X COV BY PUBLIC INS - EDITED


PRIEU13 COV BY PRIV EMPL/UNION PLANPRIEU13 COV BY PRIV EMPL/UNION PLAN PRIDK13 COV BY PRIV DK PLANPRIDK13 COV BY PRIV DK PLAN PRING13 COV BY NONGROUP PLANPRING13 COV BY NONGROUP PLAN PRIOG13 COV BY OTH GROUP PLANPRIOG13 COV BY OTH GROUP PLAN PRIS13 COV BY SELF-EMP-1 INSPRIS13 COV BY SELF-EMP-1 INS PRIOUT13 COV BY HOLDER OUTSIDE RUPRIOUT13 COV BY HOLDER OUTSIDE RU PRIV13 COV BY PRIVATE INS PRIV13 COV BY PRIVATE INS INSRD13X INSURED - EDITED INSRD13X INSURED - EDITED


HPRIEU13 HOLDER OF PRIV EMPL/UNION HPRIEU13 HOLDER OF PRIV EMPL/UNION PLANPLAN

HPRIDK13 HOLDER OF PRIV DK PLANHPRIDK13 HOLDER OF PRIV DK PLAN HPRING13 HOLDER OF NONGROUP HPRING13 HOLDER OF NONGROUP

PLANPLAN HPRIOG13 HOLDER OF OTH GROUP HPRIOG13 HOLDER OF OTH GROUP

PLANPLAN HPRIS13 HOLDER OF SELF-EMP-1 INSHPRIS13 HOLDER OF SELF-EMP-1 INS

HPRIV13 HOLDER OF PRIV INS PLANHPRIV13 HOLDER OF PRIV INS PLAN

MEPS HC-088: 2004 Person Round MEPS HC-088: 2004 Person Round Plan Public Use File (PRPL)Plan Public Use File (PRPL)

The PRPL file is designed to reflect the The PRPL file is designed to reflect the sometimes complex and dynamic sometimes complex and dynamic relationships between people and their private relationships between people and their private insurance.insurance.

The PRPL file contains records for persons The PRPL file contains records for persons with private insurance providing with private insurance providing hospital/physician, medigap, dental, vision, or hospital/physician, medigap, dental, vision, or prescription medication coverage prescription medication coverage

The PRPL file contains variables pertaining to The PRPL file contains variables pertaining to managed care and satisfaction with plan managed care and satisfaction with plan coverage. coverage.

Questions on out of pocket premiums were Questions on out of pocket premiums were asked of all policyholders (starting in 2001) asked of all policyholders (starting in 2001) with private insurance coverage.with private insurance coverage.

Covered Person:Policyholder or Dependent

Enrollment at Time of Interview or End of Year

Interview Round

Policyholder

Links to policyholder’s Job at Establishment(Employment-Based Insurance Only)

Establishment Providing Insurance:Type of Establishment

Types CoverageOut-of-Pocket Premiums

Plan(Hospital/Physician and Medigap Only):

Managed CareFamily Satisfaction with Plan (rounds 2 & 4)

Conceptual Overview of PRPL File

MEPS HC-089: 2004 Full Year MEPS HC-089: 2004 Full Year Consolidated Data File Consolidated Data File

Month by month indicatorsMonth by month indicatorsPublicPublic TRIJA04X-TRIDE04X - TRICARE TRIJA04X-TRIDE04X - TRICARE MCRJA01X-MCRDE04X - MedicareMCRJA01X-MCRDE04X - Medicare MCDJA01X-MCDDE04X - Medicaid/SCHIPMCDJA01X-MCDDE04X - Medicaid/SCHIP OPAJA04-OPADE04 - managed care, other public OPAJA04-OPADE04 - managed care, other public

insuranceinsurance OPBJA04 - OPBDE04 - not managed care, other public OPBJA04 - OPBDE04 - not managed care, other public

insuranceinsurance STAJA04-STADE04 - state-specific program participation STAJA04-STADE04 - state-specific program participation

PUBJA04X-PUBDE04X - indicates pubic insurance in PUBJA04X-PUBDE04X - indicates pubic insurance in month month


Month by month indicatorsMonth by month indicatorsPrivatePrivate PEGJA04-PEGDE04 - employer/union group insurancePEGJA04-PEGDE04 - employer/union group insurance PNGJA04-PNGDE04 - non-group private insurancePNGJA04-PNGDE04 - non-group private insurance POGJA04-POGDE04 - other group private insurancePOGJA04-POGDE04 - other group private insurance PDKJA04-PDKDE04 - don't know source of insurancePDKJA04-PDKDE04 - don't know source of insurance POUJA04-POUDE04 - policy holder is outside the POUJA04-POUDE04 - policy holder is outside the

householdhousehold PRSJA04-PRSDE04 - self-employed with firm size of 1PRSJA04-PRSDE04 - self-employed with firm size of 1 PRIJA04-PRIDE04 - indicates private insurance in monthPRIJA04-PRIDE04 - indicates private insurance in month

Policy Holders (repeat of Private) "H"Policy Holders (repeat of Private) "H"


Month by month indicatorsMonth by month indicatorsSummary variablesSummary variables PUBJA04X-PUBDE04X - indicates pubic PUBJA04X-PUBDE04X - indicates pubic

insurance in month insurance in month PRIJA04-PRIDE04 - indicates private PRIJA04-PRIDE04 - indicates private

insurance in monthinsurance in month INSJA04X-INSDE04X - indicates any INSJA04X-INSDE04X - indicates any

insurance in monthinsurance in month UNINS04 – uninsured all of 04UNINS04 – uninsured all of 04 INSCOV04 – health insurance indicator 04INSCOV04 – health insurance indicator 04


INSCOV04INSCOV04 1 = Any Private during 20041 = Any Private during 2004 2= Public Only during 20042= Public Only during 2004 3 = Uninsured all of 20043 = Uninsured all of 2004


Managed CareManaged Care Medicaid or SCHIP HMOMedicaid or SCHIP HMO Medicaid/SCHIP Gatekeeper PlansMedicaid/SCHIP Gatekeeper Plans

Private HMOsPrivate HMOs Private HMO Plans that Pay for Visits to Non-Plan Private HMO Plans that Pay for Visits to Non-Plan

DoctorsDoctors Private Gatekeeper PlansPrivate Gatekeeper Plans Private Gatekeeper Plans that Pay for Visits to Non-Private Gatekeeper Plans that Pay for Visits to Non-

Plan DoctorsPlan Doctors Private Plan that has a Book or List of DoctorsPrivate Plan that has a Book or List of Doctors Private Plan that has a Book or List of Doctor that Private Plan that has a Book or List of Doctor that

Pays for Non-Plan VisitsPays for Non-Plan Visits


Summary variables (ever covered during year)Summary variables (ever covered during year) TRIEV04 - ever covered by TRICARETRIEV04 - ever covered by TRICARE MCREV04 - ever covered by MedicareMCREV04 - ever covered by Medicare MCDEV04 - ever covered by MedicaidMCDEV04 - ever covered by Medicaid OPAEV04 - ever covered managed care, other OPAEV04 - ever covered managed care, other

public insurance public insurance OPBEV04 - ever covered not managed care, OPBEV04 - ever covered not managed care,

other public insuranceother public insurance PRVEV04 - ever covered by private health PRVEV04 - ever covered by private health

insuranceinsurance


DENTIN31/42/53 – round specific variablesDENTIN31/42/53 – round specific variablesIndicates covered by a private health insurance Indicates covered by a private health insurance

plan that included at least some dental plan that included at least some dental coveragecoverage

PMEDIN31/42/53 – round specific variablesPMEDIN31/42/53 – round specific variablesIndicates covered by a private health insurance Indicates covered by a private health insurance

plan that included at least some dental plan that included at least some dental coveragecoverage

MEPS-IC SurveyMEPS-IC Survey

Nationwide, annual survey of both private Nationwide, annual survey of both private and public sector establishments and public sector establishments

Funded by the Agency for Healthcare Funded by the Agency for Healthcare Research and Quality (AHRQ)Research and Quality (AHRQ)

Conducted by the U.S. Census BureauConducted by the U.S. Census Bureau Survey data available for 1996 through 2004Survey data available for 1996 through 2004

Types of Information Types of Information CollectedCollected

Establishment-level (location) Establishment-level (location) characteristicscharacteristics

Health insurance plan characteristicsHealth insurance plan characteristics Firm-level (company) characteristicsFirm-level (company) characteristics

Establishment-level Establishment-level (Location) Characteristics(Location) Characteristics

Number of active employees Number of active employees Whether or not establishment offers health insuranceWhether or not establishment offers health insurance Number of plans offered Number of plans offered Number of employees eligible for health insurance and Number of employees eligible for health insurance and

number enrolled (full-time and part-time employees number enrolled (full-time and part-time employees separately).separately).

Workforce characteristics (% women, union, over 50 years Workforce characteristics (% women, union, over 50 years old, by wage level)old, by wage level)

Health Insurance Plan Health Insurance Plan CharacteristicsCharacteristics

Premiums (single, employee plus one, family)Premiums (single, employee plus one, family) ContributionsContributions Plan types (by type of provider arrangement)Plan types (by type of provider arrangement) Self-Insured / Fully-InsuredSelf-Insured / Fully-Insured Enrollments (single/family coverage) Enrollments (single/family coverage) Deductibles / CopaymentsDeductibles / Copayments Some plan benefits Some plan benefits ““Fringe” benefitsFringe” benefits

Firm (Company) Firm (Company) CharacteristicsCharacteristics

SizeSize IndustryIndustry AgeAge Retiree offeringsRetiree offerings Employee characteristics Employee characteristics

MEPS-IC Survey SamplesMEPS-IC Survey Samples

There are two distinct samples of There are two distinct samples of establishments collected in the MEPS-IC establishments collected in the MEPS-IC survey.survey.

List sampleList sample Link sampleLink sample

MEPS-IC List SampleMEPS-IC List Sample

Sample of private establishments drawn from the Sample of private establishments drawn from the Census Bureau’s Business RegisterCensus Bureau’s Business Register– Approximately 38,000+ establishments sampledApproximately 38,000+ establishments sampled

Sample of state and local governments drawn Sample of state and local governments drawn from the Census Bureau’s Census of from the Census Bureau’s Census of GovernmentsGovernments– Approximately 1,700 governmental units sampledApproximately 1,700 governmental units sampled

MEPS-IC List SampleMEPS-IC List Sample

Designed to make National and State Designed to make National and State estimatesestimates

Designed to make year-to-year estimatesDesigned to make year-to-year estimates Data is Census Bureau Confidential - can Data is Census Bureau Confidential - can

not be used to produce Public Use Filesnot be used to produce Public Use Files Methodology Reports available on websiteMethodology Reports available on website

MEPS-IC Link SampleMEPS-IC Link Sample

All current main employers of MEPS-HC respondentsAll current main employers of MEPS-HC respondents Other employer-based sources of health insurance Other employer-based sources of health insurance

identified by MEPS-HC respondentsidentified by MEPS-HC respondents Employers serve as pEmployers serve as proxy respondents for the roxy respondents for the

household sample regarding health insurance household sample regarding health insurance offeringsofferings

Most recent MEPS-IC link sample year is 2001Most recent MEPS-IC link sample year is 2001

meps health insurance data. health insurance public use files, 2004-2005 meps hc-084: meps hc-084:...

Documents

nongroup plan priog13

nongroup plan pring13

plan coverage

ins priout13 cov

ins pris13 cov

priv dk plan pridk13

priv dk plan pring13

oth group plan priog13