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. 2006 Fall;28(1):25-40.

Reconciling medical expenditure estimates from the MEPS and NHEA, 2002

Merrile Sing  1 , Jessica S Banthin, Thomas M Selden, Cathy A Cowan, Sean P Keehan
Affiliations

Reconciling medical expenditure estimates from the MEPS and NHEA, 2002

Merrile Sing et al. Health Care Financ Rev. 2006 Fall.

Abstract

The Medical Expenditure Panel Survey (MEPS) and National Health Expenditure Accounts (NHEA) are often used for health care policy analysis and simulations because they contain comprehensive estimates of national health care expenditures. The NHEA are primarily based on aggregate provider revenue data, while MEPS is based on person-level data on health care expenditures. This article compares MEPS and NHEA expenditure estimates for 2002 and discusses the differences. When MEPS and the NHEA are adjusted to be on a consistent basis, their expenditure estimates differ by 13.8 percent.

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Figures

Figure 1
Figure 1. Annual Nominal Growth Rates in Partially-Adjusted National Health Expenditure Accounts (NHEA) and Medical Expenditure Panel Survey (MEPS)1: 1996-2003
1 Based on a simplified, but consistently-applied reconciliation of out of pocket, private health insurance, Medicare, and Medicaid payments in NHEA and MEPS. SOURCES: Calculations based on the MEPS, NHEA, and other data sources, 1996-2003.
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References

    1. Agency for Healthcare Research and Quality. Full Year Consolidated Data File (HC-070) 2004 Dec; Medical Expenditure Panel Survey Household Component Data Generated Using MEPSnet/HC. Internet address: http://www.meps.ahrq.gov (Accessed 2006.)
    1. American Hospital Association. Chicago, IL.: 2002. Annual Survey. Internet address: http://www.aha.org (Accessed 2006.)
    1. Banthin JS, Sing M. How Medicaid Enrollment Estimates from MEPS Compare with Administrative Totals. Agency for Healthcare Research and Quality; Rockville, MD.: 2006. Working paper.
    1. Burgess J. Management Science Group, personal communication. U.S. Department of Veterans Affairs; Sep, 2005.
    1. Centers for Medicare & Medicaid Services. Office of the Actuary; Jan, 2006. National Health Expenditure Accounts: Definitions, Sources, and Methods Used in the NHEA, 2004. Internet Address: http://new.cms.hhs.gov/NationalHealthExpendData/ (Accessed 2006.)

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