Medical Expenditure Panel Survey
The following is a point of information for healthcare statistics.
The Medical Expenditure Panel Survey, which began in 1996, is a set of large-scale surveys of families and individuals, their medical providers (doctors, hospitals, pharmacies, etc.), and employers across the United States. MEPS collects data on the specific health services that Americans use, how frequently they use them, the cost of these services, and how they are paid for, as well as data on the cost, scope, and breadth of health insurance held by and available to U.S. workers.
Major MEPS Components
MEPS currently has two major components: the Household Component and the Insurance Component. The Household Component provides data from individual households and their members, which is supplemented by data from their medical providers. The Insurance Component is a separate survey of employers that provides data on employer-based health insurance.
The Household Component (HC) collects data from a sample of families and individuals in selected communities across the United States, drawn from a nationally representative subsample of households that participated in the prior year’s National Health Interview Survey (conducted by the National Center for Health Statistics).
During the household interviews, MEPS collects detailed information for each person in the household on the following: demographic characteristics, health conditions, health status, use of medical services, charges and source of payments, access to care, satisfaction with care, health insurance coverage, income, and employment.
The panel design of the survey, which features several rounds of interviewing covering two full calendar years, makes it possible to determine how changes in respondents’ health status, income, employment, eligibility for public and private insurance coverage, use of services, and payment for care are related.
The HC expenditures have been projected to future years by selected demographic characteristics by source of payment and type of service.
HC data are available on the MEPS Web site in data tables, downloadable data files (person, job, event, or condition level), projected expenditures through 2008, and interactive data tools, as well as in publications using HC data.
The Insurance Component (IC) collects data from a sample of private and public sector employers on the health insurance plans they offer their employees. The survey is also known as the Health Insurance Cost Study.
The collected data include the number and types of private insurance plans offered (if any), premiums, contributions by employers and employees, eligibility requirements, benefits associated with these plans, and employer characteristics.
IC estimates are available on the MEPS Web site in tabular form for national, regional, state, and metropolitan areas, as well as in publications using IC data and interactive data tools. IC data files are not available for public release.
Other MEPS Components
MEPS also includes a Medical Provider Component (MPC), which covers hospitals, physicians, home health care providers, and pharmacies identified by MEPS-HC respondents. Its purpose is to supplement and/or replace information received from the MEPS-HC respondents.
Data files containing only this supplemental respondent information are not available, but the information is incorporated into the MEPS-HC data files.
In 1996 only, MEPS included a Nursing Home Component (NHC) that gathered information from a sample of nursing homes and residents nationwide on the characteristics of the facilities and services offered; expenditures and sources of payment on an individual resident level; and resident characteristics, including functional limitation, cognitive impairment, age, income, and insurance coverage. The NHC also collected data on the availability and use of community-based care prior to admission to nursing homes. For reasons of confidentiality, NHC data are available only at the Data Center located at AHRQ or one of the Census Bureau’s Research Data Centers.
The National Center for Health Statistics (NCHS) provides information on the NCHS National Nursing Home Survey (NNHS), a continuing series of national sample surveys of nursing homes, their residents, and their staff that have been conducted in 1973–74, 1977, 1985, 1995, 1997, and 1999.