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Medical Expenditures Panel Survey - Insurance Component (MEPS-IC)
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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. MEPS currently has two major components: the Household Component and the Insurance Component. The MEPS Insurance Component (MEPS-IC) collects data on health insurance plans obtained through employers. Data collected include the number and type of private insurance plans offered, benefits associated with these plans, premiums, contributions by employers and employees, eligibility requirements, and employer characteristics. Use of this dataset requires approval from the Agency for Healthcare Research and Quality. The Census Bureau will coordinate all additional necessary reviews.
The project review timeframes above do not apply to applications that request access to confidential data assets commingled with data that are either not owned, or are only co-owned, by the statistical agency(s) or unit(s) and require approval from third parties not subject to this policy (e.g., state and local government agencies).
Detailed Methodology
The list sample is a nationally representative random sample of private establishments and governments. The private business sample is selected from the Business Register. Governments are selected from the Governments Integrated Directory (GID), a list of state and local government units maintained by the Census Bureau's Bureau's Economic Reimbursable Surveys Division. The list of private establishments is stratified by state, and then by classes defined by establishment and enterprise employment. Sample sizes within strata are set so that strata that account for large shares of employment had relatively large sample sizes, though sample shares rise less than proportionately with employment. Sample sizes within strata are set to provide large enough samples to estimate totals for employees working in 40 states, as well as enough sample in the other states to provide estimates for the nation as a whole. There are 31 states for which sample sizes are adequate for state estimates in each year. The other twenty states receive a smaller sample allocation on a rotational basis. In any given year, 9 of those 20 have large enough samples to support state level estimates, while the remaining 11 have smaller samples. For more see https://meps.ahrq.gov/mepsweb/survey_comp/ic_data_collection.jsp.
The MEPS-IC uses multiple data collection methods. Establishments (and governmental units) are initially screened by telephone to confirm their mailing addresses and to establish a point-of-contact with a knowledgeable respondent. If an establishment does not offer health insurance to any of its employees, the noninsurance questions about establishment and firm characteristics are asked at that time, thus completing the survey by telephone.
Establishments that offer health insurance and those that do not respond to the telephone screening are mailed survey questionnaires. The mailing consists of an establishment-level questionnaire and separate questionnaires for the health insurance plans offered. A second mailing is sent if a response to the first mailing is not received within a three-week period. If the establishment does not return either mailing, it is called and interviewed over the telephone. A computer-assisted telephone interview questionnaire is used at this stage to conduct the interview and enter the establishment’s responses directly into a database. Large companies and governments are occasionally interviewed in person due to the large amount of data being requested of them.For more see https://meps.ahrq.gov/mepsweb/survey_comp/ic_data_collection.jsp
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