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Examining risk classification strategies for the development of a measure of medical care economic risk in the United States

Author

Listed:
  • Meier, Sarah K.

    (Manatt Health)

Abstract

In a 1995 the National Research Council released a report that critically examined poverty measurement in the United States and recommended the development of a measure of medical expenditure related economic risk; a 2012 report continued support for such a measure. This study uses the Medical Expenditure Panel Survey to examine two alternative strategies for classifying individual-level risk for purposes of developing a loss modeling-based measure of medical care economic risk (MCER). Examining the use of self-perceived health and a DxCG risk score to classify individuals into five levels of risk, the study finds substantial differences in cell-level classification and attributed expenditure risk based on these two strategies. It is suggested that future work in this field move forward with the use of a risk score classification strategy to operationalize the MCER measure.

Suggested Citation

  • Meier, Sarah K., 2016. "Examining risk classification strategies for the development of a measure of medical care economic risk in the United States," Journal of Economic and Social Measurement, IOS Press, issue 3, pages 289-305.
    • Handle: RePEc:ris:iosjes:0059
    as

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    Citations

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    Cited by:

    1. Naomi Zewde, 2020. "The individual welfare effects of the Affordable Care Act for previously uninsured adults," International Journal of Health Economics and Management, Springer, vol. 20(2), pages 121-143, June.
    2. Sanders Korenman & Dahlia K. Remler & Rosemary T. Hyson, 2019. "Accounting for the Impact of Medicaid on Child Poverty," NBER Working Papers 25973, National Bureau of Economic Research, Inc.
    3. Naomi Zewde, 2021. "Did Marketplace coverage really offer financial protection? Financial gains from the Affordable Care Act's private insurance policies among the previously uninsured," Journal of Risk & Insurance, The American Risk and Insurance Association, vol. 88(2), pages 413-427, June.

    More about this item

    Keywords

    Heath insurance; health expenditures; poverty; health reform;
    All these keywords.

    JEL classification:

    • A13 - General Economics and Teaching - - General Economics - - - Relation of Economics to Social Values

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