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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. 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.
    3. 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.

    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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