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A 21st Century Data Strategy for Health and Health Care Surveys

A 21st Century Data Strategy for Health and Health Care Surveys. Sherry Glied, Ph.D. Assistant Secretary for Planning and Evaluation. Current Portfolio. HHS currently supports 9 major surveys Portfolio includes household, provider, and establishment-based surveys

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A 21st Century Data Strategy for Health and Health Care Surveys

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  1. A 21st Century Data Strategy for Health and Health Care Surveys Sherry Glied, Ph.D. Assistant Secretary for Planning and Evaluation

  2. Current Portfolio • HHS currently supports 9 major surveys • Portfolio includes household, provider, and establishment-based surveys • Several household surveys are integrated • Certain surveys are linked to Medicare claims data • Some surveys provide state-level data

  3. Surveys and Health Reform • Baseline • Transform health care financing system • Immutable characteristics • Behavioral parameters • Simulation models • CBO – SIPP + MEPS • Others – MEPS only; CPS+MEPS; CPS+NHIS  surveys

  4. What was Missing? • Health reform models retain ESI • Nested units – employer decision making • Employer + employee • Simulated firms methodologies • MEPS – IC component • BLS data on compensation

  5. ACA: Opportunities & Challenges • Coverage reform • Layered system – Medicaid expansions, Exchanges, Large Employers, Medicare • Provider initiatives • Medicare ACOs, bundled payments • Private sector response

  6. New Data Availability • Claims data • Electronic health records data • HMO Networks • Coverage information via personal responsibility requirements

  7. Monitoring Health Reform: I • Context of ACA: Unit of analysis • Person – SES attributes • Family/Household – Coverage varies • Employer/Family/Person – decision process • Providers – characteristics

  8. Monitoring Health Reform II • Transitions • Coverage • Newly insured • Within system • Utilization patterns • Transitions by providers

  9. An Illustration

  10. Monitoring Health Reform III • Policy relevant unit • State level exchanges • Sub-state level health plans • Local provider organizations

  11. Monitoring Health Reform • Population-based Household Surveys • Health Care Providers Surveys • Data on health plans • Employer/Employee Surveys

  12. Monitoring Health Reform • Federal-State Efforts • Race and Ethnicity Data • Key subpopulations • Transitions into Medicaid/exchanges • Personal responsibility requirements

  13. Sherry Glied, Ph.D. Assistant Secretary for Planning and Evaluation U.S. Department of Health and Human Services Sherry.Glied@hhs.gov 202-690-7858 http://www.aspe.hhs.gov

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