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

Sarah K. Meier ()
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Sarah K. Meier: Manatt Health, Postal: 1050 Connecticut Avenue NW, Suite 600, Washington, DC 20036, USA.

Journal of Economic and Social Measurement, 2016, issue 3, 289-305

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.

Keywords: Heath insurance; health expenditures; poverty; health reform (search for similar items in EconPapers)
JEL-codes: A13 (search for similar items in EconPapers)
Date: 2016
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Citations: View citations in EconPapers (3)

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Persistent link: https://EconPapers.repec.org/RePEc:ris:iosjes:0059

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