In 1977 the average American spent $755 per year on health care,
most physicians functioned as independent practitioners, and only
5.6 million people under the age of 65 were enrolled in HMOs.
Twenty years later, per capita expenditures had more than tripled,
most physicians practiced within a managed care environment, and
HMO enrollment stood at 62 million. Keeping pace with these and
other changes in the U.S. health system has been the job of the
National Medical Expenditure Surveys (NMES). Since they were first
started in the 1970s, these federal government surveys have defined
our basic understanding of how individuals and families use and pay
for America's health care systems and have directly influenced
national policy changes, health care reform, and cost-control
strategies.
Informing American Health Care Policy is the definitive resource
that analyzes the overall effect of the National Medical
Expenditure Surveys. This important edited collection is written by
an outstanding panel of experts from a variety of disciplines and
includes contributions from nationally known economists,
sociologists, and survey researchers. Rich in insights and lessons
learned, Informing American Health Care Policy
Offers a critical assessment and a discerning overview of NMES'
outcomes
Describes how the design strategies and methods evolved over the
past two decades
Provides a detailed discussion about the collection of a wide
range of data on health insurance and employment status
Addresses troublesome issues in defining and measuring access in
vulnerable populations
Summarizes the multiple and complex issues of survey design,
population sampling, and analytical method
Demonstrates the indispensability of NMES data in the health
reform debates
The contributors examine how the current health care environment
reflects the successes and failures of previous research and makes
recommendations on how to adapt survey research to be more
effective in the future.
The Important Lessons Learned from the National Medical
Expenditure Surveys
Informing American Health Care Policy provides a critical
perspective on the National Medical Expenditure Surveys (NMES) and
how these surveys have responded to the sometimes conflicting
challenges of policy and research. Sponsored by the Agency for
Health Care Policy and Research and written by a stellar panel of
interdisciplinary experts including contributions from nationally
known economists, sociologists, and survey researchers, this
essential resource is filled with lessons learned and emerging
strategies for the future.
"I enjoyed reading this book. Thanks to the major investment in
health expenditure and insurance surveys and the increasingly
sophisticated analytic capacity described in this volume, policy
officials now have a much more precise and up-to-date understanding
of the implications of policy choices."--Karen Davis, president,
The Commonwealth Fund; developed President Carter's 1977 national
health reform proposal
"In this important book, the lead researchers associated with
NMES describe the development of this rich data source and, in a
series of well-crafted papers, illustrate the use of these data in
informing major areas of health policy. It is a must read for
anyone interested in American health policy-especially for younger
professionals entering this growing field."--Uwe E.Reinhardt, James
Madison Professor of Political Economy, Princeton University
"National health expenditure surveys have provided policymakers
with the information they need to make informed decisions. This
volume tells us about the evolution and contributions of the
federal government's most ambitious health care survey. I recommend
it for those interested in improving the quality of data available
to those who formulate policy."--John K. Iglehart, founding editor,
Health Affairs
"Thoughtful and informed reflections on the lessons learned by
NMES. Provides sound guidance and procedures required to address
the enduring policy questions of Who's covered? Who pays?, and How
much? in the emerging U.S. health care environment of the
future."--Lu Ann Aday, professor of behavioral sciences and
management and policy sciences, the University of Texas School of
Public Health; and author, Designing and Conducting Health Surveys,
Fourth Edition
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