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

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