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Linking Administrative and Survey Data for Health Policy Research in the US: The case of the 'Medicaid Undercount'

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Presentation by Michael Davern at the Exploiting Existing Data for Health Research meeting in St. Andrews, Scotland, September 18 2007.

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Linking Administrative and Survey Data for Health Policy Research in the US: The case of the 'Medicaid Undercount' Exploiting Existing Data for Health Research Saint Andrews, Scotland September 18, 2007 Michael Davern, Ph.D. Assistant Professor, Research Director SHADAC, Health Policy & Management University of Minnesota Supported by a grant from The Robert Wood Johnson Foundation and the Office of the Assistant Secretary for Planning and Evaluation
“ SNACC” Project collaborators and co-authors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
US Health Insurance and the Medicaid Undercount ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Extent of the Medicaid undercount ? ,[object Object],[object Object],[object Object]
0.80- 1.03 0.73 - 0.79 0.65- 0.72 0.58 - 0.64 0.50 - 0.57 0.32 - 0.49 Ages 0-64 The Current Population Survey Estimate of the Number Enrolled in Medicaid Divided by the Adjusted MSIS Number of Medicaid Enrollees Ages 0-64 2000
Why do we care? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What could explain the undercount? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Building a common ‘linked universe’ Group quarters, not a valid ID for linking, in two states Not a valid ID for linking, born In linkable CPS and MSIS universe Medicaid Enrollees in Survey Sample Frame MSIS Medicaid Enrollees
The Basic Table
Fitting the MSIS and CPS records into the “linkable universe” ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Universe Issues Explain Part of the Undercount but not all ,[object Object],[object Object]
The linked Survey and Medicaid data for Survey Response Error ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What factors are associated with measurement accuracy/error? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Work remaining to be done ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Work to be done, continued ,[object Object],[object Object],[object Object],[object Object]
Conclusions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SHADAC contact information www.shadac.org State Health Access Data Assistance Center University of Minnesota 2221 University Avenue, Suite 345 Minneapolis Minnesota 55414 (612) 624-4802 [email_address]

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Linking Administrative and Survey Data for Health Policy Research in the US: The case of the 'Medicaid Undercount'

  • 1. Linking Administrative and Survey Data for Health Policy Research in the US: The case of the 'Medicaid Undercount' Exploiting Existing Data for Health Research Saint Andrews, Scotland September 18, 2007 Michael Davern, Ph.D. Assistant Professor, Research Director SHADAC, Health Policy & Management University of Minnesota Supported by a grant from The Robert Wood Johnson Foundation and the Office of the Assistant Secretary for Planning and Evaluation
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  • 5. 0.80- 1.03 0.73 - 0.79 0.65- 0.72 0.58 - 0.64 0.50 - 0.57 0.32 - 0.49 Ages 0-64 The Current Population Survey Estimate of the Number Enrolled in Medicaid Divided by the Adjusted MSIS Number of Medicaid Enrollees Ages 0-64 2000
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  • 8. Building a common ‘linked universe’ Group quarters, not a valid ID for linking, in two states Not a valid ID for linking, born In linkable CPS and MSIS universe Medicaid Enrollees in Survey Sample Frame MSIS Medicaid Enrollees
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  • 17. SHADAC contact information www.shadac.org State Health Access Data Assistance Center University of Minnesota 2221 University Avenue, Suite 345 Minneapolis Minnesota 55414 (612) 624-4802 [email_address]