Panel on Measuring Medical Care Risk in Conjunction with the New Supplemental Income Poverty Measure's Books

Medical Care Economic Risk

Measuring Financial Vulnerability from Spending on Medical Care

By: National Research Council,Institute of Medicine,Board on Health Care Services,Division of Behavioral and Social Sciences and Education,Committee on National Statistics,Panel on Measuring Medical Care Risk in Conjunction with the New Supplemental Income Poverty Measure

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Medical Care Economic Risk

Measuring Financial Vulnerability from Spending on Medical Care

The United States has seen major advances in medical care during the past decades, but access to care at an affordable cost is not universal. Many Americans lack health care insurance of any kind, and many others with insurance are nonetheless exposed to financial risk because of high premiums, deductibles, co-pays, limits on insurance payments, and uncovered services. One might expect that the U.S. poverty measure would capture these financial effects and trends in them over time. Yet the current official poverty measure developed in the early 1960s does not take into account significant increases and variations in medical care costs, insurance coverage, out-of-pocket spending, and the financial burden imposed on families and individuals. Although medical costs consume a growing share of family and national income and studies regularly document high rates of medical financial stress and debt, the current poverty measure does not capture the consequences for families' economic security or their income available for other basic needs. In 1995, a panel of the National Research Council (NRC) recommended a new poverty measure, which compares families' disposable income to poverty thresholds based on current spending for food, clothing, shelter, utilities, and a little more. The panel's recommendations stimulated extensive collaborative research involving several government agencies on experimental poverty measures that led to a new research Supplemental Poverty Measure (SPM), which the U.S. Census Bureau first published in November 2011 and will update annually. Analyses of the effects of including and excluding certain factors from the new SPM showed that, were it not for the cost that families incurred for premiums and other medical expenses not covered by health insurance, 10 million fewer people would have been poor according to the SPM. The implementation of the patient Protection and Affordable Care Act (ACA) provides a strong impetus to think rigorously about ways to measure medical care economic burden and risk, which is the basis for Medical Care Economic Risk. As new policies - whether part of the ACA or other policies - are implemented that seek to expand and improve health insurance coverage and to protect against the high costs of medical care relative to income, such measures will be important to assess the effects of policy changes in both the short and long term on the extent of financial burden and risk for the population, which are explained in this report.

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245

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National Academies Press

Published Date

ISBN 10

0309266076

ISBN 13

9780309266079

Using American Community Survey Data to Expand Access to the School Meals Programs

By: National Research Council,Division of Behavioral and Social Sciences and Education,Committee on National Statistics,Panel on Estimating Children Eligible for School Nutrition Programs Using the American Community Survey

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Using American Community Survey Data to Expand Access to the School Meals Programs

The National School Lunch and School Breakfast Programs, administered by the Food and Nutrition Service (FNS) of the U.S. Department of Agriculture (USDA), are key components of the nation's food security safety net, providing free or low-cost meals to millions of schoolchildren each day. To qualify their children each year for free or reduced-price meals, many families must submit applications that school officials distribute and review. To reduce this burden on families and schools and to encourage more children to partake of nutritious meals, USDA regulations allow school districts to operate their meals programs under special provisions that eliminate the application process and other administrative procedures in exchange for providing free meals to all students enrolled in one or more school in a district. FNS asked the National Academies' Committee on National Statistics and Food and Nutrition Board to convene a panel of experts to investigate the technical and operational feasibility of using data from the continuous American Community Survey (ACS) to estimate students eligible for free and reduced-price meals for schools and school districts. The ACS eligibility estimates would be used to develop "claiming percentages" that, if sufficiently accurate, would determine the USDA reimbursements to districts for schools that provided free meals to all students under a new special provision that eliminated the ongoing base-year requirements of current provisions. Using American Community Survey Data to Expand Access to the School Meals Program was conducted in two phases. It first issued an interim report (National Research Council, 2010), describing its planned approach for assessing the utility of ACS-based estimates for a special provision to expand access to free school meals. This report is the final phase which presents the panel's findings and recommendations.

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383

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National Academies Press

Published Date

ISBN 10

0309257204

ISBN 13

9780309257206

Medical Care Economic Risk

Measuring Financial Vulnerability from Spending on Medical Care

Write a review Read reviews Take a Quiz Solve Book Puzzle

Medical Care Economic Risk

Measuring Financial Vulnerability from Spending on Medical Care

Average ratings

N/A

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Solve jigsaw puzzle

Age

Page Count

245

Publisher

National Academies Press

Published Date

ISBN 10

0309266076

ISBN 13

9780309266079

Book's by Panel on Measuring Medical Care Risk in Conjunction with the New Supplemental Income Poverty Measure

Medical Care Economic Risk

Medical Care Economic Risk

Using American Community Survey Data to Expand Access to the School Meals Programs

Using American Community Survey Data to Expand Access to the School Meals Programs

Medical Care Economic Risk

Medical Care Economic Risk

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