Major Areas of Health Research Major Areas of Health Research Topics Using MEPS DataTopics Using MEPS Data

AccessAccess UseUse ExpendituresExpenditures Health insuranceHealth insurance Health status and conditionsHealth status and conditions QualityQuality

Access

Individuals age 18 to 64 with no usual source of Individuals age 18 to 64 with no usual source of care, by health insurance status, 2002care, by health insurance status, 2002

Per

cen

t

23.2 22.619.5

15.320.1

42.2

29.8

60.3

0

25

50

75

Overall Any private Public only Uninsured

Women Men

Percent distribution of usual source of care by race/ethnicity, 2002

Health insurance status of the U.S. civilian Health insurance status of the U.S. civilian noninstitutionalized population, age noninstitutionalized population, age

18 to 64, 200218 to 64, 2002P

erce

nt

17.8

76.1

10.313.6

6.4

75.8

0

20

40

60

80

Any private Public only Uninsured

Women Men

Health Insurance

MEPS, 1996MEPS, 1996––2004:2004: Percentage of children under Percentage of children under age 18, by all-year insurance statusage 18, by all-year insurance status

58.8 58.861.260.358.3 57.0 56.3 55.7 54.0

18.017.416.2 16.9 16.4 20.423.3 23.8 25.6

10.4 10.4 9.4 7.7 9.1 8.2 7.3 6.6 6.70

10

20

30

40

50

60

70

1996 1997 1998 1999 2000 2001 2002 2003 2004

Private Public only Uninsured

Per

cen

t

Source: Center for Financing, Access, and Cost Trends, AHRQ, Household Component of the Medical Expenditure Panel Survey, 1996–2004 Full-Year Files

MEPS, 1996MEPS, 1996––2004: Number of children under 2004: Number of children under age 18, by all-year insurance statusage 18, by all-year insurance status

37.438.638.939.439.7 41.4 42.0 40.439.8

17.716.516.114.1

11.311.610.9 11.8 12.4

4.74.65.15.66.35.36.57.17.00

10

20

30

40

1996 1997 1998 1999 2000 2001 2002 2003 2004

Private Public only Uninsured

Nu

mb

er i

n m

illi

on

s

Source: Center for Financing, Access, and Cost Trends, AHRQ, Household Component of the Medical Expenditure Panel Survey, 1996–2004 Full-Year Files

Percentage uninsured by age, Percentage uninsured by age, U.S. civilian noninstitutionalized population U.S. civilian noninstitutionalized population

under age 65, 2001under age 65, 2001––20042004

31.2

23.1

55.1

47.1

35.4

28.6

21.8

9.211.113.6

15.718.0

4.5

10.36.57.48.310.4

10.8

2.66.6

0

10

20

30

40

50

60

Total Under 18 18-24 25-29 30-34 35-54 55-64

Uninsured at least 1 month, 2003-04 Uninsured 2 years, 2003-04 Uninsured 4 years, 2001-04

Per

cen

t

Use

Percent of the U.S. civilian noninstitutionalized Percent of the U.S. civilian noninstitutionalized population with an expense, by type of service, 2003population with an expense, by type of service, 2003

20.0

85.6

13.32.0

16.9

42.7

64.472.3

7.4

0

30

60

90

Any expense Hospitalinpatientservices

Office-basedmedicalprovider

Prescriptionmedicines

Dentalservices

Hospitaloutpatientservices

Home healthcare

Emergencyroom

services

Other medicalservices andequipment

Per

cen

t

Percentage of children 0 to 4 years old that had at least Percentage of children 0 to 4 years old that had at least one antibiotic prescription during the year, 1996 to 2000one antibiotic prescription during the year, 1996 to 2000

47.9

38.140.041.4

44.3 44.8

50.5

54.7

47.7

46.1

35

40

45

50

55

60

1996 1997 1998 1999 2000

All children 0-4Children 0-4 with an ambulatory care visit

Per

cen

t

Percentage of adults age 18 and over Percentage of adults age 18 and over reported to have health service use* for headaches, reported to have health service use* for headaches,

by age and sex, average annual, 2002-03by age and sex, average annual, 2002-03

4.5

1.9 1.6

5.3

3.43.5

0

2

4

6

8

Overall 18-44 45-64 65+ Male Female

Per

cen

t

Age

* Health service use includes ambulatory visits and/or prescription drug purchases for migraines or other

headaches.

Sex

Expenditures

Mean expense per person with expenses in the U.S. Mean expense per person with expenses in the U.S. civilian noninstitutionalized population, civilian noninstitutionalized population,

by type of service, 2003by type of service, 2003

334

3,601

756

4,819

1,790540950860

14,112

0

3,000

6,000

9,000

12,000

15,000

Total Hospitalinpatientservices

Office-basedmedicalprovider

Prescriptionmedicines

Dentalservices

Hospitaloutpatientservices

Home healthcare

Emergencyroom

services

Other medicalservices andequipment

Do

llar

s

Average and median out-of-pocket expenses for health Average and median out-of-pocket expenses for health care,* by age, 2003care,* by age, 2003

296

861

1,547

696

261

707

70

254

0

500

1,000

1,500

2,000

All ages <18 18-64 65 and over

Average Median

Do

llars

Average payment for an emergency room Average payment for an emergency room visit, by type of service received, 2003visit, by type of service received, 2003

637

302

904

560

0

200

400

600

800

1,000

Overall Surgery Otherservices*

(no surgery)

No specialservices

Do

llar

s

*Other services include any of the following: laboratory test, sonogram or ultrasound, X-ray, mammogram, MRI, CAT scan, EKG, ECG, EEG, vaccination, anesthesia, and other miscellaneous diagnostic tests.

Quality

Among children < 18 who had appointments for regular or Among children < 18 who had appointments for regular or routine health care in the last 12 months, percent distribution of routine health care in the last 12 months, percent distribution of

getting them as soon as wanted by race/ethnicity, 2000getting them as soon as wanted by race/ethnicity, 2000

52.1 53.7

12.5

45.0 53.833.833.2 37.3 26.9

14.7 17.7 19.4

020406080

100

Total Hispanic Black White

Per

cen

t

Always Usually Sometimes/never

Note: Total includes Hispanic, black, white, and other races not shown separately.

Source: Center for Cost and Financing Studies, AHRQ, Medical Expenditure Panel Survey, 2000

Treatment of sore throats for children under 18: Selected Treatment of sore throats for children under 18: Selected measures by metropolitan area status, 2002measures by metropolitan area status, 2002––2004 2004

(average annual)(average annual)P

erce

nt

Women age 18 to 64 who received Women age 18 to 64 who received a Pap test at recommended intervals, by a Pap test at recommended intervals, by

health insurance status, 2002health insurance status, 2002

78.470.8

44.6

57.565.962.1

83.9 87.0

0

25

50

75

100

Overall Any private Public only Uninsured

Percent with Pap test within last yearPercent with Pap test within last 3 years

Per

cen

t

Women age 40 to 64 who received Women age 40 to 64 who received mammogram screening at recommended intervals, mammogram screening at recommended intervals,

by health insurance status, 2002by health insurance status, 2002

44.5

31.5

48.2

59.555.3

63.772.3

77.2

0

25

50

75

100

Overall Any private Public only Uninsured

Percent with mammogram within the last yearPercent with mammogram within the last 2 years

Per

cen

t

Men age 50 to 64 who received a Men age 50 to 64 who received a PSA test at recommended intervals, PSA test at recommended intervals,

by health insurance status, 2002by health insurance status, 2002

28.522.2

33.9

45.542.0

45.4

54.458.7

0

25

50

75

Overall Any private Public only Uninsured

Percent with PSA test within the last yearPercent with PSA test within the last 2 years

Per

cen

t

Health Status and Conditions

Individuals age 18 to 64, mean expenditures Individuals age 18 to 64, mean expenditures

for health care, by health status, 2002for health care, by health status, 2002

7,3417,505

3,225

2,2561,654

2,274

9151,424

0

2,500

5,000

7,500

Excellent Very good Good Fair/Poor

Mean health care expenses for womenMean health care expenses for men

Do

llar

s

47.5

70.0

55.4 53.7

35.336.2

48.4 45.3

67.6

55.8

0

20

40

60

80

Heart conditions Cancer Trauma Mentaldisorders

Pulmonaryconditions

1997* 2002

Expenditures for the five most costly conditions, 1997 Expenditures for the five most costly conditions, 1997 and 2002and 2002

In b

illio

ns

of

2002

do

llar

s

*Expenditure estimates for 1997 inflated to 2002 dollars using the medical consumer price index.

9.7

81.1

36.7

11.3

58.3

21.518.8

57.764.4

0

15

30

45

60

75

90

Hypertension Overweight/obese Cardiovasculardisease/stroke

All adults Non-diabetic adults Diabetic adults

Chronic diseases among diabetics, non-diabetics, and all adult U.S. population, 2003

Per

cen

t

Distribution of expenses for injury-related Distribution of expenses for injury-related conditions, by cause, 2002conditions, by cause, 2002

Percentage of adults 18 years or older who Percentage of adults 18 years or older who currently smoked, by selected chronic conditions, 2003currently smoked, by selected chronic conditions, 2003

43.4

16.017.9

19.921.322.2

0

10

20

30

40

50

Emphysema Asthma Stroke Cardiovascularproblems

Hypertension Diabetes

Per

cen

t

Other AHRQ Data ProductsOther AHRQ Data Products

Healthcare Cost and Utilization Healthcare Cost and Utilization Project (HCUP)Project (HCUP)

Consumer Assessment of Health Consumer Assessment of Health Care Providers and Systems (CAHPS)Care Providers and Systems (CAHPS)

HCUPHCUP

Family of healthcare databases and software Family of healthcare databases and software tools to analyze hospital discharge data include:tools to analyze hospital discharge data include:

– State Inpatient Databases (SID)State Inpatient Databases (SID)– State Ambulatory Surgery Databases (SASD)State Ambulatory Surgery Databases (SASD)– State Emergency Dept Databases (SEDD)State Emergency Dept Databases (SEDD)– National Inpatient Sample (NIS)National Inpatient Sample (NIS)– Kids Inpatient Database (KID)Kids Inpatient Database (KID)

HCUP ToolsHCUP Tools

CCS SoftwareCCS Software Quality Indicators (QI’s)Quality Indicators (QI’s) Co-morbidity softwareCo-morbidity software HCUP-netHCUP-net

www.ahrq.gov/data/hcupwww.ahrq.gov/data/hcup

CAHPSCAHPS

Standardized tools to assist consumers assess Standardized tools to assist consumers assess choices in health care plans and services, and to choices in health care plans and services, and to provide basis for quality improvement.provide basis for quality improvement.

National CAHPS Benchmarking Database (NCBD) National CAHPS Benchmarking Database (NCBD) – facilitates comparisons of CAHPS results – facilitates comparisons of CAHPS results among different sponsors.among different sponsors.

www.cahps.ahrq.gov/default.aspwww.cahps.ahrq.gov/default.asp

Contact Information Contact Information

Steve MachlinSteve Machlin Phone: 301-427-1480Phone: 301-427-1480 Email: Email: Steven.MSteven.Machlin@ahrq.hhs.govachlin@ahrq.hhs.gov