TY - JOUR
T1 - Monitoring health reform efforts
T2 - Which state-level data to use?
AU - Call, Kathleen Thiede
AU - Blewett, Lynn A.
AU - Boudreaux, Michel H.
AU - Turner, Joanna
PY - 2014/5
Y1 - 2014/5
N2 - This study compares estimates of health insurance coverage from the American Community Survey (ACS) to those in twelve state-specific surveys. Uninsurance estimates for the nonelderly are consistently higher in the ACS than in state surveys, as are direct purchase insurance estimates. Estimates for employer-sponsored insurance are similar, but public coverage rates are lower in the ACS. The ACS meets some but not all of the states' data needs; its large sample size and inclusion of all U.S. counties in the sample allow for comparison of insurance coverage within and across states. State-specific surveys provide the flexibility to add policy-relevant questions, including questions needed to examine how health insurance translates into access, use, and affordability of health services.
AB - This study compares estimates of health insurance coverage from the American Community Survey (ACS) to those in twelve state-specific surveys. Uninsurance estimates for the nonelderly are consistently higher in the ACS than in state surveys, as are direct purchase insurance estimates. Estimates for employer-sponsored insurance are similar, but public coverage rates are lower in the ACS. The ACS meets some but not all of the states' data needs; its large sample size and inclusion of all U.S. counties in the sample allow for comparison of insurance coverage within and across states. State-specific surveys provide the flexibility to add policy-relevant questions, including questions needed to examine how health insurance translates into access, use, and affordability of health services.
KW - American community survey
KW - Policy evaluation
KW - State surveys
KW - Uninsurance
UR - http://www.scopus.com/inward/record.url?scp=84897820338&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84897820338&partnerID=8YFLogxK
U2 - 10.1177/0046958013513670
DO - 10.1177/0046958013513670
M3 - Article
C2 - 24574128
SN - 0046-9580
VL - 50
SP - 93
EP - 105
JO - Inquiry (United States)
JF - Inquiry (United States)
IS - 2
ER -