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21. STATISTICAL BRIEF #339: Self-Insured Coverage in Employer-Sponsored Health Insurance for the Private Sector, 2000 and 2010
    meps.ahrq.gov/data_files/publications/st339/draft/stat339.shtml
    September 01, 2011 - Self-insured plan A plan offered by employers where the financial risk for the enrollee's medical claims … Some self-insured employers contract with an insurance company or third party administrator for claims

22. STATISTICAL BRIEF #339: Self-Insured Coverage in Employer-Sponsored Health Insurance for the Private Sector, 2000 and 2010
    meps.ahrq.gov/data_files/publications/st339/stat339.shtml
    September 01, 2011 - Self-insured plan A plan offered by employers where the financial risk for the enrollee's medical claims … Some self-insured employers contract with an insurance company or third party administrator for claims

23. Reconciling Medical Expenditure Estimates from the MEPS and NHEA, 2012 (pdf file)
    meps.ahrq.gov/data_files/publications/workingpapers/wp_17003.pdf
    May 10, 2018 - estimates of government program spending are computed by service using program data such as Medicare claims … A comparison between the MEPS and Truven MarketScan and OptumLabs claims data for 2008-2013 revealed … Future research using matched administrative claims data may help clarify the distribution of MEPS … Previous methodological investigations using the MEPS data linked to Medicare claims data found that … The institutional adjustment is based on data from MCBS, and while MCBS expenditures are based on claims

24. Persistence in Medicare Prescription Drug Expenditures by Treatment Class (pdf file)
    meps.ahrq.gov/data_files/publications/workingpapers/wp_06006.pdf
    September 01, 2006 - Most of this research focuses on the use of inpatient and ambulatory claims based diagnostic condition … Using claims data for the under 65 population, they find that prescription drug expenditures are more … One, the data could be easily drawn from pharmacy based claims records and could be readily available … The results of this study should be tested on larger Medicare datasets based on claims data. … Drug therapeutic categories are based on pharmacy claims and 7 The NDC is not available in the Medicare

25. MEPS Medical Provider Component (MPC) Glossary
    meps.ahrq.gov/survey_comp/appendix_d_glossary.shtml
    December 31, 2020 - hospital to do their patient billing (usually includes submitting claims … all non-institutional providers physician practices to standardize submission of claims … pre-admission testing, and different levels of hospital care), thorough review of claims … universal billing form used by physician practices to standardize submission of claims

26. Medical Expenditure Panel Survey Medical Provider Component (MPC) Glossary (pdf file)
    meps.ahrq.gov/survey_comp/appendix_d_glossary.pdf
    December 31, 2020 - physician, group of physicians, or a hospital to do their patient billing (usually includes submitting claims … used by all non-institutional providers including physician practices to standardize submission of claims … outpatient surgery, pre- admission testing, and different levels of hospital care), thorough review of claims … name of CMS 1500, a universal billing form used by physician practices to standardize submission of claims

27. Working Paper #8011: Benchmarking Medicare Managed Care Plan Enrollment Estimates from the Medical Expenditure Panel Survey and Administrative Enrollment Files from the Centers for Medicare & Medicaid Services (pdf file)
    meps.ahrq.gov/data_files/publications/workingpapers/wp_08011.pdf
    December 01, 2008 - Beneficiary Survey (MCBS), the Medical Expenditure Panel Survey (MEPS), and Medicare Program enrollment, claims … Medicare enrollment and claims data from administrative records are generally considered the most accurate … Parts A and B) and consequently indicate the Medicare premium amount for each enrollee, and Medicare claims

28. Wp 12006 (pdf file)
    meps.ahrq.gov/data_files/publications/workingpapers/wp_12006.pdf
    November 01, 2012 - Recent studies have examined Medicaid claims data before, and after, 2006 to document the implications … indirect evidence on drug spending by dual eligibles as they identify breaks in trends in Medicaid claims … Compared to Medicaid claims data, the MEPS Prescribed Medicines (PMED) data has the advantage of capturing … We conducted a detailed comparison with a study that used Medicaid claims data from 2005, the last … Studying prescription drug use and outcomes with Medicaid claims data: strengths, limitations, and

29. Meps10 (pdf file)
    meps.ahrq.gov/survey_comp/ic_survey/1996/meps10.pdf
    January 01, 1996 - who assumes the risk for enrollees’ medical expenses. 1 105 Self-insured – Your company pays the claims … Include: claims paid, administrative costs, and stop-loss coverage (if any).

30. Synthesis of "Statistical Innovations for Cost-Effectiveness Analysis" (pdf file)
    meps.ahrq.gov/data_files/publications/workingpapers/wp_08002.pdf
    January 01, 2008 - costs and allows for a greater use of total cost data, typically found in hospitalization records and claims … costs and allows for a greater use of total cost data, typically found in hospitalization records and claims … model is well-suited to inputs from administrative data such as Medicare claim files, which contain claims … Claims data—particularly if combined with disease registries such as the Surveillance, Epidemiology … An advantage of using the methods Gardiner et al describe along with claims data is it allows for the

31. Working Paper 15003: The Distribution of Public Spending for Health Care in the United States on the Eve of Health Reform (pdf file)
    meps.ahrq.gov/data_files/publications/workingpapers/wp_15003.pdf
    January 01, 2019 - Centers for Medicare and Medicaid Services (CMS), combine data on provider revenues and administrative claims … In this paper, the benefit of private insurance is based on paid claims (plus an implied load). … This is more symmetric with our use of claims paid by public insurers (plus net administrative costs

32. Accuracy of Household Reports of Medicare Managed Care Enrollment in the MEPS (pdf file)
    meps.ahrq.gov/data_files/publications/workingpapers/wp_08012.pdf
    December 01, 2008 - Brian Taaffe, Kitty Williams, Diana Wobus, and Pat Ward of Westat for the preparation of the Medicare claims

33. STATISTICAL BRIEF #453: Employer-Sponsored Health Insurance for Retirees in the Private Sector, 2003 to 2013
    meps.ahrq.gov/data_files/publications/st453/stat453.shtml
    October 01, 2014 - Self-insured plan A plan offered by employers where the financial risk for the enrollee's medical claims

34. Statistical Brief #453: Employer-Sponsored Health Insurance for Retirees in the Private Sector, 2003 to 2013 (pdf file)
    meps.ahrq.gov/data_files/publications/st453/stat453.pdf
    October 01, 2014 - Self-insured plan A plan offered by employers where the financial risk for the enrollee's medical claims

35. Wp 07007 Renamed-To-7002 (pdf file)
    meps.ahrq.gov/data_files/publications/workingpapers/wp_07007_renamed-to-7002.pdf
    September 18, 2007 - Detailed comparisons between MEPS and private insurance claims data indicate this shortfall likely … On-going research at AHRQ with matched public claims data may in the future help us to identify and

36. Wp 07002 (pdf file)
    meps.ahrq.gov/data_files/publications/workingpapers/wp_07002.pdf
    September 18, 2007 - Detailed comparisons between MEPS and private insurance claims data indicate this shortfall likely … On-going research at AHRQ with matched public claims data may in the future help us to identify and

37. STATISTICAL BRIEF #384: Use of Ambulatory Care among Children, 1999 and 2009
    meps.ahrq.gov/data_files/publications/st384/stat384.shtml
    September 01, 2012 - STATISTICAL BRIEF #384: Use of Ambulatory Care among Children, 1999 and 2009   Skip to main content An official website of the Department of Health & Human Services More Back …

38. Statistical Brief #384: Use of Ambulatory Care among Children, 1999 and 2009 (pdf file)
    meps.ahrq.gov/data_files/publications/st384/stat384.pdf
    September 01, 2012 - Statistical Brief #384: Use of Ambulatory Care among Children, 1999 and 2009 STATISTICAL BRIEF #384 September 2012 Use of Ambulatory Care among Children, 1999 and 2009 Salam Abdus, PhD and Thomas Selden, PhD Introduction Children's health care has always been a key concern both for the public and for policy makers…

39. STATISTICAL BRIEF #384: Use of Ambulatory Care among Children, 1999 and 2009
    meps.ahrq.gov/data_files/publications/st384/draft/stat384.shtml
    September 01, 2012 - STATISTICAL BRIEF #384: Use of Ambulatory Care among Children, 1999 and 2009   Skip to main content An official website of the Department of Health & Human Services More Back …

40. Meps10S (pdf file)
    meps.ahrq.gov/survey_comp/ic_survey/1998/meps10s.pdf
    January 01, 1998 - Include the following: • Claims paid • Administrative costs • The cost of stop-loss coverage (if any)