Databases for Estimating Health Insurance Coverage for Children A Workshop Summary (2010) / Chapter Skim
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5 State Data Collections
5 State Data Collections
Pages 38-46
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From page 38... ...
Examples are presented of the experience in two states, one with an extensive program of state-sponsored surveys and another that relies entirely on federal surveys. MOTIVATION FOR STATE SURVEyS Not all states conduct state surveys, but all states do have Medicaid and CHIP responsibilities that require the kind of coverage and program management information that is collected in such surveys.
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From page 39... ...
COORDINATED STATE COVERAGE SURVEy For the reasons given in Chapters 3 and 4, the current federal surveys and national administrative databases have not been judged sufficient to fulfill these data requirements, so states have for some time sponsored their own ongoing surveys. Blewett reported that 19 states have used an instrument called the Coordinated State Coverage Survey (CSCS)
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From page 40... ...
Since the American Community Survey (ACS) added a question on health insurance coverage and has matured and gained the credibility that comes from increasing reliability for smaller geographic areas, it is becoming a more accepted source of health insurance coverage information at the state and substate level.
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From page 41... ...
In addition, the ACS has no additional health status or access questions, so its ability to fully substitute for state surveys is limited. NATIONAL HEALTH INTERVIEW SURVEy AS A SOURCE OF STATE DATA Blewett also discussed a fourth source of state-level information -- the National Health Information Survey (NHIS)
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From page 42... ...
Their policy decisions are likely to continue to rest with state survey data, for the reasons of familiarity (states are used to using state-specific data to inform policy decisions) and such features as the ability to add questions quickly that might be useful for answering state and national policy questions.
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From page 43... ...
Likewise, in embarking on an ambitious change in health care policy, there was a need for information on Massachusetts-specific insurance and health care programs. The needed information included information on insurance coverage, but it extended beyond that to information
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From page 44... ...
Massachusetts judged that the ACS, which provides a much larger sample size for Massachusetts than is available from any other survey, does not address the other needs -- state-specific insurance coverage options in the survey questions, information on health care outcomes beyond insurance coverage, and more timely data. Massachusetts Health Insurance Survey The MHIS is sponsored by the Massachusetts Division of Health Care Finance and Policy.
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From page 45... ...
Long compared the results of the state surveys with the CPS, the NHIS, and the Behavioral Risk Factor Surveillance System1 in 2006, prior to the passage of health care reform and the redesign of the MHIS, and concluded that each produced a very different estimate of the uninsurance rate for Massachusetts. The three surveys that provided estimates for children (CPS, NHIS, and MHIS)
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From page 46... ...
Despite the relatively successful experience with state surveys in Massachusetts, Long contended that federal surveys are still needed. She made several recommendations of ways to make federal survey data more useful: (a)
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