"Medical Care Economic Risk: Measuring Financial Vulnerability from Spending on Medical Care" by ed. Michael J. O'Grady and Gooloo S. Wunderlich
Committee on National Statistics; Division of Behavioral and Social Sciences and Education; Board on Health Care Services; National Research Council and Institute of Medicine
NAS Press | 2012 | ISBN: 0309266041 9780309266048 | 246 pages | PDF | 5 MB




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 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.

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.

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.

Contents
Summary
Part I: Review and Recommendations
1 Introduction
2 Concepts of Medical Care Economic Burden and Risk
3 Concepts of Resources
4 Measures of Medical Care Economic Risk and Recommended Approach
5 Data Sources
6 Implementing Measures of Medical Care Economic Burden and Risk
References
Acronyms and Abbreviations
Biographical Sketches of Panel Members and Staff
Part II: Resources for the Study:
Developing a Measure of Medical Care Economic Risk: Workshop Summary
1 Introduction
2 Context for the Workshop
3 Measuring Medical Care Economic Risk
4 Issues in the Development of Thresholds
5 Issues in Defining Resources
6 Implementation Issues
7 Recap of Issues and Next Steps
References
Appendix: Agenda for the Workshop and Presenters
Part III: Resources for the Study: Background Papers
Conceptual Framework for Measuring Medical Care Economic Risk
Sarah Meier and Barbara Wolfe
Incorporating Data on Assets into Measures of Financial Burdens of Health
Jessica Banthin and Didem Bernard
An Assessment of Data Sources for Measuring Medical Care Economic Risk
John Czajka